Quality-of-life measurement in chronic heart failure: do we take account of the patient perspective?

被引:72
作者
Dunderdale, K [1 ]
Thompson, DR
Miles, JNV
Beer, SF
Furze, G
机构
[1] Scunthorpe Gen Hosp, Ctr Diabet, Scunthorpe DN15 7BH, England
[2] Chinese Univ Hong Kong, Sch Nursing, Shatin, Hong Kong, Peoples R China
[3] Univ York, Dept Hlth Sci, York YO10 5DD, N Yorkshire, England
关键词
health-related quality of life; chronic heart failure; patient centred;
D O I
10.1016/j.ejheart.2004.06.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The modem management of chronic heart failure has led to improved life expectancy, functioning and health-related quality of life (HRQL). HRQL measures the effects of an illness or a treatment from the patient's perspective. It is now recognised that the patient's perspective is as legitimate and valid as the clinician's in monitoring health care outcomes. Although there are a number of quality-of-life measures, which can be separated into two types-generic and disease specific-many have been developed, with little or no account being taken of the patient's perspective. Because most of the widely used measures are not patient centred, they may lack sensitivity and specificity in determining those aspects of HRQL important to individual patients. This paper reviews the use of quality-of-life assessment tools in the evaluation of patients with heart failure. (c) 2004 European Society of Cardiology. Published by Elsevier B.V All rights reserved.
引用
收藏
页码:572 / 582
页数:11
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