CAJ | 학술논문

目的研制鼻阻塞症状评估量表(NOSE)中文版.方法遵照国际规范程序引进量表,经正、逆向翻译,专家小组综合讨论,预试及初步考核满意后,选择鼻中隔偏曲患者223例和健康对照组80名进一步测试性能,接受临床检验,并与英文源量表及其他语言版本量表比较.采用SPSS 19.0软件进行数据分析.结果中文版NOSE量表各项性能考核结果均达到或接近检验水准,与英文源量表性能相当.①可行性:试验组和对照组量表的接收率分别为97.6％和94.1％;平均完成时间分别为(1.5±0.5)、(1.0 ±0.5)min.②信度:克朗巴赫系数α=0.869,重测信度Spearman秩相关系数rs =0.996.③效度:量表得到专家认可;与医学结局研究短表-36(medical outcomes study short form-36,SF-36)和视觉模拟量表(visual analogue scale,VAS)的相关系数分别为-0.837和0.725;量表结构与源量表设计结构吻合.④反应度:术后3个月评分的标准化反应均数与效应量分别为1.34和1.21.⑤灵敏度:Mann-Whitney U检验显示量表能有效区分试验组(秩均值117.81)和对照组(秩均值43.19)生存质量,差异有统计学意义(P值均＜0.01).临床检验表明NOSE评分与鼻阻力参数具有相关性.结论中文版NOSE量表考核结果满意,可作为评估鼻阻塞症状的工具.
목적 연제비조새증상평고량표(NOSE)중문판.방법 준조국제규범정서인진량표,경정、역향번역,전가소조종합토론,예시급초보고핵만의후,선택비중격편곡환자223례화건강대조조80명진일보측시성능,접수림상검험,병여영문원량표급기타어언판본량표비교.채용SPSS 19.0연건진행수거분석.결과 중문판NOSE량표각항성능고핵결과균체도혹접근검험수준,여영문원량표성능상당.①가행성:시험조화대조조량표적접수솔분별위97.6％화94.1％;평균완성시간분별위(1.5±0.5)、(1.0 ±0.5)min.②신도:극랑파혁계수α=0.869,중측신도Spearman질상관계수rs =0.996.③효도:량표득도전가인가;여의학결국연구단표-36(medical outcomes study short form-36,SF-36)화시각모의량표(visual analogue scale,VAS)적상관계수분별위-0.837화0.725;량표결구여원량표설계결구문합.④반응도:술후3개월평분적표준화반응균수여효응량분별위1.34화1.21.⑤령민도:Mann-Whitney U검험현시량표능유효구분시험조(질균치117.81)화대조조(질균치43.19)생존질량,차이유통계학의의(P치균＜0.01).림상검험표명NOSE평분여비조력삼수구유상관성.결론 중문판NOSE량표고핵결과만의,가작위평고비조새증상적공구.
Objective To develop the Chinese version of the nasal obstruction symptom evaluation (NOSE) questionnaire.Methods After introduction,forward and backward translation,synthesis,expert committee review,pretest,adaptation and validation followed the international guidelines,the Chinese version of NOSE scale was tested among 223 nasal septal deviation patients and 80 health volunteers to further assess its psychometric and clinical properties.SPSS 19.0 software was used to analyze the data.Results The Chinese version demonstrated satisfactory evaluation results.The acceptance rate of the questionnaire was 97.6％ and 94.1％ in the patient group and control group respectively,and the completion time was (1.5 ± 0.5) min and (1.0 ± 0.5) min.Internal consistency reliability (Cronbach' s α) was calculated to be 0.869.Test-retest reliability coefficient was adequate at rs =0.996.Content validity was approved by our expert committee.Criteria validity (Spearman correlation coefficient) between NOSE Chinese version and SF-36,as well as VAS was-0.837 and 0.725 separately.Construct validity of Chinese version was similar to that of the original edition.The standardized response mean and the effect size at three months postoperatively was respectively 1.34 and 1.21,indicating high responsiveness.Calculated by Mann-Whitney U test,the instrument showed excellent sensitivity to discriminate the subjects with or without nasal obstruction (P ＜ O.01).The NOSE scores were also correlated with nasal resistance by rhinomanometry.Conclusions The NOSE Chinese version was successfully cross-cultural adapted and validated.It therefore can be recommended as a robust tool for future measuring subjective severity of nasal obstruction in China.