SF-36和SGRQ对间质性肺疾病患者生活质量评估的比较

Comparison of SF-36 and SGRQ in evaluating the quality of life of interstitial lung disease patients

目的通过比较普适性生活质量量表（健康调查简表SF-36）和疾病特异性生活质量量表（圣乔治呼吸问卷SGRQ），分析两个量表在间质性肺疾病患者生活质量测量中的优缺点，为临床工作者选取合适的量表提供依据。方法选取157例肺间质疾病患者为调查对象，采用SF-36、SGRQ、医院焦虑抑郁量表对其进行调查，比较SF-36和SGRQ各维度之间、两个量表各维度和医院焦虑抑郁量表之间、两个量表和肺功能之间的关联，分析两个量表的优缺点。结果SF-36和SGRQ各维度之间均存在负相关，SF-36的精神健康维度与医院焦虑抑郁量表得分相关度较高，SGRQ的活动能力维度和肺功能的相关度较高。结论SF-36和SGRQ在评估间质性肺疾病患者的生活质量上具有一致性，SF-36可以更好地反映患者的心理状态，而SGRQ可以更好地反映患者的肺功能，这两个量表既相互联系又相互补充，临床工作者应根据自己的需要选择合适的量表进行测量。

Objective Through the comparison of the St George＇s Respiratory Questionnaire （SGRQ） and the Mos 36-item Short Form Health Survey （SF-36）, to analyze their advantages and disadvantages in measuring the quality of life of ILD patients, so as to provide evidence for clinical workers to select proper scale. Methods Totals of 157 ILD patients in tertiary hospital were recruited. Measurements were used the SF-36, SGRQ and HAD, then identified the advantages and disadvantages of SF-36 and SGRQ through examining the correlation of dimensions of the two scales, HAD and the dimensions of the two scales, the lung function and the two scales. Results The dimensions of SF-36 were negatively correlated with the dimensions of SGRF, mental health dimension of SF-36 and HAD score had a high correlation, activity ability dimensions of SGRQ and lung function had a higher correlation. Conclusions There＇ s consistency of SF-36 and SGRF in measuring quality of life of ILD patients, but SF-36 could better reflect the mental status of the patients, while SGRQ is better in reflecting lung function, they interact and complementary with each other. The combined application of SGRQ and SF-36 could fully reflect patients＇ quality of life and clinical workers should choose probe scale according to their needs.