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使用电话的统一多重系统缩评级尺度的可靠性
Masaaki Matsushima1, Azusa Nagai1, Rie Nomachi1
1Department of Neurology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan.
Clinical neurology and neurosurgery
|February 7, 2024
概括
统一的多个系统缩评分表 (UMSARS) 第1部分电话调查显示,高可靠性评估多个系统缩 (MSA) 症状. 这种方法适用于远程医疗,尽管在COVID-19期间需要考虑康复的机会.
科学领域:
- 神经学 神经学
- 临床评估 临床评估
- 远程医疗远程医疗
背景情况:
- 多系统性缩症 (MSA) 需要可靠的症状评估工具.
- 统一的多系统缩评级表 (UMSARS) 是评估MSA的一个关键工具.
- 由于COVID-19的流行,人们越来越需要远程患者评估方法,例如远程医疗.
研究的目的:
- 通过电话调查评估UMSARS第1部分的可靠性和一致性.
- 确定UMSARS第1部分是否是MSA患者监测中远程医疗的可行工具.
主要方法:
- 32名MSA患者完成了面对面的UMSARS第1部分评估,随后进行了两次电话评估.
- 评估者之间的可靠性是使用类内相关系数 (ICC) 计算的.
- 使用克朗巴赫的α (α) 系数来评估内部一致性.
主要成果:
- UMSARS第1部分表现出高的评定者间可靠性 (ICC:0.89-0.92) 和内部一致性 (Cronbach的α:0.84-0.87).
- 大多数单个物品显示高的ICC值,所有物品都有Cronbach的α>0.7.7.
- 患者报告说,在COVID-19大流行期间,外出减少和康复机会减少.
结论:
- UMSARS第1部分是一个可靠且内部一致的工具,用于基于电话的MSA症状评估.
- 电话管理是UMSARS第1部分的可行的远程医疗方法.
- 应该注意主观症状报告的潜在变化以及与大流行有关的康复中断的影响.
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