中風患者芙蘭切活動量表效度之再驗證：大臺北地區研究

A Revalidation of the Frenchay Activities Index in Stroke: A Study in Taipei Area

芙蘭切活動量表(Frenchay Activities Index. FAI)為一評量中風患者生活型態之量表，其項目包含家務事、休閒／工作及戶外活動。本研究驗證FAI量表應用於台北地區中風患者之效度。124位出院超過半年之中風患者接受電話訪問。因素分析顯示：FAI各項目中具一個共同的建構可用來評量中風患者之生活型態，唯看書一項與其他項目之共同性低。患者於FAI量表得分與巴索氏量表(Barthel Index)得分呈顯著相關(Pearson r = 0.65, p< 0.001)。患者於FAI得分與年齡呈顯著負相關(Pearson r=-0.43, p< 0.001)。本研究結果與其他國內外研究結果類似：FAI量表項目具備建構效度，適於評量中風患者之生活型態。後續國內使用者可考慮刪除看書一項，以期增加FAI之效度。

The Frenchay activities index (FAI) was developed specifically for evaluating life style in stroke patients. This instrument evaluates activities that reflect a higher level of social function than basic activities of daily living. The purpose of the study was to revalidate the FAI in Taiwan. One-hundred-and-twenty-tbur stroke patients participated in a telephone survey. Factor analysis indicated that all items of the FAI, cxcept reading books, had a common underlying construct. The FAI score was closely correlated with that of the Barthel index (Pearson r = 0.65, p<0.001) and negatively correlated with age (Pearson r = -0.43, p<0.001). The results of this study are similar to those of previous studies. The construct validity of the FAI is well supported. The FAI is appropriate for evaluating life style in stroke patients. The item of reading books might be deleted to improve the validity of the FAI.