(2.5.5)--对耳鸣自评量表应用价值的思考.pdfVIP

专家笔谈 Chinese Scientific Journal of Hearing and Speech Rehabilitation doi:10.3969/j.issn.1672-4933.2018.04.001 对耳鸣自评量表应用价值的思考 Thoughts on Application Values of Self-Report Tinnitus Questionnaires 【 】耳鸣自评量表（self-report tinnitus questionnaire，SRTQ）是近年来应用于耳鸣疗效评价较多的一种方法。 摘要 耳鸣自评量表常用的有耳鸣问卷（tinnitus questionnaire,TQ)、耳鸣残疾问卷（tinnitus handicap questionnaire，THQ）、 耳鸣反应问卷（tinnitus reaction questionnaire，TRQ）、耳鸣残疾量表（tinnitus handicap inventory，THI）、耳鸣功能指 数（tinnitus functional index，TFI）等5种。来自国外的SRTQ存在以下问题：①条目设计多取材患者的抱怨，而部分抱怨基 于对耳鸣的错误认知，以致部分条目与耳鸣严重程度无必然联系；②患者自行填写问卷方式可能存在理解差异，造成结果的 准确性与可靠性降低，填写费时，多次反复填写可能产生负面影响；③大多数SRTQ均未报道允许的测量误差（最小临床有 意义变化值），难以确定有效标准，以治疗前后均数的统计学差异判断疗效未必能真实反映病情变化。因此其临床应用价值 有一定的局限性，应用的合理性值得探讨。 【 】耳鸣；耳鸣自评量表；耳鸣评估；疗效评价 关键词 【 】 Abstract Self-report tinnitus questionnaire (SRTQ) is a method commonly used to evaluate tinnitus treatment efficacy in recent years. More than 20 SRTQs have been published in the last more than twenty years among which, the five most frequently used ones include Tinnitus Questionnaire (TQ), Tinnitus Handicap Questionnaire (THQ), Tinnitus Reaction Questionnaire (TRQ), Tinnitus Handicap Inventory (THI), and Tinnitus Functional Index (TFI) . However, there are three problems listed below associated with these SRTQs which have caused limitation in their clinical application values: ①The majority of their items directly came from tinnitus patients’ complaints while some of them are based on patients’ misunderstanding of tinnitus. This results in that some items are not related to tinnitus severity. ②The way the SRTQs are administered may cause inaccurate comprehension of items resulting in decreased accuracy and reliability, time consuming, possible negative feeling after multiple self-administrations. ③The majority of SRTQs have not reported the acceptable measurement