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咳的听觉感知评价:鉴定推算器可靠性和标准化训练协议的影响
James A Curtis1,2, James C Borders2, Avery E Dakin2
1Department of Otolaryngology-Head and Neck Surgery, Aerodigestive Innovations Research Lab (AIR), Weill Cornell Medical College, New York, New York, USA.
听觉感知咳评估在新手临床医生中显示中度可靠性,在标准化培训后改善. 这表明,培训可以提高这些评估在临床实践中的一致性.
科学领域:
- 语音语言病理学 语言病理学
- 临床听力学 临床听力学
- 呼吸系统药物 呼吸系统药物
背景情况:
- 咳的听觉感知评估越来越多地被语音语言病理学家用于患有吞障碍的人.
- 证据支持这些评估的有效性,但它们在新手临床医生中的可靠性仍未得到审查.
研究的目的:
- 为了确定新手临床医生执行的听觉感知咳评估的可靠性.
- 评估标准化培训协议对这种可靠性的影响.
主要方法:
- 十二位新手临床医生对120个咳音频片段进行了评分,分别在培训课前和之后对10个描述符进行了评分.
- 使用类内相关系数和Cohen's Kappa在intra-rater,二级inter-rater和组级inter-rater水平上评估可靠性.
主要成果:
- 训练前可靠性在强度,有效性和正常性方面最高,在呼吸机动类型方面最低.
- 训练显著提高了对感知脆度,发声量和呼吸机动类型的可靠性.
- 可靠性系数通常在类似的感知评估中处于历史报告范围之内.
结论:
- 听觉感知咳评估的可靠性因描述因素而异,但通常在可以接受的范围内.
- 标准化培训 (30-60分钟) 提高了新手临床医生对这些评估的可靠性.
- 需要进一步的研究来验证这些感知测量与咳有效性的仪器评估.
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