对适合泰国人口的严重程度评级自我评估系统的评估 - 一项试点研究
Kallapan Pakornphadungsit1, Sarawin Harnchoowong1, Penpun Wattanakrai1
1Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Clinical, cosmetic and investigational dermatology
|November 9, 2023
概括
泰国全球分级系统 (TGAGS) 为患者提供了一种可靠的方法,以自我评估泰国的严重程度. 培训显著提高了这种自我评估工具的准确性,用于临床实践和研究.
科学领域:
- 皮肤病学 皮肤病学
- 临床研究 临床研究
- 医疗信息学 医疗信息学
背景情况:
- 患者的自我评估对于在临床试验和流行病学研究中主观评估的严重程度是有价值的.
- 目前,对于泰国人口来说,没有经过验证的重度患者自我评估工具.
研究的目的:
- 为了验证一个针对泰国人口量身定制的严重程度分级自我评估工具.
- 适应和翻译现有的评估尺度,以便在当地使用.
主要方法:
- 泰国全球评估尺度 (TGEA) 和泰国全球分级系统 (TGAGS) 的开发.
- 试点研究涉及77名志愿者,接受两轮自我评估.
- 患者自我评估和临床医生评估之间的可靠性的统计评估,有或没有先前培训.
主要成果:
- 自我评估和临床医生评估之间的初始一致性是中等的 (TGEA kappa=0.26,TGAGS kappa=0.52).
- 在培训后,协议显著改善 (TGEA kappa=0.66,TGAGS kappa=0.89).
- 在培训后,TGAGS原始分数的类内相关性从0.54增加到0.79.
结论:
- 作为泰国人口的主观严重程度自我评估工具,TGAGS表现出高度可靠性.
- 培训对于最大限度地提高TGAGS的可靠性至关重要.
- 研究结果支持在泰国临床实践和研究环境中使用TGAGS.
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