Latar belakang: Sumbatan hidung merupakan keluhan yang sering didapatkan pada praktikTelinga Hidung Tenggorok sehari-hari. Penyebab sumbatan hidung adalah multifaktorial, dan dapatdisebabkan oleh faktor struktural ataupun mukosa. Hidung tersumbat juga dapat mengakibatkan gangguankualitas hidup seseorang. Pemeriksaan sumbatan hidung dapat dilakukan secara subjektif dan objektif.Pemeriksaan secara subjektif dapat dilakukan dengan menggunakan kuesioner Nasal Obstruction andSymptom Evaluation (NOSE). Kuesioner ini dapat digunakan untuk menilai sumbatan hidung akibatdeformitas hidung seperti crooked nose, saddle nose, gangguan katup hidung dan deviasi septum.Tujuan: Penelitian ini dilakukan untuk menilai validitas dan reliabilitas kuesioner Nasal Obstructionand Symptom Evaluation (NOSE) dalam Bahasa Indonesia.Metode: Penelitian ini adalah penelitianstudi potong lintang dengan desain deskriptif pada 62 responden.Hasil: Pada uji validitas didapatkanvaliditas internal yang baik pada seluruh pertanyaan, sedangkan uji reliabilitas kuesioner NOSE denganadaptasi Bahasa Indonesia ini mempunyai nilai reliabilitas yang sangat baik dengan nilai Cronbach-α>0,8.Kesimpulan: Kuesioner NOSE dengan adaptasi Bahasa Indonesia adalah valid dan reliabel untukmenilai sumbatan hidung pada deformitas hidung.Kata kunci: Nasal Obstruction Symptom Evaluation, sumbatan hidung, reliabilitas, validitas ABSTRACTBackground: Nasal obstruction is one of the most common symptoms in daily ENT practice.Etiology of nasal obstruction is multifactorial and could be caused by mucosal or structural factors.Nasal obstruction also correlates with quality of life. There are subjective and objective evaluationto diagnose nasal obstruction. Subjective evaluation for nasal obstruction can be assessed by usingNasal Obstruction and Symptom Evaluation (NOSE) Questionnaire. This questionnaire could be usedto assess nasal obstruction caused by nasal deformities such as crooked nose, saddle nose, nasal valvedysfunction and septal deviation. Purpose: To assess the validity and reliability of Nasal Obstructionand Symptom Evaluation (NOSE) Questionnaire in Bahasa Indonesia. Method: This study was a crosssectional descriptive study, involved 62 respondents. Result: Based on the validity of the test, it showedgood internal validity of each question, while on reliability test of NOSE questionnaire was excellentwith values of Cronbach-α >0.8. Conclusion: The Indonesian adaptation of NOSE questionnaire wasfound as valid and reliable instrument for assessing nasal obstruction in nasal deformities.Keywords: Nasal Obstruction Symptom Evaluation, nasal obstruction, reliability, validity
Latar belakang: Celah bibir dan palatum merupakan kelainan proses pertumbuhan area orofasial yang menimbulkan permasalahan kompleks. Penelitian ini menitikberatkan permasalahanyang terkait dengan fungsi bicara. Tujuan: Penelitian ini melaporkan gambaran skor nasalance padacelah palatum, hubungan antara skor nasalance percontoh celah palatum dan tanpa celah palatum sertafaktor-faktor yang berhubungan dengan skor nasalance. Metode: Desain penelitian adalah comparativecross sectional. Pengambilan percontoh dilakukan dengan purposive sampling. Dilakukan wawancara,pengisian kuesioner, pemeriksaan THT, audiometri, timpanometri, nasoendoskopi, dan nasometri.Hasil: Didapatkan gambaran rerata skor nasalance percontoh celah palatum. Terdapat perbedaanbermakna antara skor nasalance percontoh celah palatum dan tanpa celah palatum pada Uji Gajah danUji Hantu (p<0,001). Pada analisis multivariat secara keseluruhan faktor-faktor yang berhubungandengan skor nasalance (adenoid, otitis media efusi, serta gangguan pendengaran) dan keberadaancelah palatum berpengaruh secara signifikan terhadap skor nasalance untuk semua uji nasalance(p<0,05) pada pengujian terhadap kedua kelompok percontoh. Bila dilihat secara parsial faktor adenoidberpengaruh secara signifikan terhadap skor semua uji nasalance baik pada analisis kedua kelompokpercontoh maupun pada percontoh celah palatum saja. Kesimpulan: Rerata skor nasalance kelompokcelah palatum lebih tinggi daripada kelompok tanpa celah palatum. Didapatkan peran faktor yangberpengaruh terhadap skor nasalance, khususnya adenoid. Diperlukan penelitian lebih lanjut terhadappercontoh sesudah operasi sehingga bisa dijadikan sebagai evaluasi terhadap keberhasilan tindakan. Kata kunci: celah palatum, skor nasalance, tonsil, adenoid, otitis media efusi, gangguan pendengaran ABSTRACTBackground: Cleft lip and palate is an orofacial malformation and associated with many problems. This study concerned in speech problem in cleft palate patients. Purpose: This study reportednasalance score in cleft palate patients, the correlation between nasalance score in cleft palate and noncleft palate groups and also some factors related with nasalance score in cleft palate patients. Methods:The design of this study was comparative cross sectional, with purposive sampling. Data was collectedwith interview, questioner apllication, ENT examination, audiometry, tympanometry, nasoendoscopy,and nasometry. Results: The result of this study reported the mean of nasalance score in cleft palatepatients. There was significant difference in nasalance score between cleft palate and non cleft palatepatients in Uji Gajah and Uji Hantu (p>0,05). In multivariate analysis, in general the factors relatedwith nasalance score (adenoid, otitis media with effusion, and hearing loss) and cleft palate itself weresignificantly correlated with nasalance score in all nasalance test (p<0,05) in both groups analysis butno signifficant correlation in cleft palate group analysis. Partially, adenoid was significantly correlated in both group analysis and cleft palate group analysis. Conclusion: The mean of nasalance score incleft palate group was higher than non cleft group. Some factors in this study, especially adenoid had corelations with nasalance score. It needs further study to evaluate the nasalance score patients withcleft palate after surgery to compare the results. Keywords: cleft palate, nasalance score, tonsil, adenoid, otitis media with effusion, hearing disturbance
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