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改良SPES量表对帕金森病评价的信度和效度研究
引用本文:吴卓华,邵明,林杰,谭红愉,吴宜娟,李焕敏,刘磊.改良SPES量表对帕金森病评价的信度和效度研究[J].中国临床实用医学,2008,2(6):1-3.
作者姓名:吴卓华  邵明  林杰  谭红愉  吴宜娟  李焕敏  刘磊
作者单位:广州医学院第一附属医院神经内科,510030
基金项目:广东省广州市医药卫生科技基金,国家高技术研究发展计划(863计划) 
摘    要:目的改良SPES量表是一个新的评价帕金森病实用方法,本文对改良SPES评价结果作信度和效度研究。方法60例帕金森病患者同时使用改良SPES,UPDRS和H&Y指数进行评定,以后两种量表对改良SPES的有效性进行相关分析。筛选出无“开.关”现象的30例使用改良SPES和UPDRS先后评定2次,以评估其内部重复性。结果改良SPES与UPDRS各对应亚项的内部相关系数一致。能反映疾病的严重程度,有效性强。且改良SPES的评价时间明显短于UPDRS(P〈0.001)。结论改良SPES是一个简短的、可信的、有效的评价方法,值得充分应用。

关 键 词:帕金森病  评价  量表

Study on the validity and reliability of the modified Short Parkinson's Evaluation Scale
Affiliation:WU Zhuohua, SHAO Ming, LIN Jie, et al (Department of Neurology, The First Affiliated Hospital of Guang Zhou Medical College, Guang Zhou 510120, China)
Abstract:Objective To evaluate the reliability and validity of the modified Short Parkinson's Evaluation Scale (SPES). Methods 60 patients with Parkinson's Disease (PD) were assessed with SPES, unified Parkinson's Disease Rating Scale(UPDRS) and Hoehn and Yahr(H&Y) Scale at the same time. The latter two scales were evaluated to the validity of SPES. 30 cases were examined twice by different PD's doctors to assess the inter-rater reliability of SPES. Results The reproducibility was same for all subseales between SPES and UPDRS,and both scales revealed similar correlation with H&Y scale of disease severity. More over, the mean time to complete measures differed significantly (P<0.001). Conclusion The SPES is a short, reliable, and valid scale that can adequately be measured in clinical research and follow-up.
Keywords:Parkinson's disease  Assessment  SPES
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