Swallowing-related quality of life in oral cavity cancer - The German version of the Anderson Dysphagia Inventory
Swallowing-related quality of life in oral cavity cancer - The German version of the Anderson Dysphagia Inventory
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DOI：
10.1007/s00106-010-2117-7
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发表时间：
2010-07-01
期刊：
影响因子：
0.9
通讯作者：
Rosanowski, F.
中科院分区：
文献类型：
--
作者：
Bauer, F.;Seiss, M.;Rosanowski, F.
本研究的目的是验证德国版的安德森吞咽困难量表（ADI），并以健康相关的生活质量作为外部标准对其进行分级。共有102名年龄在34-90岁（61.1 +/- 10.8）的口腔鳞状细胞癌患者（26名女性，76名男性）参加了本研究。所有研究参与者独立完成了ADI的德语版本和SF-36健康相关生活质量问卷。对德国ADI进行了有效性和信度检验，并进行了因子分析，ADI的内部一致性信度采用克朗巴赫α系数计算，等于0.942。在分半信度中，Spearman-Brown系数为0.916。因子分析结果为单因素。德国ADI评分与以下临床参数之间的相关系数证明了结构有效性：放射（p < 0.001），T分类（p=0.002），手术方法（p=0.018），但肿瘤部位（p=0.115）除外。分级系统如下：分数< 55被认为是“绝对明显的”;分数55-70被认为是“比不明显更明显”;而分数> 70被分类为“比不明显更不明显”ADI的德语翻译是评估吞咽相关生活质量的经验证且可靠的方法。
The objective of this study was to validate the German version of the Anderson Dysphagia Inventory (ADI), as well as to grade it by using health-related quality of life as an external criterion.A total of 102 patients (26 women, 76 men) aged 34-90 years (61.1 +/- 10.8) with a treated squamous cell carcinoma of the oral cavity participated in the study. All study participants independently completed the German version of the ADI and the SF-36 questionnaire on health-related quality of life. The German ADI was tested for its validity and reliability, and subjected to a factor analysis.The internal consistency reliability of the ADI was calculated using Cronbach's alpha coefficient and was equal to 0.942. In the split-half reliability the Spearman-Brown coefficient scored 0.916. Factor analysis showed a one-factor result. The correlation coefficients between the point scores of the German ADI and the following clinical parameters demonstrated construct validity: radiation (p < 0.001), T-classification (p=0.002), surgical method (p=0.018), not, however, tumor site (p=0.115). The grading system was as follows: scores < 55 are regarded as "definitely noticeable"; scores 55-70 are considered as "more noticeable than not"; while scores > 70 are classified as " more unnoticeable than not".The German translation of the ADI is a validated and reliable method to assess swallowing-related quality of life.