口腔潜在恶性疾病生存质量量表中文版的信度和效度评价  

Reliability and validity evaluation of the Chinese version of the oral potentially malignant disorder questionnaire

作　　者：彭姝媛 向学熔[1] 陈方淳[1] 孙艳 尹凤 李敏[1,2,3] Peng Shuyuan;Xiang Xuerong;Chen Fangchun;Sun Yan;Yin Feng;Li Min(Dept,of Oral Mucosa,Stomatological Hospital of Chongqing Medical University,Chongqing 401147,China;Chongqing Key Laboratory of Oral Diseases and Biomedical Science,Chongqing 401147,China;Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education,Chongqing 401147,China)

机构地区：[1]重庆医科大学附属口腔医院黏膜科,重庆401147 [2]口腔疾病与生物医学重庆市重点实验室,重庆401147 [3]重庆市高校市级口腔生物医学工程重点实验室,重庆401147

出　　处：《国际口腔医学杂志》2020年第5期557-562,共6页International Journal of Stomatology

基　　金：重庆市卫生和计划生育委员会医学科研重点项目(2016ZDXM020);重庆高校创新团队建设计划(CXTDG201602006)。

摘　　要：目的评价口腔潜在恶性疾病量表(OPMDQ)中文版的信度和效度。方法将OPMDQ进行初译、回译、翻译质量评价、文化调适和预评估后汉化形成中文版量表。使用该量表对370例研究对象(210例口腔潜在恶性疾病患者和160例健康个体)进行调查,对调查结果进行统计分析,考评量表的信度和效度。结果共回收有效问卷339份,回收率为91.6%。量表的克朗巴赫α系数为0.876,组内相关系数总分值为0.84。经探索性因子分析,提取4个公因子,累积贡献率达67.89%,因子负荷从0.469到0.854不等,显示量表存在预期的连带关系和逻辑关系。口腔潜在恶性疾病患者和健康个体的量表总分及各维度评分差异均有统计学意义(P<0.001),说明量表的判别效度较好。结论通过本研究严格的性能测试,OPMDQ中文版具有良好的信度和效度,可用于中国患有口腔潜在恶性疾病患者生存质量的评估。Objective This study aimed to evaluate the reliability and validity of the Chinese version of the oral potentially malignant disorders questionnaire(OPMDQ).Methods Initial translation,back-translation,quality evaluation,cultural adjustments,and pre-evaluation of the OPMDQ were performed to develop a Chinese version.This questionnaire was distributed to 370 subjects[210 patients with oral potentially malignant disorders(OPMD)and 160 healthy subjects]to evaluate its reliability and validity.After the subjects accomplished the questionnaires,the collected data were analyzed to evaluate the reliability and validity of the scale.Results Exactly 339 efficient scales were collected,with completion rate of 91.6%.Theαvalue of the total Cronbach coefficient in the scale was 0.876,and the total score of the interclass correlation coefficient of the test-retest was 0.84.Following exploratory factor analysis,four factors were extracted and showed an accumulating contribution rate of up to 67.89%,suggesting that the scale had the expected joint and logical relationships ranging from 0.469 to 0.854.For the discri-minant validity of the scale,the difference between the scale scores of patients with OPMD and those of healthy subjects were statistically significant(P<0.001),suggesting that the scale had good discriminant validity.Conclusion The Chinese version of the OPMDQ displayed good reliability and validity,as indicated by strict performance tests.This questionnaire can be applied to evaluate the quality of patients with oral potentially malignant disorders in China.

关 键 词：口腔潜在恶性疾病 信度 效度 生存质量 量表 

分 类 号：R73[医药卫生—肿瘤]