بررسی پایایی و روایی نسخۀ فارسی پرسش نامه ارزیابی رضایتمندی رینوپلاستی (roe)

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 1399 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 87 نفر از بیماران قرار گرفت. برای بررسی پایایی پرسش‌نامه از آلفای کرونباخ و آزمون بازآزمایی مجدد testretest استفاده شد.یافته‌ها: ضریب آلفای کرونباخ برای این پرسش‌نامه 0/727 محاسبه شد. میانگین نمره کلی بیماران قبل از جراحی 43/15±15/32 بود که به 68/48 ± 12/49 بعد از جراحی افزایش یافت (0/001>p). علاوه بر این، cvr تمامی گویه‌ها بالاتر از حد استاندارد cvr برای 10 خبره، یعنی 0/62 بود، بجز گویه‌ی شماره دو که cvr برابر با 0/564 داشت. همچنین میانگین cvi همه گویه‌ها برابر با 0/8 بود که بالاتر از 0/79 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. 

evaluating the reliability and validity of the persian version of the rhinoplasty satisfaction questionnaire (roe)

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 nonwhites 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 selfimage and consequently selfesteem (35). 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 nonrandomized 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 (1012). it can be used for many iranian patients and surgeons. this study aimed to evaluate the validity and reliability of the translated roe questionnaire.ethods: 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 vicechancellor of the iran university of medical sciences (ir.iums.fmd.rec.1399.849).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).