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Scoring Mental Health Quality of Life With the SF-36 in Patients With and Without Diabetes Foot Complications

机译:使用糖尿病脚并发症的患者使用SF-36评分心理健康质量。

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The aim of this study was to examine if using orthogonal and oblique factor analysis detect changes in health-related quality of life differently in diabetic patients on the Short Form-36 (SF-36) survey. A total of 155 patients had diabetic foot complications (DFC), and 145 patients had no DFCs. The SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were calculated using scoring coefficients determined by orthogonal and oblique rotation principle component analyses of the subscales. The DFC group had lower orthogonal (P .00001) and oblique PCS scores (P .00001). However, despite lower Mental Health subscale scores in the patients with DFCs, orthogonal MCS scores (P = .156) did not differ. In contrast, the oblique MCS scores reflected the difference in the Mental Health subscale (P = .0005). Orthogonal and oblique PCS scores did not differ significantly. However, orthogonal MCS scores were significantly higher than oblique MCS scores in those with DFCs (P = .0004) and without DFCs (P = .005). The shorter, 12-item SF-12 survey demonstrated similar results. Poorer physical function leads to higher orthogonal MCS scores than if determined by oblique scoring coefficients since Physical Function, Bodily Pain, and General Health are weighted more negatively in orthogonal coefficients when calculating the MCS score. Oblique scoring coefficients may address this issue, but further study is necessary to confirm whether oblique MCS scores accurately represent the mental health of patients with diabetic foot disease.
机译:本研究的目的是检查使用正交和倾斜因子分析,在短款-36(SF-36)调查中患上糖尿病患者的健康相关生活质量的变化。共有155名患者患有糖尿病足部并发症(DFC),145名患者没有DFC。使用由分量器的正交和倾斜旋转原理分析确定的评分系数来计算SF-36物理组件摘要(PCS)和心理组件摘要(MCS)分数。 DFC组具有较低的正交(P& .00001)和斜PC分数(P& .00001)。然而,尽管患有DFC患者的心理健康分数较低,但正交MCS分数(P = .156)没有差异。相比之下,倾斜MCS分数反映了心理健康亚级的差异(p = .0005)。正交和倾斜的PCS分数没有显着差异。然而,正交MCS分数明显高于DFC(P = .000)和没有DFC的倾斜MCS分数(P = .005)。较短,12件SF-12调查显示了类似的结果。较差的物理函数导致更高的正交MCS分数,而不是通过倾斜评分系数来确定,因为在计算MCS评分时在正交系数中在正交系数中更加负重。倾斜评分系数可以解决这个问题,但进一步的研究是确认倾斜MCS评分是否准确地代表患有糖尿病足病的患者的心理健康。

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