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口腔黏膜下纤维性变中慢性口腔黏膜疾病问卷的有效性。

Validity of Chronic Oral Mucosal Diseases Questionnaire in oral submucous fibrosis.

机构信息

Nair Hospital Dental College, Mumbai, India.

出版信息

Clin Oral Investig. 2019 Feb;23(2):873-877. doi: 10.1007/s00784-018-2504-0. Epub 2018 Jun 8.

Abstract

OBJECTIVE

To validate the use of Chronic Oral Mucosal Diseases Questionnaire in oral submucous fibrosis.

MATERIALS AND METHODS

Hundred consecutive oral submucous fibrosis (OSF) patients were requested to respond to Visual Analogue Scale (VAS) score and complete the Oral Health Impact Profile 14 (OHIP 14) and COMDQ. Spearman's rho correlation was used to assess the relationship between VAS and COMDQ score and COMDQ and OHIP 14 score. The reliability of the instrument was assessed using Cronbach's alpha analysis. Discriminant analysis was used to assess if COMDQ significantly differentiated between OSF population with and without any prior treatment done as well as OSF with mouth opening less than and more than or equal to 25 mm.

RESULTS

The Spearman's correlation coefficient showed a high significance between the different domains of COMDQ and OHIP 14 and COMDQ and VAS. This study demonstrated a good convergent validity between the overall COMDQ and OHIP 14 scores (0.88).The overall Cronbach's alpha value was found to be 0.75 indicating an acceptable internal consistency reliability of COMDQ. The tool was unable to differentiate between patients with mouth opening between less than and more than or equal to 25 mm and patients with and without prior treatment.

CONCLUSION

These results provide evidence that COMDQ can be used for OSF patients.

CLINICAL RELEVANCE

COMDQ could be used as a valid and reliable tool for further clinical OSF research.

摘要

目的

验证慢性口腔黏膜疾病问卷在口腔黏膜下纤维化中的应用。

材料和方法

100 例口腔黏膜下纤维化(OSF)患者被要求对视觉模拟评分(VAS)进行评分,并完成口腔健康影响程度量表 14 项(OHIP 14)和 COMDQ。采用 Spearman 相关系数评估 VAS 与 COMDQ 评分和 COMDQ 与 OHIP 14 评分之间的关系。采用 Cronbach's alpha 分析评估仪器的可靠性。采用判别分析评估 COMDQ 是否能显著区分有无既往治疗的 OSF 人群以及张口度小于或等于 25mm 和大于 25mm 的 OSF 人群。

结果

Spearman 相关系数显示 COMDQ 和 OHIP 14 以及 COMDQ 和 VAS 的不同领域之间存在高度显著相关性。本研究表明,COMDQ 总分与 OHIP 14 总分之间具有良好的收敛效度(0.88)。总体 Cronbach's alpha 值为 0.75,表明 COMDQ 具有可接受的内部一致性可靠性。该工具无法区分张口度小于和大于或等于 25mm 的患者以及有无既往治疗的患者。

结论

这些结果提供了证据表明 COMDQ 可用于 OSF 患者。

临床意义

COMDQ 可作为进一步临床 OSF 研究的有效且可靠工具。

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