ABSTRACT
Introduction: Chronic suppurative otitis media (CSOM) is achronic suppurative inflammation of mucoperiosteal layer ofthe middle ear cleft appreciated by perforation of the tympanicmembrane. CSOM can severely impact quality of life (QoL)of patients. QoL is the latest indicator of health care. The aimwas to assess the quality of life in CSOM (Chronic suppurativeotitis media) patients in a tertiary care centre.Materials and methods: It was a descriptive epidemiologicalstudy and sample size is approximately 60 using aQuestionnaire by interview method - the CES questionnaire(Activity Restriction, Symptom and Medical Resource).Results: In the end we came to know QoL is not affected inCSOM patients (p<.05) in terms of age, gender with activityrestriction, symptom and medical resource.Conclusion: Hence concluded that quality of life is notaffected in csom patients and though the health seekingbehavior has increased, the knowledge about the disease isminimum. We have to promote health education about thedisease. Further studies with larger sample size necessary toget significant correlation in QoL of csom patients.
ABSTRACT
BACKGROUND AND OBJECTIVES: The Chronic Ear Survey (CES) has been known to be a valid, disease-specific measure for the evaluation of health status and treatment effectiveness for chronic otitis media patients. As part of this study, we developed a Korean version by adapting from this CES, determined its reliability and validity. MATERIALS AND METHOD: The development of the Korean version of CES (K-CES) included the processes of standard independent translation and cross-cultural adaptation to check for cultural inconsistency. The finalized K-CES was administered to 166 patients visiting 10 referral hospitals in a prospective manner. K-CES was validated by using the Cronbach's alpha coefficient, confirmatory factor analysis and test-retest analysis for reliability and validity. The 36-Item Short Form Health Survey Instrument (SF-36) was assessed and the result was used to evaluate the criterion validity. RESULTS: The K-CES demonstrated good test-retest reliability and internal consistency (Cron-bach's alpha=0.850). Scale-item correlation coefficient was even higher than 1.0, which shows a very high reliability of K-CES. The validity of K-CES, checked by confirmatory factor analysis, also showed good construct validity. There was high correlation between SF-36 and the scores of K-CES, which indicates high criterion validity. CONCLUSION: We concluded that K-CES is a valid tool for clinical use and research studies in Korean patients with chronic otitis media.