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慢性疾病患者在 COVID-19 大流行期间的健康相关生活质量:一项横断面研究。

Health-related quality of life among patients with chronic diseases during COVID-19 pandemic: a cross-sectional study.

机构信息

Faculty of Health Science, Institute of Health, Jimma University, School of Nursing, Jimma, Ethiopia.

出版信息

Pan Afr Med J. 2022 Sep 2;43:2. doi: 10.11604/pamj.2022.43.2.33592. eCollection 2022.

Abstract

INTRODUCTION

in the last two years, COVID-19 has largely changed the rhythm of human life and overwhelmed the healthcare systems globally. Patients with pre-existing chronic diseases have worse outcomes during the COVID-19 pandemic.

METHODS

an institution-based cross-sectional study was conducted from April 1-30, 2021. Data were collected using an interviewer-administered questionnaire and data extraction checklist. A systematic random sampling technique was used to select a total of 400 study participants. Data were entered into EPI data version 3.5.3 and exported to Statistical Package for the Social Science (SPSS) version 23.0 for analysis. Multivariable logistic regression was used and variables with a p-value < 0.05 were considered statistically significant.

RESULTS

three hundred and ten (77.5%) of the respondents had a poor overall health-related quality of life (HRQOL) during the COVID-19 pandemic. Younger age (AOR=0.10.95% CI: 0.04-0.27), no formal education (AOR=5.03, 95% CI: 1.92-13.22), shorter treatment duration(AOR=0.11, 95% CI: 0.04-0.29), presence of respiratory symptoms (AOR=9.69, 95% CI: 2.93-32.09) and missed health-care appointment during COVID-19 (AOR=3.68, 95%CI: 1.82-7.43) were significantly associated with health-related quality of life (HRQOL).

CONCLUSION

most of the respondents had a poor overall health-related quality of life during the COVID-19 pandemic. Consideration of the influence of outbreaks on the continuity of care for a patient and focusing on contributing factors should be an essential concern of the healthcare system. The objective is to assess health-related quality and factors associated with health-related quality of life among patients with chronic diseases during the COVID-19 pandemic.

摘要

简介

在过去的两年中,COVID-19 极大地改变了人类生活的节奏,并使全球医疗系统不堪重负。患有既往慢性疾病的患者在 COVID-19 大流行期间的结局更差。

方法

本研究为 2021 年 4 月 1 日至 30 日进行的基于机构的横断面研究。使用访谈者管理的问卷和数据提取检查表收集数据。采用系统随机抽样技术,共选择了 400 名研究对象。数据输入 EPI 数据版本 3.5.3,并导出到统计软件包(SPSS)版本 23.0 进行分析。采用多变量逻辑回归,将 p 值<0.05 的变量视为具有统计学意义。

结果

在 COVID-19 大流行期间,有 310 名(77.5%)受访者的总体健康相关生活质量(HRQOL)较差。年龄较小(AOR=0.10,95%CI:0.04-0.27)、无正规教育(AOR=5.03,95%CI:1.92-13.22)、治疗时间较短(AOR=0.11,95%CI:0.04-0.29)、存在呼吸道症状(AOR=9.69,95%CI:2.93-32.09)和在 COVID-19 期间错过医疗预约(AOR=3.68,95%CI:1.82-7.43)与健康相关的生活质量(HRQOL)显著相关。

结论

在 COVID-19 大流行期间,大多数受访者的总体健康相关生活质量较差。考虑到疫情对患者连续性护理的影响,并关注相关因素,应成为医疗保健系统的一个重要关注点。目的是评估 COVID-19 大流行期间慢性病患者的健康相关质量及其与健康相关生活质量相关的因素。

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