应用欧洲五维生活质量量表评价突发性聋疗效

发布时间：2018-01-30 06:23

本文关键词： 欧洲五维生活质量量表生活质量突发性聋　出处：《临床耳鼻咽喉头颈外科杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的:应用欧洲五维生活质量量表(中文版1.0)(EQ-5D-3L)对突发性聋患者的生活质量进行评估,探讨EQ-5D-3L对突发性聋患者评估的可行性。方法:回顾性分析。随机抽取在我科就诊的突发性聋患者60例,在一次疗程前和疗程后分别给予EQ-5D-3L对患者进行评估。使用配对资料的Wilcoxon符号秩和检验分析治疗前后5个方面的评价结果,使用成组配对t检验分析治疗前后的VAS评分。完善相关听力检查,并记录患者是否伴发耳闷、眩晕、呕吐等不适。记录以治疗前后听力检查情况及伴发症状是否改善,使用一致性分析对量表的相关维度进行可靠性评价。结果:60例患者的问卷都完整填写。统计患者在行动能力、自我照顾能力、日常活动能力、疼痛或不适、焦虑或抑郁等方面在治疗前后的差异,结果显示患者在治疗前后疼痛或不适、焦虑或抑郁有改善(P0.05),而行动能力、自我照顾能力、日常活动能力的前后差异无统计学意义(P0.05)。伴随症状和疼痛或不适维度具有较好的可靠性,总体疗效情况与VAS自评得分具有极好的一致性。结论:EQ-5D能够显示突发性聋患者在不适、焦虑等情况的改变。其得分评价显示主观得分与客观实际情况的相符合。EQ-5D量表可以作为突发性聋患者治疗效果的评估方式之一。
[Abstract]:Objective: to evaluate the quality of life (QOL) of patients with sudden deafness using the European five dimensional quality of Life scale (EQ-5D-3L). To evaluate the feasibility of EQ-5D-3L in the evaluation of sudden deafness. Methods: retrospective analysis. 60 cases of sudden deafness were randomly selected from our department. EQ-5D-3L was given to evaluate the patients before and after a course of treatment. The evaluation results of 5 aspects before and after treatment were analyzed by Wilcoxon symbolic rank sum test of matched data. The VAS scores before and after treatment were analyzed by paired t-test. The related hearing tests were improved and the patients were recorded whether they had ear stuffy or dizziness. Vomiting and other discomfort. To record before and after treatment of hearing examination and associated symptoms to improve. The reliability of the scale was evaluated by consistency analysis. Results the questionnaires of 60 patients were completed completely. The patients' ability of movement, self-care, daily activity, pain or discomfort were counted. Anxiety or depression before and after treatment, the results showed that patients before and after treatment pain or discomfort, anxiety or depression can improve P0.05, while the ability of movement, self-care. There was no significant difference in daily activity between before and after, and there was no significant difference (P 0.05). The associated symptoms and the dimensions of pain or discomfort had good reliability. There was excellent agreement between the overall curative effect and the VAS self-evaluation. Conclusion: 1. EQ-5D can show that sudden deafness patients are not feeling well. The evaluation of the scores showed that the subjective score was consistent with the objective actual situation. EQ-5D scale could be used as one of the evaluation methods for the treatment effect of sudden deafness patients.
【作者单位】：解放军总医院耳鼻咽喉头颈外科;
【基金】：国家“973”重大科研计划(No:2012CB967900) 中国博士后科学基金面上项目(No:2013M542520)
【分类号】：R764.437
【正文快照】： 突发性聋是72h内突然发生的、原因不明的感音神经性听力损失,至少在相邻的2个频率听力下降20dB以上〔1〕。突发性聋可伴有耳鸣、耳堵塞感,可伴眩晕、听觉过敏或重听、耳周感觉异常等症状,并且常导致患者生活质量下降和心理上的困惑。国内学者采用焦虑自评量表(SAS)、抑郁自评

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