CAJ | 학술논문

目的翻译、修订形成魁北克睡眠问卷(Quebec sleep questionnaire,QSQ)简体中文版,并对其信度、效度进行评价.方法引进特异性生活质量量表QSQ进行翻译及回译,修订为QSQ简体中文版,通过对141例[单纯鼾症22例,阻塞性睡眠呼吸暂停低通气综合征(OSAHS)119例]患者的测量结果,分析量表的可行性、信度及效度;通过对55例[悬雍垂腭咽成形术(UPPP)治疗组35例,对照组20例]2个月后复诊患者对比研究,对量表反应度进行评价.结果 QSQ简体中文版可行性良好(回收率和调查完成率均为100%).量表各维度的内部一致性分析发现克朗巴赫α系数(Cronbach'sα)范围为0.65～0.90;各维度重测信度组内相关系数范围为0.82～0.91.呼吸暂停低通气指数(AHI)和最低血氧饱和度(LSaO2)不同程度组问比较,4个维度(白天嗜睡、白天症状、夜间症状、社会交往)差异均有统计学意义(P值均＜0.01或＜0.05).119例OSAHS患者的QSQ总分及全部5个维度分值均与Epworth嗜睡量表有相关性(P值均＜0.01),QSQ总分及3个维度(白天嗜睡、夜间症状、社会交往)分值与 AHI和LSaO2均有相关性(P值均＜0.05).UPPP治疗组术后与术前比较,QSQ的5个维度分值变化差异有统计学意义(P值均＜0.001),与对照组5个维度分值比较差异也有统计学意义(P值均＜0.01).结论 QSQ简体中文版有较好的信度、效度及反应度,可作为OSAHS特异性生活质量量表,用于评价疾病对OSAHS患者生活质量的影响及治疗效果.
목적 번역、수정형성괴북극수면문권(Quebec sleep questionnaire,QSQ)간체중문판,병대기신도、효도진행평개.방법 인진특이성생활질량량표QSQ진행번역급회역,수정위QSQ간체중문판,통과대141례[단순한증22례,조새성수면호흡잠정저통기종합정(OSAHS)119례]환자적측량결과,분석량표적가행성、신도급효도;통과대55례[현옹수악인성형술(UPPP)치료조35례,대조조20례]2개월후복진환자대비연구,대량표반응도진행평개.결과 QSQ간체중문판가행성량호(회수솔화조사완성솔균위100%).량표각유도적내부일치성분석발현극랑파혁α계수(Cronbach'sα)범위위0.65～0.90;각유도중측신도조내상관계수범위위0.82～0.91.호흡잠정저통기지수(AHI)화최저혈양포화도(LSaO2)불동정도조문비교,4개유도(백천기수、백천증상、야간증상、사회교왕)차이균유통계학의의(P치균＜0.01혹＜0.05).119례OSAHS환자적QSQ총분급전부5개유도분치균여Epworth기수량표유상관성(P치균＜0.01),QSQ총분급3개유도(백천기수、야간증상、사회교왕)분치여 AHI화LSaO2균유상관성(P치균＜0.05).UPPP치료조술후여술전비교,QSQ적5개유도분치변화차이유통계학의의(P치균＜0.001),여대조조5개유도분치비교차이야유통계학의의(P치균＜0.01).결론 QSQ간체중문판유교호적신도、효도급반응도,가작위OSAHS특이성생활질량량표,용우평개질병대OSAHS환자생활질량적영향급치료효과.
Objective To develop a simplified Chinese version of the 32-item Quebec sleep questionnaire (QSQ) and to examine the reliability and validity.Methods A cross-sectional sample of 141 patients [22 simple snorers and 119 obstructive sleep apnea hypopnea syndrome (OSAHS)] and a longitudinal sample of 55 patients[35 in uvulopalatopharyngoplasty (UPPP) group and 20 in control group]completed the simplified Chinese version of QSQ for assessment of its feasibility,reliability,validity and responsiveness.Results QSQ had good feasibility.All internal consistency coefficients exceeded 0.65.Intraclass correlation coefficients of five domains for test-retest reliability ranged from 0.82 - 0.91.There were significant differences in four domains (daytime sleepiness,diurnal symptoms,nocturnal symptoms and social interactions) among patients with different severity of apnea hypopnea index (AHI) and lowest saturation of arterial oxygen (LSaO2,P ＜ 0.01 or ＜ 0.05＝.Correlations between QSQ scores and five domains and Epworth sleepiness scale (ESS) were statistically significant (P ＜0.01＝.Correlations between QSQ scores and three domains (daytime sleepiness,nocturnal symptoms and social interactions) and polysomnography (PSG) indices (AHI and LSaO2) were statistically significant (P ＜ 0.05＝.There were significant differences in scores of five domains of patients between at baseline and after UPPP.There were significant differences in change scores of five domains between patients who were treated and those who were not.Conclusion The simplified Chinese version of QSQ offers good reliability,validity and responsiveness and can be used as a OSAHS-specific instrument to assess impact of illness and treatment effectiveness in OSAHS patients.