具有六个领域的健康相关生活质量：无慢性病的医疗服务提供者与慢性病患者的比较。
Health-Related Quality of Life with Six Domains: A Comparison of Healthcare Providers without Chronic Diseases and Participants with Chronic Diseases.
作者信息
Bujang Mohamad Adam, Hon Yoon Khee, Lai Wei Hong, Yap Eileen Pin Pin, Tiong Xun Ting, Ratnasingam Selvasingam, Kim Alex Ren Jye, Husin Masliyana, Jee Yvonne Yih Huan, Ahmad Nurul Fatma Diyana, Chew Cheng Hoon, Tan Clare Hui Hong, Khoo Sing Yee, Johari Fazalena, Fong Alan Yean Yip
机构信息
Clinical Research Centre, National Institutes of Health, Sarawak General Hospital, Ministry of Health Malaysia, Kuching 93586, Sarawak, Malaysia.
Institute for Clinical Research, Ministry of Health Malaysia, Block B4, National Institutes of Health (NIH), No. 1, Jalan Setia Murni U13/52, Seksyen U13, Shah Alam 40170, Selangor, Malaysia.
出版信息
J Clin Med. 2024 Sep 12;13(18):5398. doi: 10.3390/jcm13185398.
This study aims to compare the health-related quality of life (HRQOL) between healthcare providers without chronic diseases and participants with chronic diseases presenting with one of the four different primary diagnoses on the health-related quality of life with six domains (HRQ-6D) scale. This is a cross-sectional study to compare the HRQOL between healthcare providers without chronic diseases and participants with chronic diseases. Data collection was performed from May 2022 to May 2023. Data for the comparison group were taken from healthcare providers without chronic diseases, and for the participant group with chronic diseases, the data were collected from actual patients with one of four types of primary diagnoses who were recruited from specialist cardiology, oncology, psychiatry, and nephrology clinics. All the participants of this study filled in the HRQ-6D. There were 238 (58.6%) healthcare providers without chronic diseases who participated in this study, as well as 41 (10.1%) patients with end-stage renal disease (ESRD), 48 (11.8%) patients with cancer, and 40 (9.9%) patients who were depressed, and the remaining patients had heart disease. The means (SD) of HRQ-6D scores among healthcare providers without chronic diseases for pain, physical strength, emotion, mobility, self-care, perception of future health, and overall HRQ-6D score were 75.3% (19.8), 74.5% (21.1), 85.6% (18.4%), 93.0% (12.3), 91.6% (13.9), 74.2% (23.3), and 82.4% (13.6), respectively. In comparisons between healthcare providers without chronic diseases and participants with chronic diseases, all mean differences of the overall HRQ-6D score and its domains and dimensions were statistically significant ( < 0.001). The overall score of the HRQ-6D, as well as its domains and dimensions are sensitive in detecting the study participants with chronic diseases from among those without chronic diseases. Therefore, the HRQ-6D is a reliable and valid scale to measure HRQOL. Future studies may use this scale for interventional, observational, and cost-effectiveness studies.
本研究旨在比较无慢性病的医疗服务提供者与患有慢性病且呈现四种不同主要诊断之一的参与者在健康相关生活质量（HRQOL）方面的差异，采用健康相关生活质量六维度量表（HRQ - 6D）进行评估。这是一项横断面研究，旨在比较无慢性病的医疗服务提供者与患有慢性病的参与者之间的HRQOL。数据收集时间为2022年5月至2023年5月。对照组数据取自无慢性病的医疗服务提供者，而患有慢性病的参与者组数据则从专科心脏病学、肿瘤学、精神病学和肾脏病诊所招募的四种主要诊断类型之一的实际患者中收集。本研究的所有参与者均填写了HRQ - 6D。有238名（58.6%）无慢性病的医疗服务提供者参与了本研究，还有41名（10.1%）终末期肾病（ESRD）患者、48名（11.8%）癌症患者、40名（9.9%）抑郁症患者，其余患者患有心脏病。无慢性病的医疗服务提供者在疼痛、体力、情绪、活动能力、自我护理、对未来健康的感知以及总体HRQ - 6D评分方面的HRQ - 6D评分均值（标准差）分别为75.3%（19.8）、74.5%（21.1）、85.6%（18.4%）、93.0%（12.3）、91.6%（13.9）、74.2%（23.3）和82.4%（13.6）。在无慢性病的医疗服务提供者与患有慢性病的参与者之间的比较中，总体HRQ - 6D评分及其领域和维度的所有均值差异均具有统计学意义（<0.001）。HRQ - 6D的总体评分及其领域和维度在从无慢性病的参与者中检测出患有慢性病的研究参与者方面具有敏感性。因此，HRQ - 6D是一种可靠且有效的测量HRQOL的量表。未来的研究可使用该量表进行干预性、观察性和成本效益研究。
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