Asher-McDade鼻唇评价量表的汉化及信效度初步研究

doi:10.7518/hxkq.2024.2023196

华西口腔医学杂志 ›› 2024, Vol. 42 ›› Issue (1): 97-103.doi: 10.7518/hxkq.2024.2023196

Asher-McDade鼻唇评价量表的汉化及信效度初步研究

陈丽先(), 曾妮, 石冰, 黄汉尧()

口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科，成都 610041

收稿日期:2023-06-25 修回日期:2023-10-27 出版日期:2024-02-01 发布日期:2024-01-12
通讯作者: 黄汉尧 E-mail:chenlixian0@163.com;huanghanyao_cn@scu.edu.cn
作者简介:陈丽先，主管护师，学士，E-mail：chenlixian0@163.com
基金资助:
国家自然科学基金(82301148);四川大学华西口腔医院探索与研发项目(RD-02-202107);四川省自然科学基金(2022-NSFSC0743);四川省博士后科研项目(TB20-22005)

Preliminary study on reliability and validity of the Chinese version of the Asher-McDade aesthetic index

Chen Lixian(), Zeng Ni, Shi Bing, Huang Hanyao()

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2023-06-25 Revised:2023-10-27 Online:2024-02-01 Published:2024-01-12
Contact: Huang Hanyao E-mail:chenlixian0@163.com;huanghanyao_cn@scu.edu.cn
Supported by:
The National Natural Science Foundation of China(82301148);the Research and Development Program, West China Hospital of Stomatology, Sichuan University(RD-02-202107);Sichuan Province Science and Technology Support Program(2022NSFSC0743);Sichuan Postdoctoral Science Foundation(TB2022005)

摘要/Abstract

摘要：

目的检测Asher-McDade鼻唇评价量表汉化后的信效度，明确其在中国唇裂术后效果评价的可行性。方法通过翻译、回译、调试及预调查形成中文版Asher-McDade鼻唇评价量表，选取四川大学华西口腔医院收治的80例唇腭裂患者的术后照片，并由唇腭裂外科的手术医生、护理人员、研究生共10名等进行问卷调查，检验量表的信度和效度。结果量表克隆巴赫系数为0.804，量表的重测信度为0.895。量表的内容效度指数（I-CVI）为1.000，量表平均内容效度指数（S-CVI/ave）为0.95。量表Kaiser-Meyer-Olkin（KMO）值为0.706，巴特利球体检验显示χ²值为962.260（P<0.01），累积方差贡献率为 63.095%。结论中文版Asher-McDade 鼻唇评价量表具有良好的信度和效度，且适用于中国唇裂患者术后照片的效果评价。

关键词: 唇裂, 鼻唇外观, 跨文化调适, 信度, 效度

Abstract:

Objective This study aims to test the reliability and validity of the Chinese version of the Asher-McDade aesthetic index and clarify its feasibility for the postoperative outcome evaluation of cleft lip in China. Methods The Chinese version of the Asher-McDade aesthetic index was established through translation, back translation, debugging, and pre-survey. Eighty postoperative photographs of patients with cleft lip admitted to the West China Hospital of Stomatology, Sichuan University were included. Ten healthcare professionals, including surgeons, nurses, and students, in the department of cleft lip and palate surgery finished the index to test its reliability and validity. Results The Cronbach’s alpha coefficient and retest reliability of this index are 0.804 and 0.895, respectively. The item-level content validity index (I-CVI) and scale-level content validity index ave-rage (S-CVI/ave) of the index are 1.000 and 0.95, respectively. For this index, the Kaiser-Meyer-Olkin (KMO) test score is 0.706, the χ² value of Bartlett’s test for the consistency of the index is 962.260 (P<0.01), and the cumulative variance contribution rate is 63.095%. Conclusion The Chinese version of the Asher-McDade aesthe-tic index has good reliability and validity and is applicable to the professional evaluation of the effect of postoperative photographs in Chinese patients with cleft lip.

Key words: cleft lip, nasolabial appearance, cross-cultural adaptation, reliability, validity

中图分类号:

R782.2⁺1

陈丽先, 曾妮, 石冰, 黄汉尧. Asher-McDade鼻唇评价量表的汉化及信效度初步研究[J]. 华西口腔医学杂志, 2024, 42(1): 97-103.

Chen Lixian, Zeng Ni, Shi Bing, Huang Hanyao. Preliminary study on reliability and validity of the Chinese version of the Asher-McDade aesthetic index[J]. West China Journal of Stomatology, 2024, 42(1): 97-103.

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评分	鼻部形态	鼻子对称性	唇弓连续性	鼻部及上唇侧面轮廓
1分	25.52	26.15	22.03	24.88
2分	36.61	40.57	46.75	44.22
3分	29.95	26.62	25.99	22.50
4分	7.45	6.02	4.75	7.77
5分	0.48	0.63	0.48	0.63

成员	克隆巴赫系数	项数
合计	0.804	4
医生	0.794	4
研究生	0.804	4
护理	0.810	4

测量指标	初始特征值			提取载荷平方和
测量指标	总计	方差百分比	累计方差占比/%	总计	方差百分比	累计方差占比/%
鼻部形态	2.524	63.095	63.095	2.524	63.095	63.095
鼻子对称性	0.758	18.953	82.049
唇弓连续性	0.486	12.141	94.190
鼻部及上唇侧面轮廓	0.232	5.810	100.000

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Asher-McDade鼻唇评价量表的汉化及信效度初步研究

Preliminary study on reliability and validity of the Chinese version of the Asher-McDade aesthetic index

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