慢性阻塞性肺部疾病患者之臨床指標與生活品質之相關性：評值聖喬治呼吸問卷的適用性

Measuring Quality of Life in Patients with Chronic Obstructive Pulmonary Disease ( COPD): Evaluating the Performance of the SGRQ

葉秀逸(Shiow-Yih Yeh)

《新臺北護理期刊》 4卷2期 (2002/08) Pp. 19-28

https://doi.org/10.6540/NTJN.2002.2.003

摘要

Treatment of diseases causing COPD is largely directed toward relief of symptoms and improvement in the quality of life. Given the increasing interest in multinational clinical studies measuring perceived health status, the St. George's Respiratory Questionnaire (SGRQ) and the short form of the Sickness Impact Profile (SIP68) were chosen for evaluating Taiwanese C~PO patients. In this study, a cross-sectional correlational survey design was used. A convenience sample of 100 patients diagnosed with COPD, as defined by the American Thoracic Society, was recruited from a pulmonary clinic of a university hospital in Taipei, Taiwan. The sample was recruited from March 1 to May 31, 1998. The SPSS (Statistical Program for the Social Sciences) for Windows was used for the analysis of data. Results: FEV, showed negative correlations with the SGRQ total score, its three sections, and the SIP68 (r=-.37 to -.44). The SGRQ scores and the SIP68 were negatively correlated with the 6-minute walk distance (r=-.33 to -.48). Dyspnea ratings on the Borg scale were moderately positively correlated with both the SGRQ and the SIP68 scores. The correlation between the SGRQ total score and the SIP68 total score was .69 (p ＜.01) . Internal consistency of each section score of the SGRQ was assessed by Cronbach's coefficient, which was .76 for the Symptoms section, .79 for the Activity section, .86 for the Impacts section, and .92 for the total SGRQ. The Cronbach's coefficient of the SIP68 was .82 in this sample. These values were greater than .70 and reached an acceptable level. The findings of these procedures suggest that the SGRQ can be used to measure health-related quality of life in Chinese COPD patients.

關鍵字

慢性阻塞性肺部疾病 ； 聖喬治呼吸問卷 ； 簡版的疾病衝擊量表 ； 生活品質

並列摘要

Treatment of diseases causing COPD is largely directed toward relief of symptoms and improvement in the quality of life. Given the increasing interest in multinational clinical studies measuring perceived health status, the St. George's Respiratory Questionnaire (SGRQ) and the short form of the Sickness Impact Profile (SIP68) were chosen for evaluating Taiwanese C~PO patients. In this study, a cross-sectional correlational survey design was used. A convenience sample of 100 patients diagnosed with COPD, as defined by the American Thoracic Society, was recruited from a pulmonary clinic of a university hospital in Taipei, Taiwan. The sample was recruited from March 1 to May 31, 1998. The SPSS (Statistical Program for the Social Sciences) for Windows was used for the analysis of data. Results: FEV, showed negative correlations with the SGRQ total score, its three sections, and the SIP68 (r=-.37 to -.44). The SGRQ scores and the SIP68 were negatively correlated with the 6-minute walk distance (r=-.33 to -.48). Dyspnea ratings on the Borg scale were moderately positively correlated with both the SGRQ and the SIP68 scores. The correlation between the SGRQ total score and the SIP68 total score was .69 (p ＜.01) . Internal consistency of each section score of the SGRQ was assessed by Cronbach's coefficient, which was .76 for the Symptoms section, .79 for the Activity section, .86 for the Impacts section, and .92 for the total SGRQ. The Cronbach's coefficient of the SIP68 was .82 in this sample. These values were greater than .70 and reached an acceptable level. The findings of these procedures suggest that the SGRQ can be used to measure health-related quality of life in Chinese COPD patients.

並列關鍵字

Chronic Obstructive Pulmonary Disease ； the St. George's Respiratory Questionnaire (SGRQ) ； the short form of the Sickness Impact Profile ( SIP68 ) ； Quality of life