AIM:To develop the 17-item Asthenopia Survey Questionnaire(ASQ)-17 by Rasch analysis,and to generate a predictiveness score.METHODS:Totally 739 participants were recruited and 680 were involved in the result analysis ...AIM:To develop the 17-item Asthenopia Survey Questionnaire(ASQ)-17 by Rasch analysis,and to generate a predictiveness score.METHODS:Totally 739 participants were recruited and 680 were involved in the result analysis in this prospective,cross-sectional study.Three rounds of Rasch analysis were used to analyze the psychometric characteristics of items and options.RESULTS:Phase 1 assessed the original ASQ-19,adjusted the item scoring mode to a four-point Likert response rating scale and combined the 18th and 19th items into a new item.Phase 2 deleted the 11th item.Phases 3 and 4 assessed the new ASQ-17.All the evaluation indexes of ASQ-17 were acceptable.The Infit and Outfit MnSq values of items were 0.67-1.48,the variance explained by the principal component and the unexplained variance explained by the first contrast were 53.90%-59.40%and 1.50-1.80 in three dimensions.The curve peaks of scores in each dimension were separated and in the same order.The PSR and PSI values were 2.80 and 0.89,respectively.The mean scores of dimensions A(9.5±4.1 vs 3.5±3.2),B(7.3±3.3 vs 2.5±2.7),C(4.3±2.2 vs 1.4±2.0)and total(21.1±8.1 vs 7.4±7.0)in asthenopia participants were significantly higher than those without asthenopia(all P<0.001).The area under the curve in two groups was 0.899(P<0.001).Youden’s index was up to the maximum value of 0.784 when the cut-off value was 12.5.CONCLUSION:ASQ-17 has stronger option sorting and suitability than ASQ-19.It is an effective assessment tool for asthenopia with an optimal cut-off threshold value of 12.5,which is suitable for diagnosis and curative effect evaluation.展开更多
目的 分析基于GRACE评分系统的急诊专科护理模式在急性冠脉综合征（ACS）患者围手术期的应用效果.方法 连续选择2013年9月-2015年3月于中国人民解放军总医院急诊科诊断为ACS患者265例,男性138例,女性127例,年龄39~75岁.根据入院先后顺序...目的 分析基于GRACE评分系统的急诊专科护理模式在急性冠脉综合征（ACS）患者围手术期的应用效果.方法 连续选择2013年9月-2015年3月于中国人民解放军总医院急诊科诊断为ACS患者265例,男性138例,女性127例,年龄39~75岁.根据入院先后顺序,随机将其分为对照组（132例）和观察组（133例）.对照组采用标准专科护理模式,观察组采用基于GRACE评分系统的专科护理模式,对比两组的入院至球囊扩张（door-to-balloon,D-to-B）时间、手术时间和住院时间,手术相关并发症发生率和护理满意度评分.结果 观察组的D-to-B时间、手术时间和住院时间较对照组显著缩短,数值为[（27.8±13.2）min vs. （45.6±16.4）min]、[（42.6±15.5）min vs. （58.7±16.9）min]、[（7.8±2.4）d vs. （10.5±2.3）d],差异均有统计学意义（P均〈0.05）.观察组手术相关并发症发生率显著低于对照组（10.5% vs.23.5%）,差异有统计学意义（P〈0.05）.观察组的护理满意度各项评分均显著高于对照组,差异有统计学意义（P均〈0.05）.结论 应用GRACE评分系统对ACS患者进行分层护理,可明显缩短入院至救治时间,减少并发症,提升护理质量.展开更多
基金Supported by Wenzhou Science and Technology Bureau Project(No.Y2020036)the National Science Foundation of China(No.82000861)National Key Research and Development Program of China(No.2020YFC2008200).
文摘AIM:To develop the 17-item Asthenopia Survey Questionnaire(ASQ)-17 by Rasch analysis,and to generate a predictiveness score.METHODS:Totally 739 participants were recruited and 680 were involved in the result analysis in this prospective,cross-sectional study.Three rounds of Rasch analysis were used to analyze the psychometric characteristics of items and options.RESULTS:Phase 1 assessed the original ASQ-19,adjusted the item scoring mode to a four-point Likert response rating scale and combined the 18th and 19th items into a new item.Phase 2 deleted the 11th item.Phases 3 and 4 assessed the new ASQ-17.All the evaluation indexes of ASQ-17 were acceptable.The Infit and Outfit MnSq values of items were 0.67-1.48,the variance explained by the principal component and the unexplained variance explained by the first contrast were 53.90%-59.40%and 1.50-1.80 in three dimensions.The curve peaks of scores in each dimension were separated and in the same order.The PSR and PSI values were 2.80 and 0.89,respectively.The mean scores of dimensions A(9.5±4.1 vs 3.5±3.2),B(7.3±3.3 vs 2.5±2.7),C(4.3±2.2 vs 1.4±2.0)and total(21.1±8.1 vs 7.4±7.0)in asthenopia participants were significantly higher than those without asthenopia(all P<0.001).The area under the curve in two groups was 0.899(P<0.001).Youden’s index was up to the maximum value of 0.784 when the cut-off value was 12.5.CONCLUSION:ASQ-17 has stronger option sorting and suitability than ASQ-19.It is an effective assessment tool for asthenopia with an optimal cut-off threshold value of 12.5,which is suitable for diagnosis and curative effect evaluation.
文摘目的 分析基于GRACE评分系统的急诊专科护理模式在急性冠脉综合征（ACS）患者围手术期的应用效果.方法 连续选择2013年9月-2015年3月于中国人民解放军总医院急诊科诊断为ACS患者265例,男性138例,女性127例,年龄39~75岁.根据入院先后顺序,随机将其分为对照组（132例）和观察组（133例）.对照组采用标准专科护理模式,观察组采用基于GRACE评分系统的专科护理模式,对比两组的入院至球囊扩张（door-to-balloon,D-to-B）时间、手术时间和住院时间,手术相关并发症发生率和护理满意度评分.结果 观察组的D-to-B时间、手术时间和住院时间较对照组显著缩短,数值为[（27.8±13.2）min vs. （45.6±16.4）min]、[（42.6±15.5）min vs. （58.7±16.9）min]、[（7.8±2.4）d vs. （10.5±2.3）d],差异均有统计学意义（P均〈0.05）.观察组手术相关并发症发生率显著低于对照组（10.5% vs.23.5%）,差异有统计学意义（P〈0.05）.观察组的护理满意度各项评分均显著高于对照组,差异有统计学意义（P均〈0.05）.结论 应用GRACE评分系统对ACS患者进行分层护理,可明显缩短入院至救治时间,减少并发症,提升护理质量.
