Zhou Hongzhen, Zhu Yafang, Zhang Xiaomei
Department of Nursing, Nanfang Hospital, Southern Medical University, Guangdong, China.
Department of Neurology, Nanfang Hospital, Southern Medical University, Guangdong, China.
Stud Health Technol Inform. 2017;245:1195-1199.
This study aimed to validate the Chinese version of the Functional Oral Intake Scale (FOIS) score in acute stroke patients with dysphagia. A sample of 128 consecutive patients with acute stroke, admitted to Department of Neurology from April to October in 2016, completed the FOIS. The interrater reliability, criterion validity, discriminant validity, cross validation, and the sensitivity of FOIS scale were evaluated. Results showed that rater agreements were excellent for FOIS (Kw = 0.881, p < 0.001). A highly negative correlation between FOIS and WST (water swallow test) was detected (r = -0.937, p < 0.001). There was significant difference for FOIS level of patients with different evaluation outcomes (χ = 126.551, p < 0.001). The FOIS evaluation results were significantly correlated with two physiological measures of swallowing. The Chinese version of the FOIS score is a reliable scale for evaluating the level of oral feeding function in patients with acute stroke.
本研究旨在验证中文版功能性经口摄食量表（FOIS）在急性卒中吞咽困难患者中的应用。2016年4月至10月，连续纳入128例入住神经内科的急性卒中患者，完成FOIS评估。对FOIS的评分者间信度、效标效度、区分效度、交叉效度及敏感性进行评估。结果显示，FOIS评分者间一致性良好（Kw = 0.881，p < 0.001）。FOIS与饮水试验（WST）呈高度负相关（r = -0.937，p < 0.001）。不同评估结果患者的FOIS水平存在显著差异（χ = 126.551，p < 0.001）。FOIS评估结果与两项吞咽生理指标显著相关。中文版FOIS评分是评估急性卒中患者经口进食功能水平的可靠量表。
