Afshari Mariam, Hakeberg Magnus, Wide Ulla, Bazargani Farhan, Cardemil Carina, Kashani Hossein
Department of Oral and Maxillofacial Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Acta Odontol Scand. 2022 Nov;80(8):635-640. doi: 10.1080/00016357.2022.2077981. Epub 2022 May 29.
Development of a new questionnaire, Oral Health-Related Quality of Life - Neurosensory Disturbances after Orthognathic Surgery (OHRQL-NDO), designed to measure the effects of neurosensory disturbance (NSD) on patients' oral health-related quality of life (OHRQL) and to evaluate reliability and validity of this questionnaire.
A questionnaire including 11 items was constructed. Thirty patients with NSD affecting the lower lip and/or chin following orthognathic surgery were included. Convergent validity was assessed by comparing OHRQL-NDO with OHIP-14 and two global questions. Test-retest reliability was assessed by asking the patients to complete OHRQL-NDO at two different occasions with an interval of two to three weeks.
The internal consistency, measured with Cronbach's alpha, was 0.84. The test-retest reliability, measured with ICC, was 0.89 (95% CI 0.77-0.95). The correlation between the mean sum score for the OHRQL-NDO and the mean sum score for the OHIP-14 was = 0.75, using Pearson correlation coefficient. The correlations between the mean total score for the OHRQL-NDO and the global questions 1 and 2 were = 0.74 and = 0.72, respectively.
The current instrument OHRQL-NDO is a promising test, but needs further development to better capture the different aspects of OHRQL. Further tests of the questionnaire must follow in other samples to finalize the instrument.
开发一种新的问卷，即正颌外科术后口腔健康相关生活质量 - 神经感觉障碍问卷（OHRQL - NDO），旨在测量神经感觉障碍（NSD）对患者口腔健康相关生活质量（OHRQL）的影响，并评估该问卷的信度和效度。
构建了一份包含11个条目的问卷。纳入30例正颌外科术后出现影响下唇和/或下巴的NSD患者。通过将OHRQL - NDO与OHIP - 14及两个总体问题进行比较来评估收敛效度。通过要求患者在间隔两到三周的两个不同时间点完成OHRQL - NDO来评估重测信度。
用Cronbach's alpha系数测量的内部一致性为0.84。用组内相关系数（ICC）测量的重测信度为0.89（95%可信区间0.77 - 0.95）。使用Pearson相关系数，OHRQL - NDO的平均总分与OHIP - 14的平均总分之间的相关性为0.75。OHRQL - NDO的平均总分与总体问题1和2之间的相关性分别为0.74和0.72。
当前的OHRQL - NDO问卷是一个有前景的测试工具，但需要进一步改进以更好地涵盖OHRQL的不同方面。必须在其他样本中对该问卷进行进一步测试，以使该工具最终确定。
