中譯“打鼾問卷”之效度評估

Validation for the Chinese Version of the Snore Outcomes Survey (SOS)

陳濘宏(Ning-Hung Chen) ； 王拔群(Pa-Chun Wang) ； 徐愫儀(Su-Yi Hsu) ； 莊銘隆(Ming-Lung Chuang) ； 陳彥宏(Yen-Hung Chen) ； 邱國樑(Kou-Lian Chou) ； 方端仁(Tuan-Jen Fang) ； 徐景雯(Chin-Wen Shue) ； 李學禹(Hsueh-Yu Li) ； 鄭溫暖(Wen-Nuan Chang)

《中華民國耳鼻喉科醫學雜誌》 37卷1期 (2002/01) Pp. 28-34

https://doi.org/10.6286/2002.37.1.28

摘要

背景：本文旨在翻譯及確認“打鼾問卷”（Snore Outcomes Survey）之信度以提供臨床醫學篩檢可能罹有睡眠呼吸障礙的病人之參考。
材料與方法：英文版打鼾問卷（Snore Outcomes Survey）經直譯（forward translation）、反譯（backward translation）以及前測（pre-test）等步驟翻譯成中文；依前瞻性、非隨機性的方式進行統計檢定。總計有359名罹患睡眠呼吸障之成年病人參與研究。群體常值（population norm）以便利取樣（convenience sampling）的方式由265名對照組成年人中取得。病人填寫兩次中文版“打鼾問卷”，並接受多項睡眠生理檢查（polysomnography），求得其測試－再測試之信度（test-retest reliability）；及以卡巴哈α相關係數（Cronbach α correlation coefficient）求得內部一致性（internal consistency）；比較睡眠檢查結果以取得其效度（validity）。94名病人接受無線電波上呼吸懸雍垂軟腭手術（radiofrequency uvulopalatal surgery）後3個月再度填寫問卷，以標準化反應平均值（standard response mean, SRM）求得中文版“打鼾問卷”之敏感度（sensitivity）。
結果：中文版”打鼾問卷”之各項問題呈現相當良好的測試－再測試信度，其相關係數由0.4至0.94。卡巴哈α值為0.86。中文“打鼾問卷”與睡眠檢查結果呈現有意義之相關。中文版“打鼾問卷”之標準化反應平均值為1.33。
結論：中文“打鼾問卷”有良好的測試－再測試信度以及高度之內部一致性，與睡眠檢查亦有相當好的相關度。敏感度亦相當優良。中文版的“打鼾問卷”可用來篩檢可能罹患有睡眠呼吸障礙的病人。

關鍵字

睡眠呼吸障礙 ； 打鼾問卷

並列摘要

BACKGROUND: There have been increasing demands for quality-of-life instrument to evaluate patients with sleep-disordered breathing (SDB). The aims of this study were to translate and to validate the Snore Outcomes Survey (SOS) into Mandarin Chinese language, and to test its reliability.
METHODS: The SOS was translated into Mandarin Chinese language following a standard survey translation protocol. Three hundred and fifty nine patients with SDB aged 18 years and older diagnosed as having SDB participated in the study at entry. Test-retest reliability coefficients for the Chinese Snore Outcomes Survey (CSOS) were obtained from 30 patients in a 2- to 4-week interval. Internal consistency was calculated using Cronbach α coefficient. Two hundred and fifty one sets of the CSOS data were compared with polysomnogram (PSG) data. Longitudinal sensitivity of the CSOS, as expressed as standardized response mean (SRM), was obtained from 94 patients underwent radiofrequency uvulopalatal surgery. Normative CSOS data were obtained from 265 adults control subjects using a convenience sampling methodology.
RESULTS: Individual items and total score of the CSOS demonstrated good test-retest reliability (correlation coefficients ranging from 0.40 to 0.94). The Cronbach α coefficient was 0.86. The CSOS correlated well with PSG parameters including respiratory disturbance index (RDI), lowest O2 saturation (LSAT), and body mass index (BMI), The SRM for CSOS was 1.33.
CONCLUSION: The CSOS demonstrated good test-retest reliability and internal consistency. The CSOS also significantly correlated with objective PSG data. The SRM for CSOS indicated excellent sensitivity to clinical change. The CSOS meets the criteria of a valid instrument to evaluate adults with SDB among Chinese-speaking population.

並列關鍵字

sleep-disordered breathing ； Snore Outcomes Survey