Tahamiler Rauf, Edizer Deniz Tuna, Canakçioğlu Salih
Department of Otolaryngology, Cerrahpaşa Medicine Faculty of Istanbul University, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2007;17(3):138-42.
Quality of life in patients with chronic rhinosinusitis is affected more than many other chronic diseases. In this study, we evaluated the validity of the Rhinosinusitis Disability Index (RSDI) in assessing deterioration in the quality of life.
The Rhinosinusitis Disability Index consisting of 30 items was administered to 355 patients (206 males, 149 females; mean age 41 years; range 21 to 57 years) with chronic rhinosinusitis before and after treatment and to 112 healthy controls (44 males, 68 females; mean age 35 years; range 18 to 48 years). A detailed history was taken from the patients and skin-prick test was performed to eliminate allergic rhinitis. The scores of patients and physicians were compared. The score of the RSDI is inversely proportional to the quality of life.
Spearman rank correlation test yielded a coefficient of 0.42 for comparisons between pre- and post-treatment scores and physician evaluation. Coefficients for correlations between the patients' and physicians' scores before and after treatment were 0.62 and 0.59, respectively. The mean RSDI scores of the patients before and after treatment were 35.2+/-14.3 and 13.9+/-10.8, respectively, compared to a score of 8.4+/-8.8 of the control group. Only 72.4% of the patients could answer the questions by themselves.
If properly administered, the RSDI is a reliable method in evaluating quality of life; however, it is affected by the socioeconomic and education levels of the participants.
慢性鼻窦炎患者的生活质量受影响程度超过许多其他慢性疾病。在本研究中,我们评估了鼻窦炎残疾指数(RSDI)在评估生活质量恶化方面的有效性。
对355例慢性鼻窦炎患者(男206例,女149例;平均年龄41岁;范围21至57岁)在治疗前后进行了包含30个条目的鼻窦炎残疾指数评估,并对112名健康对照者(男44例,女68例;平均年龄35岁;范围18至48岁)进行了同样评估。采集了患者的详细病史,并进行了皮肤点刺试验以排除过敏性鼻炎。比较了患者和医生的评分。RSDI评分与生活质量成反比。
Spearman等级相关检验显示,治疗前与治疗后评分及医生评估之间的相关系数为0.42。治疗前后患者与医生评分之间的相关系数分别为0.62和0.59。患者治疗前和治疗后的平均RSDI评分分别为35.2±14.3和13.9±10.8,而对照组的评分为8.4±8.8。只有72.4%的患者能够自己回答问题。
如果使用得当,RSDI是评估生活质量的可靠方法;然而,它受参与者社会经济和教育水平的影响。