办公室与家庭对心力衰竭的生活质量的评估:随机研究
Inês de Almeida Pinho1, Maria João Pimentel1, Cristina Oliveira1
1Cardiovascular Research and Development Center (UnIC@RISE), Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal.
International journal of cardiology
|July 6, 2024
概括
使用堪萨斯城心肌病问卷 (KCCQ) 的心力衰竭患者的与健康相关的生活质量 (HR-QoL) 评分在在家完成和在诊所完成时没有显著差异. 这表明,家庭完成可以增加患者的可访问性.
科学领域:
- 心脏病学 心脏病学
- 健康 结果 研究 研究 结果
- 患者报告的结果
背景情况:
- 心力衰竭 (HF) 显著影响患者的与健康相关的生活质量 (HR-QoL).
- 堪萨斯城心肌病问卷 (KCCQ) 是评估高频率患者HR-QoL的标准工具.
- 完成设置 (家庭与办公室) 对KCCQ分数的影响尚不清楚.
研究的目的:
- 为了比较KCCQ-23问卷的答案,由HF患者在家中和临床办公室环境中完成.
- 确定填写问卷的位置是否会影响患者报告的HR-QoL结果.
主要方法:
- 采用了一种随机的并行组研究设计.
- 包括心力衰竭患者和减少喷射率 (HFrEF) 的患者.
- 主要结果:比较KCCQ整体总结得分 (KCCQ-OSS) 在家庭和办公室完成之间.
- 二次结果:KCCQ临床总结得分 (KCCQ-CSS) 和KCCQ总症状得分 (KCCQ-TSS).
主要成果:
- 分析了100名HFrEF患者 (50名在家,50名在办公室);基线特征通常是平衡的.
- 在KCCQ-OSS中没有观察到统计学意义上的差异 (家庭:69.1与办公室:63.1,P=0.59).
- 二次结果也没有显著差异:KCCQ-CSS (家庭:62.2与办公室:68.1,P=0.69) 和KCCQ-TSS (家庭:84.7与办公室:76.4,P=0.85).
- 在调整基线差异后,结果保持一致.
结论:
- 无论是在家中还是办公室完成,KCCQ-23的分数都是可比的.
- 在家完成KCCQ是一个可行的选择,以提高HR-QoL评估的可访问性.
- 使用电子邮件或应用程序等远程完成方法可以提高患者参与度和数据收集效率.
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