IMPACT OF INTERMITTENT CLAUDICATION ON QUALITY-OF-LIFE
IMPACT OF INTERMITTENT CLAUDICATION ON QUALITY-OF-LIFE
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DOI：
10.1016/s1078-5884(05)80018-8
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发表时间：
1995-05-01
影响因子：
5.7
通讯作者：
PELL, JP
中科院分区：
文献类型：
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作者：
PELL, JP
目的：间歇性跛行的手术治疗主要旨在改善生活质量，而不是生存。本研究的目的是检查跛行对生活质量的影响以及外科医生判断这一点的能力。设计和材料：201 名跛行患者评估了他们的生活质量，并在第一次就诊前完成了 SF36 健康状况调查问卷。会诊后，外科医生评估了他们对患者生活质量的看法。主要结果指标：将 SF36 评分与人群标准进行比较。多元线性回归分析确定了影响生活质量的因素。外科医生和患者对生活质量的评分之间的一致性以 kappa 系数表示。 主要结果：与正常人群相比，跛行者的生活质量在各个方面都显着下降。通过停车距离衡量的疾病严重程度是总体健康、疼痛、活力以及身体和社会参数的重要预测指标。精神和情绪健康也有所下降，但与疾病严重程度无关。患者和外科医生对生活质量的评估一致性不高 (k = 0.4)。患者对自己的生活质量的看法高于外科医生。结论：间歇性跛行从各个方面都会损害生活质量。为患者提供的治疗类型应反映他们就诊时的生活质量，但外科医生的主观评估可能不够准确。健康状况调查问卷几乎只用于研究，但也可用于临床环境，作为生活质量的客观衡量标准。
Objectives: Surgical treatment of intermittent claudication is aimed primarily at improving quality of life, rather than survival. The aim of this study was to examine the impact of claudication on quality of life and the ability of surgeons to judge this.Design and materials: 201 claudicants rated their quality of life and completed an SF36 health status questionnaire prior to their first consultation. Following the consultation, the surgeons rated their perceptions of the patients' quality of life.Chief outcome measures: SF36 scores were compared with population norms. Multiple linear regression analysis determined the factors influencing quality of life. Agreement between surgeon and patient ratings of quality of life was expressed as a kappa coefficient.Main results: Compared to population norms, claudicants had significantly reduced quality of life in all respects. The severity of disease, as measured by stopping distance, was a significant predictor of general health, pain, vitality and physical and social parameters. Mental and emotional wellbeing were also reduced, but were not related to disease severity. The agreement between patient and surgeon assessments of quality of life was not high (k = 0.4). Patients had a higher perception of their quality of life than their surgeons.Conclusions: Intermittent claudication impairs quality of life in all respects. The type of treatment offered to patients should reflect their quality of life at presentation, but subjective assessments by surgeons may not be sufficiently accurate. Health status questionnaires have been used almost exclusively in research, but they may also be of use in clinical settings as an objective measure of quality of life.