バーセル指数
WordNet
- provide with an index; "index the book"
- a numerical scale used to compare variables with one another or with some reference number
- the finger next to the thumb (同)index_finger, forefinger
- a number or ratio (a value on a scale of measurement) derived from a series of observed facts; can reveal relative changes as a function of time (同)index_number, indicant, indicator
- an alphabetical listing of names and topics along with page numbers where they are discussed
- adjust through indexation; "The government indexes wages and prices"
- list in an index
- United States novelist (born in 1930) (同)John Barth, John Simmons Barth
- Swiss Protestant theologian (1886-1968) (同)Karl Barth
- the act of classifying and providing an index in order to make items easier to retrieve
PrepTutorEJDIC
- (本・雑誌などの)『索引』;図書目録 / 指し示すもの,印 / (計器などの)指針 / 指数・虜 / 《the I-》(カトック教会の)禁所目録 / 〈本など〉‘に'索引をつける / 〈語など〉‘を'索引に載せる
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/12/11 14:23:41」(JST)
[Wiki en表示]
The Barthel scale or Barthel ADL index is an ordinal scale used to measure performance in activities of daily living (ADL). Each performance item is rated on this scale with a given number of points assigned to each level or ranking.[1] It uses ten variables describing ADL and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from hospital. The amount of time and physical assistance required to perform each item are used in determining the assigned value of each item. External factors within the environment affect the score of each item. If adaptations outside the standard home environment are met during assessment, the participant’s score will be lower if these conditions are not available. If adaptations to the environment are made, they should be described in detail and attached to the Barthel index.[2]
The scale was introduced in 1965,[3] and yielded a score of 0–20. Although this original version is still widely used, it was modified by Granger et al. in 1979, when it came to include 0–10 points for every variable,[4] and further refinements were introduced in 1989.[5] The modified Barthel index was designed as the original scale was insensitive to change and had arbitrary scores. The sensitized version sharply discriminates between good and better and poor and poorer performances. Its effectiveness is not just with in-patient rehabilitation but home care, nursing care, skilled nursing, and community. The Barthel index signifies one of the first contributions to the functional status literature and it represents occupational therapists' lengthy period of inclusion of functional mobility and ADL measurement within their scope of practice.[1] The scale is regarded as reliable, although its use in clinical trials in stroke medicine is inconsistent.[6] It has however, been used extensively to monitor functional changes in individuals receiving in-patient rehabilitation, mainly in predicting the functional outcomes related to stroke. The Barthel index has been shown to have portability and has been used in 16 major diagnostic conditions. The Barthel index has demonstrated high inter-rater reliability (0.95) and test–retest reliability (0.89) as well as high correlations (0.74–0.8) with other measures of physical disability.[1]
Copyright Information: The Maryland State Medical Society holds the copyright for the Barthel Index. It may be used freely for noncommercial purposes with the following citation: Mahoney FI, Barthel D. “Functional evaluation: the Barthel Index.” Maryland State Med Journal 1965;14:56-61. Used with permission. Permission is required to modify the Barthel Index or to use it for commercial purposes.
The ten variables addressed in the Barthel scale are:[3]
- presence or absence of fecal incontinence
- presence or absence of urinary incontinence
- help needed with grooming
- help needed with toilet use
- help needed with feeding
- help needed with transfers (e.g. from chair to bed)
- help needed with walking
- help needed with dressing
- help needed with climbing stairs
- and help needed with bathing
See also
References
- ^ a b c O'Sullivan, Susan B; Schmitz, Thomas J (2007). Physical Rehabilitation, Fifth Edition. Philadelphia, PA: F.A. Davis Company. p. 385.
- ^ Carroll, Douglas. "Functional Evaluation: The Barthel Index" (PDF). Retrieved 12 May 2011.
- ^ a b Mahoney F. Barthel D (1965). "Functional evaluation: the Barthel Index". Md Med J 14: 61–65. PMID 14258950.
