国际口腔医学杂志

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (2): 177-184.doi: 10.7518/gjkq.2018.02.010

• 论著 • 上一篇    下一篇

腭咽闭合不全相关生存质量量表信度与效度的验证

黄汉尧1, 王梦娇1, 吴昊1, 蒋莉萍2, 张文婧3, 韦杉4, 尹恒1   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院唇腭裂外科 成都 610041
    2.上海交通大学医学院附属第九人民医院颌面外科 上海 200011
    3.首都医科大学附属北京口腔医院口腔颌面整形创伤外科 北京 100050
    4.北京嫣然天使儿童医院唇腭裂中心 北京 100102
  • 收稿日期:2017-09-03 修回日期:2017-12-08 出版日期:2018-03-01 发布日期:2018-03-01
  • 通讯作者: 尹恒,副教授,硕士,Email：phoebeyin@126.com
  • 作者简介:黄汉尧,住院医师,学士,Email：huanghanyao_cn@163.com
  • 基金资助:
    中国唇腭裂诊治联盟多中心合作课题基金（2016008）; 四川省卫生和计划生育委员会科技项目（130131）

Reliability and validity of the velopharyngeal insufficiency effects on life outcomes instrument

Huang Hanyao1, Wang Mengjiao1, Wu Hao1, Jiang Liping2, Zhang Wenjing3, Wei Shan4, Yin Heng1   

  1. 1.State Key Laboratory of Oral Diseases &National Clinical Research Center for Oral Diseases &Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    2.Dept. of Oral and Maxillofacial Surgery, The Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China;
    3.Dept. of Maxillofacial Plastic and Trauma Surgery, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China
    4.Cleft Lip and Palate Center, Beijing Smileangel Children’s Hospital, Beijing 100102, China;
  • Received:2017-09-03 Revised:2017-12-08 Online:2018-03-01 Published:2018-03-01
  • Supported by:
    This study was supported by Sinocleft Multi-Center Cooperation Project Funding (2016008) and Science and Technology Project of Sichuan Health and Family Planning (130131).

RichHTML

6

PDF (PC)

400

摘要： 目的 通过腭咽闭合不全相关生存质量量表（VELO）中文版信度与效度的验证研究,探讨其在中国相应适龄腭咽闭合不全（VPI）患者及其家长中应用的可行性。方法 按照国际生存质量评价（IQoLA）项目的标准程序,对原版VELO系列问卷中的患者问卷、家长问卷分别进行翻译、回译、文化调适和改造,建立中文版VELO,形成VPI患者生活质量的自我评估及家长评估的量表。使用该系列量表对诊断为VPI的患者及其家长进行相关生存质量调查,考评量表的信度和效度。结果 本次研究共发放问卷366例,回收问卷366例,其中患者用表211例,家长用表155例。有效量表362例,约占98.91%。患者用表中实验组109例,对照组99例;家长用表中实验组66例,对照组88例。VELO系列量表内部一致性Cronbach’s α系数患者用表为0.937、家长用表为0.950,Guttman分半信度系数患者用表为0.908、家长用表为0.887。内容效度显示各条目与相应维度间均为中度或高度相关,量表总体区分效度P值小于0.05说明该表具有良好的区分能力。以上结果均达到IQoLA项目的标准。结论 VLEO中文版具有良好的信度和效度,其良好的心理测量学性质为适用于中国适龄的VPI患者的相关生存质量调查提供了理论依据。

关键词: 腭咽闭合不全, 生存质量, 信度, 效度, 量表

Abstract: Objective In this study, we aim to translate the original English version of the velopharyngeal insufficiency effects on life outcomes instrument (VELO) into Chinese and test the psychometric properties of VELO among eligible Chinese patients with velopharyngeal insufficiency (VPI).Methods The original English version of VELO was translated, back-translated, and adapted among different cultures. Based on the standard procedures of the International Quality of Life Assessment (IQoLA) project, VELO was established for self-assessment by patients and assessment by caregivers. The reliability and validity of our translated VELO were assessed in Chinese patients with VPI and their caregivers.Results A total of 366 questionnaires were completed, 211 of whichwere completed by patients and 155 by caregivers. In addition, 362 (98.91%) valid questionnaires were collected, comprising 109 questionnaires from the patients in the experimental group, 99 from the patients in the control group, 66 from the caregivers in the experimental group, and 88 from the caregivers in the control group. The cronbach’s α of VELO for a patient with VPI was 0.937, and that of a caregiver was 0.950. Meanwhile, the Guttman split-half reliability coefficient of a patient with VPI was 0.908, and that of a caregiver was 0.887. After the content was validated, the items had intermediate or high correlation with corresponding domains. The patients with VPI and control patients were effectively discriminated through VELO, indicating that the results reached the IQoLA standard. The same result was obtained in the caregivers.Conclusion The translated Chinese version of VELO has acceptable reliability and validity. These psychometric properties provide theoretical evidence for further use of VELO in Chinese patients with VPI.

