Razi Journal of Medical Sciences

fa بررسی پایایی و روایی نسخۀ فارسی پرسش نامه ارزیابی رضایتمندی رینوپلاستی (ROE) Evaluating the Reliability and Validity of the Persian Version of the Rhinoplasty Satisfaction Questionnaire (ROE) گوش و حلق و بینی ENT پژوهشي Research زمینه و هدف: جراحی رینوپلاستی یکی از مداخلاتی است که طرفداران زیادی پیدا کرده ‌است و به صورت رایج انجام می‌شود. وجود ابزارهایی جهت سنجش میزان رضایت بیماران از نتایج جراحی خود می‌تواند به جراحان در بهینه‌سازی روش‌ها و کیفیت جراحی‌هایشان کمک کند. هدف از انجام این مطالعه سنجش روایی و پایایی نسخه‌ی فارسی پرسش‌نامه‌ی ارزیابی رضایتمندی رینوپلاستی (ROE) Rhinoplastic Outcome Evaluation است. روش کار: در این مطالعه مقطعی توصیفی-تحلیلی که در سال ۱۳۹۹ انجام شد، پرسش‌نامه‌ی ROE توسط دو مترجم مستقل ترجمه گردید و پس از آن گروهی از متخصصان، مقادیر Content Validity Ratio (CVR) (نسبت روایی محتوایی) و Content Validity Index (CVI) (شاخص روایی محتوایی) آن را بررسی کردند. پرسش‌نامه قبل و بعد از جراحی رینوپلاستی٫ در اختیار ۸۷ نفر از بیماران قرار گرفت. برای بررسی پایایی پرسش‌نامه از آلفای کرونباخ و آزمون بازآزمایی مجدد test-retest استفاده شد. یافته‌ها: ضریب آلفای کرونباخ برای این پرسش‌نامه 727/0 محاسبه شد. میانگین نمره کلی بیماران قبل از جراحی 32/15±15/43 بود که به 48/68 ± 49/12 بعد از جراحی افزایش یافت (001/0p<). علاوه بر این، CVR تمامی گویه‌ها بالاتر از حد استاندارد CVR برای 10 خبره، یعنی 62/0 بود، بجز گویه‌ی شماره دو که CVR برابر با 564/0 داشت. همچنین میانگین CVI همه گویه‌ها برابر با 8/0 بود که بالاتر از 79/0 بوده و نشانگر روایی محتوایی کافی این پرسش‌نامه می‌باشد. نتیجه‌گیری: با توجه به نتایج، نسخه‌ی ترجمه‌شده‌ی پرسش‌نامه‌ی ROE دارای روایی و پایایی مناسبی است و می‌توان آن را با اهداف بالینی و پژوهشی جهت ارزیابی رضایت بیمار پس از جراحی رینوپلاستی مورد استفاده قرار داد.   <div> <div class="msocomtxt" id="_com_1" language="JavaScript" on="">Background & Aims: Rhinoplasty is one of the most popular types of cosmetic surgeries performed by otorhinolaryngologists. Rhinoplasty is a challenging and complex surgery because it is designed according to the unique needs of each patient (1). In 2013, men accounted for approximately 20 percent of all rhinoplasty procedures and non-whites accounted for nearly 30 percent of the patient population. In addition, the age of candidates for rhinoplasty was wide and about half of the patients were between 19 and 34 years old and the other half of the patients were under 19 years old or older (2). The existence of tools to measure patients' satisfaction with the results of their surgery can give surgeons a better view to optimize the methods and quality of their surgeries. One of the common methods for evaluating surgical results in terms of patients satisfaction is through the quality of life questionnaires. Especially in rhinoplasty, this method of evaluation aims to examine the direct effect of surgery on patient satisfaction with self-image and consequently self-esteem (3-5). As a result, the validity of such questionnaires is significant. Researchers can use these tools to assess the quality of surgery and optimize methods based on individual characteristics (6). Rhinoplasty Outcome Evaluation (ROE) is one of the questionnaires used today to assess patients' willingness and satisfaction with rhinoplasty (7, 8). In 2021, Mulafikh et al. published a study in Arabic aimed at translating, intercultural matching, and validating the outcome of ROE. This non-randomized prospective study included 50 patients and a control group of 89 healthy individuals who underwent primary rhinoplasty from January to October 2020 in the Department of Otolaryngology, King Saud University, Riyadh, Saudi Arabia. There was a significant difference in ranking between rhinoplasty patients and the control group on both individual questions and total scores. Significant improvement in patient group ranking was observed in 2 weeks and 3 months after surgery compared to preoperative score (P <0.0001). Based on the conclusion of this study, the Arabic version ROE showed good internal consistency, reliability, and credibility and can be used to evaluate the results of rhinoplasty in the Arab population (9). The questionnaire has been translated into German, Turkish, Arabic, and many other languages, but so far in Iran, there is no scale to measure patients' satisfaction with rhinoplasty (10-12). It can be used for many Iranian patients and surgeons. This study aimed to evaluate the validity and reliability of the translated ROE Questionnaire. Methods: The ROE questionnaire was translated by two independent translators and then it was translated back into English and was compared with the original one. With the expert panel reviews, its Content Validity Ratio (CVR) and Content Validity Index (CVI) were calculated. Then, patients who underwent rhinoplasty in Firoozgar Hospital and a private center in Tehran in 2016, for the first time and without any simultaneous facial surgeries, were included in this study, and again two weeks after the operation. This research was done with the approval of the ethics committee of the research vice-chancellor of the Iran University of Medical Sciences (IR.IUMS.FMD.REC.1399.849).