SUBJECTIVE ASSESSMENT OF NUTRITIONAL STATUS-VALIDITY AND RELIABILITY OF A MODIFIED DETSKY INDEX IN A SWEDISH SETTING

被引：21

作者：

ULANDER, K

GRAHN, G

JEPPSSON, B

机构：

[1] Department of Surgery, Lund University

[2] Care Research Unit, Lund University, S-220 05 Lund

来源：

CLINICAL NUTRITION | 1993年 / 12卷 / 01期

关键词：

D O I：

10.1016/0261-5614(93)90139-U

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

In the search for a clinically useful nutritional index for use in a European context, we have translated an American nutritional assessment index - Subjective Global Assessment (SGA), and tested the modified translated version for validity and reliability in a Swedish setting. Judgements by an expert panel resulted in a mean agreement of 71% for clarity, 80% for content validity and 65% for internal consistency. Construct validity was demonstrated by the use of contrasting patient-groups (n = 20) and by 90% agreement with a medical expert as 'gold standard' for unknown patients (n = 20). Inter-rater reliability showed 75% agreement by 3 Registered Nurses (RNs) (n = 20). The individual Kappas for the raters varied from 0.68 to 0.89. The study showed difficulties experienced by raters in relating certain aspects in the SGA-index to normality. However, we concluded that a modified SGA-index translated from one language to another, with all the problems of cultural and idiomatic differences, can be of value for assessing and documenting pre-operative nutritional status of patients undergoing gastrointestinal surgery in a Swedish setting.

引用

页码：15 / 19

页数：5

共 23 条

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