基于网络问卷调查的耳鸣严重程度及睡眠质量的相关性分析

Correlation Analysis of Tinnitus Severity and Sleep Quality Based on Network Questionnaire Survey

摘要: 目的：探究通过网络调查问卷形式对耳鸣患者耳鸣严重程度以及睡眠质量进行相关性分析，为耳鸣患者远程随访及个性化诊治方案的实施提供参考。方法：通过问卷星设计调查量表进行耳鸣残疾量表(Tinnitus Handicap Inventory, THI)和阿森斯失眠量表(Athens Insomnia Scale, AIS)调查分析并分别进行相关分析。结果：563份THI网络问卷量表的基于标准化项的Cronbach’s α = 0.804，563份AIS网络问卷量表的Cronbach’s α = 0.924；THI量表KMO值为0.853，Bartlett检验的显著性 < 0.05，AIS问卷的KMO系数为0.948，Bartlett检验显著性 < 0.05。耳鸣严重程度与VAS评分、睡眠质量之间存在正向中度的相关性。患者耳鸣的侧别、年龄与睡眠质量之间没有相关性，年龄与睡眠质量之间存在正向中度的相关性。结论：可通过网络形式进行耳鸣问卷调查及规律就诊的耳鸣患者随访，但需要对问卷内容及呈现形式进行更加严谨的设计。耳鸣患者中绝大部分人伴有睡眠障碍，临床治疗耳鸣需重视患者的睡眠质量。

Abstract: Objective: To explore the correlation analysis of tinnitus severity and sleep quality of tinnitus pa-tients through network questionnaire, providing reference for remote follow-up and personalized diagnosis and treatment of tinnitus patients. Method: Tinnitus patients were investigated and ana-lyzed by Tinnitus Handicap Inventory (THI) and Athens Insomnia Scale (AIS) through star ques-tionnaire design, and the validity and reliability were tested respectively, and the collected data were analyzed for correlation. Result: The standardized item based Cronbach’s α of 563 THI net-work questionnaires was 0.804, and the standardized item based Cronbach’s α of 563 AIS network questionnaires was 0.924. The KMO value of THI scale was 0.853, and the significance of Bartlett’s test was <0.05. The KMO coefficient of AIS questionnaire was 0.948, and the significance of Bartlett’s sphericity test was < 0.05. It can be considered that the two scales had good structural validity. The severity of tinnitus was positively and moderately correlated with VAS score and sleep quality. There was no correlation between tinnitus side, age and sleep quality, but there was a positive and moderate correlation between age and sleep quality. Conclusion: Tinnitus questionnaire survey and regular visits to tinnitus patients should be conducted through the network, but the content and presentation of the questionnaire should be designed more rigorously. The vast majority of tinnitus patients are associated with sleep disorders, clinical treatment of tinnitus patients need to pay at-tention to the quality of sleep.