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《鼻阻塞症状评估量表》瑞典语版本的验证及心理测量学评估

Validation and psychometric evaluation of the Swedish version of the Nasal Obstruction Symptom Evaluation scale.

作者信息

Sunnergren Ola, Pakpour Amir H, Bergquist Henrik, Sahlstrand-Johnson Pernilla, Stjärne Pär, Broström Anders

机构信息

Ear, Nose & Throat Clinic Region Jönköping County Jönköping Sweden.

Department of Nursing, School of Health and Welfare Jönköping University Jönköping Sweden.

出版信息

Laryngoscope Investig Otolaryngol. 2023 Mar 6;8(2):357-366. doi: 10.1002/lio2.1036. eCollection 2023 Apr.

DOI:10.1002/lio2.1036
PMID:37090889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10116965/
Abstract

OBJECTIVES

The Nasal Obstruction Symptom Evaluation (NOSE) scale is a symptom-specific quality-of-life questionnaire for patients suffering from nasal obstruction. The instrument is designed specifically for patients with septal deviation and for the evaluation of the outcome of septoplasty. The aim of this study was to validate a Swedish version of the NOSE instrument for use in clinical practice and research.

METHODS

A Swedish version of the NOSE was tested in a case group consisting of 125 subjects with nasal obstruction (of which 31 underwent septoplasty) and a control group consisting of 65 healthy subjects. Base line data for the case and control groups were used to evaluate face validity, known groups validity, construct validity, internal consistency and factor structure analysis. Fifty participants in both the case groups and control groups were assessed both at baseline and after 2 weeks to evaluate test-retest reliability. The participants who underwent septoplasty were assessed at baseline and after 3-6 months to evaluate responsiveness.

RESULTS

The S-NOSE was found to be reliable, valid, and responsive. Both Cronbach's and McDonald Omega coefficients were >0.7, and the intra class coefficient was 0.942. The S-NOSE scores were significantly correlated with nasal patency VAS in both the case group and the control group ( < .001 and  = .018, respectively). After septoplasty, the mean S-NOSE score were significantly improved ( < .001). Furthermore, the S-NOSE was shown to have excellent and robust psychometric properties.

CONCLUSION

The S-NOSE can be recommended in both clinical practice and research to evaluate the outcome of septoplasty in Swedish-speaking populations.

LEVEL OF EVIDENCE

NA.

摘要

目的

鼻阻塞症状评估(NOSE)量表是一种针对鼻阻塞患者的症状特异性生活质量问卷。该工具专为鼻中隔偏曲患者设计,用于评估鼻中隔成形术的效果。本研究的目的是验证瑞典语版的NOSE工具在临床实践和研究中的应用。

方法

在一个由125名鼻阻塞受试者(其中31人接受了鼻中隔成形术)组成的病例组和一个由65名健康受试者组成的对照组中测试瑞典语版的NOSE。病例组和对照组的基线数据用于评估表面效度、已知组效度、结构效度、内部一致性和因子结构分析。病例组和对照组的50名参与者在基线时和2周后均接受评估,以评估重测信度。接受鼻中隔成形术 的参与者在基线时和3-6个月后接受评估,以评估反应度。

结果

发现S-NOSE可靠、有效且具有反应度。Cronbach's系数和McDonald Omega系数均>0.7,组内相关系数为0.942。病例组和对照组的S-NOSE评分与鼻通气视觉模拟量表均显著相关(分别为<0.001和=0.018)。鼻中隔成形术后,S-NOSE平均评分显著改善(<0.001)。此外,S-NOSE显示出优异且稳健的心理测量特性。

结论

在临床实践和研究中均可推荐使用S-NOSE来评估瑞典语人群中鼻中隔成形术的效果。

证据水平

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/c394f0717a56/LIO2-8-357-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/387aa2867e20/LIO2-8-357-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/5be78111f676/LIO2-8-357-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/c394f0717a56/LIO2-8-357-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/387aa2867e20/LIO2-8-357-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/5be78111f676/LIO2-8-357-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a27a/10116965/c394f0717a56/LIO2-8-357-g002.jpg

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