Lei Jin, Iqbal Muhammad Asad, Zhengjing Li, Ali Amjad, Moazzam Nida Fatima, Ruo Zhuang
School of Medicine, Jiangsu University, Zhenjiang, Jiangsu, People's Republic of China.
Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu, People's Republic of China.
Clin Otolaryngol. 2025 Nov;50(6):961-966. doi: 10.1111/coa.14318. Epub 2025 Jun 10.
The objective is to create a symptom assessment scale specifically designed for people experiencing sudden deafness and thereafter evaluate its reliability and validity.
A literature review and semi-structured interviews were used to create a symptom experience model-based scale item pool. After two rounds of expert deliberation, the first scale was finalised. An initial 30-item survey provided descriptive definitions and reference standards for symptom severity. One hundred sixty patients completed the questionnaire, but 7 patients who did not meet the requirements were excluded, and 153 patients who met the criteria in the otolaryngology department admitted to a tertiary hospital in Zhenjiang City between March 2022 and September 2023 were surveyed to assess the scale's validity and reliability.
The Symptom Group Assessment Scale for Sudden Deafness Patients comprises three dimensions and a total of 13 items. These dimensions include the Ear Symptom Group, consisting of five items, the systemic symptom group, consisting of five items, and the psychosomatic symptom group, consisting of three items. By conducting exploratory factor analysis, we were able to identify three shared components, which accounted for a total of 57.780% of the variance. The confirmatory factor analysis demonstrated that the model exhibited excellent flexibility. The Cronbach's alpha coefficient for the scale is 0.942, indicating a high level of internal consistency.
The validated scale provides clinicians and nurses with a reliable tool to systematically assess symptom burden in sudden deafness patients. Its integration into clinical practice can inform tailored nursing interventions, such as symptom monitoring and psychosocial support, while aiding in the development of individualised management plans. This enhances patient-centred care and contributes to improved clinical outcomes in this population.
目的是创建一个专门为突发性聋患者设计的症状评估量表，然后评估其信效度。
采用文献回顾和半结构式访谈来创建基于症状体验模型的量表条目池。经过两轮专家审议，确定了第一版量表。最初的30项调查问卷提供了症状严重程度的描述性定义和参考标准。160例患者完成了问卷，但排除了7例不符合要求的患者，对2022年3月至2023年9月间在镇江市某三级医院耳鼻喉科符合标准的153例患者进行调查，以评估该量表的效度和信度。
突发性聋患者症状群组评估量表包括三个维度，共13个条目。这些维度包括耳部症状群组，由5个条目组成；全身症状群组，由5个条目组成；心身症状群组，由3个条目组成。通过进行探索性因素分析，我们能够识别出三个共同成分，它们共占方差的57.780%。验证性因素分析表明该模型具有良好的拟合度。该量表的Cronbach's α系数为0.942，表明内部一致性较高。
经验证的量表为临床医生和护士提供了一个可靠的工具，用于系统评估突发性聋患者的症状负担。将其纳入临床实践可以为针对性的护理干预提供依据，如症状监测和心理社会支持，同时有助于制定个性化的管理计划。这增强了以患者为中心的护理，并有助于改善该人群的临床结局。
