开发并测试一种简短的护理吞咽筛查工具的诊断准确性。

Developing and Testing the Diagnostic Accuracy of a Brief Nursing Dysphagia Screen.

作者信息

Groppo-Lawless Sarah, Davies Claire C, Lengerich Alex

机构信息

Rehabilitation Services, Baptist Health Lexington, Lexington, KY, USA.

Nursing and Allied Health Research Office, Baptist Health Lexington, Lexington, KY, USA.

出版信息

Rehabil Nurs. 2020 Dec 1;45(6):367-373. doi: 10.1097/rnj.0000000000000236.

DOI:10.1097/rnj.0000000000000236

PMID:33332798

Abstract

PURPOSE

The aim of the study was to develop and test the Groppo-Lawless nurse-initiated screen designed to identify patients diagnosed with pneumonia who are at risk for dysphagia.

DESIGN

This is a two-phase methodological study.

METHODS

Phase 1 involved three steps. First, risk factors (n = 27) for dysphagia were identified from the literature. Next, frequency of these risk factors was calculated from a chart review of patients diagnosed with pneumonia (N = 301). Finally, frequency of risk factors among those patients who failed the 3-oz water trial (n = 56) were calculated, and a five-item instrument, the Groppo-Lawless Dysphagia Screen, was constructed. In Phase 2, nurses' results using the screen were compared to blinded results of speech-language pathologists.

FINDINGS

Sensitivity (81.1%), specificity (96.4%), and diagnostic odds ratio (22.43) were calculated.

CONCLUSIONS/CLINICAL RELEVANCE: Given the strong psychometric properties of this screen, its use by nurses may increase the number of appropriate speech-language pathologist referrals among patients diagnosed with pneumonia.

摘要

目的

本研究旨在开发并测试格罗波-劳利斯护士发起的筛查工具，该工具旨在识别被诊断为肺炎且有吞咽困难风险的患者。

设计

这是一项分两个阶段的方法学研究。

方法

第一阶段包括三个步骤。首先，从文献中确定吞咽困难的风险因素（n = 27）。其次，通过对301例被诊断为肺炎的患者进行病历回顾，计算这些风险因素的出现频率。最后，计算在3盎司水试验中不合格的56例患者中风险因素的出现频率，并构建了一个包含五个条目的工具——格罗波-劳利斯吞咽困难筛查工具。在第二阶段，将护士使用该筛查工具的结果与言语病理学家的盲法结果进行比较。