Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Arch Iran Med. 2022 Mar 1;25(3):178-181. doi: 10.34172/aim.2022.30.
Rhinosinusitis involves inflammation within the paranasal sinuses and the nasal mucosa. It is a very common chronic health condition. This paper performs a validation process on the Persian translation of the rhinosinusitis quality-of-life questionnaire (RhinoQOL), for use in clinical assessment of chronic rhinosinusitis (CRS) patients. The Lund-Mackay score is also used widely in assessing CRS, and this study aims to describe its relationship to RhinoQOL.
The Persian RhinoQOL adaptation was carried out on 110 CRS patients. A follow-up questionnaire was completed two weeks later. Psychometric properties were determined by statistical analysis (reliability, reproducibility, validity, responsiveness). A total of 45 patients were included for radiologic score calculation. The Spearman's test was used for assessing the correlation between the RhinoQOL scores and Lund-Mackay score.
Internal reliability was excellent for the impact scale (Cronbach's alpha=0.92). Cronbach's alpha was 0.63 and 0.55 for frequency and irritation scales, which reflects lower internal consistency values. Temporal stability or Test-retest reliability was excellent across all three scales. ICC was 0.96, 0.97, and 0.99 for RhinoQOL frequency, irritation, and impact scales. No significant correlation was observed between the Lund-Mackay score and RhinoQOL scores in terms of frequency, irritation and impact scales.
The Persian version of RhinoQOL appears to be as reliable, valid, and sensitive to change as the English version.
鼻窦炎涉及鼻窦和鼻黏膜的炎症。它是一种非常常见的慢性健康状况。本文对鼻窦炎生活质量问卷（RhinoQOL）的波斯语翻译进行了验证过程，用于慢性鼻窦炎（CRS）患者的临床评估。Lund-Mackay 评分也广泛用于评估 CRS，本研究旨在描述其与 RhinoQOL 的关系。
对 110 例 CRS 患者进行了波斯语 RhinoQOL 适应性测试。两周后完成了后续问卷。通过统计分析（可靠性、可重复性、有效性、响应性）确定心理测量特性。共有 45 名患者纳入放射评分计算。采用 Spearman 检验评估 RhinoQOL 评分与 Lund-Mackay 评分之间的相关性。
影响量表的内部信度非常好（Cronbach's alpha=0.92）。频率和刺激量表的 Cronbach's alpha 分别为 0.63 和 0.55，反映了较低的内部一致性值。所有三个量表的时间稳定性或测试-重测可靠性均非常好。RhinoQOL 频率、刺激和影响量表的 ICC 分别为 0.96、0.97 和 0.99。Lund-Mackay 评分与 RhinoQOL 评分在频率、刺激和影响量表方面均无显著相关性。
波斯语版本的 RhinoQOL 似乎与英文版一样可靠、有效且对变化敏感。
