Valoración de la discapacidad física: el indice de Barthel

• Autores: Javier Cid Ruzafa, Francisco Javier Damián Moreno
• Localización: Revista española de salud pública, ISSN 1135-5727, ISSN-e 2173-9110, Vol. 71, Nº. 2, 1997, págs. 127-137
• Idioma: español
• DOI: 10.1590/s1135-57271997000200004
• Títulos paralelos:
  • Evaluating physical incapacity: the Barthel index
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 75 Citas
• Resumen
  • español

    En Salud Pública existe una tendencia creciente a valorar el impacto que los problemas de salud tienen, tanto sobre la calidad de vida de las personas como sobre el uso de servicios sanitarios. En este sentido, la evaluación de la discapacidad está adquiriendo una relevancia cada vez mayor. El índice de Barthel es un instrumento ampliamente utilizado para este propósito y mide la capacidad de la persona para la realización de diez actividades básicas de la vida diaria, obteniéndose una estimación cuantitativa del grado de dependencia del sujeto. El Indice de Barthel se ha venido utilizando desde que fue propuesto en 1955 y ha dado lugar a múltiples versiones, además de servir como estándar para la comparación con otras escalas. Es una medida fácil de aplicar, con alto grado de fiabilidad y validez, capaz de detectar cambios, fácil de interpretar y cuya aplicación no causa molestias. Por otra parte, su adaptación a diferentes ámbitos culturales resulta casi inmediata. A pesar de tener algunas limitaciones, el Indice de Barthel puede recomendarse como un instrumento de elección para la medida de la discapacidad física, tanto en la práctica clínica como en la investigación epidemiológica y en Salud Pública.

  • English

    In Public Health there exists a growing tendency to evaluate the impact of health problems both on the quality of life of the persons involved as well as the use of health services. In this sense, the evaluation of incapacity is acquiring ever greater relevance. The Barthel Index is an instrument widely used to this end and measures the capacity of the person for the execution of ten basic activities in daily life, obtaining a quantitative estimation of the subject´s level of dependency. The Barthel Index has been used, since its introduction in 1955, resulting in numerous versions, as well as serving as a standard of comparison with other scales. It is an easily applicable method, with a high level of realibility and validity, capable of detecting changes, easy to interpret and the application of which is not problematic. On the other hand, its adaptation to different cultural environments is almost immediate. Although it has a few limitations, the Barthel Index may be recommended as a selection method for measuring physical incapacity, both in clinical practice as well as in epidemiological investigation and Public Health.

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