Reliability and validity analysis of simplified Chinese version of QOL questionnaire of olfactory disorders
-
摘要: 目的:通过跨文化翻译法将英文版嗅觉障碍生活质量量表(QOD)编译为简体中文版本,并在临床中评价其信度和效度。方法:跨文化翻译后,将简体中文版QOD量表进行信度、效度检验。信度包括重测信度、分半信度、克朗巴赫系数α,效度检验包括内容效度、标准关联效度、反应度,标准关联效度采用医学结局研究简表36项健康调查(SF-36)、WHO生存质量测定量表简表(WHOQOL-BREF)量表进行比较。结果:共调查239例嗅觉障碍患者,完成QOD量表239份,同时完成QOD、SF-36、WHOQOL-BREF 3个量表195份。QOD嗅觉障碍性质部分(QOD-P)、生活质量部分(QOD-QoL)、视觉模拟部分(QOD-VAS)的重测信度分别是0.799、0.781、0.488(均P<0.01),内部一致性的克朗巴赫系数α分别是0.477、0.812、0.889。QOD-QoL减半信度是0.89。QOD-P与SF-36无相关性,但是QOD-QoL和QOD-VAS分别与SF-36存在显著相关性;QOD-P与WHOQOL-BREF无相关性,但QOD-QoL和QOD-VAS分别与WHOQOL-BREF大部分存在显著相关性。结论:简体中文版QOD量表应用于中国大陆的嗅觉障碍患者时,具有良好的信度、效度,可以用来作为对嗅觉障碍患者评估的工具。但是QOD-P部分需要进一步调整,以正确评价中国文化和知识背景的患者。
-
关键词:
- 嗅觉障碍生活质量量表 /
- 嗅觉障碍 /
- 信度 /
- 效度
Abstract: Objective:To cross-culturally translate the questionnaire of olfactory disorders(QOD) into a simplified Chinese version, and evaluate its reliability and validity in clinical.Method:A simplified Chinese version of the QOD was evaluated in test-retest reliability, split-half reliability and internal consistency. Then it was evaluated in validity test including content validity, criterion-related validity, responsibility. Criterion-related validity was using the medical outcome study's 36-item short rorm health survey(SF-36) and the World Health Organization quality of life-brief (WHOQOL-BREF) for comparison.Result:A total of 239 patients with olfactory dysfunction were enrolled and tested, in which 195 patients completed all three surveys(QOD, SF-36, WHOQOL-BREF). The test-retest reliabilities of the QOD-parosmia statements(QOD-P), QOD-quality of life(QOD-QoL), and the QOD-visual simulation(QOD-VAS) sections were 0.799(P<0.01),0.781(P<0.01),0.488(P<0.01), respectively, and the Cronbach's α coefficients reliability were 0.477,0.812,0.889,respectively. The split-half reliability of QOD-QoL was 0.89. There was no correlation between the QOD-P section and the SF-36, but there were statistically significant correlations between the QOD-QoL and QOD-VAS sections with the SF-36. There was no correlation between the QOD-P section and the WHOQOL-BREF, but there were statistically significant correlations between the QOD-QoL and QOD-VAS sections with the SF-36 in most sections.Conclusion:The simplified Chinese version of the QOD was testified to be a reliable and valid questionnaire for evaluating patients with olfactory dysfunction living in mainland of China. The QOD-P section needs further modifications to properly adapt patients with Chinese cultural and knowledge background.-
Key words:
- questionnaire of olfactory disorders /
- olfactory dysfunction /
- reliability /
- validity
-
-
[1] BRÄMERSON A,JOHANSSON L,EK L,et al.Prevalence of olfactory dysfunction:the skövde population-based study[J].Laryngoscope,2004,114:733-737.
[2] LANDIS B N,KONNERTH C G,HUMMEL T.A study on the frequency of olfactory dysfunction[J].Laryngoscope,2004,114:1764-1769.
[3] NORDIN S,BRÄMERSON A,MILLQVIST E,et al.Prevalence of parosmia:the Skövde populationbased studies[J].Rhinology.2007,45:50-53.
