摘要
目的汉化简版言语空间音质听力量表(SSQ12),并通过大量的临床病例来验证汉化版SSQ12(C-SSQ12)在临床应用上与原始SSQ12具有同样的效能。为以汉语为母语人群的听力评估提供一个更简短、快捷的工具。并对将C-SSQ12得分≤6.5分作为听力损失界值可行性进行验证。方法首先对原始版的SSQ12进行汉化,然会对纳入的300例听力正常及听力异常人群的临床数据,利用因子分析法、Cronbach'sα系数和及T检验、ROC曲线对C-SSQ12问卷的有效性、可靠性、敏感性及将C-SSQ12得分≤6.5分作为听力损失界值的合理性进行验证。结果问卷的整体Cronbach'sα系数值为0.94。并通过探索性因子分析,得出因子1(包含问题1-5、11-12),既言语理解,Cronbach'sα系数是0.92,因子2(包含问题6-8),既空间识别,Cronbach'sα系数为0.84。因子3(包含问题9-10),既声音的分离及识别,Cronbach'sα系数是0.71。另外C-SSQ12项目-总相关系数为0.68-0.85。比较轻度听力损失(较差耳PTA≤40dBHL)和中重度听力损失(较差耳>40dBHL)得出,轻度听力损失64人,C-SSQ12的平均得分为7.32±2.43。中重度听力损失129人,C-SSQ12平均得分为4.85±2.57,P=1.307x10-9<0.01,两者差异有显著统计学意义。对C-SSQ12分数构造ROC曲线,AUC值为0.66。结论C-SSQ12与英文版的SSQ12相比较,在临床应用上具有同样的效能。对于以C-SSQ≤6.5分作为听力损失的界值尚有些武断,还需进一步研究。
Objective To verify that the Chinese version of SSQ12(C-SSQ12)has the same efficacy as the original SSQ12 using a simplified version in a large number of cases with a goal to provide an easy to use tool of hearing assessment for native Chinese.Methods The original version of SSQ12 was translated into Chinese(C-SSQ12).Data of 300 normal and hearing-impaired people were analyzed using factor analysis,Cronbach's coefficient,t test and ROC curves for validity,reliability and sensitivity of the C-SSQ12 and the validity of using a score of 6.5 as the threshold for hearing impairment.Results The overall Cronbach'sαcoefficient for the questionnaire was 0.94.Cronbach'sαcoefficient was 0.92 for factor 1(acquired from exploratory factor analysis and composed of Questions 1-5 and 11-12 representing speech understanding),0.84 for factor 2(composed of Questions 6-8 representing spatial recognition),and 0.71 for factor 3(composed of Questions 9-10 representing sound separation and recognition).The overall correlation coefficient for the C-SSQ12 was 0.68-0.85.The average C-SSQ12 score was 7.32±2.43 in patients with mild hearing impairment(PTA≤40 dB HL in the poorer ear,n=64)and 4.85±2.57 in those with moderate to severe hearing impairment(PTA>40 dB HL in the poor ear,n-129)(P<0.01),The ROC curve of C-SSQ12 scores showed an AUC value of 0.66.Conclusion Compared with the English version SSQ12,the C-SSQ12 has the same efficacy.Using a C-SSQ of 6.5 as the threshold for hearing impairment is arbitrary and needs to be validated through further research.
作者
孟令辉
欧华
李昌亚
袁莉清
唐刘霞
何盛梅
赵厚育
MENG Linghui;OU Hua;LI Changya;YUAN Liqing;TANG Liuxia;HE Shengmei;ZHAO Houyu(Department of Otorhinolaryngology,Affiliated Hospital of Guizhou Medical University,Guiyang 550000,China;Wayne State University;Hearing Aid and Spatial Hearing Research(HASHR)Lab 3 Mianyang Central Hospital,Mianyang 621000,China;Dazhou Central Hospital,Dazhou 635000,China;Xuzhou Central Hospital,Xuzhou 221000,China)
出处
《中华耳科学杂志》
CSCD
北大核心
2021年第4期597-602,共6页
Chinese Journal of Otology
关键词
SSQ
空间听觉能力
听力筛查
中文版言语空间音质量表
SSQ
Spatial hearing
Hearing screening
Chinese version of the Speech
Spatial and Qualities of Hearing Scale
