肩袖撕裂患者的功能障碍与健康相关生活质量之间的关系。
The relationship between functional disability and health-related quality of life in patients with a rotator cuff tear.
机构信息
Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
出版信息
Disabil Rehabil. 2012;34(24):2071-5. doi: 10.3109/09638288.2012.670363. Epub 2012 Apr 12.
PURPOSE
To determine the relationship between functional disability and health-related quality of life (HRQoL) in rotator cuff tear (RCT) patients.
METHOD
In 67 RCT patients (mean age, 54 years; 57% males), functional disability was self-reported with the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), HRQoL with the Short-Form 36 Health Survey (SF-36), and pain by visual analogue scale. ASES results were divided into tertiles (12-38, 39-51, and 52-82).
RESULTS
Mean ASES score was 48 (range, 12-82). Patients with the highest functional disability and highest pain level had the lowest HRQoL. For the highest, middle, and lowest ASES categories, respectively, mean SF-36 Physical Component Summary (PCS) scores were 35 SD 5, 36 SD 8, and 41 SD 6 (p< 0.001) (r = 0.47 for ASES vs. PCS; p< 0.001), and Mental Component Summary (MCS) scores were 50 SD 13, 56 SD 10, and 58 SD 8 (p = 0.011) (r = 0.37 for ASES vs. MCS; p= 0.003).
CONCLUSIONS
Patients with higher functional disability had lower HRQoL. RCT extensively affects patients' lives; therefore, capturing both generic and shoulder-specific measures of RCT problems is recommended.
目的
确定肩袖撕裂（RCT）患者的功能障碍与健康相关生活质量（HRQoL）之间的关系。
方法
在 67 例 RCT 患者（平均年龄 54 岁，57%为男性）中，采用美国肩肘外科医师协会（ASES）标准肩部评估表评估功能障碍，用简明 36 健康调查量表（SF-36）评估 HRQoL，用视觉模拟评分法评估疼痛。将 ASES 结果分为三分位（12-38、39-51 和 52-82）。
结果
平均 ASES 评分为 48 分（范围为 12-82）。功能障碍最严重和疼痛程度最高的患者 HRQoL 最低。在 ASES 评分最高、中值和最低的三组中，SF-36 生理成分综合评分（PCS）的平均得分分别为 35 ± 5、36 ± 8 和 41 ± 6（p<0.001）（r=0.47，ASES 与 PCS；p<0.001），心理成分综合评分（MCS）的平均得分分别为 50 ± 13、56 ± 10 和 58 ± 8（p=0.011）（r=0.37，ASES 与 MCS；p=0.003）。
结论
功能障碍越严重的患者 HRQoL 越低。RCT 对患者的生活影响广泛；因此，建议同时评估通用和肩部特异性 RCT 问题的指标。
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