Validation and Development Testing of the Symptom Group Assessment Scale for Patients With Sudden Deafness: A Comprehensive Study

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-06-10 DOI:10.1111/coa.14318

Jin Lei, Muhammad Asad Iqbal, Li Zhengjing, Amjad Ali, Nida Fatima Moazzam, Zhuang Ruo

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Abstract

Background

The objective is to create a symptom assessment scale specifically designed for people experiencing sudden deafness and thereafter evaluate its reliability and validity.

Methods

A literature review and semi-structured interviews were used to create a symptom experience model-based scale item pool. After two rounds of expert deliberation, the first scale was finalised. An initial 30-item survey provided descriptive definitions and reference standards for symptom severity. One hundred sixty patients completed the questionnaire, but 7 patients who did not meet the requirements were excluded, and 153 patients who met the criteria in the otolaryngology department admitted to a tertiary hospital in Zhenjiang City between March 2022 and September 2023 were surveyed to assess the scale's validity and reliability.

Results

The Symptom Group Assessment Scale for Sudden Deafness Patients comprises three dimensions and a total of 13 items. These dimensions include the Ear Symptom Group, consisting of five items, the systemic symptom group, consisting of five items, and the psychosomatic symptom group, consisting of three items. By conducting exploratory factor analysis, we were able to identify three shared components, which accounted for a total of 57.780% of the variance. The confirmatory factor analysis demonstrated that the model exhibited excellent flexibility. The Cronbach's alpha coefficient for the scale is 0.942, indicating a high level of internal consistency.

Conclusion

The validated scale provides clinicians and nurses with a reliable tool to systematically assess symptom burden in sudden deafness patients. Its integration into clinical practice can inform tailored nursing interventions, such as symptom monitoring and psychosocial support, while aiding in the development of individualised management plans. This enhances patient-centred care and contributes to improved clinical outcomes in this population.

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查看原文本刊更多论文

突发性耳聋患者症状组评定量表的验证与开发试验：一项综合性研究。

背景：目的是编制专为突发性耳聋患者设计的症状评估量表，并对其信度和效度进行评估。方法：采用文献回顾法和半结构化访谈法编制基于症状体验模型的量表题库。经过两轮专家审议，第一份量表最终确定。最初的30项调查提供了症状严重程度的描述性定义和参考标准。共160例患者完成问卷，排除不符合要求的7例患者，并对镇江市某三级医院耳鼻喉科2022年3月至2023年9月收治的153例符合标准的患者进行问卷调查，以评估量表的效度和信度。结果：《突发性耳聋患者症状组评定量表》包括三个维度，共13个项目。这些维度包括耳朵症状组，由五个项目组成，系统症状组，由五个项目组成，心身症状组，由三个项目组成。通过探索性因子分析，我们能够识别出三个共有的成分，它们共占方差的57.780%。验证性因子分析表明，该模型具有良好的灵活性。量表的Cronbach’s alpha系数为0.942，表明内部一致性较高。结论：经验证的量表为临床医生和护士系统评估突发性耳聋患者的症状负担提供了可靠的工具。将其纳入临床实践可以为量身定制的护理干预提供信息，例如症状监测和心理社会支持，同时有助于制定个性化管理计划。这加强了以患者为中心的护理，并有助于改善这一人群的临床结果。

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.