华西口腔医学杂志

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口腔健康影响程度量表在学龄前儿童的应用及维度研究

邓咏梅1 何松霖1 李雪2   

  1. 1.重庆医科大学附属口腔医院 预防科; 重庆市口腔疾病与生物医学研究中心, 重庆 401147; 2.四川大学华西口腔医院 预防科, 成都 610041
  • 出版日期:2013-02-01 发布日期:2013-02-01
  • 通讯作者: 何松霖,Tel:18725736890
  • 作者简介:邓咏梅(1984—),女,四川人,住院医师,硕士

Application and dimensional structure of the early childhood oral health impact scale

Deng Yongmei1, He Songlin1, Li Xue2   

  1. 1. Dept. of Preventive Dentistry, The Affiliated Hospital of Stomatology, Chongqing Medical Uni versity; Chongqing Research Center for Oral Diseases and Biomedical Science, Chongqing 401147, China; 2. Dept. of Preventive Dentistry, West China School of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2013-02-01 Published:2013-02-01

摘要:

目的 调查口腔疾病对学龄前儿童生活质量的影响,并验证学龄前儿童口腔健康影响程度量表(ECOHIS)是 否具有三维维度结构。方法  采用中文版ECOHIS对在四川大学华西口腔医院儿童牙病科就诊的280例2~5岁患儿进 行生活质量调查。使用验证性因素分析测试构建的量表三维模型的适切性。结果  回收有效量表268份,有效回收 率95.7%。患儿出现过“口腔疼痛”这种负面影响的频率最高,对家庭影响最大的是家长因患儿得病而产生的“心 里内疚”。13个条目在各自维度上的因子载荷为0.25~0.81,1个条目因子载荷小于0.30。修正后模型的指标均达到模型拟合标准。结论 口腔疾病对学龄前儿童的生活质量具有一定的负面影响。ECOHIS量表具有功能、心理、社会的三维维度结构。

关键词: 量表, 生活质量, 维度结构

Abstract:

Objective To investigate influence of oral diseases on child oral health-related quality of life, and to identify the dimensional structure of the early childhood oral health impact scale(ECOHIS). Methods  The Chinese language version of ECOHIS was applied to 280 patients aged 2-5 years old from the paediatric dentistry clinic of West China School of Stomatology, Sichuan University. The three-dimensional construct was confirmed by confirmatory
factor analysis(CFA). Results  Two hundred and sixty-eight valid questionnaires(95.7%) were reclaimed. For the child impact section of the ECOHIS, “pain in the teeth, mouth or jaws” was the most frequently reported item by the parents. Item of “feeling upset or guilty” was most frequently reported in the family impact section of the ECOHIS. The CFA results indicated that all factor loadings to its items were 0.25-0.81 with one factor loadings less than 0.30. The modified factor model revealed a better fit to the data. Conclusion  Oral diseases have negative impact on the children’s oral health-related quality of life. ECOHIS is a three-dimensional structure.

Key words: scalequality of life, dimensional structure