中医整体观下中医卒中后失语患者报告结局量表研制

doi:10.3969/j.issn.1006-9771.2021.00.004

Abstract

Abstract:

Objective To develop a patient-reported outcomes (PRO) scale for post-stroke aphasia based on the Traditional Chinese Medicine (TCM) holism.Methods Referring to the TCM holism, the theoretical model was established following the standard process for the development of the PRO scale. An item pool was established and optimized with case review, patient interview, expert questionnaire survey and consensus conference. The PRO scale was established finally.Results A pool of post-stroke aphasia items based on the holistic view of TCM was constructed in the physical, psychological and social model. The Expert Comment Form for the PRO Scale for Aphasia after Stroke was formed after sorting out the item pool. After expert surveys and meeting discussion, 40 items were finally selected to form the first version of Patient-reported Outcomes Scale for Post-stroke Aphasia-TCM.Conclusion The first version of Patient-reported Outcomes Scale for Post-stroke Aphasia-TCM has been developed based on the TCM holism and the concept of PRO, which can be evaluated clinically.

Key words: stroke, post-stroke aphasia, Traditional Chinese Medicine, holism, patient-reported outcomes, scale development

SHU Xin,DONG Xing-lu,HAO Xiao-hui,WEI Dong-jie,HUANG Xing,LI Xiao-lin,XU Min-jie,LI Chang-ming,KONG Qiao,HUANG Jia-qin,LIU Meng-yu,CHANG Jing-ling. Development of A Patient-reported Outcomes Scale for Post-stroke Aphasia Based on Traditional Chinese Medicine Holism[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1356-1364.

Figures/Tables 2

领域	条目
生理领域
语言认知	1. 您是否感到说话不流利? 2. 您感觉说话量较前增多还是减少? 3. 您感觉语速较前有何改变? 4. 您是否感觉自己说话声音减弱? 5. 您是否感觉说话含糊不清? 6. 您有语言重复的现象吗? 7. 您有找词困难的情况吗? 8. 您有经常说错词的情况吗? 9. 您是否感觉别人理解不了或错误理解自己说的话? 10. 您是否感到理解不了或理解错别人说的话? 11. 您是否感觉复述有些困难? 12. 您是否感觉自己阅读时,理解不了文章的意思? 13. 您是否有看不懂图画意思的情况? 14. 您是否感觉之前可以写的字句,现在写不出来? 15. 您感觉计算力有下降吗? 16. 您是否感觉自己记忆力有所下降? 17. 您是否有分不清自己在哪里的情况? 18. 您是否记有分不清时间的情况(例如分不清现在是哪季节)?
躯体症状	19. 您最近感觉自己面色如何? 20. 您是否感觉到困倦乏力? 21. 您白天经常汗出吗? 22. 您是否感到肢体麻木不适? 23. 您有便秘吗? 24. 您有口干吗? 25. 您小便色深黄吗? 26. 您夜里睡觉时出汗吗? 27. 您吃饭有食欲吗? 28. 您饮食有减少吗? 29. 您有入睡困难吗? 30. 您睡眠容易醒吗? 31. 您多梦吗? 32. 您是否感觉睡眠较浅? 33. 您大便黏滞不爽(大便解不尽感、粘连便池难冲)吗?
心理领域	34. 您脾气急躁易怒吗? 35. 您有低落抑郁的情绪吗? 36. 您感觉生活充实、美好吗? 37. 您情绪是否容易波动(时而愤怒、时而悲伤)? 38. 您会因病情而焦虑不安吗?
社会领域	39. 个人生活是否可完全自理? 40. 您是否能完成日常工作? 41. 失语有影响您和朋友、邻居的关系吗? 42. 失语影响您的娱乐活动(如逛商场、爬山、骑行等)吗? 43. 您能够得到社会医疗体系的支持(如医保报销、社区医疗服务、下乡义诊)吗? 44. 您的生活是否能得到社会上他人的帮助?

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维度	条目
核心症状	语言不利、语速减慢、语言不能、语言不清、语言重复、找词困难、错语、语声降低、命名困难、复述不行、书写不能、计算力下降、记忆力下降、理解力下降、定向力下降
全身症状	面色少华、麻木、纳差、乏力、口干、自汗、盗汗、寐差、便秘、大便黏滞
心理症状	烦躁、悲伤、易哭、焦虑、情绪不稳
社会症状	不愿与人交往、寡言少语

Development of A Patient-reported Outcomes Scale for Post-stroke Aphasia Based on Traditional Chinese Medicine Holism

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