MEASURING QUALITY-OF-LIFE IN THE FRAIL ELDERLY
MEASURING QUALITY-OF-LIFE IN THE FRAIL ELDERLY
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DOI：
10.1016/0895-4356(93)90143-o
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发表时间：
1993-12-01
影响因子：
7.2
通讯作者：
TURPIE, I
中科院分区：
文献类型：
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作者：
GUYATT, GH;EAGLE, DJ;TURPIE, I
本研究旨在编制和检验老年人生活质量问卷（GQLQ），这是一种专为体弱老年人设计的健康相关生活质量（HRQL）问卷。100名患者被要求确定他们日常生活中受健康影响的领域。GQLQ，开发的基础上的结果，兰德的身体和情绪功能量表，和Barthel指数，连续管理到一组76例患者参加了一个老年日间医院的随机试验。所有研究阶段的参与者都超过65岁，住在自己家里，但功能状态受损足以影响他们独立生活的能力。GQLQ包括25个问题，重点关注日常生活活动（ADL），症状和情绪功能。在ADL和症状领域，受访者定义了个人问题领域。GQLQ ADL和症状领域的反应度系数分别为0.26和0.30，与兰德身体功能量表和Barthel指数的反应度系数（0.29和0.20）相近。GQLQ情绪功能领域的反应度系数（0.50）与兰德情绪功能量表的反应度系数（0.63）相近。GQLQ ADL领域与Barthel指数（0.41）、GQLQ与兰德身体功能量表（0.30）之间的相关性与Barthel指数与兰德身体功能量表（0.40）之间的相关性相似。虽然GQLQ捕捉到了体弱老年人健康相关生活质量损害的重要领域，但我们未能在现有的简单措施的反应性或有效性方面表现出任何优势。新的具体文书在传播前应与现有措施，特别是通用文书进行直接比较。
This study was carried out to develop and test the Geriatric Quality of Life Questionnaire (GQLQ), a health-related qualify of life (HRQL) questionnaire designed for the frail elderly. One hundred patients were asked to identify areas of their daily lives affected by their health. The GQLQ, developed on the basis of the results, the Rand Physical and Emotional Function Questionnaires, and the Barthel Index, were administered serially to a group of 76 patients participating in a randomized trial of a Geriatric Day Hospital. Participants in all phases of the study were over 65 years of age, living in their own home but with sufficient functional status impairment to compromise their ability to live independently. The GQLQ includes 25 questions focusing on activities of daily living (ADL), symptoms, and emotional function. In the ADL and Symptom domains respondents define personal problem areas. The responsiveness coefficients of the GQLQ ADL and Symptom domains (0.26 and 0.30 respectively) were similar to those of the Rand Physical Function instrument and the Barthel Index (0.29 and 0.20). The responsiveness coefficient of the GQLQ Emotional Function domain (0.50) was similar to that of the Rand Emotional Function instrument (0.63). Correlations between the GQLQ ADL domain and the Barthel Index (0.41), and between GQLQ and the Rand Physical Function instrument (0.30), were similar to the correlation between the Barthel Index and Rand Physical Function (0.40). While the GQLQ captures important areas of health-related quality of life impairment for the frail elderly, we failed to show any advantages in either responsiveness or validity to existing, simpler measures. New, specific instruments should be tested in head-to-head comparisons with existing measures, particularly generic instruments, before dissemination.