Bergamaschi Roberto, Rezzani C, Minguzzi S, Amato M P, Patti F, Marrosu Maria Giovanna, Bonavita S, Grasso M G, Ghezzi Angelo, Rottoli M, Gasperini C, Restivo D, Maimone D, Rossi Paolo, Stromillo M L, Montomoli C, Solaro C
Multiple Sclerosis Centre, IRCCS C Mondino Institute of Neurology, Pavia, Italy.
Funct Neurol. 2009 Jul-Sep;24(3):159-62.
Swallowing problems can complicate the course of multiple sclerosis (MS). However, no validated questionnaire for the assessment of dysphagia in MS is currently available. We previously developed a 10-item DYsphagia in Multiple Sclerosis questionnaire (DYMUS). In the present study, this questionnaire was submitted to a validation process. Thirteen Italian MS centres took part in this research in which DYMUS was administered to 1734 consecutive MS patients during routine checkups outside relapse. The questionnaire showed very good internal consistency (Cronbach's alpha = 0.914). It was then subdivided into two subscales, both of which also showed very good internal consistency: Cronbach's alpha was 0.885 for the 'dysphagia for solids' subscale and 0.864 for the 'dysphagia for liquids' subscale. The DYMUS questionnaire was found to be an easy and reliable tool for detecting dysphagia and also for the preliminary selection of patients requiring more specific instrumental analyses, and those suitable for aspiration prevention programmes.
吞咽问题会使多发性硬化症(MS)的病程复杂化。然而,目前尚无经过验证的用于评估MS患者吞咽困难的问卷。我们之前开发了一份包含10个条目的多发性硬化症吞咽困难问卷(DYMUS)。在本研究中,该问卷经历了验证过程。13个意大利MS中心参与了这项研究,在复发期之外的常规检查期间,对1734例连续的MS患者进行了DYMUS问卷调查。该问卷显示出非常好的内部一致性(克朗巴哈系数α = 0.914)。然后将其细分为两个子量表,这两个子量表也都显示出非常好的内部一致性:“固体食物吞咽困难”子量表的克朗巴哈系数α为0.885,“液体食物吞咽困难”子量表的克朗巴哈系数α为0.864。结果发现,DYMUS问卷是一种用于检测吞咽困难的简便可靠工具,也可用于对需要更具体器械分析的患者以及适合预防误吸方案的患者进行初步筛选。