Measures of life quality, role performance, and functional status in asthma research.

Measures of life quality, role performance, and functional status in asthma research.
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哮喘研究中生活质量、角色表现和功能状态的测量。

DOI:
10.1164/ajrccm/149.2_pt_2.s31
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发表时间:
1994
影响因子:
24.7
通讯作者:
M. P. Hemstreet
M. P. Hemstreet
中科院分区:
医学1区
文献类型:
--
作者:
J. M. Richards;M. P. Hemstreet

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最近出现了一个共识,即医疗保健研究应该解决对患者重要的结果,特别是生活质量,角色表现和功能状态。对这些结果的评估受到概念和方法上的困难的困扰,这些困难对于哮喘来说可能尤其成问题。尽管如此,在哮喘研究中使用这些结果的措施可能会得出几个广泛的结论。如果患者适度地遵守他们推荐的治疗方案,哮喘通常会得到合理的良好控制。因此,干预措施的有益影响可能很小,需要大量样本来检测。结果评估应结合联合收割机哮喘的具体措施与通用措施适用于各种条件。针对严重衰弱性疾病的一般性措施不如针对一般人群的措施适当。针对哮喘的措施应强调咳嗽、喘息、痰液产生和呼吸急促等症状的发生率和影响。目前计算效用分数和基于效用分数的成本效益比的程序具有严重的测量局限性,在克服这些局限性之前,应推迟使用这种分数。这些评估问题应分别针对成人和儿童。
Recently a consensus has emerged that health care research should address outcomes important to patients, especially quality of life, role performance, and functional status. The assessment of such outcomes is beset by conceptual and methodological difficulties that may be especially problematic for asthma. Nevertheless, several broad conclusions may be drawn about the use of measures of these outcomes in asthma research. Asthma usually is reasonably well controlled if patients are moderately adherent to their recommended regimens. Consequently, the beneficial impacts of interventions are likely to be small, and large samples are required to detect them. Outcome assessment should combine asthma-specific measures with generic measures applicable to a variety of conditions. Generic measures aimed at severely debilitating disease are less appropriate than measures designed for use in the general population. Asthma-specific measures should emphasize the incidence and impact of such symptoms as coughing, wheezing, sputum production, and shortness of breath. Current procedures for computing utility scores and cost-benefit ratios based on them have serious measurement limitations, and use of such scores should be postponed until those limitations are overcome. These assessment issues should be addressed separately for adults and children.
与有效自我管理相关的患者特征:评估成人对哮喘态度的量表。
DOI: 10.3109/02770908909073238
发表时间: 1989
期刊: The Journal of asthma : official journal of the Association for the Care of Asthma
影响因子: --
作者:
RichardsJr,JM;Dolce,JJ;Windsor,RA;Bailey,WC;Brooks,CM;Soong,S
通讯作者: Soong,S
生命的健康年份作为患者决策的基础。
DOI: 10.1016/0738-3991(89)90022-0
发表时间: 1989
影响因子: 3.5
作者:
Kaplan,RI;Atkins,CJ
通讯作者: Atkins,CJ
DOI: 10.3109/02770908809071375
发表时间: 1988
期刊: The Journal of asthma : official journal of the Association for the Care of Asthma
影响因子: --
作者:
Creer,TL;Backial,M;Burns,KL;Leung,P;Marion,RJ;Miklich,DR;Morrill,C;Taplin,PS;Ullman,S
通讯作者: Ullman,S
用于哮喘研究的一些简单量表。
DOI: 10.3109/02770908809071376
发表时间: 1988
期刊: The Journal of asthma : official journal of the Association for the Care of Asthma
影响因子: --
作者:
RichardsJr,JM;Bailey,WC;Windsor,RA;Martin,B;Soong,SJ
通讯作者: Soong,SJ
心血管疾病中与健康相关的生活质量。
DOI: 10.1037//0022-006x.56.3.382
发表时间: 1988
影响因子: 5.9
作者:
Kaplan,RM
通讯作者: Kaplan,RM