学位课程成绩证明 - 第三军医大学学报.docVIP

学龄前儿童口腔健康影响程度量表的应用及维度结构研究 何松霖1，王金华1，刘建忠2，王孟宏1 （400015重庆 重庆医科大学附属口腔医院预防科1；610041成都 四川大学华西口腔医院预防科2） 通讯作者：王孟宏 联系电话邮箱：269226528@ 【摘要】目的 调查口腔常见疾病对学龄前儿童生活质量的影响，并验证学龄前儿童口腔健康影响程度量表是否具有三维维度结构。方法 采用量表为学龄前儿童口腔健康影响程度量表中文版，使用该量表对四川大学华西口腔医院儿童牙病科就诊的280名2~5患儿进行生活质量调查。使用验证性因素分析（confirmatory factor analysis, CFA）测试构建的量表三维模型的适切性。结果 回收有效量表268份，有效回收率95.7%。患儿出现过“口腔疼痛”这种负面影响的频率最高；对家庭影响最大的是家长因患儿得病而产生的“心里内疚”。13个条目在各自维度上的因子载荷为0.25~0.81，1个条目因子载荷小于0.30。修正后模型的主要指标CMIN/DF=1.229，GFI=0.910，AGFI=0.854，RMSEA=0.048均达到模型拟合标准。结论 口腔疾病对学龄前儿童的生活质量带来一定负面影响；同时该量表具有功能、心理、社会的三维维度结构。 【关键词】 量表；生活质量；维度结构 Application and dimensional structure of the Early Childhood Oral Health Impact Scale HE Song-lin1, WANG Jin-hua1, LIU Jian-zhong2, WANG Meng-hong1. （1.Department of Preventive Dentistry, Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 400015,China 2 Department of Preventive Dentistry, West China College of Stomatology, Sichuan University, Chengdu 610041,China） 【Abstract】Objective To investigate influence of oral diseases on Child Oral Health-Related Quality of Life ; and to identify the dimensional structure of the Early Childhood Oral Health Impact Scale(ECOHIS). Methods The Chinese language version of ECOHIS was applied to 280 patients aged 2~5 years old from the paediatric dentistry of West China College of Stomatology, Sichuan University. The three- dimensional construct was confirmed by confirmatory factor analysis (CFA). Results 95.7% valid questionnaires were reclaimed. For the child impact section of the ECOHIS, ‘pain in the teeth, mouth or jaws’ was the most frequently reported item by the parents. Item of ‘feeling upset or guilty’ was most frequently reported in the family impact section of the ECOHIS. The CFA results indicated that all factor loadings to its items were 0.25~0.81 with one factor loadings less than 0.30. The modified three-factor model revealed a better fit to the data (CMIN/DF=1.229，GFI=0.910，AGFI=0.854，RMSEA=0.048). Conclusion Oral disea