Objective To study the major factors which affect quality of life of Chinese patients with diabetic retinopathy,and provide basis raising the patients condition of health and quality of life. Methods Quality of life of 179 patients with different stages of diabetic retinopathy and 30 healthy persons was measuerd by the medical outcomes study 36-item short form health survey(SF-36)and the brief scale of quality of life of WHO(WHOQOL-BREF),then the affectting factors were analysed by step regression. Results The major factors which affect quality of life of patients with diabetic retinopathy included:bilateral visual acuity(BVA),different category of retinopathy,course of disease,economic condition,personality,medical care and age. Conclusion The study suggests that bringing about the transformation from the biologic medical model to bio-psycho-social medical model is important to improve quality of life of the patients with diabetic retionpathy. (Chin J Ocul Fundus Dis,2000,16:141-143)
This paper is aimed to introduce the definition and application of Population Impact Measures (PIMs). The PIMs use Number Need to Treat (NNT) for reference and generalize the variables of clinical research to interest population, which then can be used to measure the effectiveness of interventions and the harmfulness of risk factors, so as to provide evidence for making public health policy. Of the PIMs, the variables used for measuring the effectiveness of interventions include Disease Impact Number (DIN), Population Impact Number (PIN) and Number of Events Prevented in your Population (NEPP); The variables used for measuring the harmfulness of risk factors include Exposure Impact Number (EIN), Exposed Cases Impact Number (ECIN), Population Impact Number (PIN), Case Impact Number (CIN) and Population Impact Number of Eliminating a Risk factor (PIN-ER-t).
目的:了解抑郁症患者的生命质量与疾病影响程度,探讨抑郁程度、生命质量和疾病影响程度的关系。方法:运用随意抽样方法,对2007年7～9月在四川大学华西医院心理卫生中心住院的抑郁症患者进行问卷调查。问卷包括:①一般人口学资料;②Zung抑郁自评问卷SDS;③汤旦林生命质量表TD;④美国华盛顿大学卫生服务系1977年编制、我国李君荣、张新平等翻译的疾病影响程度量表SIP。统计方法:采用SPSS10.0软件对数据进行处理,采用频数分析、t检验、相关分析和ANOVA多元线形回归分析。结果:①住院抑郁症患者TDL为60.04+16.95,男女患者无显著性差异(T1=0.726 sig=0.47);②多数抑郁症患者的TDL处于比较差和中下水平抑(比较差占62.7%,中下占17.9%;③患者受疾病影响严重,SIP总平均受损分为40.01+15.74,其中社会心理功能影响平均分为53.86+22.22,其他功能影响平均分为45.09+17.81,躯体功能影响平均分为21.84+14.85;④抑郁症患者TDL、SIP和SDS 有一定关系,分别SDS与TDL的相关系数r=0.248, sig为0.043,SDS与SIP的相关系数r=0.526, sig为0.000;⑤患者的TDL与性别、病程、住院次数、职业、付费方式无显著性相关关系,而与年龄有一定关系(R=0.255,Sjg=0.037);⑥患者的SIP与患者的与年龄、病程、住院次数、付费方式、职业等无显著性关系,Pgt;0.05。而与性别有一定关系,R=0.249,Sjg=0.042。结论:①抑郁症患者的生命质量TDL严重下降,明显低于正常人,而且处于比较差和中下的患者占多数(差为69.6%,中下为17.9%);②抑郁症患者疾病影响严重,SIP功能损失分为40.01+15.74,其中社会心理影响最严重,为53.86+22.22;③郁症患者的SDS与TDL和SIP有明显相关性;④抑郁症患者的TDL与年龄有一定关系,SIP与性别有一定关系。