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| 修改版晕动症易感性问卷用于晕船易感性判断 |
| 潘磊磊1Δ,王俊骎1Δ,祁瑞瑞1,江涛2,孙天澜2,周生权2,高忠效2,杨传高2,邵威2,蔡懿灵1* |
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(1. 第二军医大学海军医学系航海特殊损伤防护教研室, 上海 200433;
2. 解放军73071部队, 徐州 221400
*通信作者) |
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| 摘要: |
| 目的 修改Golding版晕动症易感性问卷(motion sickness susceptibility questionnaire,MSSQ),用以判断中国成年健康男性的晕船易感性,并建立相应分级评价标准。方法 选取121名受试者,填写完整Golding版MSSQ,采用以下方法计算易感指数:MSSQ-R1保留MSSQ中常见晕动调查项目,略去易感指数计算公式中的矫正系数;在MSSQ-R1的基础上,MSSQ-R2和MSSQ-R3分别增加易感指数计算公式中呕吐及恶心症状积分权重;以易感指数百分位数确定易感度等级标准。受试者于海况3~4级条件下利用Graybiel量表判断晕船严重度,并对各易感指数的判断效能进行评估。结果 再测信度为0.85。效标效度方面,各易感指数与Graybiel症状积分间具有正相关关系(P<0.001),而MSSQ-R3的相关性系数最高,但MSSQ-R3的成年期指数(MSSQ-R3-Adt)相关性优于MSSQ-R3(0.43 vs 0.39);MSSQ-R3判断的重度易感者晕船后Graybiel积分高于中度(P<0.05)及轻度易感者(P<0.01),MSSQ-R3-Adt重度及中度易感者Graybiel积分均高于轻度易感者(P<0.01,P<0.05),MSSQ-R3-Adt个体易感判断的准确率及人群易感性构成与MSSQ比较差异无统计学意义。结论 修改版MSSQ是一种简单实用且有效的晕船易感性判断方法。 |
| 关键词: 晕动病 疾病易感性 问卷调查 |
| DOI：10.16781/j.0258-879x.2016.02.0220 |
| 投稿时间：2015-12-15修订日期：2016-01-18 |
| 基金项目:国家自然科学基金(81272178), 军队后勤科研重点项目(BWS14J024). |
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| Application of revised MSSQ for seasickness susceptibility evaluation |
| PAN Lei-lei1Δ,WANG Jun-qin1Δ,QI Rui-rui1,JIANG Tao2,SUN Tian-lan2,ZHOU Sheng-quan2,GAO Zhong-xiao2,YANG Chuan-gao2,SHAO Wei2,CAI Yi-ling1* |
(1. Department of Nautical Special Injury, Faculty of Naval Medicine, Second Military Medical University, Shanghai 200433, China;
2. No. 73071 Troop of PLA, Xuzhou 221400, Jiangsu, China
*Corresponding author) |
| Abstract: |
| Objective To modify the Golding edition of motion sickness susceptibility questionnaire (MSSQ) for seasickness susceptibility evaluation in Chinese male adults and to establish the corresponding grading criteria. Methods Totally 121 participants were selected to complete the MSSQ. The MSS indices were calculated by the following methods: the MSSQ-R1 included the common motion items of MSSQ in the questionnaire and omitted the correction factor in the formula. Based on MSSQ-R1, MSSQ-R2 and R3 formula had increased weights for vomiting and nausea score. The MSS grading criteria were set based on the percentiles of each MSS indices. All subjects underwent a voyage at sea under 3-4 grade sea condition. Seasickness was assessed by using Graybiel rating scales and the efficacy of the modified MSS indices was evaluated. Results The retest reliability was 0.85. As for criterion validity, each MSS index was positively correlated with Graybiel score (P<0.001), with MSSQ-R3 having the highest correlation coefficient. The correlation of MSSQ-R3 adult index (MSSQ-R3-Adt) was also higher than MSSQ-R3 itself (0.43 vs 0.39). The Graybiel score of highly susceptible subjects as judged by MSSQ-R3 criteria were significantly higher than those of slightly (P<0.01) and moderately susceptible (P<0.05) ones. The Graybiel score of highly and moderately susceptible subjects as judged by MSSQ-R3-Adt criteria were significantly higher than that of slightly susceptible ones (P<0.01, P<0.05). The accuracies of individual susceptibility evaluation and population based susceptibility as judged by the MSSQ-R3-Adt criteria were similar to those judged by the MSSQ. Conclusion The modified MSSQ is simple, practical and effective for seasickness susceptibility evaluation in Chinese adults. |
| Key words: motion sickness disease susceptibility questionnaires |
