CAJ | 학술논문

目的：探讨欧洲五维健康量表（ EQ－5D）评价老年人髋部骨折术后患者生存质量变化及可行性。方法前瞻性选择老年髋部骨折手术患者97例，于术后6个月采用EQ－5 D 量表对患者进行生活质量评估，并与伤前生活质量进行比较。结果 EQ－5 D量表中五个维度及直观式健康量表共六项观察指标两次测量分值相关系数分别为0．892、0．793、0．921、0．886、0．748、0．972。 EQ－5D 量表中五个维度Cronbach′sα系数分别为0．739、0．821、0．912、0．863、0．740；内容效度为0．972。老年髋部骨折术后6个月EQ－5D指数出现明显降低（P＜0．05）；根据各变量进行组间比较，发现除年龄65～75岁外，其余组EQ－5D指数均出现明显降低（ P＜0．05）。结论 EQ－5D量表老年髋部骨折患者术后生存质量信度及效度均较好；老年髋部骨折患者术后6个月其生存质量明显降低，可能与高龄、术前合并并存症数量、骨折及内固定方式、住院期间并发症情况、出院后居住环境和护理条件及术后下地活动时间有关。
목적：탐토구주오유건강량표（ EQ－5D）평개노년인관부골절술후환자생존질량변화급가행성。방법전첨성선택노년관부골절수술환자97례，우술후6개월채용EQ－5 D 량표대환자진행생활질량평고，병여상전생활질량진행비교。결과 EQ－5 D량표중오개유도급직관식건강량표공륙항관찰지표량차측량분치상관계수분별위0．892、0．793、0．921、0．886、0．748、0．972。 EQ－5D 량표중오개유도Cronbach′sα계수분별위0．739、0．821、0．912、0．863、0．740；내용효도위0．972。노년관부골절술후6개월EQ－5D지수출현명현강저（P＜0．05）；근거각변량진행조간비교，발현제년령65～75세외，기여조EQ－5D지수균출현명현강저（ P＜0．05）。결론 EQ－5D량표노년관부골절환자술후생존질량신도급효도균교호；노년관부골절환자술후6개월기생존질량명현강저，가능여고령、술전합병병존증수량、골절급내고정방식、주원기간병발증정황、출원후거주배경화호리조건급술후하지활동시간유관。
Objective To evaluate the feasibility of Europe quality of life ( EQ-5D) assessing the quality of life in the patients who undergo hip fracture surgery .Methods A total of 109 patients were investigated by EQ-5D questionnaire in six months after the hip fracture surgery , and the results were compared with the pre-injury findings .Results The correlation coefficients of the five dimentional items of EQ-5D and VAS scores were 0.892, 0.793, 0.921, 0.886, 0.748, 0.972, respectively.The Cronbach alpha coefficients of the five dimentional items of EQ-5D were 0.739, 0.821, 0.912, 0.863, 0.740, respectively.The content validity was 0.972.The EQ-5D scores decreased significantly in six months after the hip fracture surgery ( P<0.05 ) .All the variables were compared among the groups and the results showed that except the 65 -75 years group, the EQ-5D scores of the other groups markedly decreased (P<0.05).Conclusions EQ-5D questionnaire has good reliability and validity in the assessment of the quality of life in the patients with hip fracture surgery .The quality of life in aged patients decreases significantly in six months after the surgery , and the decreased quality of life may be related to the advanced age, comorbidities, type of fracture and surgery, complications, residential environment after discharge, health care and the time of postoperative amublation .