Leirvik Atle, Liverød Mona, Holmøy Trygve
Det medisinske fakultet, Universitetet i Oslo, Oslo, Norway.
Tidsskr Nor Laegeforen. 2006 Oct 5;126(19):2520-2.
Amyotrophic lateral sclerosis (ALS) leads to loss of important body functions, a huge need for assistance and is associated with a low quality of life (QoL). We have investigated QoL in ALS patients treated by a multidisciplinary ALS team, and to which degree this team met the patients' needs.
The patients' health-related QoL was measured by use of SF-36, and content with the treatment offered by the team was evaluated through a structured interview of 14 ALS patients at the Neurological Department at Ullevål University Hospital, Oslo, Norway.
The patients reported low scores for physical QoL, but mental QoL was close to that of the general population. The patients were generally content with the treatment given by the ALS team. They were most content with the practical help given to organize their homes and the accessibility of different members of the team. They were least content with the psychological help and the information given to their relatives. Content with treatment was not correlated with self-perceived QoL or with physical disability.
Our findings suggest that the patients are content with the ALS team, but that their psychological reactions and information to relatives are not handled well enough. Most ALS patients treated by the ALS team experience their life as meaningful, regardless of their degree of neurological dysfunction.
肌萎缩侧索硬化症(ALS)会导致重要身体功能丧失,对帮助的需求巨大,且与生活质量(QoL)低下相关。我们调查了由多学科ALS团队治疗的ALS患者的生活质量,以及该团队在多大程度上满足了患者的需求。
通过使用SF-36量表测量患者与健康相关的生活质量,并通过对挪威奥斯陆于勒沃尔大学医院神经科的14名ALS患者进行结构化访谈,评估患者对团队提供治疗的满意度。
患者报告身体生活质量得分较低,但心理生活质量接近普通人群。患者总体上对ALS团队提供的治疗感到满意。他们对为整理家居提供的实际帮助以及团队不同成员的可及性最为满意。他们对心理帮助以及向其亲属提供的信息最不满意。治疗满意度与自我感知的生活质量或身体残疾无关。
我们的研究结果表明,患者对ALS团队感到满意,但他们的心理反应以及向亲属提供的信息处理得不够好。大多数由ALS团队治疗的ALS患者认为他们的生活有意义,无论其神经功能障碍程度如何。