Fitzpatrick R, Ziebland S, Jenkinson C, Mowat A, Mowat A
Department of Public Health and Primary Care, University of Oxford.
Br J Rheumatol. 1993 Sep;32(9):807-11. doi: 10.1093/rheumatology/32.9.807.
The importance of patient-based assessments of outcomes of care in RA is increasingly recognized. There are a number of methods of gaining such data. One method is to request patients to assess change in health status by means of transition questions. This is considered advantageous to other methods because is directly addresses perceptions of change over time and is short and simple. One hundred patients with RA completed a range of clinical, laboratory and health status assessments on two occasions 3 months apart. On the second occasion they also completed a transition question. Results show the question to be valid and to correlate with a number of different changes obtained from assessments. Psychological mood did not appear to influence transition judgements. A small minority of patients experienced changes for specific dimensions of health status in the opposite direction of the transition item. Transition judgements may have an important role in evaluation studies and audit.
基于患者的类风湿关节炎（RA）护理结局评估的重要性日益得到认可。获取此类数据有多种方法。一种方法是要求患者通过过渡性问题来评估健康状况的变化。这被认为比其他方法更具优势，因为它直接针对随时间变化的感知，而且简短简单。100名类风湿关节炎患者在相隔3个月的两个时间点完成了一系列临床、实验室和健康状况评估。在第二次评估时，他们还完成了一个过渡性问题。结果表明该问题有效，且与从评估中获得的许多不同变化相关。心理情绪似乎并未影响过渡性判断。一小部分患者在健康状况的特定维度上经历了与过渡项目相反方向的变化。过渡性判断可能在评估研究和审核中发挥重要作用。
