评估COVID-19患者的定性嗅觉功能障碍:对工具及其内容有效性的系统审查
Annelin Espetvedt1,2,3, Siri Wiig1,2, Kai Victor Myrnes-Hansen1,4
1Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Frontiers in psychology
|July 6, 2023
概括
一项系统性审查强调,在COVID-19之后,迫切需要验证的工具来评估定性嗅觉功能障碍,如帕洛斯米亚和幻觉症. 目前的评估方法不一致,阻碍了准确的诊断和治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 医学诊断 医学诊断 医学诊断
背景情况:
- 质性嗅觉功能障碍,包括帕洛斯米亚和斯米亚,是已知的COVID-19后症状.
- 缺乏标准化的评估工具使得经历这些嗅觉变化的患者的诊断和治疗变得复杂.
- 不一致的症状描述和在询问问题上缺乏共识,阻碍了有效的患者评估.
研究的目的:
- 系统地审查和概述用于评估COVID-19患者的定性嗅觉功能障碍的工具.
- 评估现有评估工具的内容有效性,特别是项目和响应表述.
- 识别缺口和改善诊断仪器的需求.
主要方法:
- 在MEDLINE,科学网络和EMBASE数据库的系统文献搜索 (2022年8月 - 2023年4月).
- 确定评估COVID-19幸存者的定性嗅觉功能障碍的研究.
- 主要结果:评估工具 (问卷,客观测试),项目和答案表述;次要结果:心理测量特性,研究设计,人口统计学.
主要成果:
- 在对定性嗅觉功能障碍的评估中观察到显著的异质性和不一致性.
- 发现缺乏有效的工具来准确确定症状的存在和严重程度.
- 现有工具的彻底性各不相同,有些提供二进制评估,另一些提供详细评估;项目/响应表述往往不一致.
结论:
- 迫切需要一个可靠的,经过验证的工具来评估COVID-19后的定性嗅觉功能障碍.
- 理想情况下,这种工具还应该捕捉定量嗅觉缺陷 (例如,嗅觉丧失) 以进行全面评估.
- 建立对项目和响应配方的共识对于更好的理解和临床管理至关重要.
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