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患有皮肤病的犬及其主人的生活质量。第2部分:在各种皮肤病中进行问卷调查及与治疗效果的相关性。

Quality of life of dogs with skin disease and of their owners. Part 2: administration of a questionnaire in various skin diseases and correlation to efficacy of therapy.

作者信息

Noli Chiara, Colombo Silvia, Cornegliani Luisa, Ghibaudo Giovanni, Persico Paola, Vercelli Antonella, Galzerano Mario

机构信息

Ospedale Veterinario Cuneese, Borgo San Dalmazzo (CN), Italy.

出版信息

Vet Dermatol. 2011 Aug;22(4):344-51. doi: 10.1111/j.1365-3164.2011.00956.x. Epub 2011 Mar 24.

Abstract

A previously validated 15-item questionnaire on dogs' life quality (QoL1) and that of their owners (QoL2) was applied in a multicentre study to owners of 200 dogs with different dermatological conditions, together with a question on the owner-perceived disease severity (S). Factor analysis was applied to the whole questionnaire. The correlation of S with QoL1 and QoL2 scores was evaluated using Spearman's rank correlation tests. Owner sex, age, educational level and willingness to pay for a potential definitive cure of the disease were recorded, and compared with quality of life (QoL) scores. In 23 atopic dogs, CADESI-03, pruritus Visual Analogue Scale and QoL scores were obtained before and after therapy, and their correlation was evaluated with linear regression. Factor analysis revealed that three factors (S, QoL1 and QoL2) explained 75% of the variance. Owner-perceived severity correlated significantly with QoL1 and QoL2 (P = 0.002 and P = 0.015, respectively). The five diseases with the worst QoL scores were scabies, pododermatitis, complicated atopic dermatitis, pemphigus foliaceus and endocrine alopecia. Pruritic diseases did not give significantly higher QoL1 or QoL2 scores compared with nonpruritic diseases (P = 0.19, Kruskall-Wallis test). Owner sex, age or educational level did not influence QoL scores. Female sex, a younger age and a higher educational level were significantly associated with more willingness to pay. In atopic dogs, all the scores decreased after therapy, but post-treatment CADESI-03 and Visual Analogue Scale scores did not correlate with QoL1 and QoL2. Questions related to the burden of maintenance therapy showed the lowest improvements in score.

摘要

一份先前经验证的包含15个条目的犬只生活质量问卷(QoL1)及其主人的生活质量问卷(QoL2),在一项多中心研究中应用于200只患有不同皮肤病的犬只的主人,同时还有一个关于主人感知的疾病严重程度(S)的问题。对整个问卷进行了因子分析。使用Spearman等级相关检验评估S与QoL1和QoL2得分的相关性。记录了主人的性别、年龄、教育水平以及为疾病潜在的根治愿意支付费用的情况,并与生活质量(QoL)得分进行比较。在23只特应性犬中,在治疗前后获取了CADESI - 03、瘙痒视觉模拟量表和QoL得分,并通过线性回归评估它们之间的相关性。因子分析显示,三个因子(S、QoL1和QoL2)解释了75%的方差。主人感知的严重程度与QoL1和QoL2显著相关(分别为P = 0.002和P = 0.015)。生活质量得分最差的五种疾病是疥疮、足皮炎、复杂性特应性皮炎、落叶型天疱疮和内分泌性脱毛。与非瘙痒性疾病相比,瘙痒性疾病的QoL1或QoL2得分没有显著更高(Kruskal - Wallis检验,P = 0.19)。主人的性别、年龄或教育水平不影响QoL得分。女性、较年轻的年龄和较高的教育水平与更高的支付意愿显著相关。在特应性犬中,所有得分在治疗后都有所下降,但治疗后CADESI - 03和视觉模拟量表得分与QoL1和QoL2不相关。与维持治疗负担相关的问题得分改善最低。

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