Hantoro Ibnu Fajariyadi, Syam Ari Fahrial
Departement of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Acta Med Indones. 2018 Jan;50(1):88-92.
In up to 80% of dyspepsia patients who consult a physician in the hospital, dyspepsia is considered to be functional dyspepsia. Although not associated with increased mortality, functional dyspepsia is a burden at both the community and national levels because it can cause physical, mental, and social distress that can affect a patient's quality of life. Health-related quality of life (HRQOL) is a multidimensional construct comprising at least three broad domains-physical, psychological, and social functioning-which can all be affected by a disease and its treatment. It is important to assess HRQOL in patients with functional dyspepsia to identify the effects of the disease and its treatment on patients. Both disease-specific and generic instruments can be used to assess HRQOL in patients with functional dyspepsia. Each instrument has its own advantages and limitations. The selection of instrument to assess HRQOL is determined by the study population, research questions, disease entities, and researcher preferences. The purpose of this article is to explain the concept of HRQOL and the use of HRQOL assessment in patients with functional dyspepsia.
在前往医院就医的消化不良患者中,高达80%的患者被认为患有功能性消化不良。尽管功能性消化不良与死亡率增加无关,但它在社区和国家层面都是一种负担,因为它会导致身体、心理和社会困扰,进而影响患者的生活质量。健康相关生活质量(HRQOL)是一个多维度概念,至少包括三个广泛领域——身体、心理和社会功能,所有这些都可能受到疾病及其治疗的影响。评估功能性消化不良患者的HRQOL对于确定疾病及其治疗对患者的影响很重要。疾病特异性和通用工具均可用于评估功能性消化不良患者的HRQOL。每种工具都有其自身的优点和局限性。选择评估HRQOL的工具取决于研究人群、研究问题、疾病实体和研究者偏好。本文旨在解释HRQOL的概念以及HRQOL评估在功能性消化不良患者中的应用。