Iraurgi Castillo Ioseba, Póo Mónica, Márkez Alonso Iñaki
Módulo de Asistencia Psicosocial de Rekalde, Bilbao.
Rev Esp Salud Publica. 2004 Sep-Oct;78(5):609-21. doi: 10.1590/s1135-57272004000500006.
The questionnaires that measure perceived health are used in clinical practice to determine the impact of illnesses and the benefits of treatments. Population-based norms have been proposed to increase their interpretability. The aim of this paper was to obtain reference values for users of Methadone Maintenance Programs (MMP) in the Basque Autonomous Community (BAC).
Cross-sectional study carried out in 2000 on a stratified random sample of users included in MMP of BAC (n=726). SF-36 Health Survey was used; central trend, dispersion and percentile data were estimated for each of the SF-36 dimension scores to generate reference values according the dwell time in the methadone program.
All Cronbach's alpha coefficients were higher than 0.7, and the percentage or non-responds were lower 1%. The MMP users had lower punctuations in all dimensions of SF-36 than population values of reference (p<0.001). The health status of the participants was worse among those than they began the treatment that among those that took more than six months in the MMP; the differences in all SF-36 dimensions scores were statistically significant (p<0.001).
The SF-36 as a measure of health status in MMP population shows a high internal consistence, and is able to discriminate patients with different stages of treatment evolution. Results presented should be considered the population-based norms for monitoring the improvement progression or response to treatment in patients included in MMP.
用于衡量健康感知的问卷在临床实践中用于确定疾病的影响和治疗的益处。已提出基于人群的标准以提高其可解释性。本文的目的是为巴斯克自治区（BAC）美沙酮维持治疗项目（MMP）的使用者获取参考值。
2000年对BAC的MMP使用者的分层随机样本（n = 726）进行了横断面研究。使用了SF - 36健康调查；根据美沙酮项目中的停留时间，对每个SF - 36维度得分估计集中趋势、离散度和百分位数数据，以生成参考值。
所有Cronbach's alpha系数均高于0.7，未回复率低于1%。MMP使用者在SF - 36的所有维度上的得分均低于参考人群值（p < 0.001）。开始治疗时间较短的参与者的健康状况比在MMP中接受治疗超过六个月的参与者更差；所有SF - 36维度得分的差异具有统计学意义（p < 0.001）。
SF - 36作为MMP人群健康状况的一种测量方法，显示出较高的内部一致性，并且能够区分处于治疗进展不同阶段的患者。所呈现的结果应被视为用于监测MMP患者治疗改善进展或治疗反应的基于人群的标准。
