摘要
目的:了解《口腔健康影响程度量表(OHIP-14中文版)》与《老年口腔健康评价指数(GOHAI中文版)》各自特点及应用范围,指导口腔健康相关生存质量临床研究开展。方法:使用两种量表选取60岁以上、无认知障碍及视力疾患的老年人进行调查及口腔检查。通过对老年人口腔健康相关生存质量的测评,比较两份量表的维度、条目内部一致性及区分效度。结果:共250位老年人参与此次研究,收回有效量表221份,无效量表29份,数据缺失量表12份。比较两种量表平均得分GOHAI中文版比OHIP-14中文版高(P<0.01)。两份量表都可由缺失牙数区分有牙颌人群的生存质量,同时能够区分出戴用活动义齿的人群与不戴用活动义齿的人群的生存质量,以及能通过自我评价口腔状况和满意程度方面来区分不同人群的生存质量。通过比较可认为这两份量表都具有一定的区分效度。结论:《老年口腔健康评价指数(GOHAI中文版)》和《口腔健康影响程度量表(OHIP-14中文版)》在信度、效度方面存在的差异并不明显,维度的分布方面则各有所侧重。
Objective： To compare the performance of the Chinese versions of GOHAI and OHIP--14 as measure ments of the oral health related quality of life of the elderly population. Methods： Data were collected by means of a personal interview. All participants were aged 60 years and above and able to give informed consent, excluding those with cognitive impairment. A questionnaire which the participants completed contained the Chinese version of GO- HAI and OHIP--14 with a list of questions concerning self--perceived oral health, tooth status. Clinical examina- tion was performed to record the number of missing teeth, the type of the denture, etc. The ability of the two measures to detect oral health related quality of life outcomes was assessed by examining responses to individual i- tems and by the analysis of dimensions, tests of discriminant and the internal consistency reliability. Results： A total of 250 adults were surveyed. There were 221 valid questionnaires involving 12 with missing data. The mean score of the Chinese Version of GOHAI was higher than the one of the OHIP--14（P〈0.01）. Both measures could discrimi- nate between dentulous participants according to the number of missing teeth. Furthermore, dentulous participants wearing one or more dentures had higher scores on both measures than dentulous participants who did not wear a denture. Scores were also higher on both measures for those rating their oral health as only fair or poor and those dissatisfied with their tooth status. Conclusion： Chinese version of GOHAI and OHIP--14 in terms of detecting oral health related quality of life outcomes in this elderly population, is almort the same.
出处
《口腔医学研究》
CAS
CSCD
2014年第3期252-257,共6页
Journal of Oral Science Research
