Journal of Taiwan Occupational Therapy Research and Practice
半年刊,正常發行
目的:目前市面上並未有本土的嗅覺評估工具,而使用國外的評估工具則會因為文化 上的差異,導致有許多是台灣人所不熟悉甚至是陌生的氣味,評估結果難以判讀。本研究 是藉由問卷調查的方式,瞭解台灣人熟悉的嗅聞氣味為何。方法:本研究為問卷調查,以 方便取樣的方式召募了 582 位年齡在 18 歲以上的健康人進行『台灣人氣味熟悉度調查問 卷』的單次問卷填寫,本問卷的設計融合了三項於臨床廣泛使用的嗅覺評估工具,分別是 賓州大學嗅覺辨認測驗、日本的嗅覺評估測驗,以及韓國的嗅覺評估測驗。請問卷填寫者 試想自己正在參與一項嗅覺競賽,問卷中提及的項目會裝載在一個不透明的容器中,僅依 靠嗅覺將容器中的氣味辨識出來的信心程度有多高,使用李克特五點式量表進行評估,以1-5 分為範圍,分數越高,表示信心程度越高。問卷題目共計有 95 項,以敘述性統計及 單因子變異數分析問卷調查的結果。結果:我們將分數在 4 分以上的項目定義為國人普遍 有信心能辨認出的氣味,亦即有 80% 以上的信心能夠答對,受試者在 95 題中共有 30 項 的平均值達 4 分以上。有五個項目平均分數達 4.5 分以上,顯示個案具有高度的信心能夠 辨識出該氣味,分別是汽油、咖啡、香水、大蒜及咖哩。而分數最低的五個項目則分別是 冷杉樹、水、紫丁香、木蘭花、核桃。單因子變異數分析的結果顯示,女性的平均分數較 男性高,年齡及教育程度亦有族群間的差異,皆達統計上的顯著差異。結論:本研究結果 證實現有的嗅覺評估工具,有部分檢測項目並不符合我們的文化,因此必須加以改良製成 一套專屬台灣的嗅覺評估工具,才能使嗅覺檢測於臨床廣泛的使用。
Objective: A change in olfactory function has been reported as a preclinical non-motor symptom for several neurodegenerative diseases, such as Parkinson’s disease and Alzheimer’s disease; therefore, it is crucial to have a standardized, non-invasive and easily administered assessment for clinical use. Currently, there’s no Taiwanese olfactory function test that meets Taiwanese cultural background. The purpose of this research is to explore familiar odors in Taiwanese healthy adults. Methods: For survey design, we included the items from University of Pennsylvania Smell Identi cation Test, Korean version of Snif n’ stick test and The Odor Stick Identi cation Test from Japan. They are all widely used olfactory tests in Asia. Each participant was required to complete the survey without time limitation. Each odor was rated by 5-point Likert scale. For each item, descriptive statistics and analysis of variance (ANOVA) were performed to analyze the data. Results: 582 healthy adults completed thesurvey anonymously. There were 5 items with the average score above 4.5 points and they were gasoline, coffee, perfume, garlic, and curry. On the other hand, there were 5 least familiar odors with an average score below 3 points and they were fir tree, water, lilac, magnolia, walnut. Signi cant difference was found between sex, age and education levels. Females hadstatistically higher scores than males in 33 items. Conclusion: Olfactory function has been recognized as one of important factor for safety living. Current ndings suggested that existed assessment tools cannot be applied to Taiwanese because of cultural in uence. The need for developing a standardized smell test for Taiwanese is urgent.