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首页> 外文期刊>The clinical journal of pain >Assessing the properties of the WHOQOL-Pain: quality of life of chronic low back pain patients during treatment.
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Assessing the properties of the WHOQOL-Pain: quality of life of chronic low back pain patients during treatment.

机译:评估WHOQOL疼痛的特性:治疗期间慢性下腰痛患者的生活质量。

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OBJECTIVES: Assessing subjective, patient-reported outcomes such as quality of life (QoL) is essential to health care research. This study aimed to assess the properties of a QoL measure relating to pain and discomfort: the WHOQOL-Pain. METHOD: Chronic low back pain patients (n=133) completed the WHOQOL-Pain, SF-12, and short-form McGill Pain Questionnaire before treatment started and again 2-4 weeks later. Of these, 76 received a lumbar epidural steroid injection, and 57 were waiting to receive treatment. RESULTS: Overall, there was no significant difference in effect of either epidural injections or no treatment on bringing about an improvement to QoL overtime. Moderate effect sizes were found for 5 facets including pain relief and uncertainty. Small effect sizes were found for 7 facets including vulnerability, fear and worry, anger and frustration. Larger effect sizes were found for those reporting the most improvement in pain. The waiting group reported no significant changes to QoL but small changes for uncertainty. Three of the four new facets were sensitive to change and test-retest reliability (stability) was confirmed in three. DISCUSSION: Although this study was not designed to test treatment effectiveness, the WHOQOL-Pain enables patients to report changes to important aspects of QoL during many diverse interventions for relieving pain.
机译:目的:评估诸如生活质量(QoL)等患者报告的主观结果对于医疗保健研究至关重要。这项研究旨在评估与疼痛和不适有关的QoL量度的性质:WHOQOL疼痛。方法:慢性下腰痛患者(n = 133)在开始治疗前完成了WHOQOL-Pain,SF-12和简短的麦吉尔疼痛问卷,并在2-4周后再次完成。其中,有76名接受了腰椎硬膜外类固醇注射,还有57名正在等待接受治疗。结果:总体而言,硬膜外注射或不进行治疗对改善QoL加班时间的影响均无显着差异。发现5个方面的中度效果大小,包括缓解疼痛和不确定性。发现7个方面的影响较小,包括脆弱性,恐惧和担忧,愤怒和沮丧。对于那些疼痛改善最大的患者,发现效应较大。等候小组报告的生活质量没有明显变化,但不确定性变化很小。四个新方面中的三个对变化敏感,并且在三个中确认了重测可靠性(稳定性)。讨论:尽管本研究并非旨在测试治疗效果,但WHOQOL-Pain使患者能够在许多缓解疼痛的干预措施中报告QoL重要方面的变化。

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