青南地区生态移民生存质量及相关因素研究

目的了解青南地区生态移民生存质量及影响因素,为提高移民生存质量提供依据。方法采用多阶段整群抽样的方法,抽取海南州两个县生态移民聚居村和相邻的当地居民,采用SF-36生存质量量表及自编一般情况调查表入户调查。结果SF-36维度评分男性移民组在生理职能、躯体疼痛、精神健康维度高于非移民组。女性在生理职能、躯体疼痛和社会功能维度评分移民组高于非移民组。少数民族移民生存质量较差,且移民组和非移民组在生理机能、情感职能方面有差异。低收入移民的生存质量差异性更加明显,移民组与非移民组中生理机能、精力、社会功能差异有统计学意义。生理健康领域的影响因素为性别(OR=4.50)和受教育程度(OR=6.88),心理健康领域的影响因素为家庭月收入(OR=2.62)、婚姻(OR=1.12)和民族(OR=2.33)。结论青南地区生态移民生存质量较当地居民差,应针对性开展移民精神健康的干预,提高移民生存质量。     

宁夏生态移民生存质量现状及影响因素

目的 了解宁夏生态移民生存质量现况,探讨影响生态移民生存质量的因素,为制定移民人群健康促进措施提供参考.方法 采用多阶段整群抽样,抽取宁夏地区生态移民聚居村5个,相邻的当地居民村2个,运用SF-36生存质量量表及自编一般情况量表入户调查.比较移民与移居地人群SF-36各维度评分差异采用秩和检验,影响因素分析采用Logistic回归模型,显著性水准α=0.05.结果 ①SF-36维度评分男性移民组在躯体疼痛维度高于非移民组(Z=2.07,P=0.03).女性在生理功能维度评分移民组高于非移民组(Z=2.49,P=0.01).②民族分层后,回族移民生存质量较差,且回族移民组与非移民组差异有统计学意义,而汉族则表现在生理功能维度移民组较非移民组差且有统计学意义.③影响因素结果:生理健康领域(PHC)的影响因素为年龄(OR=2.52),心理健康领域(MHC)的影响因素为民族(OR=0.52).结论 宁夏生态移民生存质量状况较当地居民差,影响移民生存质量的因素是多方面的,回族移民及移民区留守老人生存质量更差.     

中文版SF-36量表应用于慢型克山病患者中的信度与效度评价

目的评价中文版简明健康状况调查表(SF-36量表)在慢型克山病患者生存质量调查中应用的信度与效度, 为该人群生活质量研究及治疗康复评价提供科学依据。方法 2017年8月, 采用整群随机抽样方法, 抽取甘肃省平凉市2017年家庭病床自我管理治疗的175例慢型克山病患者为调查对象, 收集人口学资料和病情资料;并采用中文版SF-36量表进行生存质量调查。应用分半信度和克朗巴赫α系数(Cronbach′s α系数)评价SF-36量表的信度, 因子分析法、相关性及组间差异分析评价SF-36量表的效度。结果 SF-36量表的分半信度值为0.916, Cronbach′s α系数为0.869。因子分析从SF-36量表的8个维度中提取出3个公共因子, 3个公共因子对总方差的累计贡献率为72.08%;除情感职能与躯体疼痛维度的相关系数(r)外, SF-36量表总得分与各维度得分及各维度得分之间的r值在0.140 ～ 0.769;除躯体疼痛维度外, 不同心功能分级患者的生存质量生理机能、生理职能、一般健康状况、精力、社会功能、情感职能、精神健康维度得分比较差异均有统计学意义(F = 4.66、10.73、...     

老年人群生存质量及相关影响因素初探

目的 探讨不同地区老年人群的生存质量及其影响因素. 方法采用非随机抽样方法,采用SF-36生存质量量表分别在广州和贵州黔西南州两地对60岁及以上老年人的生存质量状况进行调查,数据分析采用描述性统计、t检验、X2检验. 结果广州地区老年人群各年龄段的生理机能、躯体疼痛、精力、精神健康4个维度的生存质量评分均高于贵州地区,差异有统计学意义(P<0.001).按不同性别进行分层比较,不同性别的广州地区老年人群在生理机能、躯体疼痛、一般健康状况、精力、精神健康5个维度得分均高于贵州,差异有统计学意义(P<0.001);其中广州男性在社会功能维度的得分也高于贵州,差异有统计学意义(P<0.001);广州女性在生理职能和情感职能维度得分也高于贵州,差异有统计学意义(P<0.001). 结论分年龄、地区和性别的老年人生存质量均存在差异.老年人群随着年龄的增长导致身体功能衰退和主观情绪障碍,生存质量有逐渐变差的趋势,广州地区各年龄段和不同性别的老年人群的生存质量均较贵州好.     

