CAJ | 학술논문

目的：研究慢性化脓性中耳炎对成人患者生存质量的影响，以及手术治疗后患者生存质量的变化。方法采用中文版慢性耳病调查量表对慢性化脓性中耳炎患者生存质量进行调查，同时征求患者对条目设置的意见，并对初步调查结果进行分析，将慢性耳病调查量表的条目作适当增补；再采用增补后的慢性化脓性中耳炎手术疗效调查量表对110例行手术治疗的慢性化脓性中耳炎患者术前进行测试，于术后8～10月进行复试。根据测量结果评价增补后量表的性质，并分析手术治疗后患者生存质量的改变。结果增补后的慢性化脓性中耳炎手术疗效调查量表包括活动限制、患者症状、医疗资源占用和心理健康，共17个条目。新量表的重测信度为0．967，Cronbach′s α系数为0．864。新量表与慢性耳病调查量表得分的 Pearson 相关系数为0．977（P ＜0．01）；经因子分析法，提取4个公共因子，累积方差贡献率达70．394％。手术前量表的平均得分为（51．660±10．762）分，手术后量表得分为（75．893±7．734）分，手术后量表总分较术前得分改善的平均值为（24．23±7．67）分（t＝24．653，P ＜0．01）。结论慢性化脓性中耳炎手术疗效调查量表是一个具有较高信度和效度的量表，较慢性耳病调查量表更全面地反映慢性化脓性中耳炎对患者生存质量的影响。
목적：연구만성화농성중이염대성인환자생존질량적영향，이급수술치료후환자생존질량적변화。방법채용중문판만성이병조사량표대만성화농성중이염환자생존질량진행조사，동시정구환자대조목설치적의견，병대초보조사결과진행분석，장만성이병조사량표적조목작괄당증보；재채용증보후적만성화농성중이염수술료효조사량표대110례행수술치료적만성화농성중이염환자술전진행측시，우술후8～10월진행복시。근거측량결과평개증보후량표적성질，병분석수술치료후환자생존질량적개변。결과증보후적만성화농성중이염수술료효조사량표포괄활동한제、환자증상、의료자원점용화심리건강，공17개조목。신량표적중측신도위0．967，Cronbach′s α계수위0．864。신량표여만성이병조사량표득분적 Pearson 상관 계 수 위0．977（P ＜0．01）；경인자분석법，제취4개공공인자，루적방차공헌솔체70．394％。수술전량표적평균득분위（51．660±10．762）분，수술후량표득분위（75．893±7．734）분，수술후량표총분교술전득분개선적평균치위（24．23±7．67）분（t＝24．653，P ＜0．01）。결론만성화농성중이염수술료효조사량표시일개구유교고신도화효도적량표，교만성이병조사량표경전면지반영만성화농성중이염대환자생존질량적영향。
Objective To analyze the quality of life among adults with chronic suppurative otitis media,and to research the chan-ges of the life quality between preoperative and postoperative.Methods We modified the chronic ear survey(CES)through inter-view adults with chronic suppurative otitis media.The modified scale (Chronic Suppurative Otitis Media Outcome Survey)was ad-ministered to 110 patients in a prospective manner,and then was validated according to established criteria for reliability and validi-ty.Then we assessed the outcomes of surgeries for chronic suppurative otitis media.Results The chronic suppurative otitis media outcome survey includes 17 entries,and was divide into four dimensions.Excellent test-retest reliability was obtained for the survey score (R=0.967).Cronbach′s α correlation coefficient were calculated as 0.864 for the total survey.Criterion validity showed a high correlation between scores on chronic suppurative otitis media outcome survey and scores on CES (R=0.977,P <0.01).U-sing principal components extraction with orthogonal rotation,it was performed on the composite data set,and this yielded a four-factor solution that explained 70.394% of the variance.The average score of patients before surgery was 51.660±10.762,post-op-erative scores was 75.893 ± 7.734.The total score wasn′t significantly changed after the surgery,and the average value was 24.23±7.67 (t=24.653,P <0.01).Conclusion The chronic suppurative otitis media outcome survey is a reliable and valid meas-ure of quality of life for adults with chronic suppurative otitis media,and it is more suitable than the CES in outcomes studies and clinical trials.