中国康复理论与实践2026，Vol.32Issue(8)：946-958,13.DOI:10.3969/j.issn.1006-9771.2026.08.008
福利机构成年残疾人照护服务需求分级评估工具应用评价
Application evaluation of the care-need grading assessment tool for adult with disabilities in welfare institutions
摘要
Abstract
Objective To apply and systematically evaluate the care-need grading assessment tool for adults with disabilities in wel-fare institutions. Methods From June to July,2025,four disability care institutions in Shanghai were selected,and a total of 1 002 adults with disabilities were assessed using the self-developed care-need grading assessment tool for adults with disabil-ities in welfare institutions.The application effectiveness of the tool was evaluated by analyzing the classification results of care need grading and the reclassification in grade distribution.The application validity was assessed through score differences across functional dimensions,reduced-dimension clustering scatter plots for each grade,and external variables.The application efficiency was evaluated based on the average assessment duration and learning curves.The application utility value was assessed through the distribution characteristics and map-ping relationships of service lists across different grades. Results The distribution across disability levels was 84 in Level 1,298 in Level 2,92 in Level 3,246 in Level 4,and 282 in Level 5,indicating a trend where individuals from higher levels in the original system shifted toward the mid-dle and lower levels of the new system.The tool demonstrated strong discriminatory power across the four func-tional dimensions(P<0.001),indicating favorable discriminant validity.The five classified levels exhibited clear clustering boundaries in the reduced-dimension space,reflecting robust structural validity.The classification re-sults were consistent with theoretical expectations regarding external variables,including age,disability type,dis-ability grade,number of comorbidities,and primary clinical diagnoses(P<0.05),demonstrating sound external validity.The median assessment duration was 5.80 minutes,with a significant learning effect(P=0.037),show-casing high efficiency.Finally,service lists tailored to different care levels were developed,where service content exhibited graded differences across care levels and accurately mapped the care-need characteristics of each grade,reflecting substantial utility value. Conclusion This tool can classify the care needs of adults with disabilities into five levels,with sound validity and high assessment efficiency;while the resulting service lists for different care levels can be used to guide practical im-plementation,which can be used for the graded assessment of care needs among adults with disabilities.关键词
成年残疾人/福利机构/照护服务需求/分级评估工具/应用评价Key words
adults with disabilities/welfare institutions/care needs/grading assessment tool/application evaluation分类
医药卫生引用本文复制引用
唐琪,吕军,马春华,黄昊鹰,孙嘉遥,陶冉,鲁春蕾,黄爱华..福利机构成年残疾人照护服务需求分级评估工具应用评价[J].中国康复理论与实践,2026,32(8):946-958,13.基金项目
1.国家社会科学基金重大项目(No.17ZDA078) （No.17ZDA078）
2.上海市民政局科研项目(No.MZKT-2024-01-23) （No.MZKT-2024-01-23）
3.唐仲英基金会资助项目(No.C32-0201-2401) （No.C32-0201-2401）
4.中国残疾人联合会2024 年残疾人服务标准研制计划课题 Supported by National Social Science Foundation(Major)(No.17ZDA078),Shanghai Municipal Civil Affairs Bureau Research Project(No.MZKT-2024-01-23),Cyrus Tang Foundation Project(No.C32-0201-2401)and Disability Service Standard Development Plan of China Disabled Persons'Federation （Major）
