Department of Neurology, Gelre ziekenhuizen, Albert Sweitzerlaan 31, 7334 DZ, Apeldoorn, The Netherlands.
Qual Life Res. 2012 Aug;21(6):961-6. doi: 10.1007/s11136-011-0001-x. Epub 2011 Sep 1.
Relatively little is known about the level of impairment in patients with dizziness.
How much does dizziness impair the quality of life of patients referred to a multidisciplinary dizziness unit?
All 2,252 patients completed the Dutch version of the Dizziness Handicap Inventory (DHI-D; score 0-100 with higher scores representing more impairment). The results were classified into three categories: mild, moderate, and severe impairment. The three domains in the DHI representing physical, functional, and emotional aspects of dizziness were compared, as well as DHI scores of men versus women, between diagnoses, and the relationship between DHI and age.
A total of 2,242 patients (64% women, mean age 54 years) completed the DHI with a mean score of 40.6. Almost 70% of patients had moderate or severe complaints. The handicap perceived by patients was primarily caused by physical and functional factors and less by emotional factors. Female patients and patients with hyperventilation syndrome and/or anxiety disorder had significantly higher DHI scores on all subscales. There was an S-shaped relationship between DHI score and age, and older patients reported more impairment.
Dizziness has considerable impact on health-related quality of life of dizzy patients.
对于头晕患者的受损程度，人们知之甚少。
头晕患者的生活质量因哪些因素受损？
所有 2252 名患者都完成了荷兰版头晕残障评估量表（DHI-D；得分 0-100，得分越高表示受损越严重）。结果分为三类：轻度、中度和重度受损。比较 DHI 中代表头晕身体、功能和情感方面的三个领域，以及男性和女性之间、不同诊断之间的 DHI 评分，以及 DHI 与年龄之间的关系。
共有 2242 名患者（64%为女性，平均年龄 54 岁）完成了 DHI，平均得分为 40.6。近 70%的患者有中度或重度症状。患者感知到的障碍主要是由身体和功能因素引起的，而情绪因素引起的较少。女性患者、过度换气综合征和/或焦虑症患者在所有子量表上的 DHI 评分均显著较高。DHI 评分与年龄呈 S 形关系，年龄较大的患者报告的损伤程度越大。
头晕对头晕患者的健康相关生活质量有很大影响。