- ^ Granger CV, Dewis LS, Peters NC, Sherwood CC, Barrett JE (January 1979). "Stroke rehabilitation: analysis of repeated Barthel index measures". Arch Phys Med Rehabil 60 (1): 14–7. PMID 420565.
- ^ Shah S, Vanclay F, Cooper B (1989). "Improving the sensitivity of the Barthel Index for stroke rehabilitation". J Clin Epidemiol 42 (8): 703–9. doi:10.1016/0895-4356(89)90065-6. PMID 2760661.
- ^ Sulter G, Steen C, De Keyser J (August 1999). "Use of the Barthel index and modified Rankin scale in acute stroke trials". Stroke 30 (8): 1538–41. doi:10.1161/01.str.30.8.1538. PMID 10436097.
External links
- 1965 (original version) online calculator at pmidcalc.org
- Stroke Center reprint
UpToDate Contents
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English Journal
- Feasibility of hypothermia beyond 3weeks in severe ischemic stroke: An open pilot study using gamma-hydroxybutyrate.
- Mourand I, Escuret E, Héroum C, Jonquet O, Picot MC, Mercier G, Milhaud D.SourceDépartement de Neurologie, Hôpital Gui de Chauliac, 80 avenue Augustin Fliche, 34295 MONTPELLIER Cedex 5, France.
- Journal of the neurological sciences.J Neurol Sci.2012 May 15;316(1-2):104-7. Epub 2012 Feb 14.
- PURPOSE: Hypothermia is a promising neuroprotective therapy. We studied the feasibility and safety of very prolonged moderate hypothermia for severe acute ischemic stroke.METHODS: Moderate hypothermia was induced within 24h after a severe ischemic stroke involving the middle cerebral artery. Hypothe
- PMID 22336703
- Preliminary findings of the effects of autonomic dysfunction on functional outcome after acute ischemic stroke.
- Xiong L, Leung H, Chen XY, Han JH, Leung T, Soo Y, Wong E, Chan A, Lau A, Wong KS.SourceDepartment of Medicine & Therapeutics, Chinese University of Hong Kong, Hong Kong, China.
- Clinical neurology and neurosurgery.Clin Neurol Neurosurg.2012 May;114(4):316-20. Epub 2011 Nov 15.
- BACKGROUND AND PURPOSE: Impaired autonomic function is common in the acute poststroke phase but little is known about its effects on functional outcome after acute ischemic stroke. This study sought to investigate the impact of autonomic dysfunction by Ewing's classification on functional outcome 2m
- PMID 22088362
Japanese Journal
- Long-term outcome of severe stroke patients : Is the ADL status at discharge from a stroke center indicative of the long-term outcome?
- Kashihara Michiharu,Nakao Shigetaka,Kawasaki Jun,Takata Shinjiro,Nagahiro Shinji,Kaji Ryuji,Yasui Natsuo,中尾 成孝,髙田 信二郎,永廣 信治,梶 龍兒,安井 夏生
- The journal of medical investigation : JMI 58(3-4), 227-234, 2011-08
- … The design is aretrospective observational study in the stroke center at Tokushima University Hospital.Severe stroke patients at discharge with Barthel Index (BI) scores 40 (N=51) were dividedinto two subgroups retrospectively, improved and unimproved. …
- NAID 80021963490
- 池嵜 寛人,原 修一
- 九州保健福祉大学研究紀要 12, 163-169, 2011-03
- … 0 on the Barthel Index were predictors of oral intake in patients with acute stage of cerebrovascular disorder. …
- NAID 110008456909
Related Links
- JAPF J-CHEARS Study 2003.10 バーセルインデックス(Barthel Index; 機能的評価) 点数 質 問 内 容 得点 1 食事 10 5 0 自立、自助具などの装着可、標準的時間内に食べ終える 部分介助(たとえば、おかずを切って細かくしてもらう)
- 医療、看護、介護、福祉、リハビリ(理学療法 作業療法 言語聴覚療法)、栄養に関わることを主に掲載しています。 ... バーセルインデックス (Barthel lndex, BI) ADL評価法 代表的ADL尺度のうちのひとつで、わが国でもリハビ ...
