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目的制定适合我国阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的生命质量评估表并做初步检验。方法通过与OSAHS相关人员访谈并参考国外OSAHS生命质量量表确立反映OSAHS生命质量的条目库。由20例OSAHS患者对条目库进行筛选,计算频度、重要性评分和影响分,将影响分大于1.5分的条目纳入量表。对52例OSAHS患者根据呼吸紊乱指数(AHI)分为AHI<40与AHI≥40两组,比较两组生命质量评分,其中20例在第1次生命质量测评后的1周内进行了重测,计算两次测评的相关性。结果条目库共有72个条目,从中筛选出影响分大于1.5分的条目37条,其中症状12条、日常工作生活6条、社会关系5条、警觉6条、情感8条,加上一个对自我总体生命质量评价的条目,最终形成含5个维度,37+1个条目的正式量表。AHI<40与AHI≥40两组生命质量评分比较,无论是总分还是各维度分,AHI<40组明显高于AHI≥40组(P<0.01)。1周内的重测结果显示,量表总分和上述5个维度的重测相关系数分别为0.885、0.840、0.798、0.928和0.842。结论本量表具有较好的信度和效度,可作为我国OSAHS成人患者生命质量的测评工具。
Objective To develop a life quality assessment form suitable for our patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) and make a preliminary test. Methods Through the interviews with relevant personnel of OSAHS and referring to the OSAHS Quality of Life Scale of foreign countries, an item bank reflecting the quality of life of OSAHS was established. Entries from 20 OSAHS patients were screened, frequency, importance scores and impact scores were scored, and items with influence scores greater than 1.5 were included in the scale. Fifty-two patients with OSAHS were divided into AHI <40 and AHI> 40 according to respiratory distress index (AHI). The quality of life scores were compared between the two groups. Twenty patients were re-tested within 1 week after the first quality of life assessment , Calculate the correlation between two tests. The results of the project library a total of 72 entries, screening out more than 1.5 points out of 37 entries, of which 12 symptoms, 6 daily working life, social relations 5, alert 6, emotional 8, plus a self Overall quality of life assessment of the entry, the final form with 5 dimensions, 37 + 1 entry formal scale. AHI <40 and AHI≥40 two groups of quality of life scores, regardless of the total score or each dimension, AHI <40 group was significantly higher than AHI≥40 group (P <0.01). The retest results within 1 week showed that the correlation coefficients of the total score of the scale and the above five dimensions were 0.885,0.840,0.798,0.928 and 0.842 respectively. Conclusion The scale has good reliability and validity, which can be used as a measure of the quality of life of adult patients with OSAHS in our country.