scholarly journals Health Related Quality of Life in Patients with Chronic Disease in Lebanese Community Setting

2020 ◽  
Author(s):  
Hani Dimassi ◽  
Soumana C Nasser ◽  
Aline Issa ◽  
Sandrine Sarine Adrian ◽  
Bassima Hazimeh

Abstract Background: The impact of chronic diseases on patient quality of life are becoming of high priority in healthcare system. There is an increased need of such data in Middle Eastern countries. Objective: To measure health related quality of life (HRQOL) in patients with chronic disease to associate this information with demographic data, socioeconomic status, and health satisfaction.Setting: Six community pharmacies in Beirut region.Method: A prospective cross-sectional study was conducted to gather information on socioeconomic status, health condition and quality of life of participants during their visit to their local pharmacy. Main outcome measure: Health related quality of life using the EQ5D instrumentResults: Participants (n=103) gave an average of 6.8, and 7.4 over ten for their current health and for their satisfaction with their treatment, respectively. The mean utility score was 0.762 (SD 0.202). The number of prescribed medications per respondent indicated a significant impact on HRQOL (p = 0.002); with diuretic agents having a significant difference in utility scores (p<0.001). On average, participants 75 years or older, hospitalized in the past 12 months, diagnosed with hypertension, had a lower utility score of 0.15 (p<0.001), 0.111 (p=0.001), and 0.065 (p=0.035), respectively. For every unit increase in treatment satisfaction, the quality of life score increased by 0.036 unit (p= 0.001)Conclusion: HRQOL as measured by the EQ5D in this study was affected in patients with cardiac disease or diabetes. Male gender, advanced age, low socioeconomic status, frequent hospital and doctor visits were important risk factors for a poor HRQOL.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Belau

Abstract Background In 2015 and 2016, more than one million people fled to Germany from war-affected countries - mainly from Syria, Afghanistan and Iraq. Nevertheless, little is known about health-promoting and health-damaging living conditions in refugees located in Germany. Strengthening healthy living conditions could be a measure to increase health-related quality of life (HRQoL) of refugees. Methods The analyses were based on data from the FlüGe Health Study. The study was conducted in the period from February to November 2018 and included interviews and examinations. Participants were recruited from shared (n = 182) and private accommodation (n = 144) in several cities in North Rhine-Westphalia in Germany. The effect of housing situation on health-related quality of life as estimated from a modified version of the SF-12 questionnaire was examined using univariable analyses. Results Three hundred and nine participants ranging in age from 18 to 75 years (Mean 32.4, SD 0.61) gave complete replies. The majority was males (73.0%) and more than half of the respondents (58,4%) were in a partnership. Univariate analysis showed no statistically significant difference in HRQoL scores among participants from shared and private accommodation in physical scale (Mean 51.7, SD 10.05 vs. 49.7, SD 10.88; p = 0.096) and mental scale (Mean 41.9, SD 14.7 vs. 44.3, SD 14.2; p = 0.134). Conclusions From the data it appears that refugees living in shared and private accommodation in Germany have HRQoL scores indicating a relatively moderate HRQoL in physical scale and low HRQoL in mental scale compared to the German population.


Author(s):  
Xiangren Yi ◽  
You Fu ◽  
Ryan Burns ◽  
Meng Ding

Purpose: The impact of physical fitness (PF) on adolescents’ health-related quality of life (HRQOL) is an important health issue in China. The purpose of this study was to identify whether body mass index (BMI), cardiorespiratory fitness (CRF), and musculoskeletal fitness (MSF) influences HRQOL among Chinese adolescents. Method: The participants were 10,007 students (boys = 5276, 14.14 years ± 1.79; girls = 4829, 14.22 years ± 1.81) who were randomly selected from 30 secondary schools in Shandong, China. BMI, CRF, MSF, and HRQOL were measured and analyzed using ANCOVA and multiple regression. Results: BMI and physical fitness variables were partially associated with HRQOL in Chinese adolescents. ANCOVA showed a significant difference among BMI categories in terms of physical sense (PS), living convenience, and self-satisfaction (SS) for boys, but this difference was only seen with social activity opportunity (SAO) for girls. Multiple regression found that BMI was significantly associated with SAO. For boys, CRF was associated with the teacher and student relationship and SS, whereas MSF was only associated with PS. For girls, CRF was significantly linked with the parent and children relationship, learning capacity, and attitudes and self-perception (S-P), while MSF was associated with S-P. Conclusion: Enforcing physical activity and enhancing PF will be a crucial pathway in improving adolescents’ HRQOL in China.


