Division of Rheumatology, Department of Medicine, New York University School of Medicine and NYU Hospital for Joint Diseases, Room 1608, 301 East 17th Street, New York, NY 10003, USA.
Rheum Dis Clin North Am. 2009 Nov;35(4):787-98, ix. doi: 10.1016/j.rdc.2009.10.011.
The health assessment questionnaire (HAQ) is the questionnaire most widely used to assess and monitor patients with rheumatic diseases. The HAQ includes 20 activities grouped into 8 categories of 2 or 3 (and queries the use of "aids and devices" and "help from another person" to perform these activities), and visual analog scales (VAS) for pain and patient global estimate of status. Use of the HAQ in usual care over the years has led to several modifications to develop a multidimensional HAQ (MDHAQ). The MDHAQ includes 10 activities, one from each category of the HAQ plus 2 complex activities-walk 2 miles or 3 km-all on one side of a page for easy "eyeball" review by a clinician; pain, global and fatigue VAS with 21 circles rather than 10-cm lines for ease of scoring; recent medical history; review of systems; a query about exercise; and scoring templates for the 3 rheumatoid arthritis (RA) Core Data Set patient-reported measures-physical function, pain, and global estimate-for a routine assessment of patient index data (RAPID3) composite score. Both the HAQ and MDHAQ involve 2 sides of one sheet of paper, and are completed by patients in 5 to 10 minutes. The HAQ requires 42 seconds to score, compared with 5 to 10 seconds for RAPID3 on the MDHAQ.
健康评估问卷 (HAQ) 是评估和监测风湿性疾病患者最常用的问卷。HAQ 包括 20 项活动,分为 8 类,每类 2 或 3 项(并询问使用“辅助器具”和“他人帮助”来完成这些活动),以及疼痛和患者总体状况的视觉模拟量表 (VAS)。多年来,HAQ 在常规护理中的使用导致了一些修改,以开发多维 HAQ(MDHAQ)。MDHAQ 包括 10 项活动,每项活动均来自 HAQ 的一个类别,外加 2 项复杂活动——在一页纸的一侧走 2 英里或 3 公里,便于临床医生进行“目测”审查;疼痛、总体和疲劳 VAS 有 21 个圆圈,而不是 10 厘米的线,便于评分;最近的病史;系统回顾;关于运动的查询;以及用于评估患者报告的 3 项类风湿关节炎 (RA) 核心数据集中的物理功能、疼痛和总体估计的 3 项指标的评分模板-患者指数数据 (RAPID3) 综合评分。HAQ 和 MDHAQ 均涉及一张纸的两面,患者在 5 到 10 分钟内完成。HAQ 评分需要 42 秒,而 MDHAQ 上的 RAPID3 需要 5 到 10 秒。