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梅尼埃病的积极体验和生活质量。

Positive experiences and quality of life in Ménière's disorder.

机构信息

Department of Neurology, Ophthalmology and Audiological Medicine, School of Medicine, Cardiff University, Cardiff, UK.

出版信息

Int J Audiol. 2010 Nov;49(11):839-43. doi: 10.3109/14992027.2010.510147.

Abstract

The objective of this study was to determine the influence of positive experiences on the quality of life of patients with Ménière's disorder. Its deign comprised a cross-sectional investigation of members of a self-help group, using a questionnaire of positive experiences, an oto-neurological questionnaire, EuroQol, and Ménière's impact rating. The study sample was 542 members of the Finnish Ménière Federation. Results showed that the positive questions explained 21% of the variance of the EuroQol TTO, 31% of the EuroQol VAS measure, and 35% of the Ménière's impact. This compared with 40% of the variance explained by symptomatic complaints. When both the symptoms and positive measures were taken together, there was an increase in the proportion of the variance explained for the VAS (42%) and Ménière's rating (50%), but not for the TTO (42%). A perspective on the disorder was the main positive experience associated with the increased variance explained. Positive experiences have a significant impact on self-rated quality of life. The results suggest that encouraging a positive perspective on the condition, in addition to treating the underlying symptoms, could be useful in rehabilitative management.

摘要

这项研究的目的是确定积极体验对梅尼埃病患者生活质量的影响。其设计包括对一个自助组织成员进行横断面调查,使用积极体验问卷、耳神经病学问卷、EuroQol 和梅尼埃病影响评分。研究样本为芬兰梅尼埃病联合会的 542 名成员。结果表明,积极问题解释了 EuroQol TTO 方差的 21%、EuroQol VAS 测量的 31%和梅尼埃病影响的 35%。这与症状抱怨解释的方差的 40%相比。当同时考虑症状和积极措施时,VAS(42%)和梅尼埃评级(50%)的方差解释比例增加,但 TTO(42%)没有增加。对疾病的看法是与增加的方差解释相关的主要积极体验。积极的体验对自我评估的生活质量有重大影响。研究结果表明,除了治疗潜在症状外,鼓励对病情的积极看法可能对康复管理有用。

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