温小莉,陈艳,王璇,等.基于Delphi法构建粤语标准失语症评估工具研究[J].中华物理医学与康复杂志,2024,46(5):407-411
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| 基于Delphi法构建粤语标准失语症评估工具研究 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.05.004 |
| 中文关键词: 粤语 失语症 评估 |
| 英文关键词: Cantonese Aphasia Assessment |
| 基金项目:国家重点研发计划主动健康和老龄化科技应对专项（2020YFC2005700） |
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| 中文摘要: |
| 目的 构建适用于我国粤语失语症患者的失语评估工具，为我国粤语失语症患者的诊断及疗效评价提供参考依据。 方法 通过检索和复习文献，在CRRCAE框架基础上，形成初步条目池，采用Delphi法，邀请广东省内13家三级甲等医院的18名专家进行2轮专家咨询，最终形成粤语标准失语症检查表。 结果 18名专家进行了2轮专家咨询，2轮咨询中专家的积极系数分别为94.4%和100%；权威系数分别为0.92和0.94。第一轮专家咨询条目可行性的肯德尔协调系数为0.26（P＜0.01），第二轮专家咨询条目可行性的肯德尔协调系数为0.38（P＜0.01），根据各条目得分情况和专家修改建议，最终形成了粤语标准失语症检查表，包括9个一级指标，30个二级指标。 结论 通过Delphi法构建粤语标准失语症评估工具，有望为粤语失语症患者的临床诊断及疗效评价提供参考依据。 |
| 英文摘要: |
| Objective To construct an aphasia assessment tool for Cantonese speakers. Methods The CRRCAE framework was used to form a preliminary pool of entries. It was screened through 2 rounds of expert consultation using the Delphi technique. Eighteen experts from 13 class-3 grade-A hospitals in Guangdong Province participated. Results The positive coefficients of the 2 rounds of consultation were 94.4% and 100%, with authority coefficients of 0.92 and 0.94, respectively. Moreover, Kendall′s W coefficient for the experts was 0.26 in the first round and 0.38 in the second, both significant at the 1% level of confidence. So agreement was good. The final assessment tool for Cantonese aphasia patients included nine first-level indicators and 30 second-level ones. Conclusions An evaluation tool for Cantonese aphasia patients was developed which can serve as a reference for clinical diagnosis and efficacy evaluation in the clinic. |
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