Production and validation of Putonghua- and Cantonese-Chinese language National Institutes of Health Stroke Scale training and certification videos.
Production and validation of Putonghua- and Cantonese-Chinese language National Institutes of Health Stroke Scale training and certification videos.
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DOI：
10.1111/j.1747-4949.2010.00411.x
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发表时间：
2010-04
期刊：
影响因子：
--
通讯作者：
Liu L
中科院分区：
文献类型：
--
作者：
Cheung RT;Lyden PD;Tsoi TH;Huang Y;Liu M;Hon SF;Raman R;Liu L
美国国立卫生研究院卒中量表 (NIHSS) 是急性卒中评估的重要组成部分。我们报告新的普通话和粤语 NIHSS（PC-NIHSS 和 CC-NIHSS）培训和认证视频的经验。聘请了专业视频制作公司来制作 PC-NIHSS 和 CC-NIHSS 的培训和认证视频。在成都和北京举办了两场培训和认证研讨会，在香港举办了两场研讨会。向研讨会参加者展示了指导、培训和 A 组认证视频。使用未加权的 κ 统计来衡量评分者之间的一致性，并将 PC-NIHSS 和 CC-NIHSS 视频的评分者间一致性与原始英语 NIHSS (E-NIHSS) 视频的评分者间一致性进行比较。使用 PC-NIHSS 和 CC-NIHSS 视频的通过率分别为 79% 和 82%。包括对各个量表项目的所有可能的反应。面瘫和肢体共济失调（13%）表现出较差的一致性，9（60%）至10（67%）项目表现出中等一致性（0.4<κ<0.75），3（20%）至4（27%）项目表现出极好的一致性。与E-NIHSS视频相比，PC-NIHSS视频在最佳凝视、视野、面部无力和失语方面的一致性较差，而CC-NIHSS视频在意识水平和视野命令方面的一致性较差。尽管如此，PC-NIHSS 或 CC-NIHSS 和 E-NIHSS 视频在协议总分上没有差异。与E-NIHSS视频相比，PC-NIHSS和CC-NIHSS视频表现出良好的内容效度和评分者间信度。这些视频的提供可能有助于普通话或粤语社区的医生和护士正确使用 NIHSS。
The National Institutes of Health Stroke Scale (NIHSS) is an integral part of acute stroke assessment. We report our experience with new Putonghua- and Cantonese-Chinese language NIHSS (PC-NIHSS and CC-NIHSS) training and certification videos. A professional video production company was hired to create the training and certification videos for both PC-NIHSS and CC-NIHSS. Two training and certification workshops were held in Chengdu and Beijing, and two workshops in Hong Kong. The instruction, training and group A certification videos were presented to workshop attendees. Un-weighted κ statistics were used to measure the agreement among raters, and the inter-rater agreements for PC-NIHSS and CC-NIHSS videos were compared with those of original English language NIHSS (E-NIHSS) videos. The pass rates using PC-NIHSS and CC-NIHSS videos were 79% and 82%, respectively. All possible responses on individual scale items were included. Facial palsy and limb ataxia (13%) showed poor agreement, nine (60%) to 10 (67%) items showed moderate agreement (0.4<κ<0.75), and three (20%) to four (27%) items showed excellent agreement. When compared with E-NIHSS videos, the agreements on best gaze, visual fields, facial weakness and aphasia were less for PC-NIHSS videos, and the agreements on commands for level of consciousness and visual fields were less for CC-NIHSS videos. Nevertheless, there was no difference between PC-NIHSS or CC-NIHSS and E-NIHSS videos in the agreement total score. Compared with E-NIHSS videos, PC-NIHSS and CC-NIHSS videos show good content validity and inter-rater reliability. Availability of these videos may facilitate the proper use of NIHSS among physicians and nurses in Potunghua- or Cantonese-speaking communities.
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影响因子：
8.3
作者：
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通讯作者：
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158.5
作者：
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作者：
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作者：
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作者：
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