</div> <div class="msocomtxt" language="JavaScript" on="" style="text-align: justify;">Results: Expert panel consisted of 10 experts that expressed their views on the questionnaire items. The CVR coefficient for all items except the second item was above 0.62, for which the coefficient was measured to be 0.564. The CVI coefficient was also reported to be 0.8 for all items. The mean total score of 87 patients at the first completion was 43.14 (±15.32), which two weeks later reached 41.58 (±15.60) (p > 0.05), this indicates that the Persian version of ROE has good reliability. The postoperative score was 68.48 (±12.49) which was significantly improved (p <0.05).</div> <div class="msocomtxt" language="JavaScript" on="" style="text-align: justify;">Conclusion: In our study, differences in gender, age, and education had did not affect postoperative satisfaction scores using ROE. The results of our study are consistent with previous studies (3, 7, 10, 11). This study had a lower item-total correlation coefficient for question 2 like the Arabic version of ROE because unlike the rest of the questions, the second question was related to the functional aspect of rhinoplasty and patients were worried about aesthetic aspects of rhinoplasty (10). Despite this, as the only question about nasal obstruction, and high total post-operative scores we found this question important and applicable for the Persian version of ROE. Izu et al. Introduced a cut-off point of 12 out of 24 or 50% for ROE to be used as a tool to evaluate surgical outcomes and to help predict outcomes (12). In our study, the mean total ROE score in individuals at the first time of completing the questionnaire and after surgery was significantly different (p-value <0.05). Patients reported a score lower than this incision point before surgery and more than 50% after surgery. This indicates the high satisfaction of patients with the surgical outcome. Other studies have used ROE to demonstrate the results of rhinoplasty and its high impact on quality of life, and have concluded that long-term follow-up increases patient satisfaction with rhinoplasty. For this reason, follow-up is important to help evaluate outcomes and long-term patient satisfaction (7, 13, 14). The limitations of the present study were the inability to examine patients in different medical centers, a relatively small sample size, and a short follow-up period. Also, the patients' satisfaction after long-term and medium-term surgery was not evaluated. To increase the accuracy of this questionnaire, this questionnaire should be repeated at different times and places. Also, the surgeon using this questionnaire should pay attention to long-term follow-up of rhinoplasty and ways to improve patients' quality of life.</div> <div class="msocomtxt" language="JavaScript" on="">So far, no tool has been introduced to measure patients' satisfaction with the shape of the nose and the outcome of surgery after rhinoplasty, in Iran. The results of our study showed that the Persian version of ROE has good reliability, validity, and credibility, and its results are comparable to ROE questionnaires that have already been translated, adapted, and published in the literature review, as well as the original ROE. Therefore, this tool can be used to evaluate the results of rhinoplasty and many applications can be imagined for it. <illegal tag=""> </illegal></div> </div> رینوپلاستی,پرسش‌نامه ROE,روایی و پایایی Rhinoplasty,ROE Questionnaire, Validity and Reliability 1 9 http://rjms.iums.ac.ir/browse.php?a_code=A-10-843-3&slc_lang=fa&sid=1 Alireza Mohebbi علیرضا محبی 3900319475328460064336 3900319475328460064336 No Otolaryngology Research Center, Five Senses Health Research Institute, Iran University of Medical Sciences, Tehran, Iran مرکز تحقیقات گوش و حلق و بینی، مؤسسه تحقیقات سلامت حواس پنجگانه، دانشگاه علوم پزشکی ایران، تهران، ایران Kimia Javadinejad کیمیا جوادی‌نژاد 3900319475328460064337 3900319475328460064337 No Otolaryngology Research Center, Five Senses Health Research Institute, Department of Otolaryngology, Head and Neck Surgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran مرکز تحقیقات گوش و حلق و بینی، مؤسسه تحقیقات سلامت حواس پنجگانه، و گروه جراحی گوش و حلق و بینی و سر و گردن، بیمارستان فیروزگر، دانشگاه علوم پزشکی ایران، تهران، ایران Maryam Roomiani مریم رومیانی 3900319475328460064338 3900319475328460064338 No Otolaryngology Research Center, Five Senses Health Research Institute, Department of Otolaryngology, Head and Neck Surgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran مرکز تحقیقات گوش و حلق و بینی، مؤسسه تحقیقات سلامت حواس پنجگانه، و گروه جراحی گوش و حلق و بینی و سر و گردن، بیمارستان فیروزگر، دانشگاه علوم پزشکی ایران، تهران، ایران Hessam Jahandideh حسام جهاندیده Jahandideh.h@iums.ac.ir 3900319475328460064339 3900319475328460064339 Yes Otolaryngology Research Center, Five Senses Health Research Institute, Department of Otolaryngology, Head and Neck Surgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran مرکز تحقیقات گوش و حلق و بینی، مؤسسه تحقیقات سلامت حواس پنجگانه، و گروه جراحی گوش و حلق و بینی و سر و گردن، بیمارستان فیروزگر، دانشگاه علوم پزشکی ایران، تهران، ایران