自评式中文版耳鸣残疾量表的临床实用性研究

刘洁恒; 刘锦光; 刘蓬; 林文智; 张海欣; 陈艳芳

doi:10.3969/j.issn.1672-4933.2024.01.013

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自评式中文版耳鸣残疾量表的临床实用性研究

临床研究 | 更新时间：2024-03-22

- 自评式中文版耳鸣残疾量表的临床实用性研究
- Research on the Clinical Utility of the Self-Assessment in Chinese Version of the Tinnitus Handicap Inventory
- 中国听力语言康复科学杂志 2024年22卷第1期页码：46-50
- 作者机构：
  
  1.广州中医药大学第一临床医学院 /广州中医药大学第一附属医院耳鼻咽喉头颈外科/广东省中医临床研究院岭南耳鼻喉病研究所广州 510405
  2.广东祈福医院广州 510405
- 作者简介：
  
  刘洁恒硕士在读；研究方向：耳鸣的中医药防治
  刘蓬，E-mail：drlp@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.01.013
  中图分类号： R764.45
- 纸质出版日期：2024-01-15，
  
  收稿日期：2023-10-09，
- 稿件说明：
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刘洁恒,刘锦光,刘蓬等.自评式中文版耳鸣残疾量表的临床实用性研究[J].中国听力语言康复科学杂志,2024,22(01):46-50.

LIU Jie-heng,LIU Jin-guang,LIU Peng,et al.Research on the Clinical Utility of the Self-Assessment in Chinese Version of the Tinnitus Handicap Inventory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(01):46-50.
刘洁恒,刘锦光,刘蓬等.自评式中文版耳鸣残疾量表的临床实用性研究[J].中国听力语言康复科学杂志,2024,22(01):46-50. DOI： 10.3969/j.issn.1672-4933.2024.01.013.

LIU Jie-heng,LIU Jin-guang,LIU Peng,et al.Research on the Clinical Utility of the Self-Assessment in Chinese Version of the Tinnitus Handicap Inventory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(01):46-50. DOI： 10.3969/j.issn.1672-4933.2024.01.013.

摘要

目的

探讨以自评方式填写中文版耳鸣残疾量表（the Chinese version of the tinnitus handicap inventory， THI-C）的可靠性及临床实用性。

方法

对以耳鸣为第一主诉的180例患者分别采用患者自评及医评两种方式收集初诊THI-C资料，并以自评方式收集复诊患者的THI-C资料，统计自评及医评THI-C完成率，比较两者得分差异，计算自评与医评的符合率及耗时差异。

结果

初诊THI-C医评完成率为98.33%，自评完成率为43.89%，自评与医评符合率为16.38%，自评分（48.71±26.75）显著高于医评分（41.11±21.69，

＜0.01），自评耗时（3.93±2.44分钟）明显低于医评耗时（7.67±1.81分钟，

＜0.01）。复诊中，2诊至5诊THI-C完成率分别为49.4%、51.2%、43.5%、46.7%，平均耗时分别为3.44±1.76、2.97±1.62、2.88±1.48、2.42±1.44分钟。

结论

以自评方式填写THI-C评估耳鸣严重程度可靠性较低，临床实用性有限。

Abstract

Objective

This study investigated the reliability and clinical utility of the Chinese version of the Tinnitus Handicap Inventory (THI-C) in self-assessment.

Methods

Collecting initial THI-C data from 180 patients with tinnitus as their primary complaint using both patient self-assessment and clinician-assessment. Follow-up THI-C data were collected through self-assessment for returning patients. Completion rates

score differences between self-assessment and clinician-assessment

agreement rates

and time consumption differences were compared.

Results

It showed a clinician completion rate of 98.33% for initial THI-C assessments

while the self-assessment rate was 43.89%. The self-assessment score (48.71±26.75) was higher than the clinician-assessment score (41.11±21.69

0.01). The time taken for self-assessment (3.93±2.44 minutes) was significantly lower than that for clinician-assessment (7.67±1.81 minutes

0.01). During follow-up visits

the completion rates of THI-C for the 2nd to 5th visits were 49.4%

51.2%

43.5%

and 46.7%

respectively

with the average time taken were 3.44±1.76

2.97±1.62

2.88±1.48

and 2.42±1.44 minutes

respectively.

Conclusion

Self-assessment for evaluating the severity of tinnitus using the THI-C exhibits low reliability and limited clinical utility.