Key words: velopharyngeal insufficiency, quality of life, reliability, validity, questionnaire

中图分类号: 

  • R782.2
[1] Sally P, Judith T, Michael K, et al. The clinician’s guide to treating cleft palate speech[M]. 2nd ed. Philadelphia: Mosby Elsever, 2006:21-22, 125-150.
[2] Barr L, Thibeault SL, Muntz H, et al.Quality of life in children with velopharyngeal insufficiency[J]. Arch Otolaryngol Head Neck Surg, 2007, 133(3): 224-229.
[3] Skirko JR, Weaver EM, Perkins J, et al.Modification and evaluation of a Velopharyngeal Insufficiency Quality-of-Life instrument[J]. Arch Otolaryngol Head Neck Surg, 2012, 138(10):929-935.
[4] Broder HL, Wilson-Genderson M.Reliability and convergent and discriminant validity of the Child Oral Health Impact Profile (COHIP child’s version)[J]. Community Dent Oral Epidemiol, 2007, 35(Suppl 1):20-31.
[5] Ahn YS, Kim HY, Hong SM, et al.Validation of a Korean version of the Child Oral Health Impact Pro-file (COHIP) among 8- to 15-year-old school chil-dren[J]. Int J Paediatr Dent, 2012, 22(4):292-301.
[6] Baxter AL, Watcha MF, Baxter WV, et al.Develop-ment and validation of a pictorial nausea rating scale for children[J]. Pediatrics, 2011, 127(6):e1542-e1549.
[7] Martinez-Vega IP, Doubova SV, Aguirre-Hernandez R, et al.Adaptation and validation of the Distress Scale for Mexican patients with type 2 diabetes and hypertension: a cross-sectional survey[J]. BMJ Open, 2016, 6(3):e009723.
[8] Shrive FM, Stuart H, Quan H, et al.Dealing with missing data in a multi-question depression scale: a comparison of imputation methods[J]. BMC Med Res Methodol, 2006, 6:57.
[9] 李晓松. 医学统计学[M]. 2版. 北京: 高等教育出版社, 2014:270.
Li XS.Medical statistics[M]. 2nd ed. Beijing: Higher Education Press, 2014:270.
[10] Geels LM, Hoogstraten J, Prahl-Andersen B.Con-firmative factor analysis of the dimensions of the Child Oral Health Impact Profile (Dutch version)[J]. Eur J Oral Sci, 2008, 116(2):148-152.
[11] 卢奕云, 田琪, 郝元涛, 等. 儿童生存质量测定量表PedsQL4.0中文版的信度和效度分析[J]. 中山大学学报(医学科学版), 2008, 29(3):328-331.
Lu YY, Tian Q, Hao YT, et al.Reliability and vali-dity for Chinese version of pediatric quality of life inventory PedsQL4.0[J]. J Sun Yat-Sen Univ (Med Sci), 2008, 29(3):328-331.
[12] 夏萍, 李宁秀, 吕玉波, 等. 生命质量量表跨文化调适方法概述[J]. 中国心理卫生杂志, 2007, 21(4): 230-232.
Xia P, Li NX, Lü YB, et al.Methods of cross-culture adaptation of scales of life quality (review)[J]. Chin Mental Health J, 2007, 21(4):230-232.
