Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward.
Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward.
复制标题
DOI：
10.1111/j.1754-4505.2002.tb00268.x
复制
发表时间：
2002-09-01
期刊：
影响因子：
--
通讯作者：
Renvert, Stefan
中科院分区：
文献类型：
--
作者：
Andersson, Pia;Hallberg, Ingalill R;Renvert, Stefan
本研究的目的是测试一个修订的口腔评估指南（罗阿格）的老人康复病房居住的患者的评分者间的可靠性。该研究招募了140名患者的连续样本。口腔评估进行了133个新入院的患者由一名注册护士（RN）在为期六个月。在同一半年内，一名牙科医生进行了103次口腔评估。对于66名患者，RN和DH进行了独立评估。注册护士和卫生署在大多数独立评估中达成一致，但舌头和牙齿/假牙除外。一致率超过80%。通过科恩的Kappa系数测量的评分者间一致性范围从中等到非常好，百分比一致性范围为58%至91%。声音和吞咽评估的一致性最高（91%）。牙齿和假牙的评估似乎是RN最难评估的。发现罗阿格是一种临床有用的评估工具。需要额外的教育和培训来提高口腔评估的可靠性，并应包括牙科医生的持续支持以及如何使用罗阿格的图解手册。
The aim of this study was to test the inter-rater reliability of a revised oral assessment guide (ROAG) for patients residing in a geriatric rehabilitation ward. A consecutive sample of 140 patients was recruited for the study. Oral assessments were performed for 133 newly admitted patients by one registered nurse (RN) during a period of six months. A dental hygienist (DH) carried out 103 oral assessments during the same half-year. For 66 patients, the RN and the DH performed independent assessments. There was an agreement between the RN and the DH in the majority of the independent assessments, except for tongue and teeth/dentures. The percentage agreement exceeded 80 percent. Inter-rater agreement measured by Cohen's Kappa coefficient ranged from moderate to very good and percentage agreement had a range of 58 to 91 percent. The agreement was highest in assessment of voice and swallowing (91%). Assessments of teeth and dentures seemed to be most difficult for the RN to evaluate. ROAG was found to be a clinically useful assessment tool. Additional education and training is needed to improve the reliability of the oral assessments and should include continuous support from a dental hygienist as well as a pictorial manual on how to use the ROAG.