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戈彭-杨半规管上裂问卷:一种用于评估接受半规管上裂手术修复患者主观症状的临床问卷的开发与验证

The Gopen-Yang Superior Semicircular Canal Dehiscence Questionnaire: development and validation of a clinical questionnaire to assess subjective symptoms in patients undergoing surgical repair of superior semicircular canal dehiscence.

作者信息

Voth B L, Sheppard J P, Barnette N E, Ong V, Nguyen T, Jacky Chen C H, Duong C, Arsenault J J, Lagman C, Gopen Q, Yang I

机构信息

Department of Neurosurgery,David Geffen School of Medicine,University of California,Los Angeles,California,USA.

Department of Head and Neck Surgery,David Geffen School of Medicine,University of California,Los Angeles,California,USA.

出版信息

J Laryngol Otol. 2018 Dec;132(12):1110-1118. doi: 10.1017/S0022215118002219.

Abstract

OBJECTIVE

To characterise subjective symptoms in patients undergoing surgical repair of superior semicircular canal dehiscence.

METHODS

Questionnaires assessing symptom severity and impact on function and quality of life were administered to patients before superior semicircular canal dehiscence surgery, between June 2011 and March 2016. Questionnaire sections included general quality of life, internal amplified sounds, dizziness and tinnitus, with scores of 0-100 points.

RESULTS

Twenty-three patients completed the questionnaire before surgery. Section scores (mean±standard deviation) were: 38.2 ± 25.2 for general quality of life, 52.5 ± 23.9 for internal amplified sounds, 35.1 ± 28.8 for dizziness, 33.3 ± 30.7 for tinnitus, and 39.8 ± 22.2 for the composite score. Cronbach's α statistic averaged 0.93 (range, 0.84-0.97) across section scores, and 0.83 for the composite score.

CONCLUSION

The Gopen-Yang Superior Semicircular Canal Dehiscence Questionnaire provides a holistic, patient-centred characterisation of superior semicircular canal dehiscence symptoms. Internal consistency analysis validated the questionnaire and provided a quantitative framework for further optimisation in the clinical setting.

摘要

目的

描述接受上半规管裂修复手术患者的主观症状。

方法

2011年6月至2016年3月期间,对上半规管裂手术前的患者进行问卷调查,评估症状严重程度以及对功能和生活质量的影响。问卷部分包括总体生活质量、内耳放大声音、头晕和耳鸣,分数范围为0至100分。

结果

23例患者在手术前完成了问卷。各部分得分(均值±标准差)分别为:总体生活质量38.2±25.2,内耳放大声音52.5±23.9,头晕35.1±28.8,耳鸣33.3±30.7,综合得分为39.8±22.2。各部分得分的Cronbach's α统计量平均为0.93(范围0.84 - 0.97),综合得分的Cronbach's α统计量为0.83。

结论

戈彭-杨上半规管裂问卷提供了对上半规管裂症状的全面、以患者为中心的描述。内部一致性分析验证了该问卷,并为临床环境中的进一步优化提供了定量框架。

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