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耳鼻喉科中自我评估的生活质量因诊断分组而异:一项观察性研究。

Self-Assessed Quality of Life Is Differently Impacted Depending on Diagnostic Grouping in Otorhinolaryngology: An Observational Study.

作者信息

Severinac Dragica, Begović Ines, Dragaš Emili, Geber Goran, Vagić Davor, Košec Andro

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Center Sestre Milosrdnice, Vinogradska Cesta 29, 10000 Zagreb, Croatia.

School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.

出版信息

Healthcare (Basel). 2025 Sep 8;13(17):2239. doi: 10.3390/healthcare13172239.

Abstract

: Quality of life is significantly impacted by patients' diagnosis perceptions, and self-assessment of quality of life is increasingly used in medicine. With this study, we aim to provide an overview of the differences in self-assessed quality of life among patients in different diagnostic categories in otorhinolaryngology, focusing on physical health, physical pain, and social and emotional well-being. We hypothesize that these differences are substantial and can further improve patient care. : The research was carried out from 1 May to 30 June 2024 with 127 otorhinolaryngology patients scheduled for a follow-up appointment at an otorhinolaryngology clinic. The 36-Item Short Form Health Survey, adequately completed by 114 patients, was used to determine the differences in self-reported quality of life between patients with different otorhinolaryngological diagnoses, classified by the International Classification of Diseases. : The results showed significant differences in the self-assessed quality of life for patients with different otorhinolaryngology diagnoses. Patients with oncological diagnoses had lower scores for emotional ( ≤ 0.001) and social functioning ( ≤ 0.038) compared with patients with other diagnoses but scored similarly to patients with chronic inflammation of the nose and patients with impaired communication due to ear or voice diseases. : Self-assessment of quality of life is significantly different across diagnostic categories in otorhinolaryngology. These findings underscore the necessity of tailoring healthcare communication strategies to the specific needs of individual patients, addressing not only their physical but also emotional well-being.

摘要

患者的诊断认知对生活质量有显著影响,生活质量的自我评估在医学中越来越常用。通过本研究,我们旨在概述耳鼻喉科不同诊断类别的患者自我评估生活质量的差异,重点关注身体健康、身体疼痛以及社会和情感幸福感。我们假设这些差异很大,并且可以进一步改善患者护理。

该研究于2024年5月1日至6月30日进行,127名耳鼻喉科患者计划在耳鼻喉科诊所进行随访预约。114名患者充分完成了36项简短健康调查问卷,用于确定根据国际疾病分类分类的不同耳鼻喉科诊断患者自我报告的生活质量差异。

结果显示,不同耳鼻喉科诊断的患者在自我评估生活质量方面存在显著差异。与其他诊断的患者相比,肿瘤诊断的患者在情感(≤0.001)和社会功能(≤0.038)方面得分较低,但与鼻慢性炎症患者以及因耳部或嗓音疾病导致沟通障碍的患者得分相似。

耳鼻喉科不同诊断类别的生活质量自我评估存在显著差异。这些发现强调了根据个体患者的特定需求调整医疗保健沟通策略的必要性,不仅要关注他们的身体状况,还要关注他们的情感幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e03/12428553/5a4853fbfe58/healthcare-13-02239-g0A1.jpg

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