International journal of nursing studies · 2005
Assessing reliability and validity of the Chinese version of the stroke scale: scale development.
СтатьяПоддержка исследования: вне правительства СШАВалидационное исследованиеНазвание и аннотация: Перевод в очереди
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Sun Tzu-Kuan, Chiu Su-Chen, Yeh Shu-Hui, Chang Ku-Chou
Аннотация
BACKGROUND: The National Institutes of Health Stroke Scale (NIHSS) is a systematic, 15-point evaluation tool, designed to assess neurological deficit in acute stroke patients and written in English. It is used to support important medical and nursing decisions.
OBJECTIVES: To translate the NIHSS into Chinese and establish its psychometric properties using Chinese evaluators.
DESIGN: Methodological research design.
SETTING: One medical centre.
PARTICIPANTS: Using convenience sampling, 48 subjects admitted with acute ischemic stroke were selected.
METHODS: In this study, six clinicians from the Department of Neurology (3 nurses, 3 doctors) assessed the 48 patients using the C-NIHSS, the Glasgow Coma Scale and the Barthel index.
RESULTS: The C-NIHSS content validity index reached 1.00, and the Cronbach's alpha coefficient for internal consistency was 0.92. Of the 15 scale items, two (facial palsy and limb ataxia) had low inter-rater values (k values below 0.39). Kappa (kappa) values were substantial (over 0.60) for all other items. The C-NIHSS has a significantly negative correlation with both Glasgow Coma Scale (r = -0.824, p < 0.01), and Barthel index (r = -0.683, p < 0.01) scores.
CONCLUSIONS: The C-NIHSS is a reliable and valid scale for the clinical assessment of neurological deficit in acute stroke patients.
OBJECTIVES: To translate the NIHSS into Chinese and establish its psychometric properties using Chinese evaluators.
DESIGN: Methodological research design.
SETTING: One medical centre.
PARTICIPANTS: Using convenience sampling, 48 subjects admitted with acute ischemic stroke were selected.
METHODS: In this study, six clinicians from the Department of Neurology (3 nurses, 3 doctors) assessed the 48 patients using the C-NIHSS, the Glasgow Coma Scale and the Barthel index.
RESULTS: The C-NIHSS content validity index reached 1.00, and the Cronbach's alpha coefficient for internal consistency was 0.92. Of the 15 scale items, two (facial palsy and limb ataxia) had low inter-rater values (k values below 0.39). Kappa (kappa) values were substantial (over 0.60) for all other items. The C-NIHSS has a significantly negative correlation with both Glasgow Coma Scale (r = -0.824, p < 0.01), and Barthel index (r = -0.683, p < 0.01) scores.
CONCLUSIONS: The C-NIHSS is a reliable and valid scale for the clinical assessment of neurological deficit in acute stroke patients.
Предметные рубрики MeSH
Activities of Daily LivingAcute DiseaseAgedAged, 80 and overBrain IschemiaConsciousnessFemaleGeriatric AssessmentGlasgow Coma ScaleHumansMaleMiddle AgedNursing AssessmentNursing Evaluation ResearchNursing Methodology ResearchObserver VariationPsychometricsPsychomotor PerformanceSeverity of Illness IndexStrokeTaiwanTranslating