Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, İstanbul, Turkey
Department of Public Health , Marmara University, İstanbul, Turkey
Turk J Med Sci. 2020 Dec 17;50(8):1922-1929. doi: 10.3906/sag-2003-38.
BACKGROUND/AIM: The Zurich Chronic Middle Ear Questionnaire (ZCMEI-21) is a newly-developed German-language questionnaire. The purpose of this study was to analyze the quality of life (QoL) of chronic otitis media (COM) patients and translate, transculturally adapt, and validate the ZCMEI-21 into Turkish.
Based on internationally accepted guidelines, the ZCMEI-21 was translated into Turkish. To assess its validity, the total score of the ZCMEI-21-Tur was compared to the scores taken from the original validation study and a question that was directly related to the health-related QoL (HRQoL), as well as the general criterion EQ-5D-5L. Questionnaires were completed by healthy volunteers and the results were evaluated statistically.
A total of 80 COM patients and 40 healthy volunteers were prospectively enrolled in this study. Regarding internal consistency, the questionnaire showed a Cronbach α of 0.94, which indicated high internal consistency. Moreover, internal consistency was also determined to be excellent for the Cronbach α of the individual subscales, as follows: ear sign symptoms, 0.79; hearing, 0.83; psychosocial impact, 0.91, and medical resources, 0.84.
The ZCMEI-21 was translated into Turkish and validated. Therefore, the ZCMEI-21-Tur was suitable for use in assessing HRQoL in adult patients with COM.
背景/目的：Zurich 慢性中耳问卷（ZCMEI-21）是一种新开发的德语问卷。本研究旨在分析慢性中耳炎（COM）患者的生活质量（QoL），并将 ZCMEI-21 翻译成土耳其语，并进行跨文化适应性调整和验证。
根据国际公认的指南，将 ZCMEI-21 翻译成土耳其语。为了评估其有效性，将 ZCMEI-21-Tur 的总分与原始验证研究的得分以及与健康相关的生活质量（HRQoL）直接相关的问题以及一般标准 EQ-5D-5L 进行比较。由健康志愿者完成问卷，并进行统计学评估。
本研究前瞻性纳入了 80 例 COM 患者和 40 名健康志愿者。关于内部一致性，问卷的 Cronbach α 为 0.94，表明内部一致性高。此外，个体子量表的 Cronbach α 也被确定为优秀，如下所示：耳部体征症状为 0.79；听力为 0.83；心理社会影响为 0.91，医疗资源为 0.84。
ZCMEI-21 已被翻译成土耳其语并经过验证。因此，ZCMEI-21-Tur 适用于评估成人 COM 患者的 HRQoL。
