Self-report quality of life as a predictor of hospitalization for patients with LV dysfunction: A life course approach
Self-report quality of life as a predictor of hospitalization for patients with LV dysfunction: A life course approach
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DOI：
10.1002/nur.10006
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发表时间：
2001-12-01
影响因子：
2
通讯作者：
Van Dussen, D
中科院分区：
文献类型：
--
作者：
Stull, DE;Clough, LA;Van Dussen, D
对于一项大型临床药物研究的次要数据分析，研究人员调查了自我报告生活质量指标与临床指标在评估心力衰竭相关住院患者风险方面的独立预后效用。心力衰竭的经历在生命过程中各不相同;因此，研究了四个年龄组。与传统的临床指标相比，生活质量指标，特别是健康相关生活质量和心理社会生活质量指标，被认为是心力衰竭相关住院的独立且重要的预测因子。此外，心理社会生活质量的措施不同的年龄组在其重要性作为一个预测住院治疗，这表明在生命历程的差异相关性。具体而言，心理社会生活质量对21-44岁人群的住院预测力最强，对45-54岁人群的预测力较低，对55-64岁人群和65岁及以上人群的预测力不显著。包括自我报告的生活质量措施提供了一个更完整的图片的因素与住院治疗的风险在不同的时间点在生命过程中的个人与心力衰竭。这些研究结果表明，研究人员和从业人员可以使用自我报告的生活质量指标作为患者病情和心力衰竭相关住院风险的额外预后指标，特别是对于年轻患者。(C)John Wiley & Sons，Inc.
For this secondary data analysis of a large clinical drug study, researchers investigated the independent Prognostic utility of self-report quality-of-life measures versus clinical measures for assessing patient risk for heart-failure-related hospitalization. The experience of heart failure varies over the life course; hence, four age groups were investigated. Quality-of-life measures, specifically health-related quality-of-life and Psychosocial quality-of-life measures, were found to be independent and significant predictors of heart-failure-related hospitalizations, as compared to traditional clinical indicators. In addition, the psychosocial quality-of-life measure varied by age group in its importance as a predictor of hospitalization, suggesting differential relevance over the life course. Specifically, psychosocial quality of life was most strongly predictive of hospitalization for those ages 21-44, Was less predictive for those ages 45-54, and was nonsignificant for those 55-64 years of age and those 65 and over. Including self-report quality-of-life measures provides a more complete picture of the factors associated with risk of hospitalization at different points in the life course for individuals with heart failure. These findings suggest that researchers and practitioners could use self-report quality-of-life measures as additional Prognostic indicators of a patient's condition and risk for heart-failure-related hospitalization, especially for younger patients. (C) 2001 John Wiley & Sons, Inc.