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COVID-19患者的健康相关生活质量及其相关因素

Health-Related Quality of Life and its Associated Factors in COVID-19 Patients.

作者信息

Arab-Zozani Morteza, Hashemi Fatemah, Safari Hossein, Yousefi Mahmood, Ameri Hosein

机构信息

Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.

Healthcare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Osong Public Health Res Perspect. 2020 Oct;11(5):296-302. doi: 10.24171/j.phrp.2020.11.5.05.

Abstract

OBJECTIVES

Health-related quality of life (HRQoL) is one of the most important outcome measures for patients. The purpose of this study was to evaluate HRQoL and related factors in Coronavirus disease 2019 (COVID-19) patients.

METHODS

A total of 420 COVID-19 patients who had been discharged from hospital were selected using a systematic sampling. The EuroQol 5-dimensional-5 levels (EQ-5D-5L) questionnaire along with medical records of the patients were used to gather the data. The test and analysis of variance were employed to test the difference between mean EQ-5D-5L scores, and the BetaMix model was used to investigate factors associated with EQ-5D-5L scores.

RESULTS

The mean score for the patients who completed the EQ-5D-5L questionnaire ( = 409) was 0.6125. The EQ-5D-5L scores were significantly higher in males, patients with younger age, those with a low level of education, the employed, patients who worked in uncrowded workplaces, patients without diabetes, and those who were not admitted to intensive care unit. The BetaMix model showed that gender, age, education, employment status, having diabetes, heart failure, and admission to the intensive care unit were significant independent predictors of the EQ-5D-5L index values.

CONCLUSION

The mean score for EQ-5D-5L in COVID-19 patients was low in this study. Some of the factors, especially aging and having diabetes, should be considered in the aftercare of patients to improve their HRQoL.

摘要

目的

健康相关生活质量(HRQoL)是患者最重要的结局指标之一。本研究的目的是评估2019冠状病毒病(COVID-19)患者的健康相关生活质量及其相关因素。

方法

采用系统抽样法选取420例已出院的COVID-19患者。使用欧洲五维健康量表(EQ-5D-5L)问卷及患者病历收集数据。采用t检验和方差分析来检验EQ-5D-5L平均得分之间的差异,并使用BetaMix模型来研究与EQ-5D-5L得分相关的因素。

结果

完成EQ-5D-5L问卷的患者(n = 409)的平均得分为0.6125。男性、年龄较小的患者、教育程度较低的患者、就业者、在非拥挤工作场所工作的患者、无糖尿病患者以及未入住重症监护病房的患者的EQ-5D-5L得分显著更高。BetaMix模型显示,性别、年龄、教育程度、就业状况、是否患有糖尿病、心力衰竭以及是否入住重症监护病房是EQ-5D-5L指数值的显著独立预测因素。

结论

本研究中COVID-19患者的EQ-5D-5L平均得分较低。在患者的后续护理中应考虑一些因素,尤其是年龄增长和患有糖尿病,以改善他们的健康相关生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8541/7577388/45f07b0a2008/ophrp-11-296f1.jpg

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