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吞咽困难患者照料者生活质量问卷(QOLC-M)的编制

Development of Quality of Life Due to Dysphagia Questionnaire for Caregivers of Individuals with Dysphagia (QOLC-M).

作者信息

Jain Harshitha, Jagtap Mansi

机构信息

Bharati Vidyapeeth (Deemed to be University), School of Audiology and Speech Language Pathology, Dhankawadi Campus, Katraj, Pune, Maharashtra 411043 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5645-5656. doi: 10.1007/s12070-021-02931-z. Epub 2021 Nov 13.

Abstract

Caregivers play an important role in providing care for patients with dysphagia and experience various psychosocial issues, but these areas remain unexplored. There is paucity of tools to assess quality of life of caregivers of individuals with dysphagia attending to these cases. Hence, a need was felt to carry out the present study to develop a tool to assess quality of life for caregivers of individuals with dysphagia. Construction of questionnaire was done in Marathi language and validated by native Marathi speakers and face validity by experts. The questionnaire was administered on 30 caregivers of individuals with dysphagia.A detailed case history, demographic information of the caregivers was noted and questionnaire was administered on the caregivers using interview method. The data was subjected to measures of internal consistency and reliability. Statistical analysis revealed a high item to total correlation (0.6-0.92).Internal consistency was found to be high (α = 0.95) while Intraclass Correlation Coefficient (ICC) was administered for reliability revealing high reliability (ICC = 0.85).The analysis of responses of the caregivers on the statements revealed moderate to high scores for many statements indicating impact of dysphagia on activities of daily living, social aspects, feelings and attitudes and problems faced during feeding. QOLC-M was found to be a tool with high reliability and internal consistency. It could identify the impact of dysphagia on caregiver's QOL highlighting specific problems faced by them.

摘要

照顾者在为吞咽困难患者提供护理方面发挥着重要作用,并且会经历各种心理社会问题,但这些领域仍未得到探索。目前缺乏评估照顾吞咽困难患者的照顾者生活质量的工具。因此,人们觉得有必要开展本研究,以开发一种评估吞咽困难患者照顾者生活质量的工具。问卷用马拉地语编制,并由母语为马拉地语的人进行验证,同时由专家进行表面效度评估。该问卷对30名吞咽困难患者的照顾者进行了施测。记录了详细的病例史、照顾者的人口统计学信息,并采用访谈法对照顾者进行问卷施测。对数据进行了内部一致性和信度测量。统计分析显示项目与总分的相关性较高(0.6 - 0.92)。发现内部一致性较高(α = 0.95),同时采用组内相关系数(ICC)评估信度,结果显示信度较高(ICC = 0.85)。对照顾者对各项陈述的回答分析表明,许多陈述的得分从中度到高度,表明吞咽困难对日常生活活动、社会方面、情感和态度以及喂食过程中面临的问题产生了影响。吞咽困难照顾者生活质量问卷(QOLC - M)被发现是一种具有高信度和内部一致性的工具。它可以确定吞咽困难对照顾者生活质量的影响,突出他们所面临的具体问题。

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