Author(s):  
Teresa Santos ◽  
Margarida Gaspar de Matos ◽  
Celeste Simões ◽  
Isabel Leal ◽  
Maria do Céu Machado

Abstract Background Research on living with a chronic disease (CD) in adolescence is increasing. However, studies on the relevance of psychosocial factors are still needed. The present review, focuses on the impact of living with a CD in adolescence on on quality of life (QoL), health-related quality of life (HRQoL) and psychosocial factors. Methods A literature review of articles identified through PubMed, PsycINFO and PsycARTICLES (these last two ones comprise the Ebsco Host platform) and original peer-reviewed research papers, published between 2010 and 2015, with no restrictions regarding the format/source of interventions, randomized controlled trials (RCTs) or types of comparisons were included. Results Eighteen papers met the inclusion criteria and contradictory results were found: the majority showed a significantly higher risk of impairment on QoL/HRQoL and psychosocial factors, whereas others reported a significantly lower risk of impairment (highlighting possible protective factors), or no significant differences. Heterogeneity in the assessment procedures and substantial difficulties in considering adolescence as a single and independent age group, were also noted. Conclusion The higher risk of impairment and the heterogeneity observed between cohorts, reinforce the need to work towards consensual procedures, which allow for more accurate comparisons among studies. Additionally, it conveys the challenge to find more effective interventions. Furthermore, it is highly suggested to routinely assess HRQoL/psychosocial factors within an individualized framework, to considerer adolescents as a single/independent group, to emphasize potential protective factors, and, to increase youth’s participation in their own adaptation process and in health promotion in general. These are possible future directions that could enable multidisciplinary responses to improve HRQoL and psychosocial care in adolescents with a CD.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Barbara Malicka ◽  
Katarzyna Skośkiewicz-Malinowska ◽  
Urszula Kaczmarek

Abstract Background The study aims to evaluate the impact of socioeconomic status, general health and oral health parameters on Health-Related Quality of Life (HRQoL), Oral Health-Related Quality of Life (OHRQoL) and mental health in elderly urban residents of South-Western Poland. Methods The 500 residents of Wroclaw, aged 65 and older provided demographic and personal information as well as their medical history. A patient's oral condition were determined based on the clinical oral examination.Quality of Life was assessed using Euro-Quality of Life (EQ-5D), Oral Health Impact Profile-14 (OHIP-14) and Patient Health Questionnaire (PHQ-9).The association between exposure (socioeconomic status, general health and oral health) and outcome (HRQoL, OHRQoL and mental health variables) were analyzed with the use of four models: P – Poisson model, NB-Negative Binomial model, ZIP – Zero Inflated Poisson model, ZINB – Zero Inflated Negative Binomial model. Results The best model turned out to be the ZINB model, in which a negative binomial distribution in the count equation is assumed. In this model, only 13 independent variables had a significant effect on HRQoL, OHRQoL, and mental health. HRQoL assessed with the EQ-5D is significantly influenced by: living conditions 0.133 (95% CI: 0.001, 0.267, p = 0.049), income -0.348 (95%CI: -0.466, -0.230, p < 0.001), diabetes mellitus 0.437 (95%CI: 0.250, 0.624, p < 0.001), myocardial infarction 0.454 (95% CI: 0.151, 0.757, p = 0.003), stroke 0.543 (95%CI: 0.094, 0.992, p = 0.018) and renal disease 0.466 (95% CI: 0.206, 0.726, p < 0.001). Factors negatively affecting OHRQOL are: the need for oral treatment 0.278 (95%CI: 0.104, 0.452, p = 0.002), the number of missing teeth 0.053 (95%CI: 0.039, 0.067, p < 0.001) and gender 0.271 (95%CI: 0.015, 0.527, p = 0.038) and age -0.025 (95%CI: -0.042, -0.008, p = 0.003). An important factor influencing the level of depression assessed by the PHQ-9 questionnaire may be the material condition -0.225 (95%CI: -0.349, -0.101, p < 0.001). It should be emphasized that living with other people may be a factor that significantly increases the probability of avoiding the occurrence of depression symptoms. Conclusion The study concerning elderly residents of the macroregion in Poland found the impact of socioeconomic, general health and oral health parameters on Health-Related Quality of Life, Oral Health-Related Quality of Life and mental health. Research on the quality of life of the elderly at the local level allowed to assess the factors linked to quality of life of older adults.


