Asher-McDade鼻唇评价量表的汉化及信效度初步研究  

Preliminary study on reliability and validity of the Chinese version of the Asher-Mc Dade aesthetic index

作　　者：陈丽先[1] 曾妮 石冰[1] 黄汉尧 Chen Lixian;Zeng Ni;Shi Bing;Huang Hanyao(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室、国家口腔医学中心、国家口腔疾病临床医学研究中心、四川大学华西口腔医院唇腭裂外科,成都610041

出　　处：《华西口腔医学杂志》2024年第1期97-103,共7页West China Journal of Stomatology

基　　金：国家自然科学基金(82301148);四川大学华西口腔医院探索与研发项目(RD-02-202107);四川省自然科学基金(2022NSFSC0743,2022NSFSC1519);四川省博士后科研项目(TB2022005)。

摘　　要：目的检测Asher-McDade鼻唇评价量表汉化后的信效度,明确其在中国唇裂术后效果评价的可行性。方法通过翻译、回译、调试及预调查形成中文版Asher-McDade鼻唇评价量表,选取四川大学华西口腔医院收治的80例唇腭裂患者的术后照片,并由唇腭裂外科的手术医生、护理人员、研究生共10名等进行问卷调查,检验量表的信度和效度。结果量表克隆巴赫系数为0.804,量表的重测信度为0.895。量表的内容效度指数(ICVI)为1.000,量表平均内容效度指数(S-CVI/ave)为0.95。量表Kaiser-Meyer-Olkin(KMO)值为0.706,巴特利球体检验显示χ^(2)值为962.260(P<0.01),累积方差贡献率为63.095%。结论中文版Asher-McDade鼻唇评价量表具有良好的信度和效度,且适用于中国唇裂患者术后照片的效果评价。Objective This study aims to test the reliability and validity of the Chinese version of the Asher-McDade aesthetic index and clarify its feasibility for the postoperative outcome evaluation of cleft lip in China.Methods The Chinese version of the Asher-McDade aesthetic index was established through translation,back translation,debugging,and pre-survey.Eighty postoperative photographs of patients with cleft lip admitted to the West China Hospital of Stomatology,Sichuan University were included.Ten healthcare professionals,including surgeons,nurses,and students,in the department of cleft lip and palate surgery finished the index to test its reliability and validity.Results The Cronbach's alpha coefficient and retest reliability of this index are 0.804 and 0.895,respectively.The item-level content validity index(I-CVI) and scale-level content validity index average(S-CVI/ave) of the index are 1.000 and 0.95,respectively.For this index,the Kaiser-Meyer-Olkin(KMO) test score is 0.706,the χ^(2) value of Bartlett ' s test for the consistency of the index is 962.260(P<0.01),and the cumulative variance contribution rate is 63.095%.Conclusion The Chinese version of the Asher-Mc Dade aesthetic index has good reliability and validity and is applicable to the professional evaluation of the effect of postoperative photographs in Chinese patients with cleft lip.

关 键 词：唇裂 鼻唇外观 跨文化调适 信度 效度 

分 类 号：R782.21[医药卫生—口腔医学]