安德连,杨诚,李慧娟,等.中文版Ohkuma问卷调查量表的信度及效度研究[J].中华物理医学与康复杂志,2021,43(12):1069-1072
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| 中文版Ohkuma问卷调查量表的信度及效度研究 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.12.004 |
| 中文关键词: 老年 吞咽障碍 信度 效度 |
| 英文关键词: Elderly Dysphagia Reliability Validity Ohkuma questionnaire |
| 基金项目:广东省医学科研基金（A2020129） |
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| 中文摘要: |
| 目的 评价中文版Ohkuma问卷调查量表在老年患者中应用的信度及效度。 方法 翻译并修订Ohkuma问卷调查量表，采用中文版Ohkuma问卷调查量表对70例老年患者进行调查研究，分别使用Cronbach′s Alpha系数、Cohen′s Kappa系数和Pearson相关系数对量表的内部信度、子项的重测信度、总得分的重测信度进行评价；使用KMO和Bartlett′s检验对效度进行评价；检测治疗前、后中文版Ohkuma问卷调查量表和视频透视吞咽检查（VFSS）的相关性，以此评价量表的区分度。 结果 中文版Ohkuma问卷调查量表的Cronbach′s Alpha系数为0.831，初次评估为0.814，二次评估为0.808， 15个问题子项的Cohen′s Kappa系数为0.728～1.000，总分的Pearson相关系数为0.914。量表的KMO值为0.701。治疗前、后中文版Ohkuma问卷调查量表两次总分t检验的差异有统计学意义（P＜0.01）。 结论 中文Ohkuma问卷调查量表具有良好的信度、效度及区分度，可用于中国国内老年人吞咽困难的筛查。 |
| 英文摘要: |
| Objective To evaluate the reliability and validity of the Chinese version of the Ohkuma questionnaire. Methods The Ohkuma questionnaire was translated and revised, before it was used to investigate 70 elderly patients. Cronbach′s alpha coefficient, Cohen′s kappa coefficient and Pearson correlation were used to evaluate the scale′s internal reliability, sub-item retest reliability and total score retest reliability. KMO and Bartlett tests were used to evaluate the validity. The correlation between the Chinese version of the Ohkuma questionnaire and ratings from video fluoroscopy before and after treatment was used to evaluate the scale′s discrimination ability. Results The Cronbach′s alpha of the Chinese version of Ohkuma questionnaire was 0.831, with 0.814 in the initial evaluation and 0.808 in a second evaluation. The Cohen′s kappas of the 15 sub-items ranged from 0.728 to 1.000. The Pearson correlation coefficient of the total score was 0.914. The scale′s KMO value was 0.701. A t-test of the Ohkuma scores before and after treatment showed a statistically significant difference. Conclusion The revised Chinese Ohkuma questionnaire has good reliability, validity and discriminatory power. It can be used to screen for dysphagia among the elderly. |
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