关键词

中文版耳鸣残疾量表自评医评可靠性临床实用性

Keywords

The Chinese version of the tinnitus handicap inventory(THI-C)Self-assessmentClinician-assessmentReliabilityClinical utility

references

Jarach CM, Lugo A, Scala M, et al. Global Prevalence and Incidence of Tinnitus: A Systematic Review and Meta-analysis[J]. JAMA Neurol, 2022,79(9):888-900.

Baguley D, McFerran D, Hall D. Tinnitus[J]. Lancet, 2013,382(9904):1600-1607.

Trevis KJ, McLachlan NM, Wilson SJ. A systematic review and meta-analysis of psychological functioning in chronic tinnitus[J]. Clinical Psychology Review, 2018,60:62-86.

Hébert S, Canlon B, Hasson D. Emotional exhaustion as a predictor of tinnitus[J]. Psychother Psychosom, 2012,81(5):324-326.

Tunkel DE, Bauer CA, Sun GH, et al. Clinical practice guideline: tinnitus executive summary[J]. Otolaryngol Head Neck Surg, 2014,151(4):533-541.

Cima R, Mazurek B, Haider H, et al. A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment[J]. Hno, 2019,67(1):10-42.

Newman CW, Sandridge SA, Jacobson GP. Assessing outcomes of tinnitus intervention[J]. J Am Acad Audiol, 2014,25(1):76-105.

Meikle MB, Stewart BJ, Griest SE, et al. Tinnitus outcomes assessment[J]. Trends Amplif, 2008,12(3):223-235.

Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory[J]. Arch Otolaryngol Head Neck Surg, 1996,122(2):143-148.

Newman CW, Sandridge SA, Jacobson GP. Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome[J]. J Am Acad Audiol, 1998,9(2):153-160.

Kam ACS, Cheung APP, Chan PYB, et al. Psychometric properties of the Chinese (Cantonese) Tinnitus Handicap Inventory[J]. Clinical Otolaryngology, 2009,34(4):309-315.

Ghulyan-Bédikian V, Paolino M, Giorgetti-D'Esclercs F, et al. [Psychometric properties of a French adaptation of the Tinnitus Handicap Inventory [J]. Encephale, 2010,36(5):390-396.

Passi S, Ralli G, Capparelli E, et al. The THI questionnaire: psychometric data for reliability and validity of the Italian version[J]. Int Tinnitus J, 2008,14(1):26-33.

Mahmoudian S, Shahmiri E, Rouzbahani M, et al. Persian language version of the "Tinnitus Handicap Inventory": translation, standardization, validity and reliability[J]. Int Tinnitus J, 2011,16(2):93-103.

石秋兰, 卜行宽, 王俊国, 等. 耳鸣致残量表中文版的研译与临床应用[J]. 南京医科大学学报(自然科学版), 2007,27(5):476-479.

孟照莉, 郑芸, 王恺. 推荐一种耳鸣主观评估量表[J]. 听力学及言语疾病杂志, 2007,15(4):325-327.

Meng Z, Zheng Y, Liu S, et al. Reliability and validity of the chinese (mandarin) tinnitus handicap inventory[J]. Clin Exp Otorhinolaryngol, 2012,5(1):10-16.

Wu D, Zheng Y, Chen Z, et al. Further validation of the Chinese (Mandarin) Tinnitus Handicap Inventory: comparison between patient-reported and clinician-interviewed outcomes[J]. Int J Audiol, 2018,57(6):440-448.

吴迪, 郑芸, 陈知己. 中文版耳鸣残疾量表用于患者自评的适应度评估[J]. 四川大学学报(医学版), 2018,49(06):985-988.

刘蓬, 李明, 王洪田, 等. 原发性耳鸣刍议[J]. 听力学及言语疾病杂志, 2010,18(02):99-101.

Zeman F, Koller M, Figueiredo R, et al. Tinnitus Handicap Inventory for Evaluating Treatment Effects: Which Changes Are Clinically Relevant?[J]. Otolaryngology-head And Neck Surgery, 2011,145(2):282-287.

刘蓬. 耳鸣评价量表的研发思路[J]. 中国听力语言康复科学杂志, 2018,16(05):330-333.

陈知己, 郑芸, 钟萍, 等. 耳鸣评价量表的临床应用价值研究[J]. 听力学及言语疾病杂志, 2017,25(03):242-246.

刘蓬, 徐桂丽, 李明, 等. 耳鸣评价量表的信度与效度研究[J]. 中华耳鼻咽喉头颈外科杂志, 2012,47(09):716-719.

刘蓬, 郑芸. 耳鸣评价量表的临床应用[J]. 中国听力语言康复科学杂志, 2018,16(06):411-415.

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