Tenekeci Elif Gökçe, Kara BelgüZar, Çetiz Ahmet, Demirkaya Şeref, Demir Numan, Açikel Cengizhan
Department of Internal Medicine Nursing, Gülhane Military Medical Academy School of Nursing, Ankara, Turkey.
Department of Internal Medicine Nursing, Yüksek İhtisas University School of Health Sciences, Ankara, Turkey.
Noro Psikiyatr Ars. 2016 Sep 20;55(3):243-247. doi: 10.5152/npa.2016.18105. eCollection 2018 Sep.
The aim of this study was to investigate the validity and reliability of the Turkish version of the Questionnaire for the Assessment of DYsphagia in MUltiple Sclerosis (DYMUS) that has been developed for evaluating dysphagia in patients with multiple sclerosis.
This methodological study was conducted in the neurology clinic and outpatient department of a training hospital between March 15 and September 15, 2015. The study included 117 patients aged 18 years and over who had a definite diagnosis of multiple sclerosis, could communicate in Turkish, and volunteered to be included. Data were collected using a descriptive information form, the DYMUS, and the Eating Assessment Tool (EAT-10). The scale was translated and back translated to determine the language validity, and a specialist was consulted to make sure the content was valid. We used the EAT-10 and Kurtzke's Expanded Disability Status Scale (EDSS) concurrently to test the criterion-related validity. The test-retest procedure was used at 1-week intervals for 37 patients in this study. Descriptive statistics, factor analysis, Kappa analysis, reliability analysis, and correlation analysis were used to analyze the data.
Factor analysis revealed that the scale was bifactorial, and this was consistent with its original form. There were positive and statistically significant relationships between the DYMUS and EAT-10 (r=0.90, p<0.001) and the mean EDSS scores (r=0.49, p<0.001). The internal consistency of the total scale was high (Cronbach's alpha coefficient= 0.91). The Cronbach's alpha coefficients pertaining to dysphagia for solids and liquids were determined to be 0.88 and 0.83, respectively. The total scale and subscales demonstrated a high test-retest reliability (r=0.79-0.95, p<0.001).
In this study, the Turkish version of the DYMUS was found to be a valid and reliable tool for evaluating dysphagia in patients with multiple sclerosis.
本研究旨在调查用于评估多发性硬化症患者吞咽困难的《多发性硬化症吞咽困难评估问卷》（DYMUS）土耳其语版本的有效性和可靠性。
本方法学研究于2015年3月15日至9月15日在一家培训医院的神经内科门诊和门诊部进行。研究纳入了117名18岁及以上确诊为多发性硬化症、能用土耳其语交流且自愿参与的患者。使用描述性信息表、DYMUS和饮食评估工具（EAT - 10）收集数据。对该量表进行翻译和回译以确定语言效度，并咨询专家以确保内容有效。我们同时使用EAT - 10和库尔特克扩展残疾状态量表（EDSS）来测试标准关联效度。本研究中对37名患者每隔1周进行一次重测程序。使用描述性统计、因子分析、卡帕分析、可靠性分析和相关性分析来分析数据。
因子分析表明该量表具有双因子结构，这与它的原始形式一致。DYMUS与EAT - 10（r = 0.90，p < 0.001）以及平均EDSS评分（r = 0.49，p < 0.001）之间存在正相关且具有统计学意义。总量表的内部一致性较高（克朗巴赫α系数 = 0.91）。固体食物和液体吞咽困难相关的克朗巴赫α系数分别确定为0.88和0.83。总量表和子量表显示出较高的重测信度（r = 0.79 - 0.95，p < 0.001）。
在本研究中，发现DYMUS土耳其语版本是评估多发性硬化症患者吞咽困难的有效且可靠的工具。
