目的:消化内镜在消化系统疾病诊疗中发挥重要作用。消化内镜诊疗满意度会直接影响患者的依从性,进而影响治疗效果。目前国内暂无评估消化内镜诊疗满意度的量表。本研究拟编制适合中国国情的消化内镜诊疗满意度量表,并评估其信效度,为临...目的:消化内镜在消化系统疾病诊疗中发挥重要作用。消化内镜诊疗满意度会直接影响患者的依从性,进而影响治疗效果。目前国内暂无评估消化内镜诊疗满意度的量表。本研究拟编制适合中国国情的消化内镜诊疗满意度量表,并评估其信效度,为临床评估消化内镜诊疗满意度提供工具。方法:通过查阅文献、访谈资深内镜医生和量表专家的方式编制消化内镜诊疗满意度原始量表。利用原始量表对120例患者进行第1轮调查,根据调查结果对原始量表进行分析、评价和修改,得到消化内镜诊疗满意度正式量表(以下简称“正式量表”);利用正式量表对另外200例患者进行第2轮调查,并根据调查结果对量表进行信度和效度的分析与评价。结果:原始量表信度良好但效度不佳。正式量表共有2个维度10个条目,克龙巴赫系数和分半信度系数分别为0.889和0.823,结构效度指标中,χ^(2)/df为2.513,近似误差均方根(root mean square error of approximation,RMSEA)为0.094,拟合优度指数(goodness of fit index,GFI)为0.914,调整后拟合优度指数(adjusted goodness of fit index,AGFI)为0.861,比较拟合指数(comparative fit index,CFI)为0.946,规范拟合指数(normed fit index,NFI)为0.915。聚合效度一般,区分效度良好,患者直接评分与量表总分具有较强的相关性。结论:消化内镜诊疗满意度量表具有良好的信效度,可以作为中国临床评估消化内镜诊疗满意度的工具。展开更多
Objective:In recent years,the incidence and detection rate of pancreatic cystic lesions(PCLs)have increased significantly.Endoscopic ultrasound(EUS)plays an indispensable role in the diagnosis and differential diagnos...Objective:In recent years,the incidence and detection rate of pancreatic cystic lesions(PCLs)have increased significantly.Endoscopic ultrasound(EUS)plays an indispensable role in the diagnosis and differential diagnosis of PCLs.However,evidence comparing the diagnostic performance of EUS-guided fine-needle aspiration(EUS-FNA)and fine-needle biopsy(FNB)remains limited.This study aims to compare the diagnostic yield,adequacy of tissue acquisition,and safety between EUS-FNA and EUS-FNB in evaluating PCLs to inform clinical practice.Methods:A retrospective review was conducted on patients with PCLs who underwent either EUS-FNA or EUS-FNB between January 2014 and August 2021.The diagnostic yield,tissue acquisition adequacy,and incidence of adverse events were compared between the 2 groups.Results:A total of 90 patients with PCLs were included(52 in the FNA group and 38 in the FNB group).The diagnostic yield was similar between the FNA and FNB groups(94.2%vs 94.7%,P>0.05).The adequacy of tissue acquisition was 71.2%in the FNA group and 81.6%in the FNB group(P>0.05).No statistically significant difference was observed in the incidence of adverse events between the 2 groups(P>0.05).Conclusion:Both EUS-FNA and EUS-FNB demonstrate equally high diagnostic yields and tissue adequacy in PCLs,with excellent safety profiles.Both methods are safe and effective diagnostic tools for evaluating PCLs.展开更多
目的:消化内镜是消化系统疾病的重要诊治手段,消化内镜人工智能(artificial intelligence,AI)辅助系统(以下简称“消化内镜AI”)在消化内镜领域中具有广泛的应用前景。内镜受检者的信任和接受是消化内镜AI研发、应用、推广的基石,目前...目的:消化内镜是消化系统疾病的重要诊治手段,消化内镜人工智能(artificial intelligence,AI)辅助系统(以下简称“消化内镜AI”)在消化内镜领域中具有广泛的应用前景。内镜受检者的信任和接受是消化内镜AI研发、应用、推广的基石,目前国内外缺乏受检者对消化内镜AI接受度的衡量工具。本研究旨在编制受检者对消化内镜AI接受度量表,并评估其信效度。方法:通过文献调查构建条目池和维度,运用Delphi法构建初版量表。对受检者进行第1阶段的问卷调查,根据数据对量表进行信效度检验;利用修改后的量表对受检者进行第2阶段调查,进一步验证量表的结构效度。结果:受检者对消化内镜AI接受度量表包含准确性、伦理、获益与意愿3个维度11个条目。第1阶段调查收回有效问卷351份,总克龙巴赫α系数为0.864;量表总分与验证条目得分的相关系数为0.636,结构效度中KMO(Kaiser-Meyer-Olkin)值为0.788。第2阶段调查收回有效问卷335份,结构效度中χ^(2)/df为3.774,近似均方根误差(root mean squared error of approximation,RMSEA)为0.091。结论:本研究编制的受检者对消化内镜AI接受度量表具有良好的信效度。展开更多
