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开发一种基于患者的问卷,调查与戴义齿进食相关的情绪和社会问题。

Development of a patient-based questionnaire about emotional and social issues related to eating with dentures.

机构信息

Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, NE2 4BW, England, UK.

出版信息

J Dent. 2012 Aug;40(8):678-85. doi: 10.1016/j.jdent.2012.04.025. Epub 2012 May 10.

DOI:10.1016/j.jdent.2012.04.025
PMID:22580352
Abstract

OBJECTIVES

In order to fully assess the impact of prosthetic rehabilitation and to formulate appropriate dietary advice, in-depth information about patients' experiences of eating with dentures is needed. The objective of this study was to develop and validate a questionnaire that accurately reflected the real concerns of patients with dental prostheses about the aspects of their life related to eating, using detailed information derived from qualitative interviews with patients.

METHODS

Themes around factors related to eating with dentures were derived from interviews with patients (n=66) with either implant-supported mandibular over-dentures or conventional dentures. The themes were used to design a self-completed questionnaire with questions scored on a visual analogue scale and additionally questions answered using free text. The content and face validity of the questionnaire was tested on a different group of patients (n=10) with implant-supported mandibular over-dentures ('implant-supported') or conventional dentures. Test-retest reliability analysis was conducted on a further group of 30 patients (n=15 implant-supported; n=15 conventional dentures).

RESULTS

A questionnaire has been developed with 33 questions scored on a visual analogue scale and 31 open questions designed to collect further information as free text. Themes identified were around social, emotional and practical issues about eating. The instrument has good internal reliability with a Cronbach alpha values of 0.86-0.95 and good test-retest reliability with intra-class correlation coefficients 0.87-0.92 across the domains.

CONCLUSIONS

A patient-based instrument has been developed to measure emotional and social issues related to eating with dentures (ESIRE questionnaire). The questionnaire will be a useful tool in future trials of prosthetic rehabilitation.

摘要

目的

为了全面评估义齿修复的效果,并制定适当的饮食建议,我们需要深入了解患者戴假牙进食的体验。本研究旨在开发并验证一种问卷,该问卷使用从患者访谈中获得的详细信息,准确反映戴假牙患者对与进食相关的生活方面的真实关注点。

方法

从 66 名接受下颌种植覆盖义齿或传统义齿修复的患者的访谈中提取出与戴假牙进食相关因素的主题。这些主题被用于设计一个自我完成的问卷,问卷中的问题采用视觉模拟量表评分,此外还可以使用自由文本回答问题。问卷的内容和表面效度在另一组接受下颌种植覆盖义齿(“种植支持”)或传统义齿修复的患者(n=10)中进行了测试。进一步对 30 名患者(n=15 名种植支持;n=15 名传统义齿)进行了测试-重测信度分析。

结果

开发了一种包含 33 个视觉模拟量表评分问题和 31 个开放式问题的问卷,旨在收集更多的自由文本信息。确定的主题涉及与进食相关的社交、情感和实际问题。该工具具有良好的内部信度,克朗巴赫 α 值为 0.86-0.95,在各领域的组内相关系数为 0.87-0.92,具有良好的重测信度。

结论

已开发出一种基于患者的工具来测量与戴假牙进食相关的情绪和社交问题(ESIRE 问卷)。该问卷将成为未来义齿修复试验的有用工具。

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