Levo Hilla, Stephens Dafydd, Poe Dennis, Kentala Erna, Pyykkö Ilmari
Department of Otorhinolaryngology, Helsinki University Central Hospital, PO Box 220 (Haartmaninkatu 4E), 00029 HUS, Finland.
Ann Otol Rhinol Laryngol. 2010 Sep;119(9):583-9. doi: 10.1177/000348941011900903.
We sought to determine the value of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) in subjects with Meniere's disorder in relation to their quality of life.
We asked 228 members of the Finnish Meniere Federation to report the effects that Meniere's disorder had on their lives. The replies were classified on the basis of the ICF classification and related to the EuroQol 5D score and disease-specific impact. Logistic regression and decision tree analyses were used to determine the relationships.
Seventy percent of the patients listed impairments, 39% activity limitations, 47% participation restrictions, 16% effects on environmental contextual factors, and 28% effects on personal contextual factors. The EuroQol 5D score was explained by reported vertigo, anxiety, fatigue, restriction of life, and communication problems. The disease-specific impact was explained by episodes of vertigo, fatigue, communication problems, inability to work, restriction of life, and uncertainty of life. Both analysis models provided the same outcome variables, although the decision tree separated the results better (80%) into correct classes than did logistic regression analysis (60%).
Self-reported participation restriction, activity limitation, and personal contextual factors describe the limitations of general life in subjects with Meniere's disorder. The use of the ICF classification provides an instrument that can be used in enablement of subjects with Meniere's disorder.
我们试图确定世界卫生组织的《国际功能、残疾和健康分类》（ICF）在梅尼埃病患者中与生活质量相关的价值。
我们邀请了228名芬兰梅尼埃病联盟成员报告梅尼埃病对他们生活的影响。根据ICF分类对回复进行分类，并与欧洲五维健康量表（EuroQol 5D）得分及疾病特异性影响相关联。采用逻辑回归和决策树分析来确定其中的关系。
70%的患者列出了身体功能损伤，39%列出了活动受限，47%列出了参与限制，16%列出了对环境背景因素的影响，28%列出了对个人背景因素的影响。欧洲五维健康量表得分可通过报告的眩晕、焦虑、疲劳、生活受限和沟通问题来解释。疾病特异性影响可通过眩晕发作、疲劳、沟通问题、无法工作、生活受限和生活不确定性来解释。两种分析模型得出的结果变量相同，尽管决策树将结果正确分类的比例（80%）高于逻辑回归分析（60%）。
自我报告的参与限制、活动受限和个人背景因素描述了梅尼埃病患者总体生活的局限性。使用ICF分类提供了一种可用于帮助梅尼埃病患者的工具。
