Shaw R W, Brickley M R, Evans L, Edwards M J
Department of Obstetrics and Gynaecology, University of Wales College of Medicine, Cardiff, UK.
Br J Obstet Gynaecol. 1998 Nov;105(11):1155-9. doi: 10.1111/j.1471-0528.1998.tb09968.x.
To assess patient preferences regarding the treatment of menorrhagia using the multi-attribute utility methodologies, to produce a clinically applicable scale, and to assess health outcomes following treatment of menorrhagia.
Women referred to the gynaecology department for the treatment of menorrhagia were interviewed regarding the effects of menorrhagia on different aspects of their life. Their concerns were categorised into main components of health (domains). The relative importance of each domain was rated by the women using importance points which were distributed to represent the perceived importance of each domain. A series of statements (intra-domain statements) was developed for each domain, which described various possible conditions of that component of health. These were also rated using a one metre visual analogue scale with numerical anchor points at zero (worst) and 100 (best).
The components of health considered most important were, in order of impact, family life, followed by physical health, work life, psychological health, practical difficulties and social life. The scores for the intra-domain statements were combined into a scale to allow the calculation of a final health state utility for a particular outcome based upon the statements the patient chooses within each domain.
In planning treatment for menorrhagia clinicians can assess a woman's current perception of their health, using a simple to administer clinical scale.
采用多属性效用方法评估患者对月经过多治疗的偏好，制定一个临床适用量表，并评估月经过多治疗后的健康结局。
对转诊至妇科治疗月经过多的女性就月经过多对其生活不同方面的影响进行访谈。她们所关注的问题被归类为健康的主要组成部分（领域）。每个领域的相对重要性由女性使用重要性分值进行评分，这些分值的分布代表了每个领域的感知重要性。为每个领域制定了一系列陈述（领域内陈述），描述该健康组成部分的各种可能状况。这些陈述也使用一米视觉模拟量表进行评分，量表的数值锚点为零（最差）和100（最佳）。
按影响程度排序，被认为最重要的健康组成部分依次为家庭生活，其次是身体健康、工作生活、心理健康、实际困难和社会生活。领域内陈述的得分被合并成一个量表，以便根据患者在每个领域内选择的陈述来计算特定结局的最终健康状态效用。
在规划月经过多的治疗时，临床医生可以使用一个易于实施的临床量表来评估女性目前对自身健康的认知。
