Asher-McDade鼻唇评价量表的汉化及信效度初步研究

Preliminary study on reliability and validity of the Chinese version of the Asher-McDade aesthetic index

摘要

目的 检测Asher-McDade鼻唇评价量表汉化后的信效度，明确其在中国唇裂术后效果评价的可行性。 方法 通过翻译、回译、调试及预调查形成中文版Asher-McDade鼻唇评价量表，选取四川大学华西口腔医院收治的80例唇腭裂患者的术后照片，并由唇腭裂外科的手术医生、护理人员、研究生共10名等进行问卷调查，检验量表的信度和效度。 结果 量表克隆巴赫系数为0.804，量表的重测信度为0.895。量表的内容效度指数（I-CVI）为1.000，量表平均内容效度指数（S-CVI/ave）为0.95。量表Kaiser-Meyer-Olkin（KMO）值为0.706，巴特利球体检验显示χ²值为962.260（P<0.01），累积方差贡献率为 63.095%。 结论 中文版Asher-McDade 鼻唇评价量表具有良好的信度和效度，且适用于中国唇裂患者术后照片的效果评价。

Abstract

Objective This study aims to test the reliability and validity of the Chinese version of the Asher-McDade aesthetic index and clarify its feasibility for the postoperative outcome evaluation of cleft lip in China. Methods The Chinese version of the Asher-McDade aesthetic index was established through translation, back translation, debugging, and pre-survey. Eighty postoperative photographs of patients with cleft lip admitted to the West China Hospital of Stomatology, Sichuan University were included. Ten healthcare professionals, including surgeons, nurses, and students, in the department of cleft lip and palate surgery finished the index to test its reliability and validity. Results The Cronbach’s alpha coefficient and retest reliability of this index are 0.804 and 0.895, respectively. The item-level content validity index (I-CVI) and scale-level content validity index ave-rage (S-CVI/ave) of the index are 1.000 and 0.95, respectively. For this index, the Kaiser-Meyer-Olkin (KMO) test score is 0.706, the χ² value of Bartlett’s test for the consistency of the index is 962.260 (P<0.01), and the cumulative variance contribution rate is 63.095%. Conclusion The Chinese version of the Asher-McDade aesthe-tic index has good reliability and validity and is applicable to the professional evaluation of the effect of postoperative photographs in Chinese patients with cleft lip.

关键词

唇裂 / 鼻唇外观 / 跨文化调适 / 信度 / 效度

Key words

cleft lip / nasolabial appearance / cross-cultural adaptation / reliability / validity

Author summay

陈丽先，主管护师，学士，E-mail：[e-mail]