中文版FaCE量表评价周围性面神经麻痹患者生活质量的初步研究

摘要

目的 研制中文版临床面部评价量表(Facial Clinimetric Evaluation,FaCE),探讨周围性面神经麻痹患者的健康相关生存质量状况.方法 通过对FaCE量表的引进、翻译和调试,形成中文版FaCE量表.选择81例周围性面神经麻痹患者和30名健康志愿者进行严格测试,对中文版FaCE量表进行考核,并与医学结局研究简表36项健康调查(SF-36)等其他评价方法进行对比.结果 中文版FaCE量表具有良好的可行性:接受率、回收率和有效率分别为96.3％、96.3％和95.1％；量表具有良好的信度、效度和反应性:分半信度=0.79(P ＜0.05),重测信度=0.88(P ＜0.05),克朗巴赫系数α =0.87(P ＜0.05)；FaCE量表总体评分与SF-36量表评分相关性良好(r=0.41,P＜0.05)；因素分析显示量表可以提取出6个维度,与源表的设计结构相吻合,能有效区分面神经麻痹和健康人群的生活质量(P＜0.05).其总体评分与House-Brackmann分级和Sunnybrook分级评分相关性良好(r=-0.40和0.42,P值均＜0.05).结论 中文版FaCE量表能有效评价面神经麻痹患者的生活质量,可在我国周围性面神经麻痹患者诊疗中应用.%Objective To explore the health related quality of life (QOL) status of patients with peripheral facial paralysis.Methods By introducing,translating and adjusting of the FaCE (Facial Clinimetric Evaluation) scale,a Chinese version came into being.The scale was further strictly tested in eighty-one patients with peripheral facial paralysis and thirty healthy volunteers.Results The feasibility,reliability,validity and responsibility of Chinese version of FaCE scale all passed the test.The split-half reliability,Cronbach's alpha and intraclass correlation coefficient were 0.79,0.88 and 0.87,respectively.The criteria validity calculated between FaCE and SF-36 was 0.41 (P ＜ 0.05).Factor analysis of the construct validity showed that the 15 items were classified into six domains,which were in accordance with the original version.Every domain was sensitive and effective to discriminate between patient population and healthy population(P ＜0.05).Chinese version of FaCE scale showed significant correlation with HBGS and SBGS scores(r =-0.40 and 0.42,P ＜ 0.05).Conclusion Chinese version of the FaCE scale can effectively assess QOL status of patients with facial paralysis in China.