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先天性外耳道闭锁多维生活质量问卷的编制与验证

Development and validation of a multidimensional quality of life questionnaire for congenital aural atresia.

作者信息

Ren Yuanyuan, Zhao Shouqin, Wang Danni

机构信息

Department of Otolaryngology Head and Neck Surgery, Beijing Tong Ren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, China.

出版信息

Acta Otolaryngol. 2012 Jul;132(7):708-14. doi: 10.3109/00016489.2012.658967. Epub 2012 Apr 12.

DOI:10.3109/00016489.2012.658967
PMID:22497585
Abstract

CONCLUSION

The psychometric characteristics of the Congenital Aural Atresia Questionnaire (CAAQ) are proposed to be reliable and sensitive to determine clinical changes in a patient's quality of life (QOL) and the questionnaire has potential for clinical application.

OBJECTIVE

The aim of this study was to develop a quantifiable, self-assessed, and health-related QOL questionnaire for patients with congenital aural atresia and to explore its reliability and validity.

METHODS

An initial QOL questionnaire for patients with congenital aural atresia was constructed according to widely used available QOL questionnaires. A total of 140 patients with congenital aural atresia were recruited into this study. After pretest and item sifting, the QOL questionnaire was constructed, and its reliability and validity were evaluated.

RESULTS

An 18-item QOL questionnaire for patients with congenital aural atresia was constructed, which included 3 principal domains: symptoms and impact (physical, 8 items), mental status (psychological, 6 items), and social interaction (4 items). The retest reliability was 0.878; split-half reliability coefficient and Cronbach's alpha coefficient were 0.927 and 0.899, respectively. The factor analysis results indicated satisfactory construct validity.

摘要

结论

先天性耳道闭锁问卷(CAAQ)的心理测量学特征被认为是可靠的,并且对确定患者生活质量(QOL)的临床变化敏感,该问卷具有临床应用潜力。

目的

本研究的目的是为先天性耳道闭锁患者开发一种可量化、自我评估且与健康相关的生活质量问卷,并探讨其可靠性和有效性。

方法

根据广泛使用的现有生活质量问卷,构建了一份先天性耳道闭锁患者初始生活质量问卷。本研究共招募了140名先天性耳道闭锁患者。经过预测试和项目筛选,构建了生活质量问卷,并对其可靠性和有效性进行了评估。

结果

构建了一份包含18个条目的先天性耳道闭锁患者生活质量问卷,包括3个主要领域:症状与影响(身体方面,8个条目)、精神状态(心理方面,6个条目)和社会交往(4个条目)。重测信度为0.878;分半信度系数和克朗巴哈α系数分别为0.927和0.899。因子分析结果表明结构效度良好。

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