[abstract] MEASUREMENTS OF FUNCTIONAL HEALTH STATUS BEFORE AND AFTER HYPERBARIC OXYGEN THERAPY; A QUALITY ASSURANCE SURVEY

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[abstract] MEASUREMENTS OF FUNCTIONAL HEALTH STATUS BEFORE AND AFTER HYPERBARIC OXYGEN THERAPY; A QUALITY ASSURANCE SURVEY

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Title: [abstract] MEASUREMENTS OF FUNCTIONAL HEALTH STATUS BEFORE AND AFTER HYPERBARIC OXYGEN THERAPY; A QUALITY ASSURANCE SURVEY
Author: Dear, GdeL; Freiberger, JJ; Moon, RE
Abstract: Background: As part of a quality assurance program, the effect of hyperbaric oxygen therapy (HBOT) on quality of life (QOL)was examined by using the Duke Health Profile (DHP), a 17 item questionnaire instrument developed and validated to measure patient reported functional health status. The DHP includes questions on 11 health related quality of life domains: physical, mental, social, general and perceived health; self-esteem, anxiety, depression, pain and disability. It has been validated against SF36, the SIP (Sickness Impact Profile) and SAI (State Anxiety Survey). Methods: The DHP was administered to 115 patients undergoing HBOT at Duke. In 41 of these patients the surveys were performed before HBOT and at least once following HBOT. The de-identified results were compared across the 11 DHP domains both pre and post HBOT (using paired t-tests) as well as against population standard means (unpaired t-tests). Data was analyzed using SPSS V. 8.0 for Windows (SPSS Chicago). Results: Compared to the normal reference population, patients presenting for HBOT exhibited decreased QOL in all domains except for self esteem (p less than .005). Statistically significant (p less than .05) improvements in physical health, mental health, anxiety and anxiety/depression scores were reported after HBOT in patients treated for osteomyelitis. Similar changes were seen in other diagnosies but they were not statistically significant because of the large variances measured. Social health scores tended to decrease over the course of treatment in most patients, presumably because of the time away from home required by the therapy. Conclusions: DUHP is a valuable tool to assess the impact of HBOT on the functional health status and QOL. Differences in age, presenting disease severity and home situation may explain the variability in results.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1282
Date: 2003

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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