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[慢性鼻窦炎患者生活质量的测量概念]

[Concepts for measuring quality of life in patients with chronic sinusitis].

作者信息

Maune S, Rudert H, Heissenberg M C, Schmidt C, Eggers S, Landmann K, Küchler T

机构信息

Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie, Christian-Albrechts-Universität zu Kiel.

出版信息

Laryngorhinootologie. 1999 Sep;78(9):475-80. doi: 10.1055/s-2007-996912.

DOI:10.1055/s-2007-996912
PMID:10535063
Abstract

BACKGROUND

In 1997, Benninger developed the Rhinosinusitis Disability Index (RSBI) for patients who suffered from chronic sinusitis. Its content related validity and construct related validity were established, as were its sensitivity and reliability. The aim of our study is to introduce a concept to measure quality of life in these patients according to circumstances prevalent in Germany.

METHODS

The questionnaire (Rhinusitis-Beeinträchtigungs-Index, RSBI) contains 30 questions that describe the 5 aspects of quality of life. Moreover we used a standardized data sheet to acquire further information about history and diagnostic results. Using this method it is possible to specificity more precisely the patients current complaints and condition. Evaluation is possible according to complex of questions as well as simple items. The influence of treatment on quality of life can be measured as the sum of the specific scores and is expressed comprehensively in the total score. The concept of the study includes a prospective inquiry as well as before and after surgical intervention.

CONCLUSION

A disadvantage of the American RSDI is that the clinical symptoms are not described in a detailed catalogue which allows the correlation of the clinical factors. Therefore we added a detailed questionnaire concerning the clinical symptoms and the individual treatment of the patient (RSBI). That permits comprehensive analysis of quality of life as it relates to different aspects of disease and different strategies in treatment.

摘要

背景

1997年,本宁格为慢性鼻窦炎患者制定了鼻窦炎残疾指数(RSBI)。其内容效度和结构效度已得到确立,其敏感性和可靠性也已得到证实。我们研究的目的是引入一个概念,根据德国普遍存在的情况来衡量这些患者的生活质量。

方法

问卷(鼻窦炎影响指数,RSBI)包含30个描述生活质量5个方面的问题。此外,我们使用标准化数据表获取有关病史和诊断结果的进一步信息。使用这种方法可以更精确地明确患者当前的症状和病情。可以根据问题复合体以及简单项目进行评估。治疗对生活质量的影响可以通过特定分数的总和来衡量,并在总分中综合体现。该研究的概念包括前瞻性询问以及手术干预前后的情况。

结论

美国RSBI的一个缺点是,临床症状没有在一个详细的目录中描述,无法实现临床因素的关联。因此,我们增加了一份关于临床症状和患者个体治疗的详细问卷(RSBI)。这使得能够全面分析与疾病不同方面和不同治疗策略相关的生活质量。

相似文献

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引用本文的文献

1
[Quality of life in patients with chronic rhinosinusitis: validation of the Sino-Nasal Outcome Test-20 German Adapted Version].[慢性鼻-鼻窦炎患者的生活质量:鼻窦结局测试-20德国改编版的验证]
HNO. 2007 Jan;55(1):42-7. doi: 10.1007/s00106-005-1347-6.
2
[Quality of life. An important parameter in respiratory tract diseases].
HNO. 2005 May;53 Suppl 1:S33-7. doi: 10.1007/s00106-005-1234-1.