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探讨影响药物不良反应患者健康相关生活质量的因素:一项横断面研究。

Exploring the factors influencing the health-related quality of life in patients experiencing adverse drug reactions: a cross-sectional study.

机构信息

Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur, India.

Department of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, India.

出版信息

J Patient Rep Outcomes. 2024 Sep 27;8(1):112. doi: 10.1186/s41687-024-00790-0.

Abstract

BACKGROUND

This study aimed to assess the factors influencing health-related quality of life (HRQoL) in patients experiencing adverse drug reactions (ADRs) at a tertiary care public sector hospital. A cross-sectional study was conducted over a period of 18 months, and included both male and female patients aged 18 years and above. Patients who visited the outpatient and inpatient departments with complaints associated with ADRs were included in this study. HRQoL data were collected using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) questionnaire to assess five dimensions of health on a five-level scale. Descriptive statistics, t-tests, and analysis of variance were used to analyze the data. Multivariate regression analysis was performed to identify the potential determinants of HRQoL.

RESULTS

A total of 316 patients were included in the study among these participants, of which 54% were female, and 65% were from rural areas. The majority (68%) of the patients had moderately severe ADRs, and 63% of the participants had an income < 2.5 lakh Indian rupees (3009 USD). The mean EQ-5D-5L and EuroQoL Visual Analog Scale (EQ VAS) scores of the study participants were 0.714 and 69.73, respectively. The variables ADR severity, income, and age showed a significant difference (p < 0.05) in HRQoL.

CONCLUSION

This study provides insights into HRQoL among patients with ADRs and identifies the determinants of HRQoL. The findings of this study will contribute to improving patient-centered care and optimizing patient outcomes.

摘要

背景

本研究旨在评估三级公立医院中出现药物不良反应(ADR)的患者健康相关生活质量(HRQoL)的影响因素。本研究采用横断面研究,为期 18 个月,纳入了 18 岁及以上的男女患者。本研究纳入了因 ADR 症状而到门诊和住院部就诊的患者。使用欧洲五维健康量表(EQ-5D-5L)问卷收集 HRQoL 数据,该问卷使用五级量表评估五个健康维度。采用描述性统计、t 检验和方差分析对数据进行分析。采用多元回归分析确定 HRQoL 的潜在决定因素。

结果

本研究共纳入了 316 名患者,其中 54%为女性,65%来自农村地区。大多数(68%)患者的 ADR 为中度严重,63%的参与者收入低于 25 万印度卢比(3009 美元)。研究参与者的平均 EQ-5D-5L 和 EQ 视觉模拟量表(EQ VAS)评分分别为 0.714 和 69.73。ADR 严重程度、收入和年龄等变量在 HRQoL 方面存在显著差异(p<0.05)。

结论

本研究深入了解了 ADR 患者的 HRQoL,并确定了 HRQoL 的决定因素。本研究的结果将有助于改善以患者为中心的护理,并优化患者的结局。

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