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影响印度尼西亚泗水市结核病患者生活质量的因素。

Factors Affecting Tuberculosis Patients' Quality of Life in Surabaya, Indonesia.

作者信息

Juliasih Ni Njoman, Mertaniasih Ni Made, Hadi Cholichul, Sari Reny Mareta, Alfian Ilham Nur

机构信息

Laboratory of Tuberculosis, Institute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia.

Department of Medical Microbiology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

出版信息

J Multidiscip Healthc. 2020 Nov 4;13:1475-1480. doi: 10.2147/JMDH.S274386. eCollection 2020.

Abstract

PURPOSE

Patients with tuberculosis need to religiously take medication daily. However, they experience several side effects from these medications. The main reason for measuring the quality of life is to explain closely related factors that affect the patient's daily life that have been compromised with illness, while considering a patients' well-being that has associations with individual characteristics.

PATIENTS AND METHODS

This study included 157 patients with tuberculosis at 5 primary health-care centers and 2 hospitals in Surabaya. Quality of life is determined based on eight domains: general health, pain, social functioning, physical functioning, role limitation due to physical health, role limitation due to emotional problems, energy, and emotional well-being. The research instrument used to measure the quality of life is the RAND-36 Item Health Survey, whereas that used to measure mental distress is the Self-Reporting Questionnaire.

RESULTS

Our study results show that, of the eight domains measuring the quality of life, only age exhibited a significant effect on general health ( = 0.018); sex did not significantly affect the quality of life in all domains. The level of education exhibited a significant effect only on role limitation due to emotional problems ( = 0.014). Mental distress demonstrated a significant effect on the quality of life in all domains.

CONCLUSION

There are several factors affecting TB patients' quality of life. The study found that age, level of education, and comorbidity affect quality of life in several domains. However, mental distress affects quality of life in all domains.

摘要

目的

结核病患者需要严格每日服药。然而,他们会经历这些药物带来的多种副作用。衡量生活质量的主要原因是解释与疾病导致的日常生活受到影响密切相关的因素,同时考虑与个体特征相关的患者幸福感。

患者与方法

本研究纳入了泗水市5个初级卫生保健中心和2家医院的157例结核病患者。生活质量基于八个领域来确定:总体健康、疼痛、社会功能、身体功能、因身体健康导致的角色受限、因情感问题导致的角色受限、精力和情感幸福感。用于衡量生活质量的研究工具是兰德36项健康调查,而用于衡量精神痛苦的是自填问卷。

结果

我们的研究结果表明,在衡量生活质量的八个领域中,只有年龄对总体健康有显著影响(P = 0.018);性别在所有领域对生活质量均无显著影响。教育水平仅对因情感问题导致的角色受限有显著影响(P = 0.014)。精神痛苦在所有领域对生活质量均有显著影响。

结论

有几个因素影响结核病患者的生活质量。研究发现,年龄、教育水平和合并症在几个领域影响生活质量。然而,精神痛苦在所有领域影响生活质量。

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