北京地区军队老年男性体重指数与生活质量关系的横断面调查

目的 了解北京地区军队老年男性体重指数(BMI)对其生活质量的影响,为该人群的健康管理提供依据.方法 使用健康状况量表(SF-36)对430名军队老年男性的一般情况、生活质量及其影响因素进行了调查,并重点分析BMI对其影响.结果 不同年龄、不同BMI的老干部生活质量不同;不同年龄组在生理功能、躯体疼痛、总体健康、活力、精神健康、社会功能6个方面维度评分比较差异有统计学意义(P＜0.05).年龄越大,各维度分数越低.不同BMI在生理功能、生理职能、躯体疼痛、情感职能维度评分差异有统计学意义(P＜0.05),且体重正常组在生理功能、生理职能、躯体疼痛、总体健康、情感职能、社会功能6个维度的评分最高;肥胖组在生理功能、躯体疼痛、总体健康、活力、情感职能、社会功能维度分数最低.结论 老干部随着老龄化生活质量逐渐下降;肥胖组较其他体重组其生活质量略低.针对不同年龄、BMI的军队老年男性制定不同的保健策略可更有针对性地为军队老干部服务.     

SF-36量表在职业病患者生存质量调查中的应用

目的探讨简明生活质量量表(SF-36量表)在职业病患者生存质量调查中的应用。方法于2019年5月, 采用SF-36量表对杭州市诊断报告的职业病患者进行问卷调查, 通过Cronbach’s α系数评价量表的信度, 通过探索性因子分析评价量表的效度。结果 SF-36量表生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、社会功能(SF)、情感职能(RE)和精神健康(MH)Cronbach’s α系数分别为0.937、0.977、0.870、0.908、0.815、0.701、0.967和0.863, 折半信度系数α=0.905;代表生理和心理方面的两因子统计量为0.870, 近似卡方值为1 784.337(P<0.01);与全国常模比较, 职业病患者生存质量各维度得分较低, 差异均有统计学意义(P<0.01);与尘肺病患者生存质量各维度得分比较, 职业病患者在PF、RP和GH 3个维度得分较高, 差异均有统计学意义(P<0.05)。结论 SF-36量表在测量职业病患者生存质量时具有较好的信度和效度, 可用于评价职业病患者生存质量。     

社区人群健康相关生命质量的研究

SF-36是美国波士顿健康研究所研制的简明健康调查问卷，被广泛应用于普通人群的生存质量测定、临床试验效果评价以及卫生政策评估等领域。SF-36作为简明健康调查问卷，它从生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能以及精神健康等8个方面全面概括了被调查者的生存质量。     

Orem自理模式对风湿病患者护理的效果观察

目的应用Orem自理模式护理风湿病患者,提高风湿病患者对疾病相关知识的掌握及其生存质量。方法将260例风湿病患者按照病案号的尾号随机分为2组,对照组130例给予常规护理,观察组130例在常规护理的基础上同时应用Orem自理护理模式,在出院前对两组病人风湿病相关知识的掌握情况进行问卷调查。采用SF-36生活量表对其生活质量进行评分。结果观察组对风湿病相关知识掌握程度高于对照组;SF-36生活量表各维度[生理机能(PF)、生理职能(RP)、躯体疼痛(BP)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)及总体健康(GH)]评分均显著高于对照组(P0.001)。结论 Orem自理模式能有效提高风湿病患者对疾病知识的掌握,自我管理能力及其生存质量。     

