中国口腔癌症患者生活质量量表的编制与评测

doi:10.19439/j.sjos.2017.05.010

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (5): 516-520.doi: 10.19439/j.sjos.2017.05.010

中国口腔癌症患者生活质量量表的编制与评测

杨艳杰, 秦帅华, 李文鹿

郑州大学第一附属医院口腔科,河南郑州 450052

收稿日期:2017-01-05 修回日期:2017-05-25 出版日期:2017-10-25 发布日期:2017-11-23
通讯作者: 李文鹿,E-mail: lwldoctor@163.com
基金资助:
国家自然科学基金（81402578） [作者简介] 杨艳杰（1985-）,女,硕士,E-mail:yangyanjiedoctor@163.com

Development of a quality of life instrument for evaluation of the quality of life scale for Chinese patients with oral cancer

YANG Yan-jie, QIN Shuai-hua, LI Wen-lu

Department of Stomatology, the First Affiliated Hospital of Zhengzhou University. Zhengzhou 450052, Henan Province, China

Received:2017-01-05 Revised:2017-05-25 Online:2017-10-25 Published:2017-11-23

摘要/Abstract

摘要： 目的编制适合中国口腔癌患者的生活质量量表, 并验证该量表信度和效度。方法参照简明健康状况调查问卷(SF-36)和华盛顿大学头颈肿瘤生活质量量表（UW-QOL）,并结合中国人群社会文化特点,编制郑州大学口腔癌患者生活质量量表（Zhengzhou University Oral Cancer-QOL,ZZU-QOL）。对271例患者进行调查后,采用SPSS19.0软件包中的t检验、相关分析、因子分析等方法对测试版量表信度和效度进行评价。结果在重测信度方面,各领域和整个量表在2次测量之间的相关系数为0.86~1.00,均无显著差异。在同质信度方面,各个领域的Cronbach系数均大于0.6,显示测试版量表具有较好的信度。在结构效度方面ZZU-QOL、SF-36和UW-QOL量表经因子分析选出的前7个因子方差累计贡献率分别为69.3%、63.4%和66.5%。以SF-36和UW-QOL作为效标,其效标效果分别为0.768和0.634。ZZU-QOL量表能敏感地区分口腔癌患者术前与术后生活质量的差异。结论ZZU-QOL具有较好的信度和效度,适用于中国口腔癌患者生活质量的测评。

关键词: 口腔癌, 生活质量, 测量量表

Abstract: PURPOSE: To develop a quality of life instrument for Chinese patients with oral cancer and to assess its reliability, validity and sensitivity. METHODS: A 44-item QOL questionnaire was developed with reference to the 36-item medical outcomes study on short-form health status (SF-36) and University of Washington Quality of Life Questionnaire (UW-QOL), combining with China's population and socio-cultural characteristics, named as Zhengzhou university oral cancer quality of life (ZZU-QOL) scale. Based on 271 patients, student's t test, correlation analysis, factor analysis were performed for its reliability and validity using SPSS 19.0 software package. RESULTS: Test-retest reliability: in all areas and for total score between 2 measurements of the correlation coefficient in the range of 0.86-1.00, there was no significant difference. Homogeneity reliability: Cornbrash'a coefficient in all fields was larger than 0.6, indicating the scale had good reliability. Construct validity: ZZU-QOL, SF-36 analysis and UW-QOL scale factor selected by the first seven cumulative contribution factor variance were 69.3%, 63.4% and 66.5%. The criterion validity with SF-36 and UW-QOL was 0.768 and 0.634, respectively. The ZZU-QOL scale can sensitively distinguish differences in preoperative and postoperative quality of life of oral cancer. CONCLUSIONS: The ZZU-QOL scale is practical, reliable and valid, and might be used for measuring the quality of life in Chinese patients with oral cancer.

Key words: Oral cancer, Quality of life, Instrument evaluation

中图分类号:

R739.8

杨艳杰, 秦帅华, 李文鹿. 中国口腔癌症患者生活质量量表的编制与评测[J]. 上海口腔医学, 2017, 26(5): 516-520.

YANG Yan-jie, QIN Shuai-hua, LI Wen-lu. Development of a quality of life instrument for evaluation of the quality of life scale for Chinese patients with oral cancer[J]. Shanghai Journal of Stomatology, 2017, 26(5): 516-520.

