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慢性肺病症状与健康相关生活质量的关系

Relationship between symptoms and health-related quality of life in chronic lung disease.

作者信息

Viramontes J L, O'Brien B

机构信息

Clinical Epidemiology Unit, General Hospital of Mexico, National University of Mexico, Mexico City.

出版信息

J Gen Intern Med. 1994 Jan;9(1):46-8. doi: 10.1007/BF02599142.

DOI:10.1007/BF02599142
PMID:8133349
Abstract

The authors studied the relationship between patient self-reported symptoms and responses to a general measure of health-related quality of life [Short Form 36 (SF-36)] for 102 patients who had chronic lung disease [forced expiratory volume in one second (FEV1) < 70%]. The primary diagnoses were chronic bronchitis, emphysema, and asthma; the mean age was 62 years, and 46% were women. Based upon Medical Research Council (MRC) symptom scores, the patients' disease severity was classified as mild (21%), moderate (22%), or severe (57%). The SF-36 scores differed significantly between disease severity groups in domains of health perception, physical functioning, physical role, and energy. The SF-36 physical functioning and Oxygen Cost Diagram scores correlated well (r = 0.78). The authors conclude that SF-36 is a useful and valid measure of general health status in patients with chronic lung disorders.

摘要

作者研究了102例慢性肺病患者(一秒用力呼气量[FEV1]<70%)自我报告的症状与健康相关生活质量的一般测量指标[简明健康状况调查问卷(SF-36)]反应之间的关系。主要诊断为慢性支气管炎、肺气肿和哮喘;平均年龄为62岁,46%为女性。根据医学研究委员会(MRC)症状评分,将患者的疾病严重程度分为轻度(21%)、中度(22%)或重度(57%)。在健康感知、身体功能、身体角色和精力等领域,SF-36评分在疾病严重程度组之间存在显著差异。SF-36身体功能评分与氧耗图评分相关性良好(r = 0.78)。作者得出结论,SF-36是慢性肺病患者总体健康状况的一种有用且有效的测量指标。

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