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葡萄牙乳糜泻患者生活质量感知的横断面研究:使用乳糜泻问卷(CDQ)。

Quality of Life Perception among Portuguese Celiac Patients: A Cross-Sectional Study Using the Celiac Disease Questionnaire (CDQ).

机构信息

ESSV, Centre for Studies in Education and Innovation (CI&DEI), Polytechnic University of Viseu, 3504-510 Viseu, Portugal.

CBIOS (Research Center for Biosciences and Health Technologies), Universidade Lusófona de Humanidades e Tecnologias, Campo Grande 376, 1749-024 Lisboa, Portugal.

出版信息

Nutrients. 2023 Apr 24;15(9):2051. doi: 10.3390/nu15092051.

Abstract

The aim of this study is to assess Portuguese celiac patients' quality of life (QoL) perception. A cross-sectional study was performed with a non-probability convenience sample of Portuguese celiac patients using an online self-administered celiac disease quality of life questionnaire (CDQ), previously validated for the Portuguese population. The final sample comprised 234 celiac patients, which included the following: primarily women (69.2%); aged between 18 and 49 years old (56.4%); with a partner (60.6%); with a high educational level (58.9%-graduated or post-graduated); following a gluten-free diet (GFD) (55.1%); and not using antidepressants (93.1%). The Portuguese CDQ presented good reliability and responsiveness in this sample of Portuguese celiac patients. In general, the CDQ in Portugal was affected by age at diagnosis ( = 0.017), educational level ( = 0.005), and compliance with GFD ( = 0.034). The emotion domain was affected only by using antidepressants ( = 0.036). The social domain was affected by gender (females had lower rates, = 0.016), age at diagnosis ( = 0.009), educational level ( = 0.000), and compliance with a GFD ( = 0.002). The worries domain did not differ according to socioeconomic data. The symptoms domain was affected by compliance with GFD ( = 0.000), age at diagnosis ( = 0.000), and educational level ( = 0.014). Data on celiac QoL is essential to support the formulation and implementation of strategies to minimize the issues suffered by celiac patients, lowering their physical, emotional, and social burden. Additionally, data on Portuguese celiac disease patients using the CDQ will allow future comparative research among celiac populations from different countries.

摘要

本研究旨在评估葡萄牙乳糜泻患者的生活质量(QoL)感知。采用非概率便利抽样方法,对葡萄牙乳糜泻患者进行了横断面研究,使用的是先前针对葡萄牙人群验证过的乳糜泻生活质量问卷(CDQ)。最终样本包括 234 名乳糜泻患者,具体情况如下:主要为女性(69.2%);年龄在 18 至 49 岁之间(56.4%);有伴侣(60.6%);受教育程度较高(58.9%-大学毕业或研究生毕业);遵循无麸质饮食(GFD)(55.1%);未使用抗抑郁药(93.1%)。葡萄牙 CDQ 在本葡萄牙乳糜泻患者样本中表现出良好的信度和反应度。一般来说,CDQ 在葡萄牙受到诊断时年龄( = 0.017)、教育水平( = 0.005)和遵守 GFD( = 0.034)的影响。情绪域仅受使用抗抑郁药( = 0.036)的影响。社会域受到性别(女性比例较低, = 0.016)、诊断时年龄( = 0.009)、教育水平( = 0.000)和遵守 GFD( = 0.002)的影响。担忧域不受社会经济数据的影响。症状域受 GFD 遵守情况( = 0.000)、诊断时年龄( = 0.000)和教育水平( = 0.014)的影响。乳糜泻患者生活质量数据对于制定和实施策略以最小化乳糜泻患者所面临的问题、减轻其身体、情感和社会负担至关重要。此外,使用 CDQ 的葡萄牙乳糜泻患者的数据将允许在来自不同国家的乳糜泻人群之间进行未来的比较研究。

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