Ferrans Carol Estwing, Zerwic Julie Johnson, Wilbur Jo Ellen, Larson Janet L
University of Illinois, College of Nursing, Chicago, IL 60612, USA.
J Nurs Scholarsh. 2005;37(4):336-42. doi: 10.1111/j.1547-5069.2005.00058.x.
To revise the Wilson and Cleary model of health-related quality of life (HRQoL), with suggestions for applying each of the components, and to facilitate the use of HRQoL in nursing and health care.
HRQoL, based on relevant literature over the past 20 years.
The original model was revised in three substantive ways: (a) indicating that biological function is influenced by characteristics of both individuals and environments; (b) deleting nonmedical factors; and (c) deleting the labels on the arrows that tend to restrict characterization of the relationships.
Theoretical background is provided for each of the major components of the model, and examples of instruments to measure them, were added.
In quality-of-life research, the current challenge is to devise models to clarify the elements of health-related quality of life (HRQOL) and the causal relationships among them. This revision of Wilson and Cleary's model includes a taxonomy of the variables that often have been used to measure HRQoL. This revision should be useful in research and clinical practice.
修订威尔逊和克利里的健康相关生活质量（HRQoL）模型，提出各组成部分的应用建议，促进HRQoL在护理和医疗保健中的应用。
基于过去20年的相关文献构建HRQoL。
对原模型进行了三个实质性修订：（a）表明生物学功能受个体和环境特征的影响；（b）删除非医学因素；（c）删除倾向于限制关系描述的箭头上的标签。
为模型的每个主要组成部分提供了理论背景，并增加了测量这些组成部分的工具示例。
在生活质量研究中，当前的挑战是设计模型以阐明健康相关生活质量（HRQOL）的要素及其之间的因果关系。威尔逊和克利里模型的此次修订包括了常用于测量HRQoL的变量分类。此次修订在研究和临床实践中应会有所帮助。
