PA001
|
|
Do you have a rash, a cast, edema (swelling) in the arm, open sores or wounds, or a significant bruise where the blood pressure cuff will be in contact? 您手臂上有皮疹、肿 胀、或在血压计袖带接触的地方有开放性溃疡或伤口、或严重瘀伤吗? |
PA002
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QA001
|
|
Why didn’t R complete the blood pressure measurement? (Circle all that apply) 为 什么受试者未能完成血压测量?(可多选) |
QA002
|
|
Conduct the blood pressure measurements 测量血压。Measurement1 测量1. Time 测量时间 |
QA003
|
|
Conduct the blood pressure measurements 测量血压。Measurement1 测量1.Systolic 收缩压 ___mmHg |
QA004
|
|
Conduct the blood pressure measurements 测量血压。Measurement 1 测量1. Diastolic 舒张压___mmHg |
QA005
|
|
Conduct the blood pressure measurements 测量血压。Measurement1 测量1. Pulse 脉搏___P |
QA006
|
|
Conduct the blood pressure measurements 测量血压。Measurement2 测量2. Time 测量时间 |
QA007
|
|
Conduct the blood pressure measurements 测量血压。Measurement2 测量2.Systolic 收缩压 ___mmHg |
QA008
|
|
Conduct the blood pressure measurements 测量血压。Measurement 2 测量2. Diastolic 舒张压___mmHg |
QA009
|
|
Conduct the blood pressure measurements 测量血压。Measurement2 测量2. Pulse 脉搏___P |
QA010
|
|
Conduct the blood pressure measurements 测量血压。Measurement3 测量3. Time 测量时间 |
QA011
|
|
Conduct the blood pressure measurements 测量血压。Measurement3 测量3.Systolic 收缩压 ___mmHg |
QA012
|
|
Conduct the blood pressure measurements 测量血压。Measurement 3 测量3. Diastolic 舒张压___mmHg |
QA013
|
|
Conduct the blood pressure measurements 测量血压。Measurement3 测量3. Pulse 脉搏___P |
QA014
|
|
Which arm was used to conduct the measurements? 测量了哪只手臂的血压? |
QA015
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
QA016
|
|
What was R’s position for this test? 测量中受试者采用什么体位? |
QA017
|
|
Did the R smoke, exercise, consume alcohol or food within the 30 minutes prior to completing the blood pressure test? 在进行测量之前30 分钟内,受试者是否吸烟、运动、 进食和饮酒? |
PB001
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QB001
|
|
Why didn’t R complete the breathing test? (Circle all that apply) 为什么受试者没有完 成呼吸功能测定?(可多选) |
QB002
|
|
Conduct the breathing measurements 测量呼吸功能。Measurement1 测量1. Measurement Reading 测量读数______ |
QB003
|
|
Conduct the breathing measurements 测量呼吸功能。Measurement2 测量2.Measurement Reading 测量读数______ |
QB004
|
|
Conduct the breathing measurements 测量呼吸功能。Measurement3 测量3.Measurement Reading 测量读数______ |
QB005
|
|
How much effort did R give to this test? 受试者在测试中尽了多大的努力? |
QB006
|
|
What was R’s position for this test? 测量中受试者采用什么体位? |
PC001
|
|
Before we begin, I’d like to make sure it is safe for you to do this measurement. Have you had surgery or experienced any swelling, inflammation, severe pain, or injury in one or both hands within the last 6 months? |
PC002
|
|
In which hand (had surgery or experienced any swelling, inflammation, severe pain, or injury in the last 6 months)? 哪只手(在过去的6 个月,做过手术或肿胀、发炎、严重疼 痛或受伤)? |
PC003
|
|
Do you understand the directions for this measurement and agree to take it? 您能 明白测量方法并愿意参加这次测量吗? |
QC001
|
|
Why didn’t R complete the hand strength test? (Circle all that apply) 为什么受试者没 有完成握力测量? |
QC002
|
|
Which is your dominant hand? 您习惯用那只手? |
QC003
|
|
Conduct the hand strength measurements 测量握力大小。Measurement1 测量1. Left Hand 左手______kg |
QC004
|
|
Conduct the hand strength measurements 测量握力大小。Measurement1 测量1.Right Hand 右手______kg |
QC005
|
|
Conduct the hand strength measurements 测量握力大小。Measurement2 测量2. Left Hand 左手______kg |
QC006
|
|
Conduct the hand strength measurements 测量握力大小。Measurement2 测量2.Right Hand 右手______kg |
QC007
|
|
How much effort did R give to this test? 受试者在测试中尽了多大的努力? |
QC008
|
|
What was R’s position for this test? 测量中受试者采用什么体位? |
