Oyama Mark A, Rush John E, O'Sullivan M Lynne, Williams Regan M, Rozanski Elizabeth A, Petrie Jean-Paul, Sleeper Meg M, Brown Dorothy Cimino
Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Am Vet Med Assoc. 2008 Jul 1;233(1):104-8. doi: 10.2460/javma.233.1.104.
To describe the relative importance of pets' quality versus quantity of life among owners of dogs with heart disease.
Prospective questionnaire-based clinical study.
Owners of 201 dogs with heart disease.
Owners each completed a questionnaire that was designed to ascertain the relative importance of quality versus quantity of life for their pet and to assess the owners' willingness to trade survival time for quality of life, if that were possible. Analyses were performed to evaluate factors associated with owner willingness to trade time for quality of life.
Most owners (170/197 [86%]) were willing to trade survival time for quality of life for their heart disease-affected dogs; of those owners, 88 (52%) were willing to trade 6 months. Owners were highly concerned with detection of perceived pet suffering and their pet's ability to interact with them. Owners whose pets had respiratory difficulty or fainting episodes and were treated on an outpatient basis had a greater willingness to trade survival time than owners of dogs that were treated on an emergency basis. Among owners willing to trade time for quality of life, younger owners and those whose pets had fainting episodes were willing to trade the most amount of time.
Results indicated that quality of life is highly important to owners of dogs with heart disease. Owners' priorities partly depend on owner age and the pet's clinical circumstances; ongoing client-veterinarian communication is important to optimize treatment success as perceived by owners.
描述患有心脏病犬只的主人对宠物生活质量与生活数量的相对重视程度。
基于问卷的前瞻性临床研究。
201只患有心脏病犬只的主人。
每位主人都完成了一份问卷,该问卷旨在确定生活质量与生活数量对其宠物的相对重要性,并评估主人在可能的情况下用生存时间换取生活质量的意愿。进行分析以评估与主人用时间换取生活质量意愿相关的因素。
大多数主人(170/197 [86%])愿意为其患有心脏病的犬只用生存时间换取生活质量;在这些主人中,88人(52%)愿意换取6个月。主人高度关注察觉到的宠物痛苦以及宠物与他们互动的能力。其宠物有呼吸困难或昏厥发作且接受门诊治疗的主人比接受急诊治疗犬只的主人更愿意用生存时间换取生活质量。在愿意用时间换取生活质量的主人中,年轻主人以及其宠物有昏厥发作的主人愿意换取的时间最多。
结果表明生活质量对患有心脏病犬只的主人非常重要。主人的优先考虑因素部分取决于主人年龄和宠物的临床情况;持续的医患沟通对于优化主人所认为的治疗成功很重要。