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[头晕患者的生活质量及其相关因素]

[Quality of life and the related factors in patients with dizziness].

作者信息

Lee Hyun Jung, Choi-Kwon Smi

机构信息

Dankook University Medical Center, Cheonan, Korea.

出版信息

J Korean Acad Nurs. 2009 Oct;39(5):751-8. doi: 10.4040/jkan.2009.39.5.751.

Abstract

PURPOSE

The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness.

METHODS

The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured.

RESULTS

The mean QOL score was 37.5 (+/-23.0). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL.

CONCLUSION

The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.

摘要

目的

本研究旨在调查头晕患者的生活质量(QOL)及相关因素。

方法

于2008年3月至6月间收集了200名同意参与研究的个体的数据。测量了不确定性(疾病不确定感量表)、焦虑、抑郁(医院焦虑抑郁量表)、前庭功能障碍日常生活活动能力(前庭功能障碍-日常生活活动能力[ADL]量表)以及生活质量(头晕残障量表)。

结果

生活质量平均得分为37.5(±23.0)。月收入、头晕的病因、发作频率和总时长是这些患者生活质量的显著相关因素。曾有跌倒、焦虑、抑郁、不确定性以及日常生活中的前庭功能障碍也是影响生活质量的重要因素。在多元回归分析中,焦虑、前庭功能障碍-ADL、跌倒、症状总时长、不确定性和头晕病因解释了生活质量变异的41%。

结论

与以往研究中的患者相比,我们研究中患者的生活质量水平处于中等。焦虑和前庭功能障碍是预测生活质量低下的最重要因素。采用旨在缓解这些因素的护理干预方案也应能改善头晕患者的生活质量。

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