Lush M T, Henry S B, Foote K, Jones D L
Kaiser Permanente Medical Care Program, Northern California Region, Oakland 94612, USA.
Stud Health Technol Inform. 1997;46:229-34.
This descriptive, correlational study was designed to determine the sensitivity of a generic health status instrument to patient population and to time. The study sample included adult patients undergoing total joint replacement (TJR), adult patients in acute congestive heart failure (CHF), and pediatric patients receiving chemotherapy (PediOnc). A 2 x 3 (population x time) ANOVA for TJR and CHF demonstrated a significant main effect of time (F = 8.0, p = .0006) and a significant interaction effect between time and population (F = 14.4, p < .0001) for functional status. In the PediOnc subsample (HSOD child version), the highest scores for all HSOD factors with the exception of functional status were at Time 3. There was also a significant main effect of time on health care involvement, on the caregiver factor, and the family factor. These results support the sensitivity of the HSOD to patient population and to time.
这项描述性、相关性研究旨在确定一种通用健康状况工具对患者群体和时间的敏感性。研究样本包括接受全关节置换术（TJR）的成年患者、急性充血性心力衰竭（CHF）的成年患者以及接受化疗的儿科患者（儿科肿瘤患者）。对TJR和CHF患者进行的2×3（群体×时间）方差分析表明，时间存在显著的主效应（F = 8.0，p = .0006），功能状态方面时间与群体之间存在显著的交互效应（F = 14.4，p < .0001）。在儿科肿瘤患者子样本（HSOD儿童版）中，除功能状态外，所有HSOD因素的最高得分出现在时间3。时间对医疗保健参与度、照料者因素和家庭因素也存在显著的主效应。这些结果支持了HSOD对患者群体和时间的敏感性。
