评估复杂慢性疾病患者的生活质量:Cronimad研究
Pilar Cubo Romano1,2,3, Pilar García de la Torre1,2, Virginia Gracia Lorenzo4
1Hospital Universitario Infanta Cristina, Parla, Madrid, Spain.
BMC geriatrics
|December 9, 2025
概括
慢性复杂性患者 (CCP) 的生活质量受到疼痛,功能障碍,步态障碍和营养不良的影响. 这些因素对于改善多病理患者 (PPP) 护理策略至关重要.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 公共卫生和流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预期寿命的增加导致慢性疾病的增加,使慢性复杂患者 (CCP),包括多病理患者 (PPP),成为优先医疗保健群体.
- 了解CCP/PPP的与健康相关的生活质量 (QoL) 对于开发有针对性的干预措施和改善患者治疗结果至关重要.
研究的目的:
- 确定西班牙慢性复杂患者 (CCP) 和多病症患者 (PPP) 的与健康相关的生活质量 (QoL).
- 调查该患者群体中QoL与社会人口,临床,功能变量和认知状态之间的关联.
主要方法:
- 在马德里社区的六家医院招募了128名CPC/PPP队列.
- 使用EuroQol问卷,包括视觉模拟尺度 (EQ-VAS) 和EQ-5D-5L指数来评估生活质量.
- 社会人口统计学,与健康相关的变量和认知状态被收集并与 QoL 措施相关联.
主要成果:
- 观察到的EQ-VAS中位数为60.0,EQ-5D-5L指数的中位数为0.64.
- 中度至严重的疼痛,功能障碍,步态障碍和营养不良与较差的QOL独立相关.
- 步行障碍和营养不良在EQ-VAS和EQ-5D-5L两种尺度上都与QOL有显著的关联.
结论:
- 该研究强调需要加强策略来评估和改进CPT/PPP中的QoL.
- 初步发现表明,疼痛,功能状态,步态和营养状况是影响QoL的关键因素.
- 这些因素应考虑患者分层和调整日常护理,以提高CPC/PPP的生活质量.
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