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活动性肺结核患者和非活动性肺结核患者的生活质量是否不同?

Is the quality of life different in patients with active and inactive tuberculosis?

作者信息

Unalan Demet, Soyuer Ferhan, Ceyhan Osman, Basturk Mustafa, Ozturk Ahmet

机构信息

Erciyes University Halil Bayraktar Health Services Vocational College, Turkey.

出版信息

Indian J Tuberc. 2008 Jul;55(3):127-37.

Abstract

OBJECTIVE

The aim of this study was to evaluate the quality of life (QOL) in outpatients with active and inactive tuberculosis, and to study the relations between QOL and demographic and socio-cultural chracteristics and variables concerning the disease and depression.

MATERIAL AND METHODS

Included in the present study were 196 active and 108 inactive cases who attended Dispensary for Tuberculosis within a one year period, plus 196 healthy controls. In this study, questionnaire form, SF 36 quality of life scale and Beck Depression Inventory (BDI) were used.

RESULTS

It was determined that in all fields of QOL, scores of the control group were higher than those of the patient groups. QOL scores in physical and social functionality dimensions of inactive cases were higher than in active cases (p < 0.001 ). As BDI scores increased in active and inactive cases, physical component summary (PCS) and mental component summary (MCS) decreased. As the treatment period increased in active cases, MCS increased. In active and inactive cases, marital status and accompanying diseases have an effect on the decrease of PCS scores (p < 0.05). In patients with tuberculosis, the QOL of men, single, patients with a high level of education and those not having a disease that accompanies tuberculosis were found to be high (p < 0.05). The QOL was negatively correlated with age and BDI, while being positively correlated with monthly income, daily sleep period and treatment period (p < 0.05).

CONCLUSION

It is stated that in inactive tuberculosis cases, as in active cases, QOL is deformed and demographic-socio cultural chracteristics, depression, daily sleep period, treatment period and accompanying diseases are factors that affect quality of life.

摘要

目的

本研究旨在评估活动性和非活动性肺结核门诊患者的生活质量(QOL),并研究生活质量与人口统计学、社会文化特征以及与疾病和抑郁相关变量之间的关系。

材料与方法

本研究纳入了在一年时间内到结核病诊疗所就诊的196例活动性病例和108例非活动性病例,外加196名健康对照者。本研究使用了问卷形式、SF 36生活质量量表和贝克抑郁量表(BDI)。

结果

确定在生活质量的所有领域,对照组的得分均高于患者组。非活动性病例在身体和社会功能维度的生活质量得分高于活动性病例(p<0.001)。随着活动性和非活动性病例中BDI得分的增加,身体成分总结(PCS)和心理成分总结(MCS)降低。随着活动性病例治疗期的增加,MCS增加。在活动性和非活动性病例中,婚姻状况和伴发疾病对PCS得分的降低有影响(p<0.05)。在结核病患者中,发现男性、单身、受教育程度高且无结核病伴发疾病的患者生活质量较高(p<0.05)。生活质量与年龄和BDI呈负相关,而与月收入、每日睡眠时间和治疗期呈正相关(p<0.05)。

结论

据指出,在非活动性肺结核病例中,与活动性病例一样,生活质量受到损害,人口统计学-社会文化特征、抑郁、每日睡眠时间、治疗期和伴发疾病是影响生活质量的因素。

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