QC009
|
|
Did the R rest their arm on a support while performing the test? 在测试过程中,受试 者的手臂是否得到休息? |
PD001
|
|
Before we begin, do you have any problems from recent surgery, injury or other health conditions that might prevent you from standing up from a chair and balancing? 在我们开始前,请问最近是否有手术、损伤或其他疾病影响您从椅子上站起来并保持平衡? |
PD002
|
|
Do you understand the directions for this measurement and agree to take it? 您能 明白测量方法并愿意参加这次测量吗? |
QD001
|
|
Why didn’t R complete semi-tandem stand? (Circle all that apply) 为什么受访者没有 完成双脚半前后站立测试? |
QD002
|
|
Did R hold semi-tandem stand for a full 10 seconds without stepping out of place or grabbing hold of anything? 受访者是否在没有移动或抓住任何东西的情况下保持双脚半前 后站持续10 秒钟? |
QD003
|
|
Enter amount of time R held stand in seconds with two decimal places 记录保持站立的秒数(保留两位小数)__ |
QD004
|
|
Did R use any compensatory movements of his/her trunk, arms or legs to steady him/herself during semi-tandem stand? 在测试过程中,受试者是否使用躯干、手臂或腿来 保持平衡? |
PE001
|
|
Choose measurement according to R’s age. 根据受试者年龄确定受试者进行以下哪项测试 |
PE002
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QE001
|
|
Why didn’t R complete full-tandem measurement? (Circle all that apply) 为什么受访 者没有完成双脚半前后站立测试? |
QE002
|
|
Did R hold full-tandem stand for a full [30/60] seconds without stepping out of place or grabbing hold of anything? 受试者是否能够在没有移动脚或抓任何物的情况下前后脚站立 保持[30/60] 秒? |
QE003
|
|
Enter amount of time R held stand in seconds with two decimal places 记录保持站立的秒数(保留两位小数)__ |
QE004
|
|
Did R use any compensatory movements of his/her trunk, arms or legs to steady him/herself during semi-tandem stand? 在测试过程中,受试者是否使用躯干、手臂或腿来 保持平衡? |
QE005
|
|
Record the type of floor surface that the balance measures were conducted on. 记录 用于测试的地板类型 |
QE006
|
|
How compliant was R during the balance measurements? 受试者在测量的过程中依从 性如何? |
PF001
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QF001
|
|
Why didn’t R complete Side-by-Side stand? (Circle all that apply) 为什么受访者没有 完成双脚并拢站立测试? |
QF002
|
|
Did R hold side-by-side stand for a full 10 seconds without stepping out of place or grabbing hold of anything? 受试者是否能够在没有移动脚或抓任何物的情况下双脚并拢站立 保持10 秒? |
QF003
|
|
Enter amount of time R held stand in seconds with two decimal places 记录保持站立的秒数(保留两位小数)__ |
QF004
|
|
Did R use any compensatory movements of his/her trunk, arms or legs to steady him/herself during semi-tandem stand? 在测试过程中,受试者是否使用躯干、手臂或腿来 保持平衡? |
QF005
|
|
Record the type of floor surface that the balance measures were conducted on. 记录 用于测试的地板类型 |
QF006
|
|
How compliant was R during the balance measurements? 受试者在测量的过程中依从 性如何? |
PG002_1
|
|
Is R eligible for Walking Speed Test? 是否合乎步行速度测试的条件? |
PG002
|
|
Do you have any problems from recent surgery, injury, or other health conditions that might prevent you from walking? |
PG003
|
|
Do you understand the directions for this measurement and agree to take it? 您能 明白测量方法并愿意参加这次测量吗? |
QG001
|
|
Why didn’t R complete the Walking Speed measurement? (Circle all that apply) 为什 么受试者未能完成步行速度测量?(可多选) |
QG002
|
|
Conduct the first walking speed measurements 第一次步行速度测量。 Walking Time 步行时间 __ __.__ __ seconds 秒 |
QG003
|
|
Conduct the second walking speed measurements 第二次步行速度测量。 Walking Time 步行时间 __ __.__ __ seconds 秒 |
QG004
|
|
Record type of floor surface. 访问员记录地面的类型 |
QG005
|
|
Record type of aid used. 记录步行辅助器 |
QG006
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
PH001
|
|
Do you understand the directions for this measurement and agree to take it? 您能 明白测量方法并愿意参加这次测量吗? |
QH001
|
|
Why didn’t R complete the Side-by-Side stand? (Circle all that apply) 为什么受试者 没有完成重复从椅子站起时间的测试?(可多选) |
