在心血管疾病中SF-36和RAND-36的比较:可靠性研究
Estrella García-Sánchez1, Mirian Santamaría-Peláez2, Eva Benito Figuerola1
1Cardiac Rehabilitation Unit, Rehabilitation Service, University Hospital of Burgos, 09006 Burgos, Spain.
Journal of clinical medicine
|October 26, 2024
概括
简单形式36健康调查 (SF-36) 和兰德36项健康调查 (RAND-36) 都证明了心血管疾病患者可靠的与健康有关的生活质量测量. 这些发现支持它们在临床实践中用于监测患者的结果.
科学领域:
- 心脏病学 心脏病学
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
背景情况:
- 心血管疾病 (CVD) 是全球主要的健康负担,需要有效的工具来评估患者的影响.
- 与健康相关的生活质量 (HRQoL) 对于评估心血管疾病影响和指导治疗至关重要.
- 像SF-36和RAND-36这样的常见HRQoL仪器的可靠性可能因患者群体而异.
研究的目的:
- 为了比较SF-36和RAND-36问卷的可靠性.
- 确定哪种仪器在心脏病患者中提供更一致和更有用的HRQoL测量.
- 为了解决这些工具对于特定的心脏病理患者群体的适用性.
主要方法:
- 一项涉及413名心血管病理患者的横截面观察性研究.
- 纳入标准侧重于转诊到心脏康复科的患者.
- 使用内部一致性 (克朗巴赫α),项目总相关性和分半分析来评估可靠性.
主要成果:
- 无论是SF-36还是RAND-36,在研究的心血管患者队列中都表现出足够和可比的可靠性.
- 对于大多数维度,克伦巴赫的α值超过了0.80,表明强大的内部一致性.
- 项目间和维度间的相关性是显著的,在两个尺度的"物理功能"维度中,有很小的例外.
结论:
- SF-36和RAND-36都是评估心血管疾病患者HRQoL的高度可靠的仪器.
- 这些发现对于在临床环境中选择适当的HRQoL监测工具具有实际意义.
- 这项研究支持使用这些问卷来评估心脏病患者治疗干预措施的有效性.
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