SF-36量表和EORTC QLQ-LC43量表在肺癌患者生活质量测定中的应用效果

目的 比较健康调查简表（the MOS item short from health survey,SF-36）和欧洲癌症研究和治疗组织肿瘤肺癌患者生存质量量表（the European Organization for Research and Treatment of Cancer Quality of Life Core 30 Questionnaire,EORTC QLQ-LC43）在肺癌患者生活质量测定中的应用效果。方法 选取2020年9月—2022年6月158例肺癌患者作为研究对象,分别采用SF-36量表和EORTC QLQ-LC43量表调查受试对象的生活质量,采用Pearson线性相关性分析比较两种量表不同维度评分之间的相关性,以Karnofsky评分（KPS评分）功能状态评分作为效标,比较两种生存质量量表的相关性及效度。结果 SF-36量表总克朗巴赫系数为0.766,分量表克朗巴赫系数为0.493～0.849。SF-36量表的躯体功能、躯体角色、躯体疼痛、情感职能、社会活动、一般健康等6个分量表分别与EORTC QLQ-LC43量表的躯体功能、角色功能、疼痛、情绪功能、...     

郑州市贫困群体生存质量现况研究

目的调查城市贫困群体生存质量,为制定和完善贫困人群卫生服务政策提供依据.方法采用典型整群抽样39个社区共2 487人,使用SF-36量表进行调查.统计分析采用SAS 6.12统计软件进行.结果贫困人群1 003人;一般人群1 484人;两组人群除躯体疼痛外,7个维度和综合评分上差异均有统计学意义（P=0.0001）,贫困老年人群的生理职能远低于同年龄人群（P=0.0001）,发现有差别的能力均达到90%以上.结论贫困群体的生存质量平均水平远低于一般人群,生存质量亟待提高,提示贫困老年人生存质量急需医疗救助和政府关注.     

我国居民慢性病变化趋势分析 —— 基于国家五次卫生服务调查报告

  目的  了解广东省珠海市慢性非传染性疾病（慢性病）患者生命质量现状及其影响因素,为改善慢性病患者的生命质量提供参考依据。  方法  于2015年5 — 8月采用多阶段分层整群随机抽样方法在珠海市抽取3320名 ≥ 15岁常住居民进行问卷调查,对其中523例慢性病患者的生命质量及其影响因素进行分析。  结果  珠海市慢性病患者生理功能（PF）、生理职能（RP）、躯体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、情感职能（RE）、精神健康（MH）和健康变化（HT）得分分别为（82.28 ± 19.90）、（69.41 ± 38.39）、（71.05 ± 18.61）、（55.33 ± 17.76）、（65.53 ± 18.03）、（84.99 ± 23.37）、（67.94 ± 39.07）、（70.00 ± 16.73）和（46.65 ± 26.64）分,生理健康（PCS）和心理健康（MCS）得分分别为（69.38 ± 17.36）和（69.75 ± 17.81）分,生命质量总分为（67.02 ± 14.67）分;多元线性逐步回归分析结果显示,家庭人均月收入较高（β = 10.361）的珠海市慢性病患者PCS状况较好,年龄较大（β = 0.789）、家庭人均月收入较高（β = 6.022）和锻炼频次较多（β = 14.962）的珠海市慢性病患者MCS状况较好。  结论  珠海市慢性病患者生命质量较差,年龄、家庭人均月收入和每周锻炼频次是慢性病患者生命质量的主要影响因素。     

Can subjective and objective socioeconomic status explain minority health disparities in Israel?

Disparities in health exist between the three main population groups in Israel, non-immigrant Jews, immigrants from the former Soviet Union (arriving in Israel since 1990) and Arabs. This study examines the relationship between health and socioeconomic status in this multicultural population and assesses to what extent subjective and objective socioeconomic measures may explain the disparities in health. A random cross sectional telephone survey of 1004 Israelis aged 35–65 was performed. The questionnaire measured physical and mental health-related quality of life using the Short Form 12. Information regarding subjective socioeconomic status (SSS) and objective socioeconomic status (SES) was collected.Arabs and immigrant women from the former Soviet Union had worse physical health compared to non-immigrant Jews. Immigrant and Arab men and women had worse mental health compared to non-immigrant Jews. Multivariable log-linear regression analysis adjusting for age, SSS or SES explained the disparities in physical health between Arab and non-immigrant Jewish men. However, SSS and SES did not explain the disparities in physical health between the three groups of women. The disparities in mental health between immigrants and non-immigrant Jews can be explained by SSS for both men and women, whereas the disparities between Arabs and Jews can be explained by objective SES only among women. Employed men reported better physical and mental health. Part of the disparities in mental health in Israel can be attributed to differences in SSS and SES in the different groups. However, there is a need to identify additional factors that may add to the disparities in both physical and mental health. The disparities due to socioeconomic status vary by health measure and population group.     

