GUSS量表用于颅脑损伤患者吞咽功能风险评估的信效度分析  

The reliability and validity of Gugging Swallowing Screen(GUSS)for traumatic brain-injured patients

作　　者：柏慧华 祝晓娟[1] 张成欢 陈静[1] 赵美玲[1] 

机构地区：[1]常州市第一人民医院神经外科,江苏常州213000

出　　处：《护理学杂志》2017年第18期36-39,共4页Journal of Nursing Science

摘　　要：目的探讨GUSS量表用于颅脑损伤患者吞咽功能风险评估的预测效果。方法便利选取110例颅脑损伤住院患者,病情稳定后由2名护士在2h内分别进行GUSS量表评估,1h后第3名护士进行洼田饮水试验作为诊断标准。结果 24例(21.82%)发生吞咽功能障碍。GUSS量表Cronbach′sα系数0.789;2名护士评估结果Pearson相关系数0.960(P<0.01),Kappa系数0.790。GUSS量表的曲线下面积为0.926;最佳界值为14分,灵敏度0.930,特异度0.792,Youden指数0.722。结论 GUSS量表评估颅脑损伤患者吞咽功能具有较高的信效度,可作为床边评估工具。Objective To evaluate the predictive validity of Gugging Swallowing Screen （GUSS） in traumatic brain injured patients. Methods A total of 110 traumatic brain-injured patients were selected using convenience sampling and were assessed independently by two nurses within 2 h using GUSS to identify dysphagia, then another nurse performed water swallow test within 1 h after GUSS screening as the golden standard for the diagnosis of dysphagia. Results Twenty four patients （21.82 ~） bad dysphagia. The Cronbach alpha coefficient of GUSS was 0. 789, the Pearson correlation coefficient between two nurses using the GUSS was 0. 960 （P^O. 01）, and the kappa-value was 0. 790. The area under the ROC curve of GUSS was 0. 926. The optimal cut-off value of GUSS was 14, with sensitivity of 0. 930, specificity of 0. 792, and Youden index of 0. 722. Conclusion The GUSS is a reliable and valid bedside screening tool for identification of dysphagia in traumatic brain-injured patients.

关 键 词：颅脑损伤 吞咽功能 吞咽障碍 GUSS量表 信度 效度 

分 类 号：R473.6[医药卫生—护理学] R651.15[医药卫生—临床医学]