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重症监护后生活质量的变化:与正常数据的比较。

Changes in quality of life after intensive care: comparison with normal data.

作者信息

Ridley S A, Chrispin P S, Scotton H, Rogers J, Lloyd D

机构信息

Intensive Care Unit, Norfolk and Norwich Hospital, UK.

出版信息

Anaesthesia. 1997 Mar;52(3):195-202. doi: 10.1111/j.1365-2044.1997.073-az0068.x.

Abstract

The Short Form 36 was used to compare critically ill patients' premorbid quality of life with normal values and investigate any changes following 6 months convalescence. One hundred and sixty-six survivors completed the Short Form 36 at discharge from intensive care. The answers given by survivors were significantly lower than normal for all dimensions. However, 21 patients who suffered from acute life-threatening conditions were identified and their overall scores were similar to normal values. After 6 months, 95 questionnaires were returned. Patients who had suffered acute pathologies reported significant decreases in quality of life whilst other patients with pre-existing ill health reported significant improvement with reduced pain and better mental health, vitality and social function. This study suggests that quality of life of most patients admitted to intensive care is not as good as in the normal population but does not deteriorate except for those patients admitted after acute life-threatening events.

摘要

采用36项简短健康调查问卷(Short Form 36),将危重症患者病前的生活质量与正常值进行比较,并调查康复6个月后的任何变化。166名幸存者在重症监护病房出院时完成了36项简短健康调查问卷。幸存者在所有维度给出的答案均显著低于正常值。然而,识别出21名患有急性危及生命疾病的患者,他们的总体得分与正常值相似。6个月后,收回了95份问卷。患有急性疾病的患者报告生活质量显著下降,而其他有既往健康问题的患者报告生活质量有显著改善,疼痛减轻,心理健康、活力和社会功能更好。这项研究表明,大多数入住重症监护病房的患者的生活质量不如正常人群,但除了那些因急性危及生命事件入院的患者外,生活质量并未恶化。

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