[4] HUMMEL T,NORDIN S.Olfactory disorders and their consequences for quality of life[J].Acta Otolaryngol,2005,125:116-121.
[5] NEULAND C,BITTER T,MARSCHNER H,et al.Health-related and specific olfaction-related quality of life in patients with chronic functional anosmia or severe hyposmia[J].Laryngoscope,2011,12:867-872.
[6] SIMOPOULOS E,KATOTOMICHELAKIS M,GOUVERIS H,et al.Olfaction-associated quality of life in chronic rhinosinusitis:adaptation and validation of an olfaction-specific questionnaire[J].Laryngoscope,2012,122:1450-1454.
[7] KATOTOMICHELAKIS M,SIMOPOULOS E,ZHANG N,et al.Olfactory dysfunction and asthma as risk factors for poor quality of life in upper airway diseases[J].Am J Rhinol Allergy,2013,27:293-298.
[8] SIMOPOULOS E,KATOTOMICHELAKIS M,GOUVERIS H,et al.Olfaction-associated quality of life in chronic rhinosinusitis:adaptation and validation of an olfaction-specific questionnaire[J].Laryngoscope,2012,122:1450-1454.
[9] 王剑,倪道凤,关静,等.嗅觉功能检查在帕金森病诊断中的应用[J].中华神经科杂志,2008,41(8):524-527.
[10] FRASNELLI J,HUMMEL T.Olfactory dysfunction and daily life[J].Eur Arch Otorhinolaryngol,2005,262:231-235.
[11] 李鲁,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,3(1):38-42.
[12] 王剑.嗅觉障碍患者主、客观嗅觉功能及生活质量评估[D].北京:北京协和医学院,2013.
[13] 方积乾,李彩霞.世界卫生组织生活质量量表中文版的信度与效度[J].中国心理卫生杂志,1999,13(4):203-205.
[14] 郝元涛,方积乾,POWER M J,等.WHO生存质量评估简表的等价性评价[J].中国心理卫生杂志.2006,20(2):71-75.
[15] SMEETS M A,VELDHUIZEN M G,GALLE S,et al.Sense of smell disorder and health-related quality of life[J].Rehabil Psychol,2009,54:404-412.
[16] TURNER-BOWKER D M,SARIS-BAGLAMA R N,DEROSA M A,et al.A computerized adaptive version of the SF-36is feasible for clinic and Internet administration in adults with HIV[J].AIDS Care,2012,24:886-896.
[17] YANG Z,LI W,TU X,et al.Validation and psychometric properties of Chinese version of SF-36in patients with hypertension,coronary heart diseases,chronic gastritis and peptic ulcer[J].Int J Clin Pract,2012,66:991-998.
[18] KOSINS K I,TOMASZEWSKI K A,TOMASZEWSKA I M,et al.Validation of the Polish language version of the SF-36 Health Survey in patients suffering from lumbar spinal stenosis[J].Ann Agric Environ Med,2014,21:866-870.
[19] ZAMPELIS V,ORNSTEIN E,FRANZÉN H,et al.A simple visual analog scale for pain is as responsive as the WOMAC,the SF-36,and the EQ-5D in measuring outcomes of revision hip arthroplasty[J].Acta Orthop,2014,85:128-132.
[20] VANES J,DEN EXTER P L,KAPTEIN A A,et al.Quality of life after pulmonary embolism as assessed with SF-36and PEmb-QoL[J].Thromb Res,2013,132:500-505.
[21] NEULAND C,BITTER T,MARSCHNER H,et al.Health-related and specific olfaction-related quality of life in patients with chronic functional anosmia or severe hyposmia[J].Laryngoscope,2011,121:867-872.
[22] LONDON B,NABET B,FISHER A R,et al.Predictors of prognosis in patients with olfactory disturbance[J].Ann Neurol,2008,63:159-166.
[23] LANDIS B N,FRASNELLI J,CROY I,et al.Evaluating the clinical usefulness of structured questions in parosmia assessment[J].Laryngoscope,2010,120:1707-1713.
-
计量
- 文章访问数: 709
- PDF下载数: 262
- 施引文献: 0