The relative contribution of domains of quality of life to overall quality of life for different chronic diseases
The relative contribution of domains of quality of life to overall quality of life for different chronic diseases
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DOI：
10.1023/b:qure.0000025599.74923.f2
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发表时间：
2004-06-01
影响因子：
3.5
通讯作者：
Suurmeijer, TPBM
中科院分区：
文献类型：
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作者：
Arnold, R;Ranchor, AV;Suurmeijer, TPBM
本研究探讨了生活质量（QoL）领域的身体，社会和心理功能的整体QoL的解释的贡献。由于疾病特异性因素，各种疾病可能会对QoL领域产生差异性影响，因此，QoL领域与总体QoL之间的关系可能因疾病而异。因此，我们研究了几种疾病的这种关系，以及这些疾病对生活质量的不同影响。本研究采用横断面设计。我们选择了患有以下八种慢性疾病之一的患者（57岁及以上）：肺部疾病、心脏病、高血压、糖尿病、背部问题、类风湿性关节炎、偏头痛或皮肤病。调查对象包括1457名患者和1851名健康受试者。回归分析表明，心理功能领域的整体生活质量的所有疾病，而身体和社会功能的整体生活质量的一些疾病。大多数患者组和健康受试者之间的差异被发现在身体功能方面，在社会和心理功能方面，一些群体不同于健康群体。解释的结果和临床实践的影响进行了讨论。
This study examined the contribution of the quality of life (QoL) domains physical, social and psychological functioning to the explanation of overall QoL. Various disorders may differentially affect QoL domains due to disease-specific factors and, consequently, the relationship between QoL domains and overall QoL may vary between diseases. We therefore studied this relationship for several diseases as well as the differential impact of these diseases on QoL. The present study had a cross-sectional design. We selected patients ( aged 57 years and older) with one of the following eight chronic medical conditions: lung disorder, heart condition, hypertension, diabetes mellitus, back problems, rheumatoid arthritis, migraine, or dermatological disorders. The total group of respondents included 1457 patients and 1851 healthy subjects. Regression analyses showed that the domain of psychological functioning contributed to overall QoL for all disorders, whereas physical and social functioning contributed to overall QoL for some disorders. Differences were found between most patient groups and healthy subjects with respect to physical functioning; with respect to social and psychological functioning some groups differed from the healthy group. Explanations for the findings and implications for clinical practice are discussed.