在直肠形患者中比较常见肠功能评分系统的一致性和可用性
Mohd Khairulanuar Shaari1, Yew-Wei Tan2, Mohd Yusof Abdullah3
1Division of Paediatric Surgery, Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
凯利问卷是一个可靠的工具,用于评估肠道功能在直肠形 (ARM) 患者手术后. 与其他评分系统相比,它表现出父母和患者反应之间的理解和相关性更容易理解.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床结果研究研究
背景情况:
- 评估术后肠功能对于评估直肠形 (ARM) 患者的结果至关重要.
- 现有的肠功能评分系统需要进行比较,以获得最佳的患者评估.
研究的目的:
- 为了比较四种肠功能评分系统 (凯利,JSGA,Holschneider,Krickenbeck) 在ARM患者的疗效.
- 评估每个问卷的父母和患者的答案之间的易于理解和相关性.
主要方法:
- 在5个马来西亚儿科手术中心进行横截面研究.
- 包括39名家长和23名患者 (年龄在4-17岁),这些患者在12个月前接受过手术.
- 标准化结果,调查易于理解,比较家长-患者得分,并评估与ARM类型的相关性.
主要成果:
- 凯利和Krickenbeck,JSGA便秘和Holschneider,JSGA便秘和Krickenbeck,以及Holschneider和Krickenbeck协议之间注意到了公平的协议.
- 凯利协议显示了显著的父母-患者答案相关性 (ρ=0.459,p=0.028).
- 克里肯贝克与ARM类型的相关性最好 (ρ=-0.401,p=0.001),而凯利最容易理解.
结论:
- 所有评估的调查问卷都是可比的,用于评估ARM患者的术后便容.
- 凯利问卷在易于理解和家长-患者反应相关性方面表现优异.
- 建议使用凯利问卷来评估ARM患者的肠功能.
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