[13] 辛蔚妮, 凌均棨. 口腔健康影响程度量表的验证研究[J]. 中华口腔医学杂志, 2006, 41(4):242-245.
Xin WN, Ling JQ.Validation of a Chinese version of the oral health impact profile-14[J]. Chin J Sto-matol, 2006, 41(4):242-245.
[14] Wong MC, Lo EC, McMillan AS. Validation of a Chinese version of the Oral Health Impact Profile (OHIP)[J]. Community Dent Oral Epidemiol, 2002, 30(6):423-430.
[1] 陈东,杨征,蒋丽. 放射性口腔干燥症的评估与临床管理的研究进展[J]. 国际口腔医学杂志, 2019, 46(6): 711-717.
[2] 秦帅华,李新明,李文鹿. 有症状型口腔扁平苔藓患者生存质量与应对策略的评价和相关分析[J]. 国际口腔医学杂志, 2019, 46(3): 282-286.
[3] 史佳虹, 鲁勇. 黏膜下腭裂的诊断及治疗[J]. 国际口腔医学杂志, 2018, 45(3): 368-372.
[4] 陈青娅, 黄茜, 王黎. 口腔种植患者牙科焦虑的调查分析[J]. 国际口腔医学杂志, 2018, 45(1): 14-19.
[5] 林赳, 余钒源, 方欣怡, 哈品, 龚彩霞, 石冰. 儿童口腔健康相关生存质量量表信度与效度的验证研究[J]. 国际口腔医学杂志, 2017, 44(4): 445-451.
[6] 张汝斌,曾晓娟,李雅娟,林伟远. 修复前后患者咀嚼能力和生活质量主客观评价的相关性研究[J]. 国际口腔医学杂志, 2016, 43(6): 651-653.
[7] 邓岳佳1,王陈兵1,张曦木1,岳兆国1,刘云坤1,金震宁1,赵曼2. 赫尔老年人口腔健康评价指数与口腔健康影响程度量表评价中国西南地区农村中老年人口腔生存质量的对比研究[J]. 国际口腔医学杂志, 2016, 43(6): 632-635.
[8] 李盛,江宏兵,万林忠,袁华,汪彬昺,姜成惠,杜一飞飞. 腭咽闭合不全的个体化治疗策略[J]. 国际口腔医学杂志, 2016, 43(6): 640-644.
[9] 宗弋 王敤 王虎. 腭裂修复术后软腭形态多样性的研究[J]. 国际口腔医学杂志, 2015, 42(3): 281-284.
[10] 孙秋华，肖丹娜，高辉，窦泽生. 大学生错牙合畸形与口腔健康相关生存质量的相关性[J]. 国际口腔医学杂志, 2015, 42(2): 156-159.
[11] 刘丽骏综述 蒋伟文审校. 口腔疾病患者的相关生活质量评估及研究进展[J]. 国际口腔医学杂志, 2011, 38(4): 467-469.
[12] 陈晓容1 赵彪1 尹恒2. 腭裂术后边缘性腭咽闭合不全的语音训练特点[J]. 国际口腔医学杂志, 2011, 38(3): 279-282.
[13] 陈沐综述 王大为, 冯志才审校. 口腔健康相关生活质量调查在正畸学中的应用[J]. 国际口腔医学杂志, 2009, 36(4): 488-491.
[14] 吴芸,林梅. 疼痛程度的临床评估[J]. 国际口腔医学杂志, 2008, 35(S1): -.
[15] 王正伦，方文静，钟秋，童庆华，胡凌洁，邵卓娜，粟杉杉，杨铭艳. 拔除上颌牙不施行腭侧注射麻醉的临床研究[J]. 国际口腔医学杂志, 2008, 35(6): 624-624～626.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 在种植体上制作固定义齿以后下颌骨密度的动态变化[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 温秀杰. 氟化物对牙本质脱矿抑制作用的体外实验研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 杨儒壮 孙宏晨 欧阳喈. 纳米级高分子支架材料在组织工程中的研究进展[J]. 国际口腔医学杂志, 2004, 31(02): 126 -128 .
[4] 李中杰 谢翠柳综述 孟玉坤审校. 贴面修复临床效果的相关因素研究[J]. 国际口腔医学杂志, 2013, 40(4): 489 -492 .
[5] 黄丽娟,李建,. 髁突位置与颞下颌关节盘移位关系的研究[J]. 国际口腔医学杂志, 2007, 34(02): 104 -106 .
[6] 薛明，葛久禹，程磊. 根管冲洗液对电子根测仪准确性的影响[J]. 国际口腔医学杂志, 2016, 43(1): 5 .
[7] 蒋贤军 胡德渝 肖强 涂蕊 董滢. 成都市部分6~12岁孤残儿童患龋状况及防治探讨[J]. 国际口腔医学杂志, 2013, 40(2): 152 -155 .
[8] 王昆润. 口腔印模表面用次氯酸钠溶液消毒的实验研究[J]. 国际口腔医学杂志, 1999, 26(02): .
[9] 张凤,魏素华. 嵌体适合性分析的实验方法[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 吴园 刘传霞综述 李晓英审校. 复发性阿弗他溃疡与饮食调理[J]. 国际口腔医学杂志, 2012, 39(6): 808 -810 .