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基于COOP/WONCA量表信息的健康相关生活质量研究

[Study on health related quality of life based on information from COOP/WONCA sheets].

作者信息

Lizán Tudela L, Reig Ferrer A, Richart Martínez M, Cabrero García J

机构信息

Unidad Docente M. F. y C., Universidad de Alicante.

出版信息

Med Clin (Barc). 2000;114 Suppl 3:76-80.

Abstract

BACKGROUND

The main objective of this study is to describe the quality of life related to health (QLRH) in primary health patients, in escorts of primary health care patients, in pregnant women, in relatives caring for Alzheimer patients, and in drug addicts.

PATIENTS AND METHODS

The sample consists of 1,408 persons: primary health care patients (n = 475), escorts of primary health care patients (n = 200), in pregnant women (n = 510), in relatives caring for Alzheimer patients (n = 169), and in drug addicts (n = 68). The QLRH has been measured according to the Spanish version of the COOP/WONCA charts. The questionnaire was filled directly by the people surveyed.

RESULTS

The group of pregnant women is the group less physically fit but at the same time the group with best health status, higher social support and best quality of life. At the other end, the group of addicts is the worst considered group regarding the variables of feelings, social activities and quality of life. The factor analysis shows a unifactor structure and its internal consistency is 0.79 (Cronbach's alpha). The multiple regression of COOP/WONCA charts over the variables of age, sex and study groups explains the 14% of the variance (r2 = 0.14).

CONCLUSIONS

The COOP/WONCA charts allow for the establishment of distinctions in some of the groups studied (pregnant women and drug addicts), but do not establish enough differences with respect to other groups, which may be due to a certain homogeneity among them. The use of a global score for the COOP/WONCA charts would be theoretically and methodology feasible.

摘要

背景

本研究的主要目的是描述初级卫生保健患者、初级卫生保健患者陪护人员、孕妇、照顾老年痴呆症患者的亲属以及吸毒成瘾者的健康相关生活质量(QLRH)。

患者与方法

样本包括1408人:初级卫生保健患者(n = 475)、初级卫生保健患者陪护人员(n = 200)、孕妇(n = 510)、照顾老年痴呆症患者的亲属(n = 169)以及吸毒成瘾者(n = 68)。根据COOP/WONCA图表的西班牙语版本对QLRH进行测量。问卷由被调查者直接填写。

结果

孕妇组身体状况最差,但同时健康状况最佳,社会支持度更高,生活质量也最好。另一方面,吸毒成瘾者组在情感、社交活动和生活质量变量方面被认为是最差的组。因子分析显示为单因素结构,其内部一致性为0.79(克朗巴哈系数)。COOP/WONCA图表对年龄、性别和研究组变量的多元回归解释了14%的方差(r2 = 0.14)。

结论

COOP/WONCA图表能够在部分研究组(孕妇和吸毒成瘾者)之间做出区分,但在其他组之间未能区分出足够差异,这可能是由于这些组之间存在一定同质性。从理论和方法上讲,使用COOP/WONCA图表的综合评分是可行的。

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