Siebens Hilary C, Tsukerman Dmitry, Adkins Rodney H, Kahan Jason, Kemp Bryan
From the Siebens Patient Care Communications, Seal Beach, California (HCS); California State University, Fullerton, California (DT); Los Amigos Research Institute, Downey, California (RHA, JK); and University of Southern California, Keck School of Medicine, Los Angeles, California (BK).
Am J Phys Med Rehabil. 2015 Dec;94(12):1065-74. doi: 10.1097/PHM.0000000000000298.
Practical quality-of-life (QOL) screening methods are needed to help focus clinical decision-making on what matters to individuals with disabilities.
A secondary analysis of a database from a large study of adults aging with impairments focused on four diagnostic groups: cerebral palsy (n = 134), polio (n = 321), rheumatoid arthritis (n = 99), and stroke (n = 82). Approximately 20% of cases were repeated measures of the same individuals 3-5 yrs later. Functional levels, depression, and social interactions were assessed. The single-item, subjective, seven-point Kemp Quality of Life Scale measured QOL. For each diagnostic group, Kemp Quality of Life Scale responses were divided into low, average, and high QOL subgroups. Analysis of variance and Tukey honestly significant difference tests compared clinical characteristics among these subgroups.
Duration of disability varied among the four groups. Within each group, QOL subgroups were similar in age, sex, and duration of disability. Low mean QOL was associated with lower functional level, higher depression scores, and lower social interaction (P < 0.001) in all four groups. In contrast, high mean QOL was associated with higher social interaction (P < 0.001).
The Kemp Quality of Life Scale relates significantly to clinically relevant variables in adults with impairments. The scale's utility in direct clinical care merits further examination.
需要实用的生活质量（QOL）筛查方法，以帮助将临床决策重点放在对残疾个体重要的方面。
对一项针对有损伤的成年人的大型研究数据库进行二次分析，该研究聚焦于四个诊断组：脑瘫（n = 134）、脊髓灰质炎（n = 321）、类风湿性关节炎（n = 99）和中风（n = 82）。约20%的病例是3至5年后对同一患者的重复测量。评估了功能水平、抑郁和社交互动情况。使用单项目、主观的七点肯普生活质量量表来测量生活质量。对于每个诊断组，肯普生活质量量表的回答被分为低、中、高生活质量亚组。方差分析和图基真实显著差异检验比较了这些亚组之间的临床特征。
四个组的残疾持续时间各不相同。在每个组内，生活质量亚组在年龄、性别和残疾持续时间方面相似。在所有四个组中，低平均生活质量与较低的功能水平、较高的抑郁评分和较低的社交互动相关（P < 0.001）。相比之下，高平均生活质量与较高的社交互动相关（P < 0.001）。
肯普生活质量量表与有损伤的成年人的临床相关变量显著相关。该量表在直接临床护理中的效用值得进一步研究。
