우리나라 만성 부비동염에 환자에 있어서 부비동 내시경 수술 전후 삶의 질의 변화 : RSDI 설문지와 SF-36v2TM 설문지 간 비교 및 상호 관련성
Relationship between Symptom Scores and Quality of Life before and after Endoscopic Sinus Surgery : Comparison between RSDI and SF-36v2TM Questionnaire
1
조회
0
다운로드
3
인용
0
참고문헌
초록
In recent years, the emphasis on medical care has shifted from symptom scores and objective test results to the patient-centered assesment of effect of disease or response to treatment. So, we compared, before and after endoscopic sinus surgery (ESS), the relationship between 7 nasal symptom scores and quality of life scores measured with RSDI and the SF-36v2TM questionnaires, which have been verified by many articles. Subjects and Method：Subjects were 50 patients diagnosed as chronic sinusitis and who underwent ESS from November 2005 to Oct 2006. Patients filled out two questionnaires and checked a visual analogue scale at admission for surgery, and at 2, 4, 8 and 32 weeks postoperatively. Two questionnaires are the Rhinosinusitis Disability Index (RSDI) questionnaire, the SF-36v2TM questionnaire, and the visual analogue scale (VAS) is composed of nasal obstruction, rhinorrhea, postnasal drip, sneezing, cough, headache and facial pain. So, we compared each score of the SF-36v2TM (PCS and MCS) and RSDI with symptom scores of VAS. Results：In comparing the scores of the RSDI with the symptom scores of VAS, statistically significant relationship was noted with respect to nasal obstruction, headache, and rhinorrhea continuously. But in comparing the scores of the SF-36v2TM (PCS and MCS) with the symptom scores of VAS, no statistically significant relationships was observed. Conclusion：With respect to the relationship between the quality of life after ESS and symptom severity, RSDI was found to be more effective than SF-36v2TM. However, because results showed up differently in the two different kinds of questionnaire, it is important that we should use several different verified questionnaires in order to assess patient-centred response to ESS. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:535-43)
Abstract
In recent years, the emphasis on medical care has shifted from symptom scores and objective test results to the patient-centered assesment of effect of disease or response to treatment. So, we compared, before and after endoscopic sinus surgery (ESS), the relationship between 7 nasal symptom scores and quality of life scores measured with RSDI and the SF-36v2TM questionnaires, which have been verified by many articles. Subjects and Method：Subjects were 50 patients diagnosed as chronic sinusitis and who underwent ESS from November 2005 to Oct 2006. Patients filled out two questionnaires and checked a visual analogue scale at admission for surgery, and at 2, 4, 8 and 32 weeks postoperatively. Two questionnaires are the Rhinosinusitis Disability Index (RSDI) questionnaire, the SF-36v2TM questionnaire, and the visual analogue scale (VAS) is composed of nasal obstruction, rhinorrhea, postnasal drip, sneezing, cough, headache and facial pain. So, we compared each score of the SF-36v2TM (PCS and MCS) and RSDI with symptom scores of VAS. Results：In comparing the scores of the RSDI with the symptom scores of VAS, statistically significant relationship was noted with respect to nasal obstruction, headache, and rhinorrhea continuously. But in comparing the scores of the SF-36v2TM (PCS and MCS) with the symptom scores of VAS, no statistically significant relationships was observed. Conclusion：With respect to the relationship between the quality of life after ESS and symptom severity, RSDI was found to be more effective than SF-36v2TM. However, because results showed up differently in the two different kinds of questionnaire, it is important that we should use several different verified questionnaires in order to assess patient-centred response to ESS. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:535-43)
참고문헌 (16)
- Gliklich RE, "The health impact of chronic sinusitis in patients seeking otolaryngologic care", Otolaryngol Head Neck Surg, 113(1), pp.104~109 (1995)
- Birch DS, "Assesing the quality of life for patients with chronic rhinosinusitis using the “Rhinosinusitis Disability Index”", Rhinology, 39(4), pp.191~196 (2001)
- Chen H, "Evaluating change in health-related quality of life in adult rhinitis: Responsiveness of the Rhinosinusitis Disability Index", Health Qual Life Outcomes, 3, pp.68~ (2005)
- Min YG, "Postoperative results of endoscopic sinus surgery in patients with chronic paranasal sinusitis", Korean J Otolaryngol-Head Neck Surg, 36(3), pp.450~458 (1993)
- Levine HL, "Funcional endoscopic sinus surgery : Evaluation, surgery and follow up of 250 patients", Laryngoscope, 100(1), pp.79~84 (1990)
- Smith LF, "Indications, evaluation, complications, and results of functional endoscopic sinus surgery in 200 patients", Otolaryngol Head Neck Surg, 108(6), pp.688~696 (1993)
- Conte LJ, "Functional endoscopic sinus surgery symptomatic relief : A patient perspective", Am J Rhinol, 10(3), pp.135~140 (1996)
- Lund VJ, "Quantification for staging sinusitis", Ann Otol Rhinol Laryngol Suppl, 167, pp.17~21 (1995)
- Matthews BL, "Endoscopic sinus surgery : Outcome in 155 cases", Otolaryngol Head Neck Surg, 104(2), pp.244~246 (1991)
- Kim KY, "A proposal of staging system in chronic sinusitis", Korean J Otolaryngol-Head Neck Surg, 36(4), pp.713~720 (1993)
- Patrick DL, "Generic and disease-specific measures in assessing health status and quality of life", Med Care, 27(3), pp.217~232 (1989)
- Leopold D, "Outcomes assesment", Otolaryngol Head Neck Surg, 117(3), pp.58~68 (1997)
- Fries JF, "The hierarchy of patient outcomes, in : Quality of Life Assessment in Clinical Trials", pp.25~35 (1990), Raven Press
- Ware JE, "The SF-36 health survey manual and interpretation guide" (1993), Nimrod
- Piccirillo JF, "Psychometric and clinimetric validity of the rhinosinusitis outcome measure(RSOM-31)", Am J Rhinol, 9, pp.297~306 (1995)
- Guyatt GH, "Measuring disease-specific quality of life in clinical trials", CMAJ, 134(8), pp.889~895 (1986)