巴基斯坦上消化道和肝脏疾病患者的口腔健康相关生活质量：乌尔都语版口腔健康影响程度量表-14的验证
Oral health-related quality of life in patients with upper gastrointestinal and hepatic disorders in Pakistan: validation of the Oral Health Impact Profile-14 in the Urdu language.
作者信息
Warsi Ibrahim, Younus Anjum, Rasheed Abdur, Ahmed Javeria, Mahida Hafsa, Hashmi Rimsha, Qureshi Ambrina
机构信息
1Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi, Pakistan.
2Department of Community Dentistry, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi, Pakistan.
出版信息
BDJ Open. 2018 Apr 27;4:17036. doi: 10.1038/s41405-018-0002-8. eCollection 2018.
INTRODUCTION
The Oral Health Impact Profile (OHIP-14) has been used extensively to measure the impact of oral disease on oral health-related quality of life (HRQoL) but has not been validated in the Urdu language or tested in gastroenterology.
AIMS
To validate the OHIP-14 for use in Pakistan and its ability to assess oral health in patients with upper gastrointestinal (GI) and hepatic disorders.
DESIGN
Multicentre, cross-sectional.
SETTING
Four major tertiary care hospitals.
METHODS
The OHIP-14 was tested for reliability and validity in 700 patients referred for oesophago-gastro-duodenoscopic (OGD) investigation of the symptoms of upper GI or hepatic disease. Socio-demographic details and oral examination findings (for oral lesions and DMFT) were recorded.
RESULTS
The mean (±standard deviation) total OHIP-14 score (range 0-56) was estimated to be 23.38 ± 10.47, indicating a significant impact of upper gastrointestinal and hepatic disorders on oral health. The reliability coefficient of the OHIP-14 was above 0.7 threshold, and the tool had good internal consistency ( = 0.83). When associated with worsening DMFT (decayed, missed, and filled teeth) index value, the highest correlations ( < 0.01) were detected with functional limitation (rs = 0.234), physical disability (rs = 0.230), and psychological discomfort (rs = 0.221).
CONCLUSION
The OHIP-14 is a precise and valid instrument for assessing oral-HRQoL in a gastroenterological setting amongst Pakistani population.
引言
口腔健康影响程度量表（OHIP - 14）已被广泛用于衡量口腔疾病对口腔健康相关生活质量（HRQoL）的影响，但尚未在乌尔都语中得到验证，也未在胃肠病学领域进行测试。
目的
验证OHIP - 14在巴基斯坦的适用性及其评估上消化道（GI）和肝脏疾病患者口腔健康的能力。
设计
多中心横断面研究。
地点
四家主要的三级护理医院。
方法
对700名因上消化道或肝脏疾病症状而接受食管 - 胃 - 十二指肠镜检查（OGD）的患者进行OHIP - 14的信效度测试。记录社会人口统计学细节和口腔检查结果（口腔病变和DMFT）。
结果
OHIP - 14总得分（范围0 - 56）的均值（±标准差）估计为23.38±10.47，表明上消化道和肝脏疾病对口腔健康有显著影响。OHIP - 14的信度系数高于0.7阈值，该工具具有良好的内部一致性（= 0.83）。当与恶化的DMFT（龋失补牙）指数值相关时，在功能受限（rs = 0.234）、身体残疾（rs = 0.230）和心理不适（rs = 0.221）方面检测到最高相关性（< 0.01）。
结论
OHIP - 14是评估巴基斯坦人群胃肠病学环境中口腔HRQoL的精确有效工具。
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