- バーセルインデックス(Barthel index:機能的評価) 項 目 配 点 基準の内容 1 食事 10 5 0 自立、自助具などの装着可、標準的時間内に食べ終える 部分介助(たとえば、おかずを切って細かくしてもらう 全介助 2 移乗 15
Related Pictures
★リンクテーブル★
[★]
- 英
- Barthel index, BI
- 同
- バーセルインデックス、バーテル指数、バーテルインデックス、バーセル尺度、Barthel scale、BS
- 関
- 日常生活動作 ADL
- 日常生活動作における障害者や高齢者の機能的評価(ADL評価)を数値化(100点満点)したものである。
- 10項目を2-4段階で評価する。自宅自立の目安は60点以上である。
- 食事、ベットへの移動、整容、トイレ動作、入浴、歩行、階段昇降、着替え、排便、排尿について評価
- 歩行とベットへの移動に重点が置かれている。
- 認知機能の評価は評価項目に含まれない。
食事
|
10
|
自立、自助具などの装着可、標準的時間内に食べ終える
|
5
|
部分介助(たとえば、おかずを切って細かくしてもらう)
|
0
|
全介助
|
車椅子からベッドへの移動
|
15
|
自立、ブレーキ、フットレストの操作も含む
|
10
|
軽度の部分介助または監視を要する
|
5
|
座ることは可能であるがほぼ全介助
|
0
|
全介助または不可能
|
整容
|
5
|
自立(洗面、整髪、歯磨き、ひげ剃り)
|
0
|
部分介助または不可能
|
トイレ動作
|
10
|
自立(衣服の操作、後始末を含む、ポータブル便器などを使用している場合はその洗浄も含む)
|
5
|
部分介助、体を支える、衣服、後始末に介助を要する
|
0
|
全介助または不可能
|
入浴
|
5
|
自立
|
0
|
部分介助または不可能
|
歩行
|
15
|
45 m 以上の歩行、補装具(車椅子、歩行器は除く)の使用の有無は問わず
|
10
|
45 m 以上の介助歩行、歩行器の使用を含む
|
5
|
歩行不能の場合、車椅子にて45 m 以上の操作可能
|
0
|
上記以外
|
階段昇降
|
10
|
自立、手すりなどの使用の有無は問わない
|
5
|
介助または監視を要する
|
0
|
不能
|
着替え
|
10
|
自立、靴、ファスナー、装具の着脱を含む
|
5
|
部分介助、標準的な時間内、半分以上は自分で行える
|
0
|
上記以外
|
排便コントロール
|
10
|
失禁なし、浣腸、坐薬の取り扱いも可能
|
5
|
ときに失禁あり、浣腸、坐薬の取り扱いに介助を要する者も含む
|
0
|
上記以外
|
排尿コントロール
|
10
|
失禁なし、収尿器の取り扱いも可能
|
5
|
ときに失禁あり、収尿器の取り扱いに介助を要する者も含む
|
0
|
上記以外
|
- 100点 全自立
- 60点 部分自立
- 40点 大部分介助
- 0点 全介助
参考
- http://ja.wikipedia.org/wiki/%E3%83%90%E3%83%BC%E3%82%BB%E3%83%AB%E6%8C%87%E6%95%B0
- http://www.nmckk.jp/pdf.php?mode=puball&category=JJCD&vol=24&no=10&d1=9&d..
- http://www.crsu.org/chears/pdf/65situmonnsi.pdf
[★]
- 英
- activity of daily living, activities of daily living, ADL
[★]
[★]
- 索引、見出し。目録
- (正式)(~を示す)しるし、あらわれ。指標(sign)(of,to)
- (まれ)目盛り、(計器などの)指針、針(pointer)
- =finger
- (pl.)指数(事象の性質・程度の指標として特定の方式で表した数値)。(数学)指数(exponent)
- (コンピュータ)インデックス
- (物理)(屈曲などの)率
- 関
- indication、indicator、indices