OUTCOME MEASURES FOR STUDYING PATIENTS WITH LOW-BACK-PAIN
OUTCOME MEASURES FOR STUDYING PATIENTS WITH LOW-BACK-PAIN
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DOI：
10.1097/00007632-199409151-00003
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发表时间：
1994-09-15
期刊：
影响因子：
3
通讯作者：
WEINSTEIN, JN
中科院分区：
文献类型：
--
作者：
DEYO, RA;ANDERSSON, G;WEINSTEIN, JN
越来越多的人认识到，在背痛的治疗中，患者的观点在判断治疗结果时至关重要。 改善患者的“生活质量”通常是治疗的主要目标。 因此，尽管过去的临床研究主要集中在生理结果，如运动范围、肌肉力量或神经功能缺损，但越来越多的注意力正被给予症状、功能状态、角色功能、治疗满意度和医疗保健费用的严格测量。 在许多情况下，这些所谓的“软”结果可以用类似于更传统的临床数据（如成像测试结果）的再现性水平来测量。 由于症状和功能结果有时与生理现象仅松散相关，因此应直接测量症状和功能结果。 测量患者生活质量的现代问卷联合收割机结合了社会科学家和临床医生的专业知识，并已证明有效性。 此外，与简单的“优秀、良好、一般和较差”结果或工作状态相比，它们具有一些重要的优势。 简要回顾了几种用于测量腰痛患者健康相关生活质量的现代仪器，描述了它们的内容和长度。 更广泛地使用这些工具将有助于提高临床医生熟悉他们的意义，并避免重复的努力，在问卷编制。
There is growing recognition in the treatment of back pain that patient perspectives are essential in judging the results of treatment. Improving the patient's ''quality of life'' is often the main goal of therapy. Thus, although clinical research in the past has focused on physiologic outcomes, such as range of motion, muscle strength, or neurologic deficits, increasing attention is being given to the rigorous measurements of symptoms, functional status, role function, satisfaction with treatment, and health care costs. In many cases, these so-called ''soft'' outcomes can be measured with a level of reproducibility similar to more conventional clinical data such as imaging test results. Because symptoms and functional outcomes are sometimes only loosely associated with physiologic phenomena, the former outcomes should be measured directly. Modern questionnaires for measuring patient quality of life combine the expertise of social scientists and clinicians and have demonstrated validity. Furthermore, they have some important advantages over simple ratings of ''excellent, good, fair, and poor'' outcomes, or work status alone. Several modern instruments for measuring health-related quality of life in patients with low back pain are reviewed briefly, describing their content and length. Wider use of these instruments would help to increase clinician familiarity with their meaning and avoid duplication of effort in questionnaire development.