皮肤性病

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Br J Dermatol：哪一个更有用？不同问卷测量皮肤病患者健康相关生活质量的比较

2022-03-20 医路坦克 MedSci原创

皮肤相关问卷
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皮肤病生活质量指数(DLQI)和Skindex-16是测量皮肤病患者与健康相关的生活质量的最常用问卷之一。DLQI有一个不同评分的替代版本为DLQI-R。本文比较了这些问卷测量健康相关生活质量的精确度

    皮肤病生活质量指数(DLQI)和Skindex-16是测量皮肤病患者与健康相关的生活质量的最常用问卷之一。DLQI有一个不同评分的替代版本，名为DLQI-R。

    为了更好地了解这三种测量方法的差异，我们比较了这些问卷测量健康相关生活质量的精确度。

生活质量指数(DLQI)

 

Skindex-16

我们调查了匈牙利618名自我报告的医生诊断为皮肤病的患者。最常见的诊断是尖锐湿疣(23%)、湿疹(23%)、甲真菌病(18%)、痤疮(13%)和牛皮癣(13%)。

研究中最有趣的发现是，64%报告使用DLQI或DLQI-R的患者在与健康相关的生活质量方面没有问题，报告使用Skindex-16时出现问题。

作者发现，Skindex-16和DLQI-R在大多数测量属性上都优于DLQI。对于症状轻微的患者，DLQI和DLQI-R可能无法捕捉到与健康相关的生活质量的微小损害，因此，Skindex-16似乎更适合这一人群。

结果表明，在报告患者生活中的问题时，Skindex-16问题中较高数量的回答选项及其“频率”形式似乎比DLQI中较少的“严重程度”形式(你遇到问题的频率与问题的严重程度)更有用。

这项研究有助于医生和研究人员决定在日常实践中使用哪一份问卷，也可以用于研究目的。

文献来源：A comparison of the different questionnaires used to measure health-related quality of life in patients with dermatological conditions.Br J Dermatol 2022 Mar;186(3) 

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    2022-07-02 一叶知秋

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