尼日利亚乔斯两家门诊就诊的膝关节骨关节炎患者的健康相关生活质量：一项横断面描述性研究。

Health-Related Quality of Life in Patients with Osteoarthritis of the Knee attending two Outpatient Clinics in Jos, Nigeria: A Cross-Sectional Descriptive Study.

机构信息

Department of Family Medicine, Federal Medical Centre, Keffi, Nigeria.

Department of Family Medicine, Jos University Teaching Hospital Jos, Nigeria.

出版信息

West Afr J Med. 2023 Jul 28;40(40):689-696.

PMID:37515757

Abstract

BACKGROUND

It appears particularly suitable to measure healthrelated quality of life (HRQoL) in patients with knee osteoarthritis (OA) because the chronic debilitating nature of this disease likely takes a considerable toll on HRQoL. The study aims to assess the health-related quality of life in patients with symptomatic knee osteoarthritis attending the two outpatient clinics. The study also aimed to determine factors affecting the HRQoL in patients with knee OA.

METHODS

A facility based, cross sectional descriptive study using the abbreviated World Health Organisation Quality of Life (WHOQOL-BREF) (26-item) questionnaire was carried out in two out-patient (general and orthopaedic) clinics of the University Teaching Hospital, Jos, Nigeria over a period of two months. The medical assistants, record staffs and nurses were involved in recruiting the patients while the Family Physicians performed the interview.

RESULTS

A total of 120 participants were recruited. The mean age was 58.41±13.03 years and the majority of the respondents were female, constituting 102 (85%) of the participants. The mean body mass index (BMI) was 30.83±7.12 kg/m2 and more than half of the participants were obese. The most common associated chronic disease was hypertension, reported by 93(77.5%). A majority, 86(72%) of the respondents reported their overall QoL and General Health (GH) as poor or fair and all the domains (physical, psychological, social relationships, and environmental) of the QoL were low. QoL scores were relatively low for domain due to psychological health and environment with that of psychological health being more severely affected. Epilepsy was found to affect QoL in patients with knee OA (p= 0.022). There was no significant effect of age, sex, educational status, employment status, marital status, and family income on QoL.

CONCLUSION

This study has shown that patients with knee OA attending the outpatient clinics in JUTH, Jos have relatively poor HRQoL with the domain due to psychological health being more severely affected.

摘要

背景

该量表似乎特别适合测量膝骨关节炎（OA）患者的健康相关生活质量（HRQoL），因为这种疾病的慢性衰弱性质可能对 HRQoL 造成相当大的影响。本研究旨在评估在乔斯大学教学医院的两个门诊诊所就诊的有症状膝骨关节炎患者的健康相关生活质量。该研究还旨在确定影响膝骨关节炎患者 HRQoL 的因素。

方法

这是一项基于设施的、横断面描述性研究，使用了简短的世界卫生组织生活质量（WHOQOL-BREF）（26 项）问卷，在尼日利亚乔斯大学教学医院的两个门诊（普通和矫形）诊所进行，历时两个月。医疗助理、记录人员和护士参与招募患者，而家庭医生则进行访谈。

结果

共招募了 120 名参与者。平均年龄为 58.41±13.03 岁，大多数参与者为女性，占 102（85%）。平均体重指数（BMI）为 30.83±7.12kg/m2，超过一半的参与者肥胖。最常见的合并慢性疾病是高血压，有 93（77.5%）名参与者报告。大多数（86[72%]）受访者报告他们的整体生活质量和一般健康（GH）较差或一般，生活质量的所有领域（身体、心理、社会关系和环境）都较低。由于心理健康和环境，生活质量各领域的得分相对较低，其中心理健康受到的影响更为严重。研究发现，癫痫会影响膝骨关节炎患者的生活质量（p=0.022）。年龄、性别、教育程度、就业状况、婚姻状况和家庭收入对生活质量均无显著影响。