QH002
|
|
Did R can stand up straight and then sit down again at his/her usual pace five times without stopping in between and without using arms to push off? 受访者可以在 不用手臂支撑的情况下按其平时的节奏连续起立坐下五次吗? |
QH003
|
|
Yes 是,Enter amount of time R held stand in seconds to two decimal places 记录 受试者所用的时间,保留小数点两位: ____.__ __ Sec 秒 |
QH004
|
|
No 否,Enter amount of time R held stand in seconds to two decimal places 记录 受试者保持的时间,保留小数点两位: ____.__ __ Sec 秒 |
QH005
|
|
Record the number of stands R completed 记录受试者完成的站立次数____ 0..5 times 次 |
QH006
|
|
Record the chair height from floor to seat in the space provided 记录从地面到坐位之 间的椅子的高度____ 0..999 cm 厘米 |
QH007
|
|
Did R use his/her trunk arms during repeated chair stands? 在测试过程中,受试者 是否用了手臂? |
PI001
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QI001
|
|
Why didn’t R complete the breathing test? (Circle all that apply) 为什么受试者没有完 成身高测定?(可多选) |
QI002
|
|
Record measurements in chart (Record 993 if R tried but was unable. Record 999 if R chose not to do it) 将测试结果记录在下表中(如果尽管受试者尝试了,但无法进行测试,请 填写993。如果受试者选择不进行测试,请填写999) |
QI003
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
PJ001
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QJ001
|
|
Why didn’t R complete the upper arm length? (Circle all that apply) 为什么受试者没 有完成上臂长度测定?(可多选) |
QJ002
|
|
Record measurements in chart (Record 993 if R tried but was unable. Record 999 if R chose not to do it) 将测试结果记录在下表中(如果尽管受试者尝试了,但无法进行测试, 请填写993。如果受试者选择不进行测试,请填写999) |
QJ003
|
|
Which arm was used to conduct the measurements? 测量了哪侧上臂的长度? |
QJ004
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
PK001
|
|
Do you understand the directions for this measurement and agree to take it? 您能 明白测量方法并愿意参加这次测量吗? |
PK002
|
|
Is he/she hunchback? 受试者是否驼背 |
QK001
|
|
Why didn’t R complete the knee height? (Circle all that apply) 为什么受试者没有完成 膝高测定?(可多选) |
QK002
|
|
Record measurements in chart (Record 993 if R tried but was unable. Record 999 if R chose not to do it) 将测试结果记录在下表中(如果尽管受试者尝试了,但无法进行测试, 请填写993。如果受试者选择不进行测试,请填写999) |
QK003
|
|
Which leg was used to conduct the measurements? 测量了哪侧腿的膝高? |
QK004
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
PL001
|
|
Is R eligible for Weight Measurement? 是否合乎测量体重的条件? |
PL002
|
|
Do you understand the directions for this measurement and agree to take it? 您能明 白测量方法并愿意参加这次测量吗? |
QL001
|
|
Why weren’t you able to measure R’s weight? (Circle all that apply) 你为什么无法测量 受试者的体重?(可多选) |
QL002
|
|
Record measurements in chart (Record 993 if R tried but was unable. Record 999 if R chose not to do it) 将测试结果记录在下表中(如果尽管受试者尝试了,但无法进行测试, 请填写993。如果受试者选择不进行测试,请填写999) |
QL003
|
|
Record type of floor surface. 记录地面的类型 |
QL004
|
|
Was R wearing shoes during the measurement? 受试者是否穿着鞋测量? |
QL005
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
PM001
|
|
Ask if necessary: (“Before we begin, do you feel you are able to stand while we do this measurement?”) 必要时问受访者:(“开始前,您认为在测试过程中,您是否能够站着?”) |
PM002
|
|
Do you understand the directions for this measurement and agree to take it? 您能 明白测量方法并愿意参加这次测量吗? |
QM001
|
|
Why weren’t you able to measure R’s waist? (Circle all that apply) 为什么无法完成腰 围测量?(可多选) |
QM002
|
|
Record measurements in chart (Record 993 if R tried but was unable. Record 999 if R chose not to do it) 将测试结果记录在下表中(如果尽管受试者尝试了,但无法进行测试, 请填写993。如果受试者选择不进行测试,请填写999) |
QM003
|
|
What difficulties occurred during this measurement? (Circle all that apply) 在测量 过程中有哪些困难?(可多选) |
QM004
|
|
How compliant was R during this measurement? 受试者在测量的过程中依从性如何? |
QM005
|
|
Was the R wearing bulky clothing during this measurement? 受试者在测量过程中是 否穿者厚重的衣服? |