指环测试在社区老年人肌少症筛查中的应用  

The finger-ring test in sarcopenia screening for older adults

作　　者：温鹏天 张瑞丽[1] 李慧娟[1] 王冰飞 WEN Peng-tian;ZHANG Rui-li;LI Hui-juan;WANG Bing-fei

机构地区：[1]河北医科大学第四医院,石家庄市050000 [2]河北医科大学护理学院

出　　处：《中华护理教育》2021年第3期275-278,共4页Chinese Journal of Nursing Education

基　　金：河北省卫生厅课题(20190408)。

摘　　要：目的评价指环测试在社区老年人肌少症筛查中的应用价值。方法对符合标准的303名社区老年人,应用指环测试进行肌少症评估,以亚洲肌少症工作组提出的肌少症诊断标准为依据,使用灵敏度、特异度、约登指数、似然比、预测值、Kappa系数等指标评估指环测试的准确性。结果根据亚洲肌少症工作组提出的诊断标准,肌少症老年人80名,非肌少症老年人223名。指环测试灵敏度为70.00%,特异度为85.65%,约登指数为0.56,阳性、阴性似然比分别为4.88、0.35,阳性、阴性预测值分别为63.64%、88.84%,Kappa系数为0.46。结论指环测试作为一种自我筛查工具,在社区老年人中具有较好的筛检价值。Objective To assess the application value of a screening tool—finger-ring test in sarcopenia screening for older adults in the community.Methods The finger-ring test was used to evaluate the sarcopenia for303 community older adults who met the criteria.The Asian Working Group for Sarcopenia(AWGS)was used for golden criteria.The indicators including sensitivity,specificity,Youden index,likelihood ratio,predictive value,and Kappa coefficient were applied to evaluate the diagnostic appropriateness of the finger-ring test.Results According to the AWGS diagnostic criteria,there were 80 older adults with sarcopenia and 223 older adults without sarcopenia.The finger-ring test had a sensitivity of 70.00%,specificity of 85.65%,Youden index of 0.56,positive and negative likelihood ratios of 4.88 and 0.35,positive and negative predictive values of 63.64%and 88.84%,and Kappa coefficient of 0.46.Conclusion The finger-ring test,as a self-screening tool,has good screening value and can be used to screen for sarcopenia for the older adults in the community.

关 键 词：社区保健护理 老年人 肌减少症 指环测试 

分 类 号：R473.2[医药卫生—护理学]