- 學位論文
台灣簡易七題版口腔健康衝擊量表(OHIP-7T)發展與社區驗證-以臺南市為例
Development and Community validation of the Taiwanese short-form of the Oral Health Impact Profile (OHIP-7T) in Tainan City
摘要
背景:口腔健康相關生活品質是近年來受到關注的議題，而利用量表進行評估生活品質則為快速可行的辦法，在台灣，OHIP-7T量表已在2013年發展並應用中，而OHIP-7T量表是否可應用於社區篩檢，或評估有全口活動假牙贗復需求者與社區長者之差異，並時取代OHIP-14T量表，則待進一步的討論。研究目的:評估及驗證OHIP-7T量表用於大規模社區篩檢及有全口活動假牙贗復需求長者之信效度，並與OHIP-14T量表進行比較，及有全口活動假牙贗復需求長者與社區長者口腔健康相關生活品質之差異。研究方法:本研究採橫斷式調查，收集2014年社區民眾，及2013年至2014年65歲以上有全口活動假牙贗復需求長者之OHIP-7T量表及OHIP-14T量表資料，分別利用信效度、卡方、ANOVA、T-test及多元迴歸分析，來探討量表信效度，及不同族群口腔健康相關生活品質分數差異及影響因素。結果:OHIP-7T量表不論對一般40歲以上社區民眾或65歲以上有全口活動假牙贗復需求長者的Cronbach’s alpha值均大於0.94，解釋力達96%以上，effect size更高達1.55，更勝OHIP-14T的1.19。結論:本研究顯示OHIP-7T量表可適用於40歲以上社區民眾及有全口活動假牙贗復需求長者，同時也提供比OHIP-14T量表更佳的效應值，也說明65歲以上有全口活動假牙贗復需求長者在贗復治療前的口腔健康相關生活品質確實較一般社區長者來的低落。
並列摘要
Background: Oral health-related quality of life was the subject of concern in recent years, and uses the scales to assess quality of life were fast feasible. In Taiwan, OHIP-7T Scale has been development and application in 2013, the OHIP-7T scale can be use applicable to community screening, and differences of who need prosthesis in full dentures and community elders, and replace OHIP-14T Scale, pending further discussion. Objective: Assessment and verification OHIP-7T Scale reliability and validity for mass community screening and full denture needs of the elderly, and comparison with OHIP-14T scale, and find are differences in oral health-related quality of life with full denture prosthesis needs and community elderly. Method: This study used a cross-sectional survey to collect OHIP-7T and OHIP-14T Scale data of community people in 2014, and full dentures prosthetic needs of the elderly in 2013 to 2014, and use reliability and validity, Chi-square, ANOVA, T-test,and Multiple regression analysis, to explore the reliability and validity in scales, and oral health-related quality of life score difference and influencing factors of different ethnic groups. Results: OHIP-7T Scale of the general community people over 40 or the elderly over 65 with full denture needs, the Cronbach's alpha value were above 0.94, explanatory power was more than 96%, effect size as much as 1.55, stronger than OHIP-14T 1.19. Conclusion: This study showed OHIP-7T can be applied use in community screening over 40 and the elderly over 65 with full denture needs, but also provides better than OHIP-14T effect size, it also shows that oral health-related quality of life in full denture needs is indeed lower than the general community elders, before they treatment prosthesis.