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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >Predictors of health-related quality of life 3 months after traumatic injury.
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Predictors of health-related quality of life 3 months after traumatic injury.

机译：创伤后3个月的健康相关生活质量预测指标。

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PURPOSE: Examination of predictors of health related quality of life (HRQoL) with a focus on the ability of illness representations to predict HRQoL 3 months after hospital discharge in patients who experienced moderate to severe traumatic injury. DESIGN AND METHOD: A prospective predictive study, using a survey design was undertaken to identify predictors of HRQoL. Telephone interviews were conducted 3 months after patients were discharged from the hospital. Demographic and clinical data and two scales: the Chinese Illness Perception Questionnaire Revised (IPQ-R, Trauma) and the Medical Outcomes Study Short Form 36 (SF-36) were used in this study. Simultaneous multiple regressions were used to identify predictors of HRQoL. FINDINGS: A total of 114 participants completed the survey. The most frequently reported symptoms were pain, weight loss, strength loss, and fatigue. The illness representations that scored the highest were Illness coherence, Controllability, and Consequences. The average SF-36 physical summary score was lower than the average mental summary score. Role (physical) had the lowest scores on the physical subscale and vitality had the lowest scores on the mental subscale. Significant predictors of the physical summary score were identity, consequences, timeline (acute/chronic), age, and injury severity score (ISS), and for the mental summary score predictors were identity, emotional representations, and timeline. CONCLUSIONS: Illness representations can be used to predict HRQoL 3 months after traumatic injury. These findings can help clinicians to understand illness perceptions of patients with traumatic injury, and help provide a foundation for an interventional program to help patients have better HRQoL following traumatic injury. CLINICAL RELEVANCE: By understanding patients' illness representations, clinicians could provide information related to postinjury care to facilitate more congruent representations between expectations and real situations. By helping patients understand the important role early interventions might play in their recovery, clinicians might help patients develop more positive cognitive representations.
机译：目的：检查与健康相关的生活质量（HRQoL）的预测因子，重点是疾病表征在出院后3个月内遭受中度至重度创伤的患者中预测HRQoL的能力。设计与方法：采用调查设计进行了一项前瞻性预测研究，以确定HRQoL的预测因子。患者出院后三个月进行电话采访。人口统计学和临床​​数据以及两个量表：《中国疾病知觉调查表修订本》（IPQ-R，《创伤》）和《医学成果研究简表》 36（SF-36）被用于本研究。同时采用多元回归来确定HRQoL的预测因子。结果：共有114位参与者完成了调查。最常报告的症状是疼痛，体重减轻，力量减轻和疲劳。得分最高的疾病代表是疾病的连贯性，可控性和后果。 SF-36的平均身体状况摘要得分低于平均的心理状况摘要得分。角色（身体）在身体上的分量表上得分最低，而活力在精神上的分量表上得分最低。身体摘要得分的重要预测因子是身份，后果，时间表（急性/慢性），年龄和伤害严重程度得分（ISS），而精神摘要得分的预测因子是身份，情感表达和时间表。结论：疾病表现可用于预测创伤后3个月的HRQoL。这些发现可以帮助临床医生了解创伤性损伤患者对疾病的认识，并为干预方案提供基础，以帮助患者在创伤性损伤后获得更好的HRQoL。临床相关性：通过了解患者的疾病表现，临床医生可以提供与受伤后护理有关的信息，以促进期望值与实际情况之间更一致的表现。通过帮助患者了解早期干预措施对其康复的重要作用，临床医生可以帮助患者发展更积极的认知表现。

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