Gao Qiang, Leung Aaron, Reinhardt Jan D, Zhang Fuming, Liang Qiu, Chen Baoyu, Meng Wei, Lee Winson, He Hongchen
Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Sichuan, China.
J Rehabil Med. 2015 Oct 5;47(9):867-72. doi: 10.2340/16501977-2004.
To investigate health-related quality of life and its relationship with functional status and other related factors in victims with fractures 4 years after the 2008 Sichuan earthquake.
A cross-sectional survey with a multi-stage random sampling method.
Five hospitals from the areas most severely affected by the 2008 Sichuan earthquake.
Victims with fractures aged 14 years and older who were hospitalized in the rehabilitation departments of the 5 identified hospitals during the period 12 May 2008 to 12 May 2009.
Information on demographics, such as age, gender, marital status and educational level, functional status, working status, income, and health-related quality of life, were investigated. Manual muscle test, visual analogue scale, Modified Barthel Index and Medical Outcomes Short Form 36 (SF-36) were employed as the main outcome measures.
A total of 243 victims with fractures were interviewed. Thirty-seven percent of the fracture victims had decreased muscle strength, 28.8% had limited range of motion, 51.8% still experienced pain, and 17.7% were dependent to different extents. With the exception of the domains vitality and mental health, the earthquake victims perceived significantly lower health-related quality of life than the local general population. Older age, being female, unmarried, low education, multiple fractures, muscle weakness, pain and being dependent were significant predictors of lower health-related quality of life. Most SF-36 subscales were negatively correlated with age, multiple fractures and pain, but positively correlated with independence in activities of daily living and income.
Four years after the major Sichuan earthquake, many victims with fractures still had reduced functional status and experienced pain, and their health-related quality of life was low compared with the general population.
调查2008年四川地震4年后骨折受害者的健康相关生活质量及其与功能状态和其他相关因素的关系。
采用多阶段随机抽样方法进行横断面调查。
来自2008年四川地震受灾最严重地区的5家医院。
2008年5月12日至2009年5月12日期间在5家指定医院康复科住院的14岁及以上骨折受害者。
调查年龄、性别、婚姻状况、教育程度等人口统计学信息、功能状态、工作状态、收入和健康相关生活质量。采用徒手肌力测试、视觉模拟评分、改良Barthel指数和医学结局简表36（SF-36）作为主要结局指标。
共访谈了243名骨折受害者。37%的骨折受害者肌力下降，28.8%的受害者活动范围受限，51.8%的受害者仍有疼痛，17.7%的受害者在不同程度上存在依赖。除活力和心理健康领域外，地震受害者的健康相关生活质量明显低于当地普通人群。年龄较大、女性、未婚、低教育程度、多处骨折、肌肉无力、疼痛和存在依赖是健康相关生活质量较低的重要预测因素。大多数SF-36分量表与年龄、多处骨折和疼痛呈负相关，但与日常生活活动能力独立性和收入呈正相关。
四川大地震4年后，许多骨折受害者的功能状态仍有所下降且仍有疼痛，与普通人群相比，他们的健康相关生活质量较低。
