Health utility scores of family caregivers for leukemia patients measured by EQ-5D-3L: a cross-sectional survey in China.

Health utility scores of family caregivers for leukemia patients measured by EQ-5D-3L: a cross-sectional survey in China.
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EQ-5D-3L测量的白血病患者家庭照顾者健康效用评分:中国横断面调查

DOI:
10.1186/s12885-018-4855-y
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发表时间:
2018-10-03
期刊:
影响因子:
3.8
通讯作者:
Li L
Li L
中科院分区:
医学2区
文献类型:
--
作者:
Yu H;Zhang H;Yang J;Liu C;Lu C;Yang H;Huang W;Zhou J;Fu W;Shi L;Yan Y;Liu G;Li L

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背景本研究采用EuroQol五维(EQ-5D)问卷得出的健康效用评分来评估白血病患者家庭照顾者(FC)的健康相关生活质量。方法对306名白血病患者家庭照顾者进行横断面调查,使用EQ-5D-3L评估其健康效用。参与者是从中国黑龙江省的三家医院招募的。根据中国EQ-5D-3L值集估算参与者的健康效用得分,并与当地一般人群的健康效用得分进行比较。通过 Kruskal-Wallis 方差分析和中值回归分析确定了预测健康效用得分的因素。结果 FC 的健康效用得分低于一般人群 (p< 0.001)。与社会经济地位较高的参与者相比,社会经济地位较低的参与者的效用得分较低,报告的问题也较多。更好的家庭功能和更高的社会支持与更高的健康效用得分相关。白血病类型、家庭收入和社会支持是 FC 健康效用评分的重要预测因素。慢性淋巴细胞白血病、低社会经济地位和低社会支持与FCs较低的健康效用得分相关。结论根据EQ-5D-3L测量,白血病患者FCs的健康效用得分低于当地一般人群。当务之急是解决家庭成员的健康问题,他们在中国医疗保健系统中发挥着重要作用。
BackgroundThis study assessed the health related quality of life of family caregivers (FCs) of leukemia patients by using the health utility scores derived from the EuroQol five-dimensional (EQ-5D) questionnaire.MethodsA cross-sectional survey was undertaken on 306 family caregivers of leukemia patients to assess their health utility using the EQ-5D-3L. Participants were recruited from three hospitals in China’s Heilongjiang province. The health utility scores of the participants were estimated based on the Chinese EQ-5D-3L value set and compared with those of the local general population. Factors predicting the health utility scores were identified through the Kruskal-Wallis analysis of variance and median regression analyses.ResultsFCs had lower health utility scores than the general population (p< 0.001). The participants with a lower socioeconomic status had lower utility scores and reported more problems than those with a higher socio-economic status. Better family function and higher social support were associated with higher health utility scores. The type of leukemia, household income, and social support are significant predictors of health utility scores of the FCs. Chronic lymphocytic leukemia, low socio-economic status, and low social support are associated with lower health utility scores of the FCs.ConclusionsFCs for leukemia patients have lower health utility scores than the local general population, as measured by the EQ-5D-3L. There is an immediate need to address the health concerns of FCs, who play an important role in the Chinese health care system.
DOI: 10.1007/s00520-016-3108-3
发表时间: 2016-07-01
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