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刘爱玲,陶晓南,辛建保,林 岚,张建初.SF-36量表在COPD患者生存质量评估中的应用[J].中国康复医学杂志,2008,23(11):1017~1021
SF-36量表在COPD患者生存质量评估中的应用    点此下载全文
刘爱玲  陶晓南  辛建保  林 岚  张建初
华中科技大学同济医学院附属协和医院呼吸内科,卫生部呼吸疾病重点实验室, 武汉,430022
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DOI:
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摘要:
      目的: 以医学结局研究简明调查表(中文版SF-36)评价慢性阻塞性肺病(COPD)患者的生存质量,并分析相关因素对生存质量的影响。方法:采用医学结局研究简明调查表(SF-36)对COPD患者的生存质量进行横断面研究,并使用自编的患者一般状况调查表记录患者年龄、教育年份、身高、体重和FEV1/FVC的信息,分层比较这些因素对COPD患者的生存质量的影响。结果:COPD患者在SF-36各维度的生存质量与我国正常人比较显著下降,尤其是活力(54.52±30.31)、总体健康(35.50±31.86)、生理职能(34.13±47.53)下降最为显著。不同年龄、教育年份、FEV1/FVC和体重指数(BMI)的患者生存质量某些维度之间的差别有显著性意义。该表在多个维度存在地板效应和天花板效应。结论:对COPD患者生存质量的评价说明COPD对患者的生存质量有一定的影响,且对不同方面的影响程度不相同,提示在对COPD患者进行干预治疗时应有不同的侧重点,并应考虑到年龄、教育、肺功能、体重指数对COPD患者生存质量的影响。同时建议在用SF-36评估极轻或重度COPD患者生存质量时最好联合应用其他合适量表。
关键词:慢性阻塞性肺病  功能评估  国际功能、残疾和健康分类
Assessment on quality of life in COPD patients using SF-36 scale    Download Fulltext
Key Lab of Pulmonary Diseases of Ministry of Health, Department of Respiratory Disease,Union Hospital,Tongji Medical College, Huazhong University of Science and Technology,Wuhan,430022
Fund Project:
Abstract:
      Objective:To assess the quality of life in patients with COPD, to justify the influences of related factors on the quality of life of COPD patients with age、education、FEV1/FVC and BMI,and to determine whether all the dimensions of Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36) are applicable to COPD patients. Method: SF-36 was used to assess the quality of life of COPD patients, and the self-decision scale of the general condition was used to record the information on age、education、FEV1/FVC and BMI. Cross-sectional study design was taken. The statistical methods included descriptive statistical method and independent-sample t test.The percentage of subjects who achieved the lowest possible score(floor effect) and the percentage of subjects who achieved the highest possible score(ceiling effect) were calculated. Result: The quality of life of the COPD patients in all the dimensions of SF-36 reduced, especially in the vitality, general health and role physiology. Some dimensions of SF-36 were related to the age、education、FEV1/FVC and BMI of the patients. In addition, there were ceiling effects and floor effects in some dimensions of the scale. Conclusion: COPD affected the quality of life of patients obviously,and the disease coused different influences on different dimensions of the scale. In the mean time, different age、education、pulmonary function and BMI also provided different performances on some dimensions of the scale. More suitable and more directive treatments should be selected for COPD patients, so that the quality of life of patients would recover better and faster. It is advisable to use other appropriate scales with SF-36 to assess the patients with lower or higher severity of COPD.
Keywords:chronic obstructive pulmonary disease  function evaluation  international classification of functioning,disability and health
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