預(yù)防醫(yī)學(xué)社會醫(yī)學(xué)ppt課件第六章生命質(zhì)量評估(已修改)
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【正文】 第六章 生命質(zhì)量評價 哈爾濱醫(yī)科大學(xué) 社會醫(yī)學(xué)教研室 內(nèi)容 Contents ? 概論 ? 生命質(zhì)量評價內(nèi)容 ? 生命質(zhì)量評價量表 ? 生命質(zhì)量評價的應(yīng)用 ? Introduction ? Contents of HRQOL ? HRQOL Scales ? Application of HRQOL ⊙ 生命質(zhì)量 (quality of life,QOL)，又稱為生活質(zhì)量、生存質(zhì)量、生命質(zhì)素。 ⊙ 最初是社會學(xué)概念，由美國經(jīng)濟學(xué)家J． K． Calbraith在 20世紀(jì) 50年代首先提出。 第一節(jié) 概論 Introduction ? 對生存質(zhì)量的關(guān)注始于 30年代的美國 Great Depression Franklin Delano Roosevelt New Deal Herbert Hoover 背景（ Background） ? 醫(yī)學(xué)上研究 QOL，就是把 QOL理論和醫(yī)學(xué)實踐結(jié)合起來，這就形成了 健康相關(guān)生命質(zhì)量 健康相關(guān) 生命質(zhì)量 ? The concept of healthrelated quality of life refers to a person or group39。s perceived physical and mental health over time. Healthrelated quality of life Healthrelated quality of life HRQOL作為一種新的醫(yī)學(xué)評價技術(shù)，全面評價 疾病及治療對病人造成的 生理、心理和社會生活等 方面的影響。 New evaluation technology ◇ physiology ◇ psychology ◇ social life ? 它不僅關(guān)心病人存活時間，而且關(guān)心病人的存活質(zhì)量 ? Physicians have often used healthrelated quality of life (HRQOL) to measure the effects of chronic illness in their patients to better understand how an illness interferes with a person39。s daytoday life. ? 它不僅考慮客觀的生理指標(biāo)，而且強調(diào) 病人的 主觀感受和機能狀況 ? Their general selfrated health. ? The frequency of days in which their physical health was not good. ? The frequency of days in which their mental health was not good. ? The frequency of days in which their usual activities were limited. ? Tracking healthrelated quality of life in different populations can identify subgroups with poor physical or mental health and can help guide policies or interventions to improve their health. 它不僅用于指引臨床治療，而且還用于 指導(dǎo)病人的康復(fù) 和 衛(wèi)生決策
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