Berlin R B, Schatz B R
Department of Surgery, School of Medicine, University of Illinois, Champaign, IL 61820.
Congest Heart Fail. 2001 Jan-Feb;7(1):13-21. doi: 10.1111/j.1527-5299.2001.00863.x.
The health care system has traditionally focused on treating disease at the point of failure, such as life-saving surgery or intensive medical therapy. As demographics shift more to an aging population, management of health-related quality of life and life-restricting disease becomes more necessary. Prominent among such diseases is congestive heart failure, which must be addressed as a major chronic health condition with its consequent effect on quality of life. This paper examines the methods of monitoring the quality of life in congestive heart failure. Particular attention is paid to congestive heart failure-related questionnaires to derive lifestyle information directly from patients. Comparison is made with general quality of life instruments. Most commonly, these questionnaires are applied to small populations in limited situations. New technology, such as the Internet, has greatly expanded the breadth and depth of health monitors by tracking status directly in patients' homes. This promises new levels of population management for heart disease. (c)2001 by CHF, Inc.
传统上，医疗保健系统一直专注于在疾病发作时进行治疗，比如进行挽救生命的手术或强化医疗治疗。随着人口结构更多地向老龄化转变，对与健康相关的生活质量和限制生命的疾病进行管理变得越发必要。在这类疾病中，充血性心力衰竭尤为突出，必须将其作为一种对生活质量有相应影响的主要慢性健康状况来加以应对。本文探讨了监测充血性心力衰竭患者生活质量的方法。特别关注了与充血性心力衰竭相关的问卷，以便直接从患者那里获取生活方式信息。并与一般生活质量评估工具进行了比较。这些问卷最常见的情况是在有限的情境中应用于小群体。诸如互联网之类的新技术通过直接在患者家中追踪病情，极大地扩展了健康监测的广度和深度。这有望为心脏病的人群管理带来新的水平。（版权所有©2001，CHF公司）
