Reliability and validity of an infant gastroesophageal reflux questionnaire.

Reliability and validity of an infant gastroesophageal reflux questionnaire.
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婴儿胃食管反流问卷的信度和效度。

DOI:
10.1177/000992289303200806
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发表时间:
1993
影响因子:
1.6
通讯作者:
Kartan,R
Kartan,R
中科院分区:
医学4区
文献类型:
--
作者:
Orenstein,SR;Cohn,JF;Shalaby,TM;Kartan,R

文献摘要

相似文献

为了提高对疑似胃食管反流婴儿的病史采集,我们开发了一个婴儿胃食管反流问卷,包括161个项目,包括人口统计学,症状,(反流、体重不足、呼吸困难、烦躁、呼吸暂停和食管炎疼痛或出血)和可能的原因(进食量和频率、过敏、感染、绞痛、中枢神经系统异常、体位和烟雾暴露)。调查问卷由69名1至58周疑似有反流的婴儿的主要照顾者完成。完成问卷调查的平均时间为20分钟。29对冗余问题的内部一致性中位数为0.94。9名受访者的110个项目的重测一致性中位数为0.88。中位观察者一致性,评估了129个项目的35份问卷,也填写了二级看护人,为0.85。四个外部验证项目的准确度中位数为1.00。这份问卷可以帮助儿科医生在这种常见但复杂的疾病中做出诊断和治疗的决定。
To improve history-taking of infants with suspected gastroesophageal reflux, we developed an Infant Gastroesophageal Reflux Questionnaire consisting of 161 items covering demographics, symptoms (regurgitation, weight deficit, respiratory difficulties, fussiness, apnea, and pain or bleeding of esophagitis), and possible causes (feeding volume and frequency, allergy, infection, colic, central nervous system abnormalities, positioning, and smoke exposure). The questionnaire was completed by primary caretakers of 69 infants aged 1 to 58 weeks suspected of having reflux. Median time to complete the questionnaire was 20 minutes. The median internal consistency of 29 pairs of redundant questions was 0.94. Median test-retest consistency of 110 items for nine respondents was 0.88. Median interobserver consistency, evaluated for 129 items in 35 questionnaires also filled out by secondary caretakers, was 0.85. The median accuracy of four externally validated items was 1.00. This questionnaire can aid pediatricians in making decisions regarding diagnoses and treatment in this common but complex disorder.