使用扩展现实技术测量正颌外科患者对教育的满意度：3D正颌外科问卷（3DOS-Q）的开发、验证及可靠性
Measuring patient satisfaction with education using extended reality in orthognathic surgery: Development, validation, and reliability of the 3D orthognathic surgery questionnaire (3DOS-Q).
作者信息
Tabernée Heijtmeijer Sander J C, Nicolai Noa, Janssen Nard G, Kortes Joël, Pinkster Rick J J, Puladi Behrus, Rashad Ashkan, Vladu O, Pijpker Peter A J, Witjes Max J H, Pichardo Sarina E C, Kraeima Joep
机构信息
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
3D Lab, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
出版信息
PEC Innov. 2025 Aug 29;7:100429. doi: 10.1016/j.pecinn.2025.100429. eCollection 2025 Dec.
OBJECTIVES
The effectiveness of extended reality technologies in improving patient understanding and satisfaction, particularly in orthognathic surgery, remains underexplored. No existing questionnaire specifically assesses patient satisfaction with different 3D model display techniques in this context. Therefore, this research aimed at developing and validating a questionnaire to assess patient satisfaction with preoperative education using 3D models for orthognathic surgery.
METHODS
Building on a previous questionnaire for trauma patients, an initial questionnaire was developed and adapted for orthognathic surgery patients based on literature and pretesting with patients and specialists (Phase I). The preliminary questionnaire underwent a field psychometric performance test in a randomized controlled trial at three centers specialized in orthognathic surgery (Phase II).
RESULTS
Nine patients and six specialists were included (Phase I), which resulted to a preliminary questionnaire consisting of twelve items. A total of 65 patients completed the preliminary questionnaire (Phase II). The final eleven items demonstrated strong psychometric properties, measuring a single distinct factor 4.99, Cronbach's alpha value of 0.87, for the German (α = 0.849) and Dutch (α = 0.836) versions. A Feldt test revealed no significant difference in internal consistency between the two languages ( = 0.401). The items together statistically significantly predicted patient satisfaction ( < 0.001).
CONCLUSION
The final questionnaire has a good validity, total explained variance at 45.5 %.
INNOVATION
The 3DOS-Q demonstrates significant potential as a tool for evaluating patient satisfaction with 3D models, suitable for extended reality technologies, improving patient care, and exploring satisfaction differences across patient groups and display techniques.
目的
扩展现实技术在提高患者理解度和满意度方面的有效性，尤其是在正颌外科手术中，仍未得到充分探索。在这种情况下，目前尚无专门的问卷来评估患者对不同3D模型显示技术的满意度。因此，本研究旨在开发并验证一份问卷，以评估患者对正颌外科手术使用3D模型进行术前教育的满意度。
方法
在先前针对创伤患者的问卷基础上，根据文献以及对患者和专家的预测试，开发并改编了一份初始问卷用于正颌外科手术患者（第一阶段）。在三个正颌外科专科中心进行的一项随机对照试验中，对初步问卷进行了现场心理测量性能测试（第二阶段）。
结果
纳入了9名患者和6名专家（第一阶段），由此产生了一份由12个项目组成的初步问卷。共有65名患者完成了初步问卷（第二阶段）。最终的11个项目显示出很强的心理测量特性，测量的是一个单一的独特因素4.99，德语版（α = 0.849）和荷兰语版（α = 0.836）的克朗巴赫α值为0.87。费尔特检验显示两种语言之间的内部一致性无显著差异（ = 0.401）。这些项目共同在统计学上显著预测了患者满意度（ < 0.001）。
结论
最终问卷具有良好的效度，总解释方差为45.5%。
创新点
3DOS-Q作为评估患者对3D模型满意度的工具具有显著潜力，适用于扩展现实技术，可改善患者护理，并探索不同患者群体和显示技术之间的满意度差异。
Zotero 插件