【摘要】：目的比較健康狀況調(diào)查(SF-36)量表與中醫(yī)高血壓量表(PRO)測定高血壓患者生活質(zhì)量的效果。方法選擇120例住院患者作為調(diào)查對象,排除34例,納入86例。調(diào)查員為經(jīng)過量表培訓(xùn)及考核合格的醫(yī)生,簡要說明后,分別讓患者填寫SF-36和PRO量表。入院時填寫一次并錄入測定,2~3 d再次填寫并錄入測定。統(tǒng)計并分析其信度、效度及反應(yīng)度,對比兩個量表的生活質(zhì)量效果。結(jié)果通過統(tǒng)計對比2個量表的信度、效度及反應(yīng)度,PRO量表小方面的α系數(shù)都0.6,而且多數(shù)0.7;兩次測定的領(lǐng)域、方面和總分的相關(guān)系數(shù)均比較高,可以認為兩個量表均具有較好的信度。在領(lǐng)域?qū)用嫔?發(fā)現(xiàn)PRO量表和SF-36量表在治療前后生活質(zhì)量的變化方面均出現(xiàn)明顯變化,而PRO量表變化率比SF-36大。兩個量表均能夠測定患者生活質(zhì)量的變化,具有良好的反應(yīng)度,對比SF-36,PRO量表在高血壓患者的評價中更敏感。結(jié)論 SF-36與PRO量表均能用于高血壓患者生活質(zhì)量測定,但PRO量表更有針對性和敏感性。
[Abstract]:Objective to compare the quality of life (QOL) of hypertension patients measured by SF-36 (Health status Survey) and (PRO) (traditional Chinese Medicine Hypertension scale). Methods 120 inpatients were selected as subjects, 34 cases were excluded and 86 cases were included. After brief explanation, the patients were asked to fill in the SF-36 and pro scales respectively. Fill in and enter the test once on admission, 2 days and 3 days again fill in and enter the measurement. The reliability, validity and responsiveness of the two scales were analyzed, and the quality of life of the two scales were compared. Results the reliability, validity and responsiveness of the two scales were statistically compared. The 偽 coefficients of the small aspect of the PRO scale were 0.6, and most of them were 0.7; The correlation coefficients between aspect and total score of the two tests are higher, and the reliability of the two scales can be considered to be good. At the domain level, it was found that both PRO and SF- 36 showed significant changes in the quality of life before and after treatment, while the change rate of PRO was higher than that of SF-36. Both scales can measure the changes of patients' quality of life and have a good degree of response. The SF-36,PRO scale is more sensitive to the evaluation of hypertension patients. Conclusion both SF-36 and PRO can be used to measure the quality of life of patients with hypertension, but PRO is more specific and sensitive.
【作者單位】： 廣州中醫(yī)藥大學(xué);
【基金】：國家自然科學(xué)基金資助項目(編號:81173438)
【分類號】：R544.1

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