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越南城市环境中不同道路交通伤害患者的健康相关生活质量特征。

Health-Related Quality of Life Profiles among Patients with Different Road Traffic Injuries in an Urban Setting of Vietnam.

机构信息

Department of Trauma, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam.

Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam.

出版信息

Int J Environ Res Public Health. 2019 Apr 24;16(8):1462. doi: 10.3390/ijerph16081462.

Abstract

Road traffic injuries (RTIs) cause a substantial disease burden in Vietnam. Evaluating health-related quality of life (HRQOL) among patients having a diversity of RTIs informs an integral part of treatment effectiveness. This study aims to examine HRQOL of patients suffering different RTIs in Vietnam's urban areas. A cross-sectional study was conducted on 408 patients from October to December 2018 in six hospitals in Thai Binh. The EuroQol-5 dimensions-5 levels (EQ-5D-5L) and visual analog scale (VAS) were used to assess the HRQOL of patients. Multivariable Tobit regression was applied to measure the difference of HRQOL among different kinds of injuries. The mean EQ-5D-5L and VAS score was 0.40-0.66, respectively. Mean EQ-5D-5L index was lowest in patients with oral and facial injuries (0.22) and fracture injuries (0.23), while patients having hand injuries had the highest EQ-5D-5L index (0.54). EQ-5D-5L index had a negative association with oral, facial, and fracture injuries. Meanwhile, patients with brain, fracture, and multiple injuries tended to have lower VAS score. Poor HRQOL among patients injured in road traffic were observed. Pain management, early rehabilitation, and mental health counseling services should be considered during treatment time, especially among those having the brain, oral and facial trauma, fracture, and multiple injuries.

摘要

道路交通事故伤害(RTIs)在越南造成了巨大的疾病负担。评估具有不同 RTIs 的患者的健康相关生活质量(HRQOL)是治疗效果的一个重要组成部分。本研究旨在考察越南城市地区不同 RTIs 患者的 HRQOL。2018 年 10 月至 12 月,在泰平省的六家医院对 408 名患者进行了横断面研究。使用欧洲五维健康量表-5 维度-5 水平(EQ-5D-5L)和视觉模拟量表(VAS)评估患者的 HRQOL。多变量 Tobit 回归用于测量不同损伤类型之间 HRQOL 的差异。EQ-5D-5L 和 VAS 的平均得分分别为 0.40-0.66。口腔和面部损伤(0.22)和骨折损伤(0.23)患者的平均 EQ-5D-5L 指数最低,手部损伤患者的 EQ-5D-5L 指数最高(0.54)。EQ-5D-5L 指数与口腔、面部和骨折损伤呈负相关。同时,脑损伤、骨折和多发伤患者的 VAS 评分较低。观察到道路交通事故受伤患者的 HRQOL 较差。在治疗期间应考虑疼痛管理、早期康复和心理健康咨询服务,尤其是对于那些有脑、口腔和面部创伤、骨折和多发伤的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f2/6517995/fd4efe4e6935/ijerph-16-01462-g001.jpg

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