A reformulation of quality of life for medical science.
A reformulation of quality of life for medical science.
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DOI：
10.1007/bf00435636
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发表时间：
1992-08-01
期刊：
影响因子：
--
通讯作者：
Hyland, M E
中科院分区：
文献类型：
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作者：
Hyland, M E
目前的生活质量测量工具适用于经济决策，而不是调查导致患者评估其生活的因果过程。基于对积极与消极生活满意度的研究，提出了另一种方法。生活质量是心理状态的因果序列，其中感知到的症状引起问题，问题和症状引起评估，并且因果序列是发病率和心理因素之间的复杂相互作用。不同类型的医疗干预影响因果序列的不同阶段，因此不同类型的医学研究需要不同类型的生活质量仪器。
Current quality of life measuring tools are suited for economic decision making, not to investigate causal processes which lead to patients making evaluations of their lives. An alternative approach is presented based on research into positive versus negative life-satisfaction. Quality of life is a causal sequence of psychological states where perceived symptoms cause problems and the problems and symptoms cause evaluations, and where the causal sequence is a complex interaction between morbidity and psychological factors. Different types of medical intervention affect different stages in the causal sequence and so different types of quality of life instrument are needed for different kinds of medical research.