威尔逊和克里亚尔健康相关生活质量模型在慢性病中的应用的系统评价。
A systematic review of the application of Wilson and Cleary health-related quality of life model in chronic diseases.
机构信息
Department of Pharmacy, Health and Wellbeing, University of Sunderland, Sunderland, UK.
University of Ibadan, Ibadan, Nigeria.
出版信息
Health Qual Life Outcomes. 2017 Dec 11;15(1):241. doi: 10.1186/s12955-017-0818-2.
BACKGROUND
A conceptual model approach to clarify the elements of health-related quality of life (HRQL), their determinants and causal pathways is needed to aid researchers, health practitioners and policy makers in their bid to improve HRQL outcomes in patients. The aim of this systematic review was to appraise empirical evidence on the performance of the Wilson and Cleary Model of HRQL.
METHODS
We conducted a search of MEDLINE, Science Direct, PsyARTICLES and CINAHL databases to identify articles that used Wilson and Cleary model to examine HRQL in chronic diseases. A narrative synthesis was employed in the review of the articles.
RESULTS
Evidence supports linkages between adjacent concepts and between non-adjacent concepts of the Wilson and Cleary model indicating that in practice there is a need to examine relationships among constructs - or to consider interventions in terms of - both with and without mediators. Symptoms status has the highest magnitude of relative impact on health-related quality of life.
CONCLUSION
The Wilson and Cleary model demonstrated good features suitable for evaluating health-related quality of life in chronic diseases.
背景
为了帮助研究人员、医疗保健从业者和政策制定者改善患者的健康相关生活质量（HRQL）结果，需要采用一种概念模型方法来阐明 HRQL 的要素、其决定因素和因果途径。本系统评价的目的是评估 Wilson 和 Cleary HRQL 模型的实证证据。
方法
我们对 MEDLINE、Science Direct、PsyARTICLES 和 CINAHL 数据库进行了检索，以确定使用 Wilson 和 Cleary 模型来检查慢性疾病中的 HRQL 的文章。在对文章进行综述时，我们采用了叙述性综合方法。
结果
证据支持 Wilson 和 Cleary 模型中相邻概念和非相邻概念之间的联系，表明在实践中需要检查结构之间的关系——或者根据有无中介物来考虑干预措施。症状状况对健康相关生活质量的影响最大。
结论
Wilson 和 Cleary 模型表现出良好的特征，适合评估慢性疾病中的健康相关生活质量。
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