Mamani Mojgan, Majzoobi Mohammad Mahdi, Ghahfarokhi Sahar Mousavi, Esna-Ashari Farzaneh, Keramat Fariba
Associate Professor, Brucellosis Research Center, Department of Infectious Diseases, Hamadan University of Medical Sciences & Health Services, Hamadan, Iran.
Assistant Professor, Department of Infectious Diseases, Hamadan University of Medical Sciences & Health Services, Hamadan, Iran.
Oman Med J. 2014 Mar;29(2):102-5. doi: 10.5001/omj.2014.25.
Tuberculosis is one of the oldest infections known to affect humans. The aim of the study was to assess the quality of life including physiological, general health perception and social role functioning among patients with tuberculosis in Hamadan, Western Iran.
A cross sectional analytical study was conducted between December 2009 and March 2011, the quality of life scores of 64 tuberculosis cases were measured by SF-36 questionnaire before treatment, after the initial phase and at the end of treatment and were compared with those of 120 controls. The association of the quality of life with age, type of tuberculosis, sputum smear, duration of disease, and the stage of treatment were assessed among the patients.
Before treatment, all scores of tuberculosis patients were lower than those of the controls (p<0.05). The patients' score increased significantly after two months of treatment (p=0.01), but the difference was not significant between two and six months after treatment (p=0.07). The lowest score in tuberculosis patients was related to physical functioning and energy (45 ± 42, 44 ± 24, respectively).
According to the results, tuberculosis patients still have a low quality of life in spite of receiving new care strategies. Therefore, enhancement in quality of life may improve adherence to anti-tuberculosis treatment, functioning and well-being of patients with tuberculosis.
结核病是已知影响人类最古老的传染病之一。本研究旨在评估伊朗西部哈马丹结核病患者的生活质量，包括生理、总体健康感知和社会角色功能。
在2009年12月至2011年3月期间进行了一项横断面分析研究，采用SF-36问卷在治疗前、初始阶段后和治疗结束时测量了64例结核病患者的生活质量得分，并与120名对照者的得分进行比较。在患者中评估了生活质量与年龄、结核病类型、痰涂片、病程和治疗阶段的相关性。
治疗前，结核病患者的所有得分均低于对照组（p<0.05）。治疗两个月后患者得分显著提高（p=0.01），但治疗后两个月至六个月之间差异不显著（p=0.07）。结核病患者得分最低的是身体功能和精力（分别为45±42、44±24）。
根据结果，尽管采取了新的护理策略，结核病患者的生活质量仍然较低。因此，提高生活质量可能会改善结核病患者对抗结核治疗的依从性、功能和幸福感。
