- 期刊
慢性中耳炎病人生活品質調查
A Quality-of-life Investigation in Patients with Chronic Otitis Media
摘要
BACKGROUND: Although chronic otitis media has a high prevalence, the impact of this disorder one the general and ear-specific health status of patients has not been previously investigated. The aims of this study were to evaluate the health burden of chronic ear infection and to review perceptions of health status among patients with chronic otitis media. METHOD: One hundred and three patients undergoing chronic ear surgery were preoperatively evaluated with a validated Chinese version of the Medical Outcome Study Short-form 36-item Health Survey (SF-36) and a Chronic Ear Survey (CES). Survey scores were compared with normative data. RESULTS: Chronic ear infection was found to have a significant impacts (p＜0.05) on patients in seven out of eight domains of the SF-36, with the exception of physical functioning. Significant differences (p＜0.05) were also seen in activity restriction, symptoms, and medication subscales of the CES. Patient quality of life was significantly associated with functional status such as hearing ability and persistence of infection. Chronically draining ears had major impact on patient quality of life. CONCLUSIONS: Findings differed from those published in the English literature, suggesting that culture may play a role in self-perceived general health status among patients with chronic otitis media. The impact of chronic ear infection on health was greater than expected.
並列摘要
BACKGROUND: Although chronic otitis media has a high prevalence, the impact of this disorder one the general and ear-specific health status of patients has not been previously investigated. The aims of this study were to evaluate the health burden of chronic ear infection and to review perceptions of health status among patients with chronic otitis media. METHOD: One hundred and three patients undergoing chronic ear surgery were preoperatively evaluated with a validated Chinese version of the Medical Outcome Study Short-form 36-item Health Survey (SF-36) and a Chronic Ear Survey (CES). Survey scores were compared with normative data. RESULTS: Chronic ear infection was found to have a significant impacts (p＜0.05) on patients in seven out of eight domains of the SF-36, with the exception of physical functioning. Significant differences (p＜0.05) were also seen in activity restriction, symptoms, and medication subscales of the CES. Patient quality of life was significantly associated with functional status such as hearing ability and persistence of infection. Chronically draining ears had major impact on patient quality of life. CONCLUSIONS: Findings differed from those published in the English literature, suggesting that culture may play a role in self-perceived general health status among patients with chronic otitis media. The impact of chronic ear infection on health was greater than expected.
延伸閱讀
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- 王拔群、洪朝明、陳雅惠（2007）。混合性聽力障礙病人生活品質調查。輔仁醫學期刊，5(1)，27-34。https://www.airitilibrary.com/Article/Detail?DocID=18102093-200703-5-1-27-34-a
- 劉殿楨（2004）。中耳炎患者之助聽器選配。台灣耳鼻喉頭頸外科雜誌，39(s_1)，49-51。https://doi.org/10.6286/2004.39.s_1.49
- 陳逸光（1987）。Acute Otitis Media in a Pediatric Clinic。Acta Paediatrica Sinica，28(4)，260-263。https://www.airitilibrary.com/Article/Detail?DocID=00016578-198708-28-4-260-263-a