Barthel index in assessment of daily Living ability of elderly patients with hip fracture

GAO Ying; NA Risu; LI Na; WANG Fang; LI Tong; FAN Juan

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Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (6) : 489-492.

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Barthel index in assessment of daily Living ability of elderly patients with hip fracture

GAO Ying, NA Risu, LI Na, WANG Fang, LI Tong, FAN Juan

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Abstract

Objective To assess the reliability of Barthel index (BI) in the assessment of daily living ability of elderly patients with hip fracture.Methods A total of 52 elderly patients with hip fracture from August 2019 to May 2020 were included. The nurses were divided into ABC groups, each group containing one trained and one untrained nursing staff. At 1 week postoperatively, one nursing team was randomly selected to evaluate the patients, and the nurses in the group were required to complete the Barthel index assessment within 4 hours for each patient. The intraclass correlation coefficient (ICC)was used to evaluate the inter observer reliability of the Barthel index.Results The overall mean of the BI at 1 week after surgery was 42.72±5.13, and there was no statistical difference within each group (P>0.05).All patients did not reach the level of mild dependence and above (>60 points) at 1 week after surgery, and there was no statistical difference in the proportions of the level of heavy/moderate dependence within each group (P>0.05)."Stairs", "Bathing", and "Feeding" were the consistent judgment items for all the enrolled patients, which might be related with the characteristics of hip fractures.The intraclass correlation coefficients of the 3 groups were all greater than 0.90 (ICC_Group1=0.903, ICC_Group2=0.957, ICC_Group3=0.905). The results showed that the inter-rater reliability of BI was sufficient.Conclusions The Barthel index is reliable in measuring the daily living ability of elderly patients with hip fractures.

Key words

Barthel index / hip fracture / self-help ability of daily living / ADL

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GAO Ying, NA Risu, LI Na, WANG Fang, LI Tong, FAN Juan. Barthel index in assessment of daily Living ability of elderly patients with hip fracture[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(6): 489-492

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