参考文献

[1] Alkan O, Kushnir J, Bar M, et al. Quality of life of adult daughters of women with schizophrenia: Associations with psychological resource losses and gains [J]. Compr Psychiatry, 2016, 68(1): 11-17.
[2] Govers TM, Schreuder WH, Klop WMC, et al. Quality of life after different procedures for regional control in oral cancer patients: cross-sectional survey[J]. Clin Otolaryngol, 2016, 41(3): 226-233.
[3] Murphy BA, Ridner S, Wells N, et al. Quality of life research in head and neck cancer: A review of the current state of the science [J]. Crit Rev Oncol Hematol, 2007, 62(3): 251-267.
[4] Koller M, Klinkhammer-Schalke M, Lorenz W. Outcome and quality of life in medicine: a conceptual framework to put quality of life research into practice[J]. Urol Oncol, 2005, 23(3): 186-192.
[5] 成雨生, 李文鹿, 许磊, 等. 前臂游离皮瓣修复口腔癌术后组织缺损患者的生活质量评估 [J]. 中华口腔医学杂志, 2013, 48(3): 161-164.
[6] Khadka A, Liu Y, Li JH, et al. Changes in quality of life after orthognathic surgery: a comparison based on the involvement of the occlusion [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(6): 719-725.
[7] Hsing CY, Wong YK, Wang CP, et al. Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients a quality of life analysis [J]. Oral Oncol, 2011, 47(6): 522-527.
[8] Li W, Yang Y, Xu Z, et al. Assessment of quality of life of patients with oral cavity cancer who have had defects reconstructed with free anterolateral thigh perforator flaps [J]. Br J Oral Maxillofac Surg, 2013, 51(6): 497-501.
[9] Li W, Xu Z, Liu F, et al. Vascularized free forearm flap versus free anterolateral thigh perforator flaps for reconstruction in patients with head and neck cancer: assessment of quality of life [J]. Head Neck, 2013, 35(12): 1808-1813.
[10] Zhu J, Yang Y, Li W. Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap [J]. Br J Oral Maxillofac Surg, 2013, 52(2): 163-167.
[11] Zhang X, Li MJ, Fang QG, et al. Free fibula flap: assessment of quality of life of patients with head and neck cancer who have had defects reconstructed[J]. J Craniofac Surg, 2013, 24(6): 2010-2013.
[12] Yang Y, Li F, Li WL. Factors that affect the quality of life of patients with oral cancer who have had their defects reconstructed immediately after excision of the tumour [J]. Br J Oral Maxillofac Surg, 2016, 54(4): 410-414.
[13] Robert F, De Vellis. Scale development theory and applications [M]. New Bury Park: SAGE Publications, 1991: 106.
[14] Shi J, Sun Z, Cai T, et al. Development and validation of a quality-of-life scale for Chinese patients with benign prostatic hyperplasia [J]. BJU Int, 2004, 94(6): 837-844.
[15] 方积乾. 医学统计学与电脑实验 [M]. 上海: 上海科学技术出版社, 2001: 238-255.
[16] 万崇华, 张晓磬, 李晓梅, 等. 慢性病患者生命质量测定量表体系QLICD各量表的测量学特性分析[J]. 昆明医学院学报, 2009, 30(8): 40-45.

中国口腔癌症患者生活质量量表的编制与评测

Development of a quality of life instrument for evaluation of the quality of life scale for Chinese patients with oral cancer

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	夏佳琳, 曾奕玮, 赵小妹, 侯黎莉. 心理干预对头颈部恶性肿瘤患者负性情绪及生活质量影响的meta分析[J]. 上海口腔医学, 2022, 31(3): 330-336.
[2]	韩秋叶, 窦圣金, 蒋雯, 李烿烿, 张海峰, 朱国培. 早期肠内营养支持对44例口腔口咽癌术后放化疗患者的影响[J]. 上海口腔医学, 2021, 30(6): 649-653.
[3]	郑窑文, 蒋莉莉, 胡嘉乐, 杨文玉, 阮洪. 基于德尔菲法构建老年口腔癌患者围术期口腔护理方案[J]. 上海口腔医学, 2020, 29(2): 192-201.
[4]	李怀奇, 叶金海, 丁旭, 武和明. miR-138靶向PLD2基因对口腔癌细胞增殖、迁移的影响[J]. 上海口腔医学, 2020, 29(1): 25-30.
[5]	高磊, 孙智辉, 于浩, 井建鑫, 徐仲秋, 李潇, 张楠. 乳酸菌E6-1对人口腔癌细胞Cal-27体外增殖的抑制作用及机制探讨[J]. 上海口腔医学, 2019, 28(6): 605-609.
[6]	王维倩, 黄月华. 牙周膜龈手术患者术前焦虑及术后生活质量调查分析[J]. 上海口腔医学, 2019, 28(2): 165-170.
[7]	杨小琛, 高策, 徐豪越, 冯元勇, 宋凯, 尚伟. 多种胸锁乳突肌瓣与游离皮瓣修复口腔癌缺损的效果比较[J]. 上海口腔医学, 2019, 28(2): 171-174.
[8]	申莉, 秦帅华, 李新明, 李文鹿. 郑州大学生存质量量表在218例口腔癌患者术后生存质量评估中的应用评价[J]. 上海口腔医学, 2018, 27(6): 602-606.
[9]	张国琴, 李丽芳, 刘丽娟, 吴艳, 夏爱荣, 高振然. 加速康复外科在口腔癌患者术后早期康复中的应用效果评价[J]. 上海口腔医学, 2018, 27(6): 641-644.
[10]	王树斌, 秦帅华, 李新明, 李文鹿, 卢泰青. 口腔癌患者的心理困扰及生存质量研究[J]. 上海口腔医学, 2018, 27(5): 486-490.
[11]	王英姿, 王旭霞, 郑德华, 汪倩倩, 杨盼盼, 张君. 固定矫治中青少年及成人患者口腔健康生活质量的比较[J]. 上海口腔医学, 2018, 27(2): 185-189.
[12]	唐庭, 张磊, 侯永福, 姜迎春, 汪向东, 陈宁. All-on-4种植即刻修复对口腔健康相关生活质量的影响[J]. 上海口腔医学, 2018, 27(1): 52-55.
[13]	李怀奇, 武和明, 丁旭, 叶金海, 吴煜农. HPV16E6与抑癌基因p53在口腔癌中的表达及临床意义[J]. 上海口腔医学, 2017, 26(6): 615-618.
[14]	李媛, 周建炜, 李慧良, 刘进忠. Smad4、Smad7和Caveolin-1在Wistar大鼠口腔黏膜癌变中的表达和意义[J]. 上海口腔医学, 2017, 26(4): 409-413.
[15]	周笑天, 陈东, 金震宁, 黄珂, 林洁, 门乙, 李春洁. 核因子κB对维持口腔癌相关巨噬细胞炎症细胞募集表型的作用[J]. 上海口腔医学, 2017, 26(2): 151-155.