Yilmaz Figen, Sahin Fusun, Ergoz Ernur, Deniz Emel, Ercalik Cem, Yucel Serap Dalgic, Kuran Banu
Department of Physical Medicine and Rehabilitation, Sisli Etfal Education and Research Hospital, Serakent Sitesi Sumbul Blok, No:16/24 80360 Kagithane, Istanbul, Turkey.
Clin Rheumatol. 2008 Mar;27(3):327-32. doi: 10.1007/s10067-007-0717-8. Epub 2007 Sep 13.
The aim of this study is to evaluate comparatively the life quality of patients with knee osteoarthritis (KO), shoulder impingement syndrome(SIS), fibromialgia(FM), or osteoporosis(OP) using SF 36 and establish the impact of these diseases on quality of life (QoL). A total of 193 patients with one of the above-mentioned different diagnoses completed SF 36 scale. The diseases were compared to each other with SF 36 subgroups scores. There were significant differences among patients with KO and SIS, SIS and FM with respect to all SF 36 subgroups scores. According to these assessments, QoL of KO and FM patients was worst than that of SIS. The QoL scores of KO patients were worse than those of FM patients considering the physical function, while QoL scores of FM patients were lower than those of KO patients with respect to their general well-being. Scores of physical function and pain in KO patients were lower than those of OP patients. In domains of social functioning, emotional role, energy, pain, and general health condition QoL of FM patients was worse than that of OP patients. Quality of life of SIS patients was less affected than the patients of the other disease groups. In spite of their young age, FM patients appear to be the group with the worst quality of life scores.
本研究旨在使用SF-36量表比较评估膝骨关节炎（KO）、肩部撞击综合征（SIS）、纤维肌痛（FM）或骨质疏松症（OP）患者的生活质量，并确定这些疾病对生活质量（QoL）的影响。共有193例患有上述不同诊断之一的患者完成了SF-36量表。通过SF-36亚组评分对这些疾病进行相互比较。在所有SF-36亚组评分方面，KO患者与SIS患者、SIS患者与FM患者之间存在显著差异。根据这些评估，KO和FM患者的生活质量比SIS患者差。考虑到身体功能，KO患者的生活质量得分比FM患者差，而FM患者在总体健康方面的生活质量得分低于KO患者。KO患者的身体功能和疼痛得分低于OP患者。在社会功能、情感角色、精力、疼痛和总体健康状况方面，FM患者的生活质量比OP患者差。SIS患者的生活质量受影响程度低于其他疾病组的患者。尽管FM患者年龄较轻，但他们似乎是生活质量得分最差的群体。