Dental caries in cerebral palsied individuals and their caregivers' quality of life

Objective   To study the correlation between caries experience in individuals with cerebral palsy (CP) and the quality of life of their primary caregivers.
Materials and methods   Sixty-five non-institutionalized individuals, presenting CP, aged 2–21 years old, were evaluated for caries experience. Their respective caregivers aged 20–74 years old answered the Short Form 36 (SF-36) health survey and Independence Measure for Children. Fifty-eight non-disabled individuals (ND group), aged 2–21 years old, and their respective caregivers, aged 25–56 years old, were submitted to the same evaluation process as the CP group.
Results   Primary caregivers of CP individuals exhibited significantly lower scores than the ND group in all subscales of the SF-36 health survey questionnaire: physical functioning, physical role, bodily pain, general health, vitality, social functioning, emotional role and mental health. The CP group presented significantly higher values for the Decayed, Missed and Filled (DMF-T) index than the ND group and a significant negative correlation was obtained between the SF-36 and DMF-T index.
Conclusion   The results suggest that caregivers of CP individuals exhibited worse quality of life than those of the non-disabled. A negative correlation exists between caries experience of CP individuals and their caregivers' quality of life.     

‘The Healthy Migrant Effect’ for Mental Health in England: Propensity-score Matched Analysis Using the EMPIRIC Survey

Evidence has demonstrated that immigrants have a mental health advantage over the indigenous population of developed countries. However, much of the evidence-base demonstrating this mental health advantage is susceptible to confounding and inadequate adjustment across immigrant and non-immigrant groups preventing a rigorous assessment of a ’healthy migrant effect’. To compare the risk of common mental disorders in the immigrant population compared to the non-immigrant population in ethnic minority groups in England. A propensity-score matched analysis was carried out to adequately balance immigrant and non-immigrant groups for known confounders using the EMPIRIC national survey of Black-Caribbean, Indian, Pakistani and Bangladeshi groups. The mental health of participants was assessed using the validated Revised Clinical Interview Schedule tool. Immigrant participants were significantly less likely to have a common mental disorder than non-immigrant participants; OR?=?0.47, (95% CI 0.40, 0.56). The results from this study demonstrate that a mental health advantage exists in ethnic minority immigrants compared to non-immigrants when balancing the two groups for confounding factors. This may be due to immigrants possessing certain personality traits, such as "psychological hardiness", that the migration process may select for.     

广东省移居老年人生活质量及影响因素分析

目的了解广东省移居老年人生活质量及相关影响因素,为采取相应的干预措施提供依据。方法采用简明健康状况调查表（SF-36）及自编基本情况问卷对广东省9个市257名≥60岁移居老年人生活质量状况及影响因素进行问卷调查。结果移居老年人各方面生活质量评分为：生理功能（79.67±17.35）分、生理职能（60.21±40.33）分、躯体疼痛（65.65±21.28）分、总体健康（55.93±17.04）分、生命活力（69.12±16.78）分、社会功能（79.96±39.40）分、情感职能（55.25±44.87）分、精神健康（75.63±16.07）分;多因素分析结果显示,性别、年龄、吸烟、睡眠、文化程度、身体状况和慢性疾病可影响移居老年人生活质量。结论移居老年人的生活质量主要影响因素为性别、年龄、吸烟、睡眠、文化程度、身体状况和慢性疾病。     

Burden of restless legs syndrome on health-related quality of life

Objective To quantify the total and unique burden of Restless Legs Syndrome (RLS) on patient-reported health-related quality of life (HRQoL). Methods The disease burden that RLS places on HRQoL was estimated by comparing Short-Form (SF-36) scores between individuals with RLS and several patient and general populations in the US. Regression methods were applied to estimate SF-36 normative values from the general population sample and statistically adjust them to match age, gender and disease comorbidity characteristics of the RLS sample. Significance tests were then used to compare the means across samples. Results All SF-36 measures were significantly below adjusted US general population norms. Five of the eight scales (physical functioning, role physical, bodily pain, general health, vitality) were below US norms by 0.8 or more standard deviations (SD), while the remaining three (social functioning, role emotional, mental health) were 0.5 SD below norm. The burden of RLS was greater on physical than on mental/emotional HRQoL (physical and mental summary scores were 1.08 and 0.40 SD below norm, respectively), and greater than that observed for type-2 diabetes. Conclusion After controlling for the impact of age, gender, and disease comorbidity, RLS was associated with unique burden on both physical and mental aspects of HRQoL.     

