SF-36健康调查量表在耳鼻咽喉头颈外科患者中的应用

摘要

Objective To investigate the quality of life and health quantitatively among patients with Ear-Nose-Throat and Head-Neck(ENT-HN)diseases, and to explore the application of the MOS 36-item Short-Form Health Survey (SF-36) Questionnaire in ENT-HT patients. Methods A total of 173 consecutive patients in ENT-HN outpatient clinic filled in the Chinese version of SF-36 scales. Eight SF-36 scores covering various aspects of life and health were calculated, including physical functioning (PF), role- physical (RP), body pain (BP), general health (GH), vitality (VT), social functioning (SF), role-emotional (RE) and mental health (MH). Two hundred healthy people were enrolled as control group. One-way ANOVA were done in terms of gender, age, occupational status, educational status, marital status and disease for 8 scales. Results The SF-36 scores in each of the 8 scales for ENT-HN patients were PF 87.6±12.9, RP 65.0±2.7, BP 75.1±15.5, GH 54.6±17.5, VT 66.9±16.3, SF 87.1±19.5, RE 62.6±42.7 and MH 65.6±15.5 respectively. The SF-36 scores of ENT-HN patients in each scale were statistically lower than the control group. Gender, age, occupational status and marital status had significant effects on SF-36 scores of ENT-HN patients. In all the eight scales, there were significant differences between ENT-HN patients and control group. Conclusion SF-36 health survey scale can reflect the quality of life and health in ENT-HN patients.%　　目的对耳鼻咽喉头颈外科疾病患者生命健康质量进行系统量化分析，探讨SF-36健康调查量表在耳鼻咽喉头颈外科患者中的应用。方法耳鼻咽喉头颈外科门诊连续就诊的173例患者填写中文版SF-36量表，计算生理功能（physical functioning，PF）、生理职能（role-physical，RP）、躯体疼痛（bodily pain，BP）、总体健康（general health，GH）、活力（vitality，VT）、社会功能（social functioning，SF）、情感职能（role-emotional，RE）、精神健康（mental health，MH）等8个维度的总体生命健康质量得分。200例健康人作为对照组。对SF-36的8个维度针对性别、年龄段、学历、职业状况、婚姻状况、诊断类别等6个因素分别进行单因素方差分析。结果患者总体的SF-36各维度得分为PF 87.6±12.9，RP 65.0±2.7，BP 75.1±15.5，GH 54.6±17.5，VT 66.9±16.3，SF 87.1±19.5，RE 62.6±42.7，MH 65.6±15.5。各维度得分与健康对照组均具有统计学差异。性别、年龄段、职业状况和婚姻状况对于耳鼻咽喉科患者SF-36得分具有显著影响。在所有8个维度上，各亚专科疾病均显著差于健康对照组。结论 SF-36健康调查量表可反映出耳鼻咽喉头颈外科患者生命健康质量所受到的影响。