Khan Md Abdullah Saeed, Dalal Koustuv, Hasan Mehedi, Haque Miah Md Akiful, Hossian Mosharop, Rahman Tajrin, Maliha Ramisha, Mutsuddi Archi, Rashid Md Utba, Hossain Mohammad Ali, Nabi Mohammad Hayatun, Hawlader Mohammad Delwer Hossain
Infectious Disease Hospital, Dhaka, Bangladesh.
School of Health Sciences, Division of Public Health Science, Mid Sweden University, Östersund, Sweden.
IJID Reg. 2024 Mar 16;11:100351. doi: 10.1016/j.ijregi.2024.03.006. eCollection 2024 Jun.
COVID-19 affects the quality of life (QoL) in a reverse way after recovery, which might be multiplied by the comorbid non-communicable diseases. This study explored the relationship between comorbidities and the QoL of people who recovered from COVID-19 in Bangladesh.
The cross-sectional study was conducted among 3244 participants between June 2020 and November 2020 using a pre-tested questionnaire through over-the-phone interviews. The WHOQOL-BREF was used to explore the QoL among the study participants. A multivariable linear regression model was conducted to identify the effects of the number of comorbidities on QoL scores of all four domains.
Of 3244 patients who recovered from COVID-19, over one-third (39.4%) had one or more chronic diseases, such as hypertension, diabetes mellitus, ischemic heart disease, bronchial asthma/chronic obstructive pulmonary disease, chronic kidney disease, and cancer. Around 46.85% of the participants aged above 40 years presented with one to two chronic diseases, and 16.33% had three or more chronic diseases. Among all comorbidities, the participants with cancer and chronic kidney disease were found to have relatively lower scores in all four domains than other comorbidities. The lowest QoL scores were observed in the psychological domain. Those with three or more simultaneous chronic comorbidities had the lowest QoL score in all four domains: physical, psychological, social relationship, and environmental.
Persons who recovered from COVID-19 with comorbidities undergo a lower QoL. Therefore, special attention is required to these vulnerable groups to ensure their smooth recuperation.
新冠病毒感染康复后会以相反的方式影响生活质量（QoL），而合并的非传染性疾病可能会使这种影响加剧。本研究探讨了孟加拉国新冠病毒感染康复者的合并症与生活质量之间的关系。
2020年6月至2020年11月期间，通过电话访谈对3244名参与者进行了横断面研究，使用的是经过预测试的问卷。采用世界卫生组织生活质量简表（WHOQOL-BREF）来探究研究参与者的生活质量。进行多变量线性回归模型以确定合并症数量对所有四个领域生活质量得分的影响。
在3244名从新冠病毒感染中康复的患者中，超过三分之一（39.4%）患有一种或多种慢性疾病，如高血压、糖尿病、缺血性心脏病、支气管哮喘/慢性阻塞性肺疾病、慢性肾脏病和癌症。40岁以上的参与者中约46.85%患有一至两种慢性疾病，16.33%患有三种或更多慢性疾病。在所有合并症中，患有癌症和慢性肾脏病的参与者在所有四个领域的得分均相对低于其他合并症患者。心理领域的生活质量得分最低。同时患有三种或更多慢性合并症的患者在身体、心理、社会关系和环境这四个领域的生活质量得分最低。
合并症的新冠病毒感染康复者生活质量较低。因此，需要特别关注这些弱势群体，以确保他们顺利康复。
