Department of Medical Psychology, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 DE Amsterdam, The Netherlands.
Qual Life Res. 2010 Mar;19(2):253-91. doi: 10.1007/s11136-009-9569-9. Epub 2010 Jan 3.
To review which domains somatically ill persons nominate as constituting their QoL. Specific objective is to examine whether the method of enquiry affect these domains.
We conducted two literature searches in the databases PubMed/Medline, CINAHL and Psychinfo for qualitative studies examining patients' self-defined QoL domains using (1) SEIQoL and (2) study-specific questions. For each database, two researchers independently assessed the eligibility of the retrieved abstracts and three researchers subsequently classified all QoL domains.
Thirty-six eligible papers were identified: 27 studies using the SEIQoL, and nine presenting data derived from study-specific questions. The influence of the method of enquiry on patients' self-nominated QoL domains appears limited: most domains were presented in both types of studies, albeit with different frequencies.
This review provides a comprehensive overview of somatically ill persons' self-nominated QoL domains. However, limitations inherent to reviewing qualitative studies (e.g., the varying level of abstraction of patients' self-defined QoL domains), limitations of the included studies and limitations inherent to the review process, hinder cross-study comparisons. Therefore, we provide guidelines to address shortcomings of qualitative reports amenable to improvement and to stimulate further improvement of conducting and reporting qualitative research aimed at exploring respondents' self-nominated QoL domains.
回顾躯体疾病患者提名的哪些领域构成他们的生活质量。具体目标是检验询问方法是否会影响这些领域。
我们在 PubMed/Medline、CINAHL 和 Psychinfo 数据库中进行了两次文献检索,以查找使用(1)SEIQoL 和(2)特定于研究的问题来检查患者自我定义的生活质量领域的定性研究。对于每个数据库,两名研究人员独立评估检索到的摘要的资格,然后由三名研究人员对所有生活质量领域进行分类。
确定了 36 篇合格的论文:27 项研究使用 SEIQoL,9 项研究呈现了源自特定于研究的问题的数据。询问方法对患者自我提名的生活质量领域的影响似乎有限:大多数领域在这两种类型的研究中都有呈现,尽管频率不同。
本综述提供了对躯体疾病患者自我提名的生活质量领域的全面概述。然而,审查定性研究固有的局限性(例如,患者自我定义的生活质量领域的不同抽象程度)、纳入研究的局限性以及审查过程固有的局限性,阻碍了跨研究比较。因此,我们提供了指导方针,以解决定性报告中的缺陷,这些缺陷可以改进,并激发进一步改进旨在探索受访者自我提名的生活质量领域的定性研究的开展和报告。