Læknablaðið - 15.08.1992, Page 33

LÆKNABLAÐIÐ
241
í þessari könnun, og líklegt er, að niðurstöður
hefðu orðið aðrar, ef aldursdreifing hefði
verið önnur. í samanburði við erlendar
niðurstöður (1-4) koma niðurstöður einstakra
spuminga eða spumingaflokka ekki á óvart.
Þó virðist ein spuming skera sig úr, en
íslenskir iktsýkisjúklingar treysta sér mun
síður til að ryksuga en sjúklingar annarra
þjóða. Hugsanlegt er, að skýringa sé hér að
leita í íslenskum híbýlum, teppalagningu og
fermetrafjölda.
Eitt af höfuðviðfangsefnum allra
heilbrigðisstarfsmanna er að varðveita fæmi
sjúklinga sinna til daglegs lífs. Þess vegna
er HAQ-spumingalistinn hentug viðbót við
heildarmat iktsýkisjúklinga, en mælikvarða til
færnismats hefur skort hingað til.
ÞAKKIR
Höfundar þakka Irene Jensen iðjuþjálfa veitta
aðstoð og Olafi Oddssyni cand.mag. fyrir
hjálp við þýðingu spumingalistans.
SUMMARY
An Icelandic version of the Stanford Health
Assessment Questionnaire (HAQ>) was
completed by 30 Icelandic rheumatoid arthritis
patients and the results were compared with
objective ergotherapist evaluation. The degree
of correlation was high (Spearman rank
correlation 0.9, p<0.001), confirming that
the HAQ questionnaire reflects functionai
disability in Icelandic rheumatoid arthritis
patients. Questionnaire results also correlated
with disease duration, age and grip strength,
but not with Ritchie’s index or ESR.
Interestingly, the question related to vacuum
cleaning registered a very high disability
score, an observation that may be related to
Icelandic housing with extensive carpeting.
HEIMILDIR
1. Fries JF, Spitz P, Kraines RG, Holman HR.
Measurement of patient outcome in arthritis. Arthritis
Rheum 1980; 23: 137-45.
2. Ekdahl C, Eberhardt K, Andersson SI. Svensson
B. Assessing disability in patients with rheumatoid
arthritis. Use of a Swedish version of the Stanford
health assessment questionnaire. Scand J Rheumatol
1988; 17: 263-71.
3. Kirwan JR, Reeback JS. Stanford health assessment
questionnaire modifted to assess diasability in British
patients with rheumatoid arthritis. British J Rheumatol
1986; 25: 206-9.
4. Siegert CEH, Vleming L-J, Vandenbroucke JP, Cats
A. Measurement of disability in Dutch rheumatoid
arthritis patients. Clin Rheumatol 1984; 3: 305-9.
5. Amett FC, Edworthy SM, Bloch DA, et al. The
American Rheumatism Association 1987 revised
criteria for the classilication of rheumatoid arthritis.
Anhritis Rheum 1988; 31: 315-24.
6. Siegel S, Castellan NJ. Non-parametric statistics for
the behavioral sciences. Singapore: McGraw-Hill
Intemational Editions, 1988.
7. Thompson PW. Functional outcome in rheumatoid
arthritis. Br J Rheumatol 1988; 27 (Suppl I); 37-43.
8. Lubeck DP, Spitz PW, Fries JF, Wolfe F, Mitchell
DM, Roth SH. A multicenter study of annual health
service utilization and costs in rheumatoid arthritis.
Arthritis Rheum 1986; 29: 488-93.
9. Reilly PA, Cosh JA. Maddison PJ, Rasker JJ, Silman
AJ. Mortality and survival in rheumatoid arthritis; a
25 year prospective study of 100 patients. Ann Rheum
Dis 1990; 49: 363-9.