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The Applicability of the University of Pennsylvania Smell Identification Test and Cross-Cultural Smell Identification Test in Taiwan

賓州大學嗅覺檢定法及其本土修正式嗅覺檢定法在台灣之適用性

摘要


背景:40項的賓州大學嗅覺檢定法可能是最常被應用的嗅覺測試方法。它有高可靠度、方便及正確的優點。可惜,賓州大學嗅覺檢定法使用的部份氣味並不廣泛被人所熟悉。因此,一種使用被多重文化所熟悉的氣味的12項超越文化嗅覺檢定法被發明出來。 方法:本研究收集正常護理女學生。她們先利用酚基乙基乙醇氣味閾值測定法來測量她們的嗅覺閾值。如果閾值大於—6.0,受測者被排除在本研究之外。對合格受測者再探討她們對賓州大學嗅覺檢定法所使用的51種鑑別氣味及超越文化嗅覺檢定法所使用的29種鑑別氣味的嗅覺經驗,最後進行賓州大學嗅覺檢定法 及超越文化嗅覺檢定法的測試。 結果:從2001年12月至2002年3月共收集40名合格受測者。當尋問嗅覺經驗,三分之一以上的受測者對賓州大學嗅覺檢定法的17種鑑別氣味及超越文化嗅覺檢定法的5種鑑別氣味並無嗅覺經驗。賓州大學嗅覺檢定法及超越文化嗅覺檢定法所使用的鑑別氣味對受測者是有相似的熟悉度。在賓州大學嗅覺檢定法的40項測試中,40名受測者得分從28至37,平均32.6,其中10項測試三分之一以上的受測者未能答對。在超越文化嗅覺檢定法的12項測試中,40名受測者得分從7至12,平均9.5,其中3項測試三分之一以上的受測者未能答對。 結論:如果要應用賓州大學嗅覺檢定法在台灣來檢查嗅覺功能,它需要做些修正,而超越文化嗅覺檢定法似乎也沒有比賓州大學檢定法有較好的適用性

並列摘要


BACKGROUND: The 40-item University of Pennsylvania Smell Identification Test (UPSIT) is possibly the most frequently used smell test in the world. It has the advantages of high reliability, convenience, and accuracy. However, a number of the odors of UPSIT are not universally familiar. Therefore, a 12-item odor identification test, termed the Cross-Cultural Smell Identification Test (CC-SIT), which incorporates multicultural odorant items was developed. METHODS: Healthy female nurse students participated in this study. First of all, their smell functions were measured by the phenyl ethyl alcohol odor detection threshold test to confirm their normal olfactory threshold function. If the olfactory threshold was above-6, the subject was excluded from this study. Then, they were asked about their smell experiences of 51 odor descriptors in UPSIT and 29 in CC-SIT. Finally, these subjects did UPSIT and CC-SIT to determine their olfactory identification function. RESULTS: Forty eligible subjects were included in the study between December, 2001 and March, 2002. When smell experiences were asked, more than one third of subjects did not have smell experiences of 17 odor descriptors in UPSIT and 5 in CC-SIT. The odor descriptors used in UPSIT and CC-SIT were similarly familiar to testing subjects. The odor identification scores were from 28 to 37 with a mean of 32.6 for UPSIT and from 7 to 12 with a mean of 9.5 for CC-SIT. More than one third of subjects did not correctly identify 10 odorants in UPSIT and 3 in CC-SIT. CONCLUSIONS: UPSIT needs some modifications before it can be used in Taiwan to evaluate olfactory function, and CC-SIT is not better than UPSIT in its applicability in Taiwan.

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