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尼日利亚西南部治疗中的结核病患者的生活质量。

Quality of life among tuberculosis patients on treatment in Southwest Nigeria.

机构信息

Department of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.

Department of Community Medicine, Babcock University, Ilishan, Ogun State, Nigeria.

出版信息

Indian J Tuberc. 2024;71 Suppl 2:S184-S190. doi: 10.1016/j.ijtb.2023.04.009. Epub 2023 Apr 8.

Abstract

BACKGROUND

Tuberculosis is still a major public health concern that affects millions of people worldwide. Despite the fact that tuberculosis has a well-established treatment, little attention is paid to the quality of life of TB patients on treatment. Poor quality of life has been linked to lower treatment adherence in patients having TB. As a result, the purpose of this study was to evaluate the quality of life of tuberculosis patients and its associated factors.

METHODS

The study was a cross-sectional study conducted in Southwest Nigeria among drug-susceptible tuberculosis patients between February and September 2020. The World Health Organization Quality of Life Brief version questionnaire was used to collect data on quality of life (WHOQOL-BREF). A total of 330 people were approached. SPSS version 20 was used to analyze the data. The descriptive data was analyzed using means, standard deviations, and proportions, while the Chi-Square test and binary logistic regression were used to assess the association between variables. P < 0.05 was used to determine statistical significance.

RESULTS

The respondents' average age was 35.50 ± 11.59 years and most of the respondents (67.9%) were males. The overall mean quality of life was good (4.01 ± 0.529) with the highest score (66.47 ± 10.50) in the environmental domain and the least score (62.88 ± 15.36) in the social domain. There was an association between good quality of life and the patient's length of illness prior to diagnosis (AOR = 0.468, 95% CI = 0.225-0.973).

CONCLUSION

In line with this study, the overall quality of life of drug-susceptible tuberculosis patients is good and is related to the duration of illness before the diagnosis of tuberculosis was made. Therefore, more efforts should be made to increase awareness of tuberculosis and intensify active case finding to enhance early case detection and a better quality of life.

摘要

背景

结核病仍然是一个严重的公共卫生问题,影响着全球数百万人。尽管结核病有成熟的治疗方法,但很少有人关注正在接受治疗的结核病患者的生活质量。生活质量差与结核病患者的治疗依从性降低有关。因此,本研究旨在评估结核病患者的生活质量及其相关因素。

方法

本研究是 2020 年 2 月至 9 月在尼日利亚西南部进行的一项药物敏感结核病患者的横断面研究。采用世界卫生组织生活质量简表问卷(WHOQOL-BREF)收集生活质量数据。共接触了 330 人。采用 SPSS 版本 20 分析数据。采用均值、标准差和比例分析描述性数据,采用卡方检验和二元逻辑回归评估变量之间的关系。P 值<0.05 用于确定统计学意义。

结果

受访者的平均年龄为 35.50±11.59 岁,大多数受访者(67.9%)为男性。总体生活质量良好(4.01±0.529),环境领域得分最高(66.47±10.50),社会领域得分最低(62.88±15.36)。生活质量良好与患者确诊前的患病时间长短之间存在关联(优势比=0.468,95%置信区间=0.225-0.973)。

结论

与本研究一致,药物敏感结核病患者的整体生活质量良好,与确诊前的患病时间长短有关。因此,应加大结核病宣传力度,加强主动病例发现,提高早期病例检出率,提高生活质量。

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