Measuring the health related quality of life of people with ischaemic heart disease
Measuring the health related quality of life of people with ischaemic heart disease
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DOI：
10.1136/heart.83.6.641
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发表时间：
2000-06-01
期刊：
影响因子：
5.7
通讯作者：
Donnelly, M
中科院分区：
文献类型：
--
作者：
Dempster, M;Donnelly, M
目的-告知研究人员和临床医生最合适的通用和疾病的具体措施，健康相关的生活质量的人与缺血性心脏病。方法-MEDLINE和BIDS进行了搜索的研究论文，其中包含至少一个报告的三个最常见的通用工具或至少一个五种疾病的具体工具与缺血性心脏病患者。这些仪器的有效性，可靠性和敏感性的证据进行了严格的assessed.Results-of三个通用的措施-诺丁汉健康档案，疾病的影响档案，和简短的形式36（SF-36）-SF-36似乎提供了最可靠的，有效的，和敏感的生活质量评估。然而，SF-36分量表中的一些分量表缺乏足够的灵敏度来检测患者临床状况的变化。根据现有最佳证据，心肌梗死后生活质量问卷应优先于西雅图心绞痛问卷、生活质量指数心脏版、心绞痛生活质量问卷和汇总指数。总体而言，研究疾病的具体措施是稀疏的研究的数量相比，调查general measurements. Conclusions，缺血性心脏病的人的生活质量的评估应包括一个疾病的具体措施，除了一个通用的措施。SF-36和心肌梗死后生活质量问卷（第2版）分别是目前最合适的健康相关生活质量的通用和疾病特异性指标。需要进一步研究缺血性心脏病患者健康相关生活质量的测量，以解决审查中发现的问题（如缺乏检测变化的敏感性）。
Objectives-To inform researchers and clinicians about the most appropriate generic and disease specific measures of health related quality of life for use among people with ischaemic heart disease.Methods-MEDLINE and BIDS were searched for research papers which contained a report of at least one of the three most common generic instruments or at least one of the five disease specific instruments used with ischaemic heart disease patients. Evidence for the validity, reliability, and sensitivity of these instruments was critically appraised.Results-Of the three generic measures-the Nottingham health profile, sickness impact profile, and short form 36 (SF-36)-the SF-36 appears to offer the most reliable, valid, and sensitive assessment of quality of life. However, a few of the SF-36 subscales lack a sufficient degree of sensitivity to detect change in a patient's clinical condition. According to the best available evidence, the quality of life after myocardial infarction questionnaire should be preferred to the Seattle angina questionnaire, the quality of life index cardiac version, the angina pectoris quality of life questionnaire, and the summary index. Overall, research on disease specific measures is sparse compared to the number of studies which have investigated generic measures.Conclusions-An assessment of the quality of life of people with ischaemic heart disease should comprise a disease specific measure in addition to a generic measure. The SF-36 and the quality of life after myocardial infarction questionnaire (version 2) are the most appropriate currently available generic and disease specific measures of health related quality of life, respectively. Further research into the measurement of health related quality of life of people with ischaemic heart disease is required in order to address the problems (such as lack of sensitivity to detect change) identified by the review.