Measurement of health-related quality of life of patients receiving conservative treatment for limb lymphoedema using the Nottingham Health Profile.
There is increasing interest in the health-related quality of life (HRQOL) of patients with chronic oedema.
Studies in this area have tended to be exploratory and little work has examined the potential for HRQOL as a treatment outcome indicator in this context.
This study aimed to ascertain whether or not conservative treatment for lymphoedema results in a measurable change in HRQOL, using the Nottingham Health Profile Part 1 (NHP-1) as the study instrument.
Thirty-four patients participated.
The patients received a range of conservative treaments.
The participants completed the NHP-1 prior to treatment and 4 weeks after completion of the initial treatment phase.
The overall post-treatment NHP-1 scores were significantly lower than the overall pretreatment scores (z=3.1 and p<0.01), indicating an improvement in the HRQOL.
The greatest change in a single dimension was in physical mobility (z=2.3 and p<0.05).
The change in limb volume was not associated with a change in any NHP-1 subscale.
A significant correlation was found between an improvement in skin condition and an improvement in scores on the'pain'subscale (r=0.53 and p<0.01).
It is concluded that the NHP-1 was useful in the assessment of the'physical'domains of HRQOL in this context, but was less useful with regard to psychological and emotional domains.
Mots-clés Pascal : Société, Sociologie, Questionnaire, Méthodologie, Lymphatique pathologie, Appareil circulatoire pathologie, Maladie, Douleur, Symptomatologie, Qualité vie, Mode de vie, Technique mesure
Mots-clés Pascal anglais : Society, Sociology, Questionnaire, Methodology, Lymphatic vessel disease, Cardiovascular disease, Disease, Pain, Symptomatology, Quality of life, Life habit, Measurement technique
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 21/07/1998.