Health outcomes by self-report: validity of the SF-36 among Australian hospital patients

This paper examines the performance of the SF-36 as a self-reported outcome measure in a diverse sample of Australian hospital in-patients. The data derive from the Care Continuum and Health Outcomes Project with a total of 2088 randomly selected patients, yielding a response rate of 80%. Distributions, completion rates and, in particular, correlates of measures were used to investigate the validity of the SF-36 according to clinical and psychometric criteria. Physical functioning, bodily pain, role limitations- physical, general health and vitality scales better represented physical than mental health, with the relative strength decreasing in that order; while mental health, role limitations-emotional and social functioning scales better represented mental health, with the relative strength decreasing in order. A cultural dimension was a strong independent correlate of all scales. While the SF-36 performed satisfactorily, there were weaknesses: the social functioning scale was too narrow to cover social health, both role limitations scales had crude response categories and particular subgroups, the frail elderly and those with complex health conditions, required measures with finer gradings for scales such as physical functioning and bodily pain. Further testing is needed to develop self-reports for use in hospital outcomes measurement which is already proposed in Australia.     

255名高校教师生活质量评定结果分析

目的 了解高校教师的生活质量，探讨生活质量的影响因素。方法 在贵阳市3所高校，选取255名在职高校教师，运用SF-36量表，进行自评，用t检验，方差分析和多元逐步回归分析，分析生活质量影响因素。结果 该群体总体综合得分为580.86;8个维度中最低得分是总体健康，为55.64，最高得分是躯体健康，为86.71；不同年龄，性别的躯体健康，心理，精力等方面存在差异；人群疾病史，医疗制度影响以及健康自评等因素与生活质量大多数领域有关，多因素的分析结果表明，主要影响因素是健康自评，医疗制度的影响，疾病。结论 对高校教师人群生活质量的评定分析可为提高教师健康水平提供一定依据。     

门诊健康教育对2型糖尿病患者生活质量的影响观察

目的探讨门诊健康教育对2型糖尿病患者生活质量的影响。方法将2010年2月至2012年2月来我院门诊就诊的100例2型糖尿病患者随机分为干预组50例,非干预组50例,对干预组进行6个月的门诊健康教育．使用SF～36生活质量量表在两组干预前后进行评分,并检测两组患者干预前后的餐后2h血糖和空腹血糖等血糖状况。结果非干预组各项评分与半年前比较均无明显差异（P〉0．05）;干预组在生理功能（PF）、生理职能（RP）、身体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、情感职能（RE）、精神健康（MH）等维度评分均有明显升高,差异有统计学意义（P〈0．05）。与非干预组比较,行门诊健康教育干预的干预组空腹血糖和餐后2h血糖水平降低较为明显,并且差异有统计学意义（P〈0．05）。结论门诊健康教育可以提高糖尿病患者生活质量。     

The rand 36-item health survey 1.0

Recently, Ware and Sherbourne¹ published a new short-form health survey, the MOS 36-Item Short-Form Health Survey (SF-36), consisting of 36 items included in long-form measures developed for the Medical Outcomes Study. The SF-36 taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, general mental health, social functioning, energy/fatigue, and general health perceptions. It also includes a single item that provides an indication of perceived change in health. The SF-36 items and scoring rules are distributed by MOS Trust, Inc. Strict adherence to item wording and scoring recommendations is required in order to use the SF-36 trademark. The RAND 36-Item Health Survey 1.0 (distributed by RAND) includes the same items as those in the SF-36, but the recommended scoring algorithm is somewhat different from that of the SF-36. Scoring differences are discussed here and new T-scores are presented for the 8 multi-item scales and two factor analytically-derived physical and mental health composite scores.