阿拉伯语版乌得勒支问卷用于美容性鼻整形术效果评估：跨文化调适与心理测量学验证

文献信息

中文摘要

背景： 评估鼻整形术的主观效果需要有效的患者报告结局测量工具（PROMs）。乌得勒支问卷用于美容性鼻整形术效果评估是一种简短的5条目工具，包含视觉模拟量表（VAS）。作者报告了其阿拉伯语版本（A-OAR）的跨文化调适与心理测量学验证。
材料与方法： 按照标准化的正向-反向翻译流程，A-OAR被前瞻性地施测于121名参与者：51名鼻整形术患者（在术前以及术后1个月和3个月进行评估）和70名年龄与性别分布相当的健康对照者（间隔2-4周测试两次）。心理测量学评估包括内部一致性（Cronbach's alpha）、重测信度[组内相关系数（ICC）]、绝对信度[测量标准误（SEM）；最小可检测变化（MDC95）]、收敛效度、区分效度、结构效度[探索性因子分析（EFA）]、地板/天花板效应以及反应度[标准化反应均数（SRM）]。
结果： 内部一致性较高（术前α=0.882；3个月时α=0.932），同时重测信度强（ICC=0.830）。SEM和MDC95分别为0.959和2.658。与VAS的收敛效度得到确认（P<0.002）。A-OAR能够有效区分患者与对照者（P<0.001）。EFA显示为单维结构，解释总方差的82.9%，因子载荷强（0.867-0.952）。基线时未出现显著的地板或天花板效应。纵向来看，所有参数的评分均显著改善（P<0.001）。总分SRM从1个月时的0.92增至3个月时的1.08，表明反应度极佳。
结论： A-OAR是一种可靠、有效且反应度高的PROM，完全适用于在临床和研究环境中评估阿拉伯语人群的美容性鼻整形术效果。

英文摘要

BACKGROUND: Evaluating subjective rhinoplasty outcomes requires valid patient-reported outcome measures (PROMs). The Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty is a concise 5-item tool incorporating a visual analog scale (VAS). The authors report the cross-cultural adaptation and psychometric validation of its Arabic version (A-OAR).
MATERIALS AND METHODS: Following standardized forward-backward translation, the A-OAR was administered prospectively to 121 participants: 51 rhinoplasty patients (assessed preoperatively, and at 1 and 3 months postoperatively) and 70 healthy controls with comparable age and gender distributions (tested twice, 2-4 weeks apart). Psychometric evaluation included internal consistency (Cronbach's alpha), test-retest reliability [intraclass correlation coefficient (ICC)], absolute reliability [standard error of measurement (SEM); minimal detectable change (MDC95)], convergent validity, discriminative validity, structural validity [exploratory factor analysis (EFA)], floor/ceiling effects, and responsiveness [standardized response mean (SRM)].
RESULTS: Internal consistency was high (preoperative α=0.882; 3-mo α=0.932), alongside strong test-retest reliability (ICC=0.830). SEM and MDC95 were 0.959 and 2.658, respectively. Convergent validity with the VAS was confirmed (P<0.002). The A-OAR discriminated effectively between patients and controls (P<0.001). EFA revealed a unidimensional structure explaining 82.9% of total variance and strong factor loadings (0.867-0.952). No significant floor or ceiling effects occurred at baseline. Longitudinally, scores improved significantly across all parameters (P<0.001). The sum score SRM increased from 0.92 at 1 month to 1.08 at 3 months, indicating excellent responsiveness.
CONCLUSION: The A-OAR is a reliable, valid, and highly responsive PROM, fully optimized for evaluating aesthetic rhinoplasty outcomes in Arabic-speaking populations across clinical and research settings.