PMID: 11926176Apr 3, 2002Paper

Measuring nursing needs of stroke patients in clinical rehabilitation: a comparison of validity and sensitivity to change between the Northwick Park Dependency Score and the Barthel Index

Clinical Rehabilitation
Marcel PostL S F Gispen

Abstract

To compare the content and convergent validity and the sensitivity to change of the Northwick Park Dependency Score (NPDS) to that of the Barthel Index in patients with stroke. Rehabilitation Centre De Hoogstraat, Utrecht, The Netherlands. Inclusion of consecutive patients with stroke. Measurements at admission and every four weeks until final measurement at discharge. Administration by nurses of NPDS, Barthel Index and nurses' global ratings of nursing dependency. Thirty-one patients were included and 123 measurements were obtained. Median Barthel Index scores at admission and discharge were 11.2 and 17.8 respectively. At discharge, 58.6% of all patients obtained the best possible Barthel Index score, against 31.1% for the Basic Care Needs section and 87.1% for the Special Nursing Needs sections of the NPDS. Spearman correlations between NPDS and Barthel Index were very strong (0.82-0.92) at each measurement. Both the NPDS and the Barthel Index showed strong relationships with the global rating of nursing dependency (-0.82 and 0.70 respectively) and showed good sensitivity to change, Z-values for differences between admission and discharge were 4.06 (p < 0.001) for the NPDS and 4.20 (p < 0.001) for the Barthel Index. Most (9/1...Continue Reading

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Citations

Sep 26, 2009·Clinical Rehabilitation·Lynne Turner-StokesHilary Rose
Mar 17, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·Rory J O'ConnorM Anne Chamberlain
Apr 13, 2005·Disability and Rehabilitation·Rory J O'ConnorMark A Delargy
Apr 22, 2005·Journal of Advanced Nursing·Ate DijkstraTheo W N Dassen
Jul 25, 2007·Journal of Advanced Nursing·Heather WilliamsLynne Turner-Stokes
Jul 31, 2007·Acta Neurologica Scandinavica·K P Y LiuA G Fisher
Aug 5, 2011·Scandinavian Journal of Caring Sciences·Juliane Eichhorn-KisselChrista Lohrmann
Sep 27, 2014·Journal of Clinical Nursing·José Miguel Morales-AsencioSergio Barrientos-Trigo
Sep 9, 2009·Archives of Physical Medicine and Rehabilitation·Holm ThiemeChristian Zange
Jun 3, 2005·Clinical Rehabilitation·Siv SvenssonKatharina Stibrant Sunnerhagen
Jun 22, 2010·Clinical Rehabilitation·Lynne Turner-StokesDiana Jackson
Feb 26, 2021·International Journal of Palliative Nursing·Michael TattertonCharlotte Walker

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