文摘目的:消化内镜在消化系统疾病诊疗中发挥重要作用。消化内镜诊疗满意度会直接影响患者的依从性,进而影响治疗效果。目前国内暂无评估消化内镜诊疗满意度的量表。本研究拟编制适合中国国情的消化内镜诊疗满意度量表,并评估其信效度,为临床评估消化内镜诊疗满意度提供工具。方法:通过查阅文献、访谈资深内镜医生和量表专家的方式编制消化内镜诊疗满意度原始量表。利用原始量表对120例患者进行第1轮调查,根据调查结果对原始量表进行分析、评价和修改,得到消化内镜诊疗满意度正式量表(以下简称“正式量表”);利用正式量表对另外200例患者进行第2轮调查,并根据调查结果对量表进行信度和效度的分析与评价。结果:原始量表信度良好但效度不佳。正式量表共有2个维度10个条目,克龙巴赫系数和分半信度系数分别为0.889和0.823,结构效度指标中,χ^(2)/df为2.513,近似误差均方根(root mean square error of approximation,RMSEA)为0.094,拟合优度指数(goodness of fit index,GFI)为0.914,调整后拟合优度指数(adjusted goodness of fit index,AGFI)为0.861,比较拟合指数(comparative fit index,CFI)为0.946,规范拟合指数(normed fit index,NFI)为0.915。聚合效度一般,区分效度良好,患者直接评分与量表总分具有较强的相关性。结论:消化内镜诊疗满意度量表具有良好的信效度,可以作为中国临床评估消化内镜诊疗满意度的工具。
基金supported by the Special Project for the Construction of Innovative Provinces in Hunan Province,China(2020SK2013)。
文摘Objective:In recent years,the incidence and detection rate of pancreatic cystic lesions(PCLs)have increased significantly.Endoscopic ultrasound(EUS)plays an indispensable role in the diagnosis and differential diagnosis of PCLs.However,evidence comparing the diagnostic performance of EUS-guided fine-needle aspiration(EUS-FNA)and fine-needle biopsy(FNB)remains limited.This study aims to compare the diagnostic yield,adequacy of tissue acquisition,and safety between EUS-FNA and EUS-FNB in evaluating PCLs to inform clinical practice.Methods:A retrospective review was conducted on patients with PCLs who underwent either EUS-FNA or EUS-FNB between January 2014 and August 2021.The diagnostic yield,tissue acquisition adequacy,and incidence of adverse events were compared between the 2 groups.Results:A total of 90 patients with PCLs were included(52 in the FNA group and 38 in the FNB group).The diagnostic yield was similar between the FNA and FNB groups(94.2%vs 94.7%,P>0.05).The adequacy of tissue acquisition was 71.2%in the FNA group and 81.6%in the FNB group(P>0.05).No statistically significant difference was observed in the incidence of adverse events between the 2 groups(P>0.05).Conclusion:Both EUS-FNA and EUS-FNB demonstrate equally high diagnostic yields and tissue adequacy in PCLs,with excellent safety profiles.Both methods are safe and effective diagnostic tools for evaluating PCLs.
文摘目的:消化内镜是消化系统疾病的重要诊治手段,消化内镜人工智能(artificial intelligence,AI)辅助系统(以下简称“消化内镜AI”)在消化内镜领域中具有广泛的应用前景。内镜受检者的信任和接受是消化内镜AI研发、应用、推广的基石,目前国内外缺乏受检者对消化内镜AI接受度的衡量工具。本研究旨在编制受检者对消化内镜AI接受度量表,并评估其信效度。方法:通过文献调查构建条目池和维度,运用Delphi法构建初版量表。对受检者进行第1阶段的问卷调查,根据数据对量表进行信效度检验;利用修改后的量表对受检者进行第2阶段调查,进一步验证量表的结构效度。结果:受检者对消化内镜AI接受度量表包含准确性、伦理、获益与意愿3个维度11个条目。第1阶段调查收回有效问卷351份,总克龙巴赫α系数为0.864;量表总分与验证条目得分的相关系数为0.636,结构效度中KMO(Kaiser-Meyer-Olkin)值为0.788。第2阶段调查收回有效问卷335份,结构效度中χ^(2)/df为3.774,近似均方根误差(root mean squared error of approximation,RMSEA)为0.091。结论:本研究编制的受检者对消化内镜AI接受度量表具有良好的信效度。
