Krawczyk-Suszek Marlena, Gaweł Arkadiusz, Kleinrok Andrzej
Medical College, University of Information Technology and Management, Rzeszow, Poland.
College of Applied Informatics, University of Information Technology and Management, Rzeszow, Poland.
Arch Med Sci. 2024 Jan 12;20(5):1567-1578. doi: 10.5114/aoms/171634. eCollection 2024.
Epidemiology of non-communicable diseases (NCDs) provides scientific evidence indicating the appearance of dysfunction and disability in patients in various aspects and, as a result, a decrease in the quality of life (QoL). The main aim of the research was to prepare a ranking of diseases determining the degree of disease incidence quality of life (HRQoL) of patients in physical and mental dimensions.
The study was carried out in a group of 7,620 patients assigned to 13 groups of disease entities. The quality of life was assessed using the SF-36 questionnaire. The chances of a better QoL were assessed and the groups of diseases determining the individual QoL dimensions were indicated. Multi-stage, stratified random sampling was used in the study to obtain representatives in each diseases entities.
The worst quality of life among the 13 analysed diseases was noted among cancer patients. Patients with ENT (ear, nose, throat) diseases had the highest chance of a better QoL among the studied subjects (Mental Component Summary (MCS)-OR: 27.4; Physical Component Summary (PCS)-OR: 27.9). Diseases such as cancers, diseases of the nervous system and cardiovascular diseases determined the lowest QoL in terms of MCS, PCS and ILQ (Index of Life Quality). Additionally, lower QoL in the MCS dimension was also affected by diabetes, diseases of the digestive and respiratory systems.
Cancer, cardiovascular disease and diseases of the nervous system are the disease entities correlated with poorer quality of life.
非传染性疾病（NCDs）的流行病学提供了科学证据，表明患者在各个方面出现功能障碍和残疾，进而导致生活质量（QoL）下降。该研究的主要目的是对疾病进行排名，以确定疾病发病率对患者身体和精神层面生活质量（HRQoL）的影响程度。
该研究针对7620名患者展开，这些患者被分为13组疾病实体。使用SF-36问卷评估生活质量。评估了获得更好生活质量的可能性，并指出了决定个体生活质量维度的疾病组。研究采用多阶段分层随机抽样，以在每个疾病实体中获取具有代表性的样本。
在13种分析的疾病中，癌症患者的生活质量最差。在研究对象中，耳鼻喉（ENT）疾病患者获得更好生活质量的可能性最高（心理成分总结（MCS）-优势比：27.4；身体成分总结（PCS）-优势比：27.9）。癌症、神经系统疾病和心血管疾病等疾病在MCS、PCS和生活质量指数（ILQ）方面决定了最低的生活质量。此外，糖尿病、消化系统和呼吸系统疾病也会影响MCS维度中较低的生活质量。
癌症、心血管疾病和神经系统疾病是与较差生活质量相关的疾病实体。
