中文版经口摄食功能评估量表在摄食-吞咽障碍脑卒中患者中的信效度检验

发布时间：2018-01-21 18:41

  本文关键词： 脑卒中 经口摄食功能 信度 效度　出处：《实用医学杂志》2017年22期 　论文类型：期刊论文

【摘要】：目的翻译引进经口摄食功能评估量表(FOIS),并在摄食-吞咽障碍脑卒中患者中进行信效度检验。方法按照Brislin翻译原则中双人翻译-回译法,将量表翻译成中文版FOIS评估量表后再将其回译成英文,并征求源量表作者意见确定其最终版本。对中文版的评分者间信度、效标关联效度、交叉验证效度以及区分效度进行验证,患者出院后通过电话随访的形式检验该量表的敏感度。结果 2名卒中护士的评分者间信度较好(Kw=0.83,P0.001);与洼田饮水试验量表的效标关联效度较好(r=-0.79,P0.001);临床综合评估结果显示,两组不同评价结局患者的FOIS评估等级差异有统计学意义(Z=-9.64,P0.001);FOIS评估结果与患者吞咽功能的两个生理学指标呈显著相关性,且急性脑卒中患者出院后3个月内的经口摄食功能呈明显好转趋势。结论翻译后的中文版FOIS量表在我国摄食-吞咽障碍脑卒中患者中初步检验具有较好的信效度,适于临床护士用来评估和记录摄食-吞咽障碍脑卒中患者的经口摄食功能变化,值得进一步推广。
[Abstract]:Objective to introduce FOIS. The reliability and validity of the patients with ingestion and dysphagia stroke were tested. The scale was translated into Chinese version of FOIS evaluation scale and then translated back into English, and the final version was confirmed with the advice of the author of the source scale. The validity of cross-validation and discriminative validity were verified. The sensitivity of the scale was tested by telephone follow-up after discharge. Results the reliability of the two stroke nurses was better than that of the two stroke nurses (0.83). P0.001; The validity of correlation with the Wadi drinking water test scale was better than that of r-0.79g P0.001; The results of clinical comprehensive evaluation showed that there was significant difference in FOIS evaluation grade between two groups of patients with different evaluation outcomes (P 0.001). The results of FOIS evaluation were significantly correlated with the two physiological indexes of swallowing function. The oral feeding function of acute stroke patients showed an obvious improvement trend within 3 months after discharge from hospital. Conclusion the translated Chinese version of FOIS scale has a good preliminary test in Chinese patients with ingestion and dysphagia stroke patients. Reliability and validity. It is suitable for clinical nurses to evaluate and record the changes of oral feeding function in patients with dysphagia.
【作者单位】： 南方医科大学南方医院护理部;南方医科大学南方医院神经内科;
【基金】：广东省省级科技计划项目(编号:2014A020212542,2013B060500047)
【分类号】：R473.74
【正文快照】： 摄食-吞咽障碍是脑卒中患者常见的伴随症状,其发病率因各研究间是否纳入急性期一过性吞咽障碍患者而高低不一[1]。合并摄食-吞咽障碍的脑卒中患者容易引起脱水、营养不良以及误咽性肺炎等,有的甚至出现严重的呼吸系统疾病。美国心脏学会(American Heart Association,AHA)对卒，

本文编号：1452274