Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, Ul. Banacha 1a, 02-097, Warsaw, Poland.
The Children's Memorial Health Institute, Department of Otolaryngology, Audiology and Phoniatrics, Al. Dzieci Polskich 20, 04-736, Warsaw, Poland.
Dysphagia. 2023 Aug;38(4):1200-1211. doi: 10.1007/s00455-022-10545-y. Epub 2022 Dec 12.
Dysphagia Handicap Index (DHI) is a self-assessment questionnaire which consists of 25 statements to examine three aspects of dysphagia patients' quality of life (QoL): functional, physical, and emotional. The patient can get a maximum score of 100 points. The study goal was to validate and translate the Polish version of the DHI (PL-DHI). One hundred and seventy-eight (178) individuals with oropharyngeal dysphagia with different etiology and 35 (thirty-five) asymptomatic adults with no history of swallowing disorders filled out the PL-DHI. Internal consistency was determined using Cronbach alpha coefficient, which was high for the total PL-DHI score (0.962). The reproducibility was high (r-Spearman correlation coefficient was 0.97 for total PL-DHI score). The PL-DHI's total score and its subscales were significantly higher in the dysphagia patients study group (SG) than in the healthy controls group (CG) (SG median: 36; CG median: 4). A strong correlation was observed between the PL-DHI score and the self-reported dysphagia severity measure (Spearman's correlation coefficient was 0.859, p < 0.001). The Polish DHI is a reliable and valid questionnaire for assessing dysphagia patients' QoL.
吞咽障碍 handicap 指数(DHI)是一个自我评估问卷,由 25 个陈述句组成,用于检查吞咽障碍患者生活质量(QoL)的三个方面:功能、身体和情绪。患者的最高得分为 100 分。本研究的目的是验证和翻译波兰语版的 DHI(PL-DHI)。178 名有口咽吞咽困难的患者(不同病因)和 35 名无症状成年人(无吞咽障碍史)填写了 PL-DHI。内部一致性采用 Cronbach alpha 系数来确定,PL-DHI 的总分具有很高的内部一致性(0.962)。重测信度也很高(总 PL-DHI 评分的 r-Spearman 相关系数为 0.97)。吞咽障碍患者研究组(SG)的 PL-DHI 总分及其分量表的得分明显高于健康对照组(CG)(SG 中位数:36;CG 中位数:4)。PL-DHI 评分与自我报告的吞咽障碍严重程度测量之间存在很强的相关性(Spearman 相关系数为 0.859,p < 0.001)。波兰语版 DHI 是一种可靠有效的评估吞咽障碍患者生活质量的问卷。