2018 ◽  
Vol 6 (1) ◽  
pp. 232596711775008 ◽  
Author(s):  
Mirco Sgroi ◽  
Semra Kocak ◽  
Heiko Reichel ◽  
Thomas Kappe

Background: Meniscal tears are a common cause of knee pain and disability. The objective measurement of the health-related quality of life of patients with meniscal tears plays a key role in clinical evaluation and therapeutic decision making. Several evaluation tools have been used to measure the effects of meniscal tears on knee function and quality of life. However, most of these tools are nonspecific for meniscal pathology. Purpose/Hypothesis: The purpose of the present study was to compare the capability of 3 commonly used knee assessment tools to measure the impact of meniscal tears on knee function and quality of life: the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Knee injury and Osteoarthritis Outcome Score (KOOS), and the Western Ontario Meniscal Evaluation Tool (WOMET). Our null hypothesis was that no difference would exist among the 3 assessment tools. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A total of 207 consecutive patients (mean ± SD: age, 52.6 ± 14.3 years) with arthroscopically confirmed meniscal tear were included. Preoperatively, 3 knee function and quality-of-life scores were obtained: KOOS, WOMAC, and WOMET. The relative outcome scores of the questionnaires were compared postoperatively. Results: The sum scores (relative scores) were as follows: 234.2 ± 92.5 (55.7%) for the KOOS, 132.6 ± 54.3 (55.5%) for the WOMAC, and 113 ± 30.8 (71%) for the WOMET. The relative score results for the WOMET were significantly higher than those for the WOMAC and the KOOS (both P < .01), while no significant difference was found between the WOMAC and the KOOS ( P = .735). Conclusion: A greater impact on health-related quality of life for patients with meniscal tears can be measured with the WOMET when compared with the WOMAC and the KOOS. Therefore, using the WOMET can be recommended for the evaluation of knee function and quality-of-life impairment of patients with meniscal tears.


2021 ◽  
Vol 6 (2) ◽  
pp. 208-218
Author(s):  
Onyinye O. Umeh ◽  
Adaku L. Ben Okoye ◽  
Ikenna G. Isiekwe ◽  
Oluwatosin O. Sanu ◽  
Ifeoma L. Utomi ◽  
...  

Objective: To investigate the impact of malocclusion on the Oral Health Related Quality of Life (OHRQoL) of school children. Methods: This was a cross-sectional study among four hundred and twenty five (425) 8-10 years school pupils in Lagos Nigeria. Malocclusion was assessed using the Dental Aesthetic Index while OHRQoL was assessed using the Child Perception Questionnaire (CPQ 8-10). Data entry and analyses was done with SPSS Version 23.0. Data were subjected to descriptive statistical analysis and Chi-square test and one-way ANOVA were used for comparison between variables. Level of significance was set at 0.05. Results: Gender distribution of the study population was; 48.8% (208) males and 51.2% (217) females. The mean age of the participants was 9.23±0.83 and their median age was 9 years. The prevalence of malocclusion according to DAI was 25.9%. Over 70% of the children were found to have no/ or slight need for orthodontic treatment (DAI score < 25), elective treatment was needed in 19.1% of subjects (DAI score 25-30), while in 6.8% of the surveyed population; treatment was highly desirable/mandatory. The differences in the prevalence of malocclusion among the different age groups was observed to be statistically significant (P = 0.038). The overall mean CPQ 8-10 was 19.51±17.1. There was no statistically significant difference in mean CPQ scores between gender (P=0.565), age (P=0.524) and severity of malocclusion (P=0.296) Conclusion: The prevalence of malocclusion in this study was 25.9% with an overall mean CPQ of 19.51±17.1. Higher mean CPQ values were observed with females, older age group and subjects with DAI 31- 35; however, it was not statistically significant.


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