| 引用本文:马亚男1，徐敏杰1，王海芳1，杨瑜爱1，李颖1，任巧生1，陈健1，张家成1，包炜玮1，高颖1，2，常静玲1.基于临床计量标准的《卒中后失语患者报告结局量表》研究[J].世界中医药,2023,(13):. |
|
| 基于临床计量标准的《卒中后失语患者报告结局量表》研究 |
| A Study of the Post-stroke Aphasia Patient-reported Outcome Measures Based on Clinimetric Criteria for Patient-reported Outcome Measures |
| 投稿时间：2023-05-10 |
| DOI：10.3969/j.issn.1673-7202.2023.13.004 |
| 中文关键词: 卒中后失语 患者报告结局测量临床计量标准 患者报告结局量表 摩根模型 可行性 信度 效度 敏感性 |
| English Keywords:Post-stroke aphasia Clinimetic Criteria for Patient reported Outcome Measures Patient reported outcome measures Mokken Scale model Feasibility Reliability Validity Sensitivity |
| 基金项目:国家自然科学基金项目(81973790) |
|
| 摘要点击次数: 497 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：评价《卒中后失语患者报告结局量表》的可行性、信度、效度及敏感性。方法：通过临床计量标准下患者报告结局测量《卒中后失语患者报告结局量表》进行多维度临床验证。选取2022年3月至2022年10月就诊于北京中医药大学东直门医院和中国康复研究中心门诊、住院患者作为研究对象，分别采用频数分析、Cronbach信度系数、Pearson相关系数、Mokken Scale model进行验证。结果：共收集142份问卷，有效问卷140份，完成率100%，平均完成时间（6.13±3.68）min；Cronbach α为0.932，内容效度显示除Q1外其余条目与本维度的相关系数大于与其他维度的相关系数；Mokken Scale model显示量表各维度同质性系数H>0.349，除Q4外，其余条目同质性系数Hij>0，Hi>0.3；中国康复研究中心汉语标准失语症检查量表与《卒中后失语患者报告结局量表》总分(r=0.562，P<0.01)、语言维度(r=0.630，P<0.01)及社会维度(r=0.533，P<0.01)之间均存在显著的正相关。结论：《卒中后失语患者报告结局量表》具有良好的可行性、精准性、可靠性、有效性、敏感性，可用来作为临床评估卒中后失语患者的量表之一。 |
| English Summary: |
| To evaluate the feasibility，reliability，validity，and sensitivity of the Post-stroke Aphasia Patient-reported Outcome Measures.Methods:A multidimensional clinical validation of the Post-stroke Aphasia Patient-reported Outcome Measures was conducted using clinimetric criteria for patient-reported outcome measures(CLIPROM).Patients who visited the outpatient and inpatient departments of Dongzhimen Hospital of Beijing University of Chinese Medicine and the China Rehabilitation Research Center from March 2022 to October 2022 were enrolled.Frequency analysis，Cronbach's α coefficient，Pearson correlation coefficient，and Mokken Scale model were used for validation.Results:A total of 142 questionnaires were collected，of which 140 were valid，with a completion rate of 100%.The average completion time was(6.13±3.68) min.The Cronbach's α coefficient was 0.932.Content validity showed that all items，except for Q1，had higher correlation coefficients with their respective dimensions than with other dimensions.The Mokken Scale analysis showed that the homogeneity coefficient H of each dimension of the scale was greater than 0.349.Except for Q4，the homogeneity coefficient Hij of the other items was greater than 0，and Hi was greater than 0.3.There were significant positive correlations of the Chinese Standard Aphasia Examination Scale of the China Rehabilitation Research Center with the total score(r=0.562，P<0.01)，language dimension(r=0.630，P<0.01)，and social dimension(r=0.533，P<0.01) of the Post-stroke Aphasia Patient-reported Outcome Measures.Conclusion:The Post-stroke Aphasia Patient-reported Outcome Measures demonstrates good feasibility，precision，reliability，validity，and sensitivity，and can be used as one of the scales for clinical assessment of post-stroke aphasia patients. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
