Frosch Dominick L, Kaplan Robert M, Ganiats Theodore G, Groessl Erik J, Sieber William J, Weisman Michael H
University of California, San Diego, CA, USA.
Arthritis Rheum. 2004 Feb 15;51(1):28-33. doi: 10.1002/art.20071.
To evaluate the self-administered Quality of Well-Being (QWB-SA) Scale for patients with rheumatic diseases.
Family medicine patients (n = 562) and rheumatology patients (n = 334) were assessed using the following tools: QWB-SA, Health Assessment Questionnaire (HAQ), Arthritis Impact Measurement Scales (AIMS), and Rapid Assessment of Disease Activity in Rheumatology (RADAR).
Patients with arthritis had significantly lower QWB-SA scores and significantly higher HAQ scores than family medicine patients with and without adjustment for covariates. The QWB-SA was significantly associated with quartiles from the RADAR, AIMS, and HAQ, providing evidence for the validity of the generic measure in patients with arthritis. Discriminant function analysis was used to create an arthritis-specific scoring system for the QWB-SA. Analyses demonstrated systematic relationships between the Quality of Well-Being arthritis composite and the disease-specific RADAR, AIMS, and HAQ.
Evidence supports the validity of the QWB-SA for patients with rheumatic diseases. QWB-SA items can be used to calculate an arthritis-specific score. The QWB-SA can be used to gain generic information for cost-utility analysis and disease-specific outcomes information for patients with arthritis.
评估自我管理的健康状况量表（QWB-SA）在风湿性疾病患者中的应用。
使用以下工具对家庭医学患者（n = 562）和风湿病患者（n = 334）进行评估：QWB-SA、健康评估问卷（HAQ）、关节炎影响测量量表（AIMS）以及风湿病疾病活动快速评估（RADAR）。
无论是否对协变量进行调整，关节炎患者的QWB-SA得分均显著低于家庭医学患者，且HAQ得分显著高于家庭医学患者。QWB-SA与RADAR、AIMS和HAQ的四分位数显著相关，为该通用测量方法在关节炎患者中的有效性提供了证据。采用判别函数分析为QWB-SA创建了一个针对关节炎的评分系统。分析表明，健康状况关节炎综合评分与疾病特异性的RADAR、AIMS和HAQ之间存在系统关系。
有证据支持QWB-SA在风湿性疾病患者中的有效性。QWB-SA项目可用于计算针对关节炎的评分。QWB-SA可用于获取用于成本效用分析的通用信息以及关节炎患者的疾病特异性结局信息。
