为印度患者开发和验证症状尺度,用于医学上无法解释的身体症状
Aakansha1, Amandeep Singh1, Piyush Ranjan1
1Medicine, All India Institute of Medical Sciences, New Delhi, IND.
Cureus
|April 15, 2024
概括
为印度患者的医学上无法解释的身体症状 (MUPS) 开发了一种新的38项症状表. 这种可靠和有效的工具,以英语和印度语提供,有助于MUPS评估和诊断.
科学领域:
- 精神病学是一个精神病学.
- 一般实践 一般实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医学上无法解释的身体症状 (MUPS) 在门诊环境中代表着一个重要的患者队列.
- 准确诊断MUPS给临床医生带来了挑战,需要详细的患者病史.
- 对于印度的MUPS患者来说,需要一种文化相关且有效的症状评估工具.
研究的目的:
- 开发和验证印度患者体验医学上无法解释的身体症状 (MUPS) 的症状尺度.
- 在英语和印度语中创建一个可靠和可访问的工具来评估,查和诊断MUPS.
主要方法:
- 采用混合方法的研究设计,整合了定性和定量方法.
- 第1阶段涉及通过文献审查,焦点小组,专家评估和预测开发问卷.
- 第二阶段使用定量方法确定了116名被诊断为MUPS患者的构造有效性.
主要成果:
- 一个38项问卷显示出良好的内部一致性 (克朗巴赫的α=0.916).
- 因子分析证实了采样的充分性 (KMO = 0.792,p < 0.001).
- 该尺度显示与PHQ-15具有显著的正相关性 (r = 0.568,p < 0.001).
结论:
- 一个可靠和有效的MUPS的症状评估尺度已经成功地开发了英语和印度语.
- 这种新工具可以用于患者评估,查,诊断和监测MUPS.
- 开发的尺度解决了在印度背景下对文化适应仪器的关键需求.
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