Frick Sonia, Uehlinger Dominik E, Zürcher Zenklusen Regula M
Medical ICU, University Hospital, Geneva, Switzerland.
Intensive Care Med. 2002 Oct;28(10):1405-10. doi: 10.1007/s00134-002-1434-z. Epub 2002 Jul 26.
To compare three different measures to assess quality of life (QOL) after an Intensive Care Unit (ICU) stay: a standardized telephone interview, a satisfaction scale, and the Sickness Impact Profile (SIP).
Prospective study, evaluating QOL 6 months after ICU discharge.
Medical ICU of a Swiss tertiary-care university hospital.
Patients admitted to the ICU between July and November 1998 for more than 24 h were included. Six months after ICU discharge overall QOL and health-related QOL were evaluated. Of the 118 patients approached, 85 returned valid questionnaires.
The majority of patients indicated good QOL 6 months after ICU stay on each measure. A correlation for both overall and health-related QOL was found between the SIP and the satisfaction scales, between SIP and the telephone interviews, between the telephone interviews and satisfaction scales. The correlation between rating by scale or telephone interview and SIP in patients with cardiovascular disease differed from patients with other diagnoses.
For the global assessment of overall or health-related QOL after ICU stay, long questionnaires such as SIP may be replaced by a short, structured telephone interview or, better, by a satisfaction scale. Quantitative measures such as SIP may be needed for comparison of therapeutic interventions or specific functional or psychosocial aspects.
比较三种不同的方法来评估重症监护病房（ICU）住院后的生活质量（QOL）：标准化电话访谈、满意度量表和疾病影响量表（SIP）。
前瞻性研究，评估ICU出院6个月后的生活质量。
瑞士一家三级护理大学医院的内科ICU。
纳入1998年7月至11月入住ICU超过24小时的患者。在ICU出院6个月后评估总体生活质量和与健康相关的生活质量。在118名被调查的患者中，85名返回了有效问卷。
大多数患者在每种评估方法中都表明ICU住院6个月后的生活质量良好。在SIP与满意度量表之间、SIP与电话访谈之间、电话访谈与满意度量表之间，发现总体生活质量和与健康相关的生活质量均存在相关性。心血管疾病患者通过量表或电话访谈的评分与SIP之间的相关性与其他诊断的患者不同。
对于ICU住院后总体或与健康相关的生活质量的整体评估，诸如SIP这样的长问卷可能会被简短的结构化电话访谈所取代，或者更好的是被满意度量表所取代。在比较治疗干预措施或特定功能或心理社会方面时，可能需要诸如SIP这样的定量测量方法。
