皮肤科门诊患者就诊期间是否对其生活质量进行过充分讨论?

作     者：David S.E. Ahmed Z. Salek M.S. Finlay A.Y. 焦婷 

作者机构：Wales College of Medicine Cardiff University Department of Dermatology Cardiff CF14 4XN United KingdomProf. 

出 版 物：《世界核心医学期刊文摘（皮肤病学分册）》 (Digest of the World Core Medical JOurnals:Dermatology)

年 卷 期：2006年第2卷第2期

页      面：35-36页

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：皮肤科医生 生活质量 临床医生 临床决策 中位值 

摘      要：Background: Dermatologists’ assessments of how their patients’ lives are affected by the skin disease are of importance for informing clinical decisions. However, there is no information about how often quality of life (QoL) issues are discussed in outpatient consultations. Objective: To examine the relationship between the extent of QoL- related discussion during dermatology outpatient consultations, and the current impact of the disease on patients’ lives. Patients and methods: A total of 238 consultations were observed in a teaching dermatology outpatient department for QoL- related discussion initiated by either the clinician or the patient. Following the consultation, all patients were posted a Dermatology Life Quality Index (DLQI) questionnaire to complete and return within 1 week. Results: QoL discussion was absent in 40% of consultations. Consultants initiated the fewest QoL discussions with patients, and nurses the most (P 0.0001). One hundred and twentyeight (54% ) patients returned the DLQI, 114 (48% ) of which were evaluable. The mean score was 5.6, SD ± 6.6, median 3, range 0- 29. The mean DLQI score for the patients with whom there was no QoL discussion was 4.0 ± 4.7, n = 55, compared with the mean DLQI score for patients with whom QoL was discussed 6.8 ± 7.2, n = 59 (P 0.001). Conclusion: This study demonstrates that little information concerning QoL is elicited during dermatology outpatient consultations.