摘要
目的:①评价儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查表(OSA-18)的信度及效度;②探讨OSA-18调查表是否可以作为一种较好的评价手段对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿手术前后生活质量进行评价。方法:①以问卷访谈的形式调查122例OSAHS患儿家长,用重测信度、内部一致性、结构效度和内容效度等指标对OSA-18调查表进行评判;②用OSA-18调查表对122例患儿分别进行睡眠监测前4周和术后6～12个月的生活质量评价及扁桃体和(或)腺样体切除术后生活质量改善情况的评价。结果:①OSA-18调查表具有良好的内部一致性;重测信度、结构效度和内容效度也令人满意。②OSA-18总分、各个维度得分及各条目得分术后均较术前明显下降,OSAHS患儿的生活质量改善明显。结论:①OSA-18调查表具有良好的信度和效度,适用于OSAHS患儿生活质量的评价;②OSA-18调查表有助于儿童OSAHS的临床诊断和对干预治疗措施进行量化评价。
Objective：One of the objective of the study was to evaluate the reliability and validity of 18 items survey （OSA-18）whieh was made for disease specific quality of life in children with obstructive sleep apnea. The other was to explore whether OSA-18 could be used as a well appreciational method on OSAHS in children＇s quali- ty of life before and after surgery. Method：First, one hundred and twenty-two children＇s parents were interviewed with this survey scales and the survey scales was assessed by split half reliability, retest reliability, internal consistency, construct validity and content validity. Second,OSA-18 was used to evaluate the QOL of 122 children within 4 weeks before PSG and in 6 to 12 months after operation. Result：OSA-18 has a satisfactory internal consistency. Global Cronbaeh＇s alpha coefficient were 0. 939. All domains and items Cronbach＇s alpha coefficients 〉0.6 ; also has a well retest reliability, coefficient correlation of pearson equal 0. 619. Construct validity and content validity were satisfactory. The impact of pediatric OSAHS on QOL was moderate and severe in 77.05% patients pre-operation. However, it was only 28. 69% after surgery. OSA-18 total scores, every domain and item score were significant decrease. Conclusion： OSA-18 QOL survey had better reliability and validity, and was applicable for life quality assessment in OSAHS children. OSA-18 QOL survey could help clinical diagnosis of OSAHS in children and give quantitative evaluation for therapeutic measure.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2008年第24期1117-1120,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
北京市科学技术委员会资助项目(No:Z0005190041531)
