论文部分内容阅读
目的:①评价儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查表(OSA-18)的信度及效度;②探讨OSA-18调查表是否可以作为一种较好的评价手段对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿手术前后生活质量进行评价。方法:①以问卷访谈的形式调查122例OSAHS患儿家长,用重测信度、内部一致性、结构效度和内容效度等指标对OSA-18调查表进行评判;②用OSA-18调查表对122例患儿分别进行睡眠监测前4周和术后6～12个月的生活质量评价及扁桃体和(或)腺样体切除术后生活质量改善情况的评价。结果:①OSA-18调查表具有良好的内部一致性;重测信度、结构效度和内容效度也令人满意。②OSA-18总分、各个维度得分及各条目得分术后均较术前明显下降,OSAHS患儿的生活质量改善明显。结论:①OSA-18调查表具有良好的信度和效度,适用于OSAHS患儿生活质量的评价;②OSA-18调查表有助于儿童OSAHS的临床诊断和对干预治疗措施进行量化评价。
Objectives: ① To evaluate the reliability and validity of the OSA-18 questionnaire for children with obstructive sleep apnea (OSA-18); ② To investigate whether the OSA-18 questionnaire can be used as a good evaluation tool for obstructive sleep The quality of life in children with apnea-hypopnea syndrome (OSAHS) before and after surgery was evaluated. Methods: ① 122 parents of OSAHS children were surveyed by questionnaire interview. The OSA-18 questionnaire was evaluated by test-retest reliability, internal consistency, structural validity and content validity. Table 122 cases of children were sleep monitoring for 4 weeks and 6 to 12 months after the quality of life evaluation and tonsil and (or) adenoid surgery to assess the quality of life improvement. Results: ①OSA-18 questionnaire has good internal consistency; test-retest reliability, structural validity and content validity are also satisfactory. OSA-18 score, scores of all dimensions and score of each item were significantly lower than before surgery, OSAHS children’s quality of life improved significantly. Conclusion: ① OSA-18 questionnaire has good reliability and validity, which is suitable for the evaluation of quality of life in children with OSAHS. ② OSA-18 questionnaire is helpful for the clinical diagnosis of children with OSAHS and quantitative evaluation of intervention measures.