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高血压患者的生活质量和两种 HRQOL 测量工具的比较。

Quality of life of hypertensive patients and comparison of two instruments of HRQOL measure.

机构信息

Universidade Federal do Maranhão, São Luiz, MA, Brasil.

出版信息

Arq Bras Cardiol. 2012 May;98(5):442-51. doi: 10.1590/s0066-782x2012005000032. Epub 2012 Apr 5.

DOI:10.1590/s0066-782x2012005000032
PMID:22481643
Abstract

BACKGROUND

Measuring health-related quality of life (QOL) helps evaluating the efficiency of a treatment and identifies problems with major impact on the patient's QOL. However, these measures are safer if assessed by generic and specific instruments together, where it is necessary to check for compatibility between these and avoid repetitions and contradictions between the domains.

OBJECTIVE

To describe the quality of life of hypertensive patients and to evaluate the compatibility of a specific instrument (MINICHAL) and a generic instrument (SF-36).

METHODS

One hundred adult hypertensive under outpatient care were interviewed. The mean HRQOL as measured by MINICHAL was 6.64 (SD 6.04) in mental status and average of 5.03 (SD 4.11) in the state of somatic manifestations. The means for the instrument SF-36 were in ranking order: limitation due to physical aspects 47.3 (SD 42.9), vitality 57.4 (SD 19.7), limitation due to emotional aspects 58 (SD 44.7), functional capacity 58.7 (SD 27.8), pain 60.4 (SD 26.3), general health condition 60.7 (SD 22.7), mental health 66.8 (SD 22.1) and social aspects 78 (SD 26.1).

RESULTS

The MINICHAL significantly correlated (p <0.001) with the SF-36 in all domains.

CONCLUSION

The MINICHAL proved to be a useful tool in the assessment of HRQOL in patients with hypertension.

摘要

背景

衡量与健康相关的生活质量(QOL)有助于评估治疗效果,并确定对患者生活质量有重大影响的问题。然而,如果使用通用和特定工具一起评估这些问题,则这些措施更安全,有必要检查这些工具之间的兼容性,并避免领域之间的重复和矛盾。

目的

描述高血压患者的生活质量,并评估特定工具(MINICHAL)和通用工具(SF-36)的兼容性。

方法

对 100 名接受门诊治疗的成年高血压患者进行访谈。MINICHAL 测量的平均 HRQOL 在心身状态方面为 6.64(SD 6.04),在躯体表现状态方面平均为 5.03(SD 4.11)。SF-36 量表的平均值按顺序排列为:身体方面的限制 47.3(SD 42.9),活力 57.4(SD 19.7),情绪方面的限制 58(SD 44.7),功能能力 58.7(SD 27.8),疼痛 60.4(SD 26.3),一般健康状况 60.7(SD 22.7),心理健康 66.8(SD 22.1)和社会方面 78(SD 26.1)。

结果

MINICHAL 与 SF-36 所有领域均呈显著相关(p<0.001)。

结论

MINICHAL 被证明是评估高血压患者 HRQOL 的有用工具。

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