使用医疗保健专业人员报告的SNAQ评估食欲
Jérémy Raffin1, Stéphane Gerard2, Morgane Naudy3
1IHU HealthAge, Institut du Vieillissement, Gérontopôle de Toulouse, Centre Hospitalo-Universitaire de Toulouse, 37 Allées Jules Guesde, 31000 Toulouse, France.
The journal of nutrition, health & aging
|October 7, 2025
概括
通过代理应答者使用SNAQ问卷对食欲的评估显示,与患者的自我评估的一致性较差. 虽然经过认证的护士助理彼此一致,但他们的食欲得分并不可靠地反映了患者报告的食欲.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 健康评估健康评估
背景情况:
- 食欲丧失是一个重要的临床问题.
- 在像痴呆症患者这样的人群中,对食欲的自我评估可能不可靠.
- 在食欲评估中使用代用响应者的有效性尚未研究.
研究的目的:
- 为了调查对食欲评估的异种管理问卷的有效性.
- 为了确定患者自我报告的食欲和代理评估报告之间的一致性.
主要方法:
- 40名没有痴呆症的老年人 (66-97岁) 参与了这项研究.
- 通过患者和两个认证护理助理 (CNA) 替代者使用SNAQ问卷来评估食欲.
- 使用类内相关系数 (ICC),卡帕和Gwet的AC1系数来衡量协议.
主要成果:
- 在患者和代孕母SNAQ分数之间发现了弱到中度的ICC相关性 (0.087-0.519).
- 观察到患者和代孕产妇评分之间的差异很小 (Kappa:0.300-0.360).
- 两位代理评级者之间发现了良好的协议 (卡帕:0.650-0.652).
结论:
- SNAQ问卷显示,当它被用作异性管理工具时,其有效性从弱到中等.
- 需要对更大的样本和不同的临床环境进行进一步的研究.
- 代理食欲评估可能不准确地反映患者的自我认知.
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