节点文献
利物浦口腔康复问卷（LORQv3）的汉化及应用研究
Cross-cultural Adaptation and Application of the Liverpool Oral Rehabilitation Questionnaire
【作者】 王睿；
【导师】 高玉琴；
【作者基本信息】 中国医科大学 ， 护理学（专业学位）， 2021， 硕士
【摘要】 目的:汉化利物浦口腔康复问卷(Liverpool Oral Rehabilitation Questionnaire version 3,LORQv3),并评价其信度和效度。应用中文版LORQv3调查我国义齿修复患者的口腔健康相关生活质量的现状,明确其相关影响因素。方法:1.严格遵循Brislin问卷翻译-回译模型对LORQv3问卷进行汉化,形成中文版LORQv3。采用便利抽样的方法选取2019年9月～2020年3月就诊于中国医科大学附属口腔医院修复科的257例患者。运用一般资料调查表、中文版口腔健康影响程度量表、中文版LORQv3进行调查。问卷的效度采用内容效度和效标关联效度进行评价。问卷的信度采用重测信度、内部一致性、分半信度系数共同评价。2.采用便利抽样的方法选取2020年7月～2020年12月就诊于中国医科大学附属口腔医院修复科的142例患者。运用一般资料调查表、中文版LORQv3调查我国义齿修复患者的口腔健康相关生活质量的现状,并分析其相关影响因素。结果:1.经过汉化后,形成了符合我国文化背景的中文版LORQv3。该问卷由39个条目组成,分为2个主要部分,第一部分有16个条目,为该量表的计分项,涉及口腔功能、面部外观和社交三个方面;第二部分有23个条目,不计入量表总分,为该问卷的描述项,涉及社交以及患者对义齿满意度。中文版LORQv3的I-CVI为0.83～1.00,S-CVI为0.978,与中文版口腔健康影响程度量表总分之间Pearson相关系数为0.701～0.852(P<0.001)。中文版LORQv3内部一致性系数为0.786～0.886,分半信度为0.648～0.856,7天重测信度为0.949。2.回收有效问卷142份,其中种植义齿修复患者为23例,固定义齿修复患者为26例,可摘局部义齿修复患者为37例,全口义齿修复患者为56例。中文版LORQv3总得分中位数为20,四分位数为(18,23)。多元线性回归分析结果显示,缺牙数目与义齿修复方式是义齿修复患者口腔健康相关生活质量的影响因素(P<0.05),共解释中文版LORQv3得分34.7%的变异。结论:1.中文版LORQv3与原问卷的结构一致,实现了与原问卷在语义和内容等方面的等价,具有良好的信度和效度,可以在我国义齿修复患者人群中使用。2.义齿修复患者的口腔健康相关生活质量整体水平较好,但仍有较大的提升空间。义齿修复患者的口腔健康相关生活质量受缺牙数目、修复方式等多种因素的影响。因此,临床工作者应该为患者提供个体化的护理服务,合理指导患者进行吞咽、咀嚼功能训练,加强口腔健康宣教的力度,从而提高患者的口腔健康相关生活质量。
【Abstract】 Objective: To translate the Liverpool Oral Rehabilitation Questionnaire Version 3(LORQv3)into Chinese and evaluate its reliability and validity.The Chinese version of LORQv3 was used to investigate the current situation of Oral Health-related Quality of Life in Chinese patients with dentures,and the relevant influencing factors were identified.Methods: 1.The LORQv3 questionnaire was translated into Chinese by strictly following the Brislin questionnaire translation and back-translation model.From September 2019 to March 2020,257 patients in the Department of Prosthodontics of the Stomatological Hospital of China Medical University were selected by convenience sampling method.The general information questionnaire,Chinese version of LORQv3 and Chinese version of oral health impact scale were used to investigate.The validity of the questionnaire was evaluated by content validity and calibration correlation validity.The reliability of the questionnaire was evaluated by retest reliability,internal consistency and split half reliability coefficient.2.From July 2020 to December 2020,142 patients in the Department of Prosthodontics,Stomatological Hospital Affiliated to China Medical University were selected by convenience sampling method.The status of Oral Health-related Quality of Life in Chinese dentures was investigated by using the general data questionnaire and Chinese version of LORQv3,and the related influencing factors were analyzed.Results: 1.After translation,the Chinese version of LORQv3 was formed in accordance with the cultural background of China.The questionnaire consists of 39 items and is divided into two main parts.The first part has 16 items,which is the scoring item of the scale,and involves oral function,facial appearance and social interaction.The second part has 23 items,which are not included in the total score of the scale and are the description items of the questionnaire.It involves social interaction and patients’ satisfaction with the denture.The I-CVI and S-CVI of Chinese version of LORQv3 were0.83-1.00 and 0.978,and the Pearson correlation coefficients between LORQv3 and the total scores of Chinese version of Oral Health Impact Scale were 0.701-0.852(P<0.001).The internal consistency coefficient of Chinese version LORQv3 was 0.786 ～ 0.886,the reliability of split and half was 0.648 ～ 0.856,and the reliability of 7-day retest was0.949.Totally 142 valid questionnaires were collected,including 23 patients with implant denture,26 patients with fixed denture,37 patients with removable partial denture and 56 patients with complete denture.Median total score of Chinese version LORQv3 was 20,and quartile was(18,23).Multiple linear regression analysis showed that the number of missing teeth and the method of denture restoration were the influencing factors of Oral Health-related Quality of Life in patients with denture restoration(P<0.05),which accounted for 34.7% variation of LORQv3 score in Chinese version.Conclusion: 1.The structure of the Chinese version of LORQv3 is consistent with the original questionnaire.It is equivalent to the original questionnaire in terms of semantics and content.It has good reliability and validity and can be used in the population of denture restoration patients in my country.2.The overall level of Oral Health-related Quality of Life of patients undergoing denture restoration is better,but there is still room for improvement.The Oral Health-related Quality of Life of patients with denture restoration is affected by many factors such as the number of missing teeth and restoration methods.Therefore,clinicians should provide patients with individualized nursing services,rationally guide patients in swallowing and chewing function training,strengthen oral health education and education,so as to improve patients’ Oral Health-related Quality of Life.