Age cut-off value of the Barthel Index in the assessment of children's activities of daily living
10.3760/cma.j.cn115682-20220106-00078
- VernacularTitle:Barthel指数量表在小儿生活自理能力评估应用中年龄截断值的研究
- Author:
Hongqin WANG
1
;
Jing XU
;
Lamei GONG
;
Yunyun WANG
;
Qiong WANG
Author Information
1. 安徽省儿童医院护理部，合肥 230051
- Keywords:
Child;
Activities of daily living;
Barthel Index;
Grading nursing;
Cutoff value
- From:
Chinese Journal of Modern Nursing
2022;28(36):5094-5097
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To determine the best age cutoff value of Barthel Index in the assessment of children's activities of daily living based on the scores of children's activities of daily living at different ages and the expert consensus.Methods:From December 5, 2019 to March 31, 2020, 186 children with elective surgery who were admitted to the Stomatology Department of Anhui Provincial Children's Hospital were selected as the study subject by convenience sampling. The General Information Questionnaire and Barthel Index were used to evaluate the activities of daily living of children.According to children's age, children were divided into infant group 1 (12-17 months) ( n=25), infant group 2 (18-35 months) ( n=49), preschool group (36-71 months) ( n=54), and school age group (≥ 6 years) ( n=54). The differences of children's activities of daily living in different age groups were compared. A total of 186 questionnaires were distributed, and 182 valid questionnaires were recovered, with avalid recovery rate of 97.85% (182/186). From January 7 to 14, 2020, 8 nursing experts and 2 medical experts were selected by purposive sampling.After two rounds of face-to-face expert meetings, consensus was reached on the best age cutoff value for children's activities of daily living evaluation according to the children's neuropsychiatric development progress. Results:Among children in infant group 1, 96.00% (24/25) were severely dependent and 4.00% (1/25) were moderately dependent.Among children in infant group 2, 61.22% (30/49) were severely dependent, 36.73% (18/49) were moderately dependent, and 2.04% (1/49) were lightly dependent. Among children in preschool group, 20.37% (11/54) were moderately dependent, 77.78% (42/54) were lightly dependent, and 1.85% (1/54) were completely self-care. In the school age group, 27.78% (15/54) of the children were lightly dependent and 72.22% (39/54) were completely self-care. The scores of activities of daily living in different age groups were statistically significant ( P<0.01). Through face-to-face expert meeting, the best age cutoff value for children's activities of daily living assessment was determined to be ≥ 3 years old. Conclusions:Based on the scores of children of different ages and the expert consensus, it is recommended that children ≥ 3 years old use the Barthel Index to evaluate their activities of daily living as one of the bases for establishing the nursing grade.
