Lesjak M, Boreland F, Lyle D, Sidford J, Flecknoe-Brown S, Fletcher J
Population Health, PO Box 457, Broken Hill, NSW 2880, Australia.
Aust J Prim Health. 2012;18(4):284-8. doi: 10.1071/PY11131.
A prospective study investigated the psychological wellbeing and quality of life of older rural men after a community-based screening for abdominal aortic aneurysm (AAA). Five hundred and sixteen men aged 65-74 years attended the screening program; 53 had an abnormal aorta detected. These and a subsample of men with a normal aorta were followed up 6 months post-screening. All men completed a pre-screening questionnaire including the Medical Outcomes Short Form 36v 2 (MOSF36) and Hospital Anxiety and Depression Scale (HADS). Six months after screening all 53 men with an abnormal and 130 with a normal aorta were sent a questionnaire including MOSF36 and HADS. Baseline and 6 month scores for both MOSF36 and HADS scores were compared between the two groups and within each group. Baseline scores for both MOSF36 and HADS were not significantly different between men who were subsequently diagnosed with an abnormal aorta and those with a normal aorta. After 6 months there was no difference in HADS scores but a significant increase in the MOSF36 dimension of general health. Those with a normal aorta reported better general health, social functioning and greater freedom from bodily pain. AAA screening appears highly acceptable to men in the target age group and future research should focus on implementation, cost effectiveness and collateral benefits of AAA screening.
一项前瞻性研究调查了在基于社区的腹主动脉瘤（AAA）筛查后，农村老年男性的心理健康和生活质量。516名年龄在65至74岁之间的男性参加了筛查项目；其中53人检测出主动脉异常。这些人以及主动脉正常的男性子样本在筛查后6个月接受了随访。所有男性在筛查前都完成了一份问卷，包括医学结局简表36v2（MOSF36）和医院焦虑抑郁量表（HADS）。筛查6个月后，向所有53名主动脉异常的男性和130名主动脉正常的男性发送了包含MOSF36和HADS的问卷。比较了两组之间以及每组内部MOSF36和HADS分数的基线和6个月得分。随后被诊断出主动脉异常的男性和主动脉正常的男性在MOSF36和HADS的基线得分上没有显著差异。6个月后，HADS分数没有差异，但MOSF36总体健康维度有显著增加。主动脉正常的人报告的总体健康状况、社会功能更好，身体疼痛更少。AAA筛查在目标年龄组男性中似乎非常容易接受，未来的研究应侧重于AAA筛查的实施、成本效益和附带益处。
