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主观食物过敏患者的生活质量:内佩恩消化不良指数10项简表的适用性

Quality of life in patients with subjective food hypersensitivity: applicability of the 10-item short form of the Nepean Dyspepsia Index.

作者信息

Arslan Gülen, Lind Ragna, Olafsson Snorri, Florvaag Erik, Berstad Arnold

机构信息

Division of Gastroenterology, Institute of Medicine, Haukeland University Hospital, Bergen, Norway.

出版信息

Dig Dis Sci. 2004 Apr;49(4):680-7. doi: 10.1023/b:ddas.0000026318.81635.3b.

Abstract

The aim of this study was to investigate quality of life and applicability of the 10-item short form of the Nepean Dyspepsia Index (SF-NDI) in patients with subjective food hypersensitivity. Fifty-two adult patients and 120 controls were examined using three questionnaires: Quality of life Nepean Dyspepsia Index (NDI), Gastrointestinal Symptom Rating Scale (GSRS), and Ulcer Esophagitis Subjective Symptoms Scale (UESS). To document psychometric properties, 20 of the patients filled in the SF-NDI questionnaire once more 4 weeks later. Patients had poor quality of life compared with controls from health care workers or general population (P < 0.001). Scores on SF-NDI were significantly correlated with scores on the GSRS (r = 0.34, P = 0.02) and UESS (r = 0.41, P = 0.003). The SF-NDI performed very satisfactorily, with a high reliability, construct validity, and responsiveness. Patients with subjective food hypersensitivity have considerably reduced quality of life. The SF-NDI provides reliable, responsive, and clinically valid measures of quality of life in these patients.

摘要

本研究旨在调查主观食物过敏患者的生活质量以及10项简版内皮恩消化不良指数(SF-NDI)的适用性。使用三份问卷对52名成年患者和120名对照者进行了检查:生活质量内皮恩消化不良指数(NDI)、胃肠道症状评定量表(GSRS)和溃疡食管炎主观症状量表(UESS)。为记录心理测量特性,20名患者在4周后再次填写了SF-NDI问卷。与来自医护人员或普通人群的对照者相比,患者的生活质量较差(P < 0.001)。SF-NDI得分与GSRS得分(r = 0.34,P = 0.02)和UESS得分(r = 0.41,P = 0.003)显著相关。SF-NDI表现非常令人满意,具有高可靠性、结构效度和反应性。主观食物过敏患者的生活质量显著降低。SF-NDI为这些患者的生活质量提供了可靠、有反应性且临床有效的测量方法。

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