Aims and objectives: This study aimed to clinically validate the nursing outcome "Swallowing status: pharyngeal phase" (1013).
Methods: A two-stage study was designed: (1) Chinese translation and cultural adaptation and (2) clinical validation. Internal consistency and interrater reliability tests were performed on 285 patients with laryngeal cancer, and an additional 130 patients were randomly selected from the 285 patients as an independent sample. Criterion-related validity tests were performed using the standardized swallowing assessment (SSA). Nursing outcome sensitivity was detected by scoring two time points.
Results: The Cronbach's alpha coefficients were 0.951 for the nursing outcome and 0.942-0.965 for each indicator. The interclass correlation coefficient (ICC) values for each indicator ranged from 0.73 to 0.929. The scores of the nursing outcome were negatively correlated with the SSA scores (r = -0.555, p < 0.01). With the exception of two indicators, there was a significant difference (p < 0.05) between the total scores of the scale and its 11 indicator scores for the two time points. The results indicated that the nursing outcome "Swallowing status: pharyngeal phase" (1013) exhibited satisfactory psychometric properties and high sensitivity to change.
Conclusions: The nursing outcome "Swallowing status: pharyngeal phase" (1013) demonstrated good reliability, validity, and sensitivity in patients with laryngeal cancer.
Implications for nursing practice: The nursing outcome "Swallowing status: pharyngeal phase" (1013) can be used to assess swallowing function in patients with laryngeal cancer and provide guidance for the development of rehabilitation intervention plans and nursing care.
目的: 本研究旨在对护理结局“吞咽状态:咽期”(1013)进行临床验证。 方法: 本研究分为两阶段:(1)汉化及文化调适;(2)临床验证。对285名喉癌患者进行内部一致性和评分者间信度检验;另外从285名患者中随机选取130名患者作为独立样本, 采用标准吞咽功能评价量表进行效标关联效度检验;通过两个时间点的测量评分来检测护理结局灵敏度。 结果: 护理结局的Cronbach's α系数为 0. 951, 各指标的Cronbach's 系数为0.942‐0.965, 各指标的评分者间信度检验(ICC)为0.73‐0.929。护理结局总分与标准吞咽功能评价量表得分具有负相关性(r = ‐0.555, P<0.01)。除两个指标外, 两个时间点测量的量表总得分及其11个指标得分之间差异显著(p<0.05)。结果显示, 护理结局“吞咽状态:咽期”(1013)具有令人满意的心理测量学特性及对变化的高度敏感性。 结论: 护理结局“吞咽状态:咽期”(1013)在喉癌患者中的临床验证中显示有较好的信效度和灵敏度。 对护理实践的影响: 护理结局“吞咽状态:咽期”(1013)可用于喉癌患者的吞咽功能评估, 为制定康复干预计划和护理措施提供指导。.
Keywords: Dysphagia; head and neck cancer; laryngeal cancer care; nursing outcomes; patient outcome assessment; validation studies.
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