基于Delphi法构建粤语标准失语症评估工具研究

A standardized aphasia assessment tool for Cantonese speakers

目的:构建适用于我国粤语失语症患者的失语评估工具,为我国粤语失语症患者的诊断及疗效评价提供参考依据。方法:通过检索和复习文献,在CRRCAE框架基础上,形成初步条目池,采用Delphi法,邀请广东省内13家三级甲等医院的18名专家进行2轮专家咨询,最终形成粤语标准失语症检查表。结果:18名专家进行了2轮专家咨询,2轮咨询中专家的积极系数分别为94.4%和100%;权威系数分别为0.92和0.94。第一轮专家咨询条目可行性的肯德尔协调系数为0.26(P<0.01),第二轮专家咨询条目可行性的肯德尔协调系数为0.38(P<0.01),根据各条目得分情况和专家修改建议,最终形成了粤语标准失语症检查表,包括9个一级指标,30个二级指标。结论:通过Delphi法构建粤语标准失语症评估工具,有望为粤语失语症患者的临床诊断及疗效评价提供参考依据。

Objective To construct an aphasia assessment tool for Cantonese speakers.Methods The CRRCAE framework was used to form a preliminary pool of entries.It was screened through 2 rounds of expert consul-tation using the Delphi technique.Eighteen experts from 13 class-3 grade-A hospitals in Guangdong Province partici-pated.Results The positive coefficients of the 2 rounds of consultation were 94.4%and 100%,with authority coef-ficients of 0.92 and 0.94,respectively.Moreover,Kendall′s W coefficient for the experts was 0.26 in the first round and 0.38 in the second,both significant at the 1%level of confidence.So agreement was good.The final assessment tool for Cantonese aphasia patients included nine first-level indicators and 30 second-level ones.Conclusions An evaluation tool for Cantonese aphasia patients was developed which can serve as a reference for clinical diagnosis and efficacy evaluation in the clinic.