中国听力语言康复科学杂志

2020, v.18;No.99(02) 99-102

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医患使用数字等级量表对周围性眩晕评分的差异性研究
Comparison of the Difference of Numeric Rating Scale Scores for Patients with Peripheral Vertigo between Physicians and Patients

费樱平;郑芸;李刚;
FEI Ying-ping;ZHENG Yun;LI Gang;

摘要(Abstract):

目的探讨医生与眩晕患者使用数字等级量表(numeric rating scales,NRS)对周围性眩晕严重程度评分的差异。方法研究对象为2019年6月~2019年9月在我院以眩晕为第一主诉就诊的101例成人患者,医生详细采集每位患者病史后对其眩晕度进行NRS评分,再由患者自己进行眩晕程度NRS评分,分析两种评分结果的差异和相关性。结果 21.78%(22/101)患者与医生NRS评分一致;67.33%(68/101)患者自评得分高于医生评分;81.19%(82/101)的医患评分相差在2分以内;医患NRS评分相关系数r=0.66(P<0.05)。医生对患者的NRS评分1~9(4.34±1.87)分,患者自评NRS评分1~10(5.56±2.08)分,二者之间差异有统计学意义(P<0.05)。结论医生对眩晕给患者生活造成影响的严重程度NRS评分通常低于患者自评得分,但这种差异的临床价值及影响因素有待进一步研究。
Objective To explore whether there were any difference of Numeric Rating Scale(NRS) scores for patient with peripheral vertigo reported between physicians and patients. Methods A total of 101 patients who reported vertigo as a primary complaint at the West China Hospital of Sichuan University from June to September 2019 were enrolled. After the doctor took a detailed history of each patient, the physician gave the patient an NRS scores for vertigo severity. And then the patients were asked to rate their vertigo severity by NRS scores. The difference and correlation of the two scores were analyzed. Results 21.78%(22/101) of patients-reported NRS scores were consistent with those reported by physicians. 67.3%(68/101) patients-reported scores were higher than physicians reported scores, 81.19%(82/101) of the difference in NRS scores were within 2 scores. The NRS scores of physicians and patients reported were 1-9(4.34±1.87) and 1-10(5.56±2.08), respectively, the difference was statistically significant(P < 0.05) and the correlation coefficient was 0.66. Conclusion Physicians-reported NRS scores for the severity of peripheral vertigo impact on patients' lives were generally lower than patients' self-reported NRS scores, but the clinical value of this difference and the influencing factors remain to be further studied.

关键词(KeyWords): 周围性眩晕;数字等级量表;患者自评;医生评估
Peripheral vertigo;Numeric rating scales;Assessment;Physician assessment

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作者(Author): 费樱平;郑芸;李刚;
FEI Ying-ping;ZHENG Yun;LI Gang;

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