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題名:口腔健康評估量表--非牙醫專業人員中文版發展與信效度檢定
書刊名:長庚護理
作者:蔡宜燕劉彥君李佳琳 引用關係楊月穎邱逸榛
作者(外文):Tsai, Yi-yenLiu, Yen-chunLi, Chia-linYang, Yueh-yingChiu, Yi-chen
出版日期:2015
卷期:26:4=92
頁次:頁400-409
主題關鍵詞:失智症口腔健康信效度DementiaOral healthReliability and validity
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:126
背景:影響口腔健康的原因雖然已有相關文獻,但多以癌症病人為主,較少針對長期照護機構住民的口腔健康需求做評估。另外,國內口腔健康相關的評估量表,大多數都是針對牙醫師臨床使用所設計,並沒有針對非牙醫專業人員所設計的口腔健康評估量表。目的:本研究目的是針對非牙醫專業人員(包括:護理人員)所設計「口腔健康評估量表(Oral Health Assessment Tool, OHAT)」,進行量表中文版之信效度檢定。方法:本量表為Chalmers 與Schilling (2004) 發展之口腔健康篩檢工具,適用於失智住民。本文採用「翻譯—反轉翻譯方式」進行中英文的翻譯,以立意取樣方式施測於台灣南部護理之家的116 位失智症住民,以建立該中文版量表之內在一致性、測試者間的一致信度,建構效度與同時效標效度。結果:研究結果為 OHAT 信度部分:一、Cronbach’s α 為.598(N=116),顯示該量表具有相當的內在一致性;二、測試者間的一致性的Intraclass Correlation Coefficients 值為.868 (p<.00)。效度部分:一、建構效度;OHAT 總分與OHAT 細項以Spearman 相關法分析,大部分均顯著相關,除了假牙狀態外;二、同時效度,Kappa 值在3.162-4.337 之間,均顯著相關,顯示OHAT 與Brief Oral Health Status Examination (BOHSE) 各項間都具有高度相關(p<0.01- p<0.001)。結論/實務運用:「口腔健康評估量表—非牙醫專業人員」中文版具有相當的內在一致性,以及良好的信效度。由於本量表篩檢項目少,易評估,故適用於機構式長期照護單位,包括失智住民,是值得推廣的口腔健康篩檢工具。
Background: Despite the abundance of related literatures on factors related to oral health, most of them target on cancer patients. Assessments focusing on oral health of long-term institution residents remain rare. In addition, oral health assessment scales are mostly designed for dentists in clinical trials and have not been designed for non-dental professional. Purpose: The purpose of this study was to validate the Chinese version of the Oral Health Assessment Tool (OHAT), specifically designed for non-dental professionals (including nurses). Methods: Chalmers and Schilling (2004) developed the OHAT as a screening tool of oral health assessment for demented residents. The Chinese OHAT was developed through translation and back-translation and tested by a purpose sampling of 116 nursing home demented residents in southern Taiwan. We examined its reliability and construct validity by concurrent validity and hypothesis testing. Results: The results on reliability: Firstly, the OHAT yielded acceptable internal consistency (Cronbach’s α= .598). Intraclass Correlation Coefficients (ICC) and was significant (ICC = .868). The results on validity: Firstly, the Spearmen correlation coefficients were significant, except for the denture condition. Secondly, Kappa values ranged from 3.161 to 4.337, indicating that OHAT and BOHSE were highly correlated (p < .05). Conclusion: The Chinese OHAT demonstrates clinically easy to use, acceptable reliability and good validity. In addition, it consists of few items. It, therefore, appears to be a practical and valid oral health screening instrument for nursing home residents, including those with cognitive impairment.
期刊論文
1.Chalmers, J. M.、King, P. L.、Spencer, A. J.、Wright, F. A. C.、Carter, K. D.(2005)。The oral health assessment tool . Validity and reliability。Austrialian Dental Journal,50(3),191-199。  new window
2.王愛玲、郭素娥、方素瓔、李世凱、徐畢卿(20121000)。戒菸服務自我效能量表--精神衛生臨床專業人員版之中文版發展與信效度檢定。護理雜誌,59(5),49-56。new window  延伸查詢new window
3.郭乃文、劉秀枝、王珮芳、廖光淦、甄瑞興、林恭平、陳祖裕、徐道昌(19881200)。「簡短式智能評估」之中文施測與常模建立。復健醫學會雜誌,16,52-59。  延伸查詢new window
4.Daly, B.、Smith, K.(2015)。Promoting good dental health in order people: role of the community nurse。British Journal of Community Nursing,20(9),431-436。  new window
5.Kayser-Jones, J.、Bird, W. F.、Paul, S. M.、Long, L.、Schell, E. S.、Seattle, W. A.(1995)。An instrument to assess the oral health status of nursing home residents。The Gerontologist,35(6),814-824。  new window
6.Murry, P. E.(2006)。Oral health in Florida nursing homes。International Journal of Dental Hygiene,4(4),198-203。  new window
7.Noble, J. M.、Scarmeas, N.、Papapanou(2013)。Poor oral health as a chronic, potentially modifiable dementia risk factor : Review of the literature。Current Neurology and Neuroscience Reports,13(10),384。  new window
8.Ozolins, U.(2009)。Back translation as a means of giving translators a voice。The International Journal of Translation and Interpreting Research,1(2),1-13。  new window
9.Porter, J.、Ntouva, A.、Read, A.、Murdoch, M.、Ola, D.、Tsakos, G.(2015)。The impact of oral health on the quality of life of nursing home residents。Health and Quality of Life Outcomes,13(1),102-110。  new window
10.Stein, P. S.、Henry, R. G.(2009)。Poor oral hygiene in long-term care。American Journal Nursing,109(6),44-50。  new window
11.Thean, H. P.、Yee, R.(2012)。Management update on functional decline in older adults 2012: Oral health。The Singapore Family Physician,35(1),38-45。  new window
學位論文
1.陳靜嫻(2006)。印尼籍配偶教養量表信效度之檢定(碩士論文)。國立成功大學。  延伸查詢new window
2.蘇珮孜(2007)。南區機構內老年失智症者的口腔健康狀況調查(碩士論文)。高雄醫學大學。  延伸查詢new window
圖書
1.Waltz, Carolyn F.、Strickland, Ora L.、Lenz, Elizabeth R.(1991)。Measurement in nursing research。Philadelphia:F. A. Davis Company。  new window
2.Hair, Joseph F. Jr.、Anderson, Rolph E.、Tatham, Ronald L.、Black, William C.、Babin, Barry J.(1998)。Multivariate data analysis。Prentice-Hall, Inc.。  new window
3.吳明隆(2007)。SPSS操作與應用:問卷統計分析實務。臺北:五南。  延伸查詢new window
其他
1.Hyochol, A.,Ann, H.(2013)。The relationship between pain and disruptive behaviors in nursing home resident with dementia,http: //www.biomedcentral .com/1471-2318/13/14。  new window
2.Institute of Medicine(20110713)。Improving access to oral health care for vulnerable and underserved populations,http:// www.iom.edu/Reports/2011/Improving- Access-to-Oral-Health-Care-for-vulnerable- and-underserved-populations.aspx。  new window
3.Chalmers, J. M.,Schilling, M.(2004)。Oral hygiene care for nursing home residents with dementia,htty://www. medicine.uiowa.edu/igec。  new window
圖書論文
1.盧成皆(2003)。研究工具之信度與效度。護理研究與應用。台北:華杏。  延伸查詢new window
 
 
 
 
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