Reliability and Validity of a Tool to Measure the Severity of Dysphagia: The Food Intake LEVEL Scale
Reliability and Validity of a Tool to Measure the Severity of Dysphagia: The Food Intake LEVEL Scale
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DOI：
10.1016/j.jpainsymman.2012.07.020
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发表时间：
2013-08-01
影响因子：
4.7
通讯作者：
Morita, Tatsuya
中科院分区：
文献类型：
--
作者：
Kunieda, Kenjiro;Ohno, Tomohisa;Morita, Tatsuya
上下文。吞咽困难是姑息治疗患者中最常见和最令人痛苦的症状之一，因此需要一种实用的评估工具。本研究的目的是检验一种测量吞咽困难严重程度的工具的可靠性和有效性：食物摄入水平量表（FILS），一种10分的观察者评分量表。三名临床医生采用加权kappa统计对30例患者进行了内部和内部信度评估。通过检查FILS与功能性口服摄入量表（FOIS）和患者报告的口服摄入满意度的相关性来评估收敛效度。信度间加权kappa系数为0.70 ~ 0.90，信度内加权kappa系数为0.83 ~ 0.90。FILS评分与FOIS （rho = 0.96 ~ 0.99）和患者满意度（rho = 0.89）高度相关。FILS作为评估吞咽困难严重程度的实用工具似乎具有相当的可靠性和有效性。与FOIS相比，FILS的信度、效度和灵敏度有待进一步研究。[J] journal of practical nursing; 2013; 16(6): 591 - 591。(C) 2013年美国癌症疼痛缓解委员会。Elsevier Inc.出版。版权所有。
Context. Dysphagia is one of the most prevalent and distressing symptoms among palliative care patients, and a practical assessment tool is required.Objectives. The aim of this study was to examine the reliability and validity of a tool to measure the severity of dysphagia: the Food Intake LEVEL Scale (FILS), a 10-point observer-rating scale.Methods. The inter-and intrarater reliability was evaluated by three clinicians in 30 patients using weighted kappa statistics. The convergent validity was evaluated by examining correlations of FILS with the Functional Oral Intake Scale (FOIS) and patient-reported satisfaction levels with oral intake.Results. Weighted kappa coefficients for interrater reliability ranged from 0.70 to 0.90 and those for intrarater reliability ranged from 0.83 to 0.90. The FILS score was highly associated with the FOIS (rho = 0.96-0.99) and patient-reported satisfaction (rho = 0.89).Conclusion. The FILS seems to have fair reliability and validity as a practical tool for assessing the severity of dysphagia. Further study on the reliability, validity, and sensitivity of the FILS compared with the FOIS is needed. J Pain Symptom Manage 2013;46:201-206. (C) 2013 U. S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.