国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (5): 557-562.doi: 10.7518/gjkq.2020100

• 论著 • 上一篇    下一篇

口腔潜在恶性疾病生存质量量表中文版的信度和效度评价

彭姝媛1,2,3(),向学熔1,陈方淳1,孙艳1,2,尹凤1,2,李敏1,2,3()   

  1. 1.重庆医科大学附属口腔医院黏膜科 重庆 401147
    2.口腔疾病与生物医学重庆市重点实验室 重庆 401147
    3.重庆市高校市级口腔生物医学工程重点实验室 重庆 401147
  • 收稿日期:2020-03-05 修回日期:2020-05-20 出版日期:2020-09-01 发布日期:2020-09-16
  • 通讯作者: 李敏
  • 作者简介:彭姝媛,硕士,Email: 2017110902@stu.cqmu.edu.cn
  • 基金资助:
    重庆市卫生和计划生育委员会医学科研重点项目(2016ZD-XM020);重庆高校创新团队建设计划(CXTDG201602006)

Reliability and validity evaluation of the Chinese version of the oral potentially malignant disorder questionnaire

Peng Shuyuan1,2,3(),Xiang Xuerong1,Chen Fangchun1,Sun Yan1,2,Yin Feng1,2,Li Min1,2,3()   

  1. 1.Dept. of Oral Mucosa, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China
    2.Chongqing Key Laboratory of Oral Diseases and Biomedical Science, Chongqing 401147, China
    3.Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
  • Received:2020-03-05 Revised:2020-05-20 Online:2020-09-01 Published:2020-09-16
  • Contact: Min Li
  • Supported by:
    Key Medical Research Projects of Chongqing Health and Family Planning Commission(2016ZD-XM020);Chongqing University Innovation Team Construction Plan(CXTDG201602006)

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摘要：

目的 评价口腔潜在恶性疾病量表（OPMDQ）中文版的信度和效度。方法 将OPMDQ进行初译、回译、翻译质量评价、文化调适和预评估后汉化形成中文版量表。使用该量表对370例研究对象（210例口腔潜在恶性疾病患者和160例健康个体）进行调查,对调查结果进行统计分析,考评量表的信度和效度。结果 共回收有效问卷339份,回收率为91.6%。量表的克朗巴赫α系数为0.876,组内相关系数总分值为0.84。经探索性因子分析,提取4个公因子,累积贡献率达67.89%,因子负荷从0.469到0.854不等,显示量表存在预期的连带关系和逻辑关系。口腔潜在恶性疾病患者和健康个体的量表总分及各维度评分差异均有统计学意义（P<0.001）,说明量表的判别效度较好。结论 通过本研究严格的性能测试,OPMDQ中文版具有良好的信度和效度,可用于中国患有口腔潜在恶性疾病患者生存质量的评估。

关键词: 口腔潜在恶性疾病, 信度, 效度, 生存质量, 量表

Abstract:

Objective This study aimed to evaluate the reliability and validity of the Chinese version of the oral potentially malignant disorders questionnaire (OPMDQ). Methods Initial translation, back-translation, quality evaluation, cultural adjustments, and pre-evaluation of the OPMDQ were performed to develop a Chinese version. This questionnaire was distributed to 370 subjects [210 patients with oral potentially malignant disorders (OPMD) and 160 healthy subjects] to evaluate its reliability and validity. After the subjects accomplished the questionnaires, the collected data were analyzed to evaluate the reliability and validity of the scale. Results Exactly 339 efficient scales were collected, with completion rate of 91.6%. The α value of the total Cronbach coefficient in the scale was 0.876, and the total score of the interclass correlation coefficient of the test-retest was 0.84. Following exploratory factor analysis, four factors were extracted and showed an accumulating contribution rate of up to 67.89%, suggesting that the scale had the expected joint and logical relationships ranging from 0.469 to 0.854. For the discri-minant validity of the scale, the difference between the scale scores of patients with OPMD and those of healthy subjects were statistically significant (P<0.001), suggesting that the scale had good discriminant validity. Conclusion The Chinese version of the OPMDQ displayed good reliability and validity, as indicated by strict performance tests. This questionnaire can be applied to evaluate the quality of patients with oral potentially malignant disorders in China.

Key words: oral potentially malignant disorder, reliability, validity, quality of life, questionnaire

中图分类号: 

  • R73

表 1

研究对象的基本特征"

调查项目 OPMD组（n=196） 对照组（n=143） t/χ2值 P值
例数 构成比/% 例数 构成比/%
年龄/岁（$\bar{x}±s$） 51.9±16.7 49.1±15.4 1.597 0.116
性别 男 78 39.8 57 39.9 0.000 0.990
女 118 60.2 86 60.1
就业情况 已就业 146 74.5 112 78.3 0.668 0.414
未就业 50 25.5 31 21.7
学历 小学 48 24.5 32 22.4 2.140 0.343
中学 96 49.0 81 56.6
本科及以上学历 52 26.5 30 21.0
婚姻状况 已婚 173 88.3 125 87.4 0.057 0.812
未婚 23 11.7 18 12.6
临床诊断 OLK 53 27.0
OLP 108 55.1
OSF 35 17.9

表 2

OPMDQ中文版各维度得分及总得分和判别效度分析"

维度 OPMD组 对照组 t值 P值
诊断困难 8.24±2.29 6.64±2.58 6.021 <0.001
体格损伤和功能限制 16.59±4.72 14.76±4.3 3.659 <0.001
心理和社会影响 17.08±5.87 14.86±5.25 3.594 <0.001
治疗对日常生活的影响 6.68±2.26 5.49±2.32 4.734 <0.001
总计 48.56±12.42 41.75±11.76 5.098 <0.001

表 3

OPMDQ中文版的信度分析"

维度 条目数 克朗巴赫α系数 ICC
诊断困难 3 0.963 0.76
体格损伤和功能限制 7 0.848 0.88
心理和社会影响 7 0.735 0.85
治疗对日常生活的影响 3 0.843 0.85
总计 20 0.876 0.84

表 4

OPMDQ中文版的探索性因子分析"

条目序号 条目内容 因子1 因子2 因子3 因子4
11 您的口腔问题让您困扰吗 0.770
17 在聚餐、工作或者社交活动进食时会感到尴尬吗 0.634
15 您会担心您的口腔问题转变为口腔癌吗 0.574
16 您担心治疗结果影响您的生活吗 0.570
13 您的口腔问题影响您的人际关系吗 0.524
12 您的口腔问题会让您感到压抑或情绪低落吗 0.483
14 您的口腔问题影响您对生活的满意度吗 0.469
10 您感到口干吗 0.758
4 您的口腔问题让您痛苦和苦恼吗 0.746
7 您的口腔问题影响您的食欲吗 0.648
6 您张口有困难吗 0.640
8 您的口腔问题影响您进食吗 0.616
9 您的口腔问题影响您的味觉吗 0.604
5 当您进食辛辣食物时您有灼烧感吗 0.472
3 您的口腔问题确诊前,采用多种方式来治疗您会感到多大压力 0.733
2 就诊多名医生来诊断口腔问题对您的日常生活有多大影响 0.625
1 对您而言,诊断口腔问题有多难 0.543
19 您对口腔问题的治疗效果满意吗 0.854
20 预约治疗对您的日常生活有影响吗 0.488
18 治疗口腔问题您经历了多少痛苦 0.474
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