Development of an oral assessment tool to evaluate appetite in patients with head and neck cancer receiving radiotherapy
Development of an oral assessment tool to evaluate appetite in patients with head and neck cancer receiving radiotherapy
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开发口腔评估工具来评估接受放射治疗的头颈癌患者的食欲
DOI：
10.1016/j.ejon.2012.10.010
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发表时间：
2013
影响因子：
2.8
通讯作者：
Nobumasa Ogama
中科院分区：
文献类型：
--
作者：
Norimasa Ogama;Nobumasa Ogama
本研究的目的是开发一种口腔评估工具，用于评估接受放射治疗的头颈部癌症患者的食欲，谁有味觉障碍，口干，口腔粘膜炎，以及验证其效度和信度。方法和样本A草案口腔评估工具，其中包括一个5点量表和19个项目，准备了基于30例患者的访谈调查。在结构效度的因素分析的基础上，最终采用3个因素（味觉障碍和失宠），（唾液分泌异常和口腔水分流失），（口腔疼痛和缺乏动机），包括14个项目的最终调查。在对标准效度进行评价时，发现三个因素的得分与口腔综合评定量表得分以及味觉敏感、口干、口腔粘膜炎和食欲得分之间存在相关性，相关系数r = 0.41-0.89（p < 0.01）。关于信度，根据重测研究结果确定稳定性为0.87（p < 0.01）。内部一致性Cronbach α系数为0.83（p < 0.01），组间相关系数为0.80（p < 0.01）。结论：口腔评估工具的有效性和可靠性良好，可用于头颈癌患者的食欲评估。
PURPOSEThe objective of this study was to develop an oral assessment tool for evaluating the appetite of patients with head and neck cancer receiving radiotherapy, who had dysgeusia, xerostomia, and oral mucositis, as well as to verify its validity and reliability.METHODS AND SAMPLEA draft oral assessment tool, which included a 5-point scale and 19 items, was prepared based on an interview survey of 30 patients. The resultant questionnaire survey was provided to 209 subjects.RESULTSOn the basis of factor analysis of construct validity, 3 factors (dysgeusia and loss of favors), (salivation abnormality and loss of moisture in the oral cavity), and (pain in the oral cavity and lack of motivation) comprising 14 items were adopted for the final survey. During a review of criteria validity, a correlation was found between the scores of the three factors and overall oral assessment tool, and the scores of taste sensitivity, xerostomia, oral mucositis, and appetite with a correlation coefficient of r = 0.41–0.89 (p < 0.01). With regard to reliability, stability was determined as 0.87 (p < 0.01) according to test–retest study results. Internal consistency was confirmed by a Cronbach's alpha coefficient of 0.83 (p < 0.01) and an interclass correlation coefficient of 0.80 (p < 0.01).CONCLUSIONSOn the basis of the validity and reliability of the oral assessment tool developed, it has been found to be practical for use in the assessment of appetite of patients with head and neck cancer.