Effect of Endometriosis on Disease-Specific Quality of Life

Nursing for Women''s Health Pub Date : 2025-06-01 DOI:10.1016/j.nwh.2024.09.005

Katherine E. Pinto, Helen L. Graham, Judith M. Scott, Melissa J. Benton

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引用次数: 0

Abstract

Objective

To evaluate disease-specific quality of life (QOL) in women with endometriosis and assess concurrent validity of the Endometriosis Impact Questionnaire (EIQ).

Design

Observational, cross-sectional design.

Setting

Online survey.

Participants

Women ages 18 to 49 years who self-reported a diagnosis of endometriosis.

Measurement

Disease-specific QOL was measured with the EIQ and the Endometriosis Health Profile-5 (EHP-5). Health-related QOL was measured with two WHOQOL-BREF questions.

Results

There were 413 participants with complete data included in the analysis. Mean (SD) age at participation was 33.9 (7.1) years and at diagnosis was 28.9 (7.0) years. Responses to the EIQ demonstrated that endometriosis had the greatest effect on QOL through physical-psychosocial symptoms and fertility problems. Lifestyle behaviors related to alcohol and tobacco use were the least affected by endometriosis. Scores on the EHP-5 demonstrated similar results, with social support, self-image, and feelings of control being most impacted. Health-related QOL was also found to be impaired. Participants rated their overall QOL as neither poor nor good and their overall satisfaction with their health as dissatisfied. Concurrent validity for the EIQ was acceptable. Women who reported worse disease-specific QOL on the EIQ also had worse disease-specific QOL on the EHP-5 (p ˂ .01) and worse health-related QOL on the WHOQOL-BREF questions (p ˂ .01).

Conclusion

Endometriosis significantly impairs disease-specific QOL in addition to general health-related QOL. The EIQ is a valid measure of disease-specific QOL and can be used to assess the impact of endometriosis on the multiple dimensions of women’s lives. It is recommended that providers use this tool to obtain a more in-depth understanding of the effect on QOL and tailor patient-specific care that targets the multidimensions of endometriosis.

查看原文本刊更多论文

子宫内膜异位症对疾病特异性生活质量的影响。

目的：评价子宫内膜异位症患者疾病特异性生活质量（QOL），评估子宫内膜异位症影响问卷（EIQ）的有效性。设计：观察性横断面设计。设置：在线调查。参与者：年龄在18到49岁之间，自我报告诊断为子宫内膜异位症的女性。测量：用EIQ和子宫内膜异位症健康概况-5 （EHP-5）测量疾病特异性生活质量。健康相关生活质量采用两个WHOQOL-BREF问题进行测量。结果：纳入资料完整的413例受试者。参与时的平均（SD）年龄为33.9（7.1）岁，诊断时的平均（SD）年龄为28.9（7.0）岁。对EIQ的反应表明，子宫内膜异位症通过身体-心理社会症状和生育问题对生活质量的影响最大。与酒精和烟草使用有关的生活方式行为受到的影响最小。EHP-5的得分也显示出类似的结果，社会支持、自我形象和控制感受到的影响最大。与健康相关的生活质量也受到影响。参与者认为他们的总体生活质量既不差也不好，他们对健康的总体满意度为不满意。EIQ的并发效度是可以接受的。在EIQ上报告疾病特异性生活质量较差的女性在EHP-5上的疾病特异性生活质量也较差（p小于0.01），在WHOQOL-BREF问题上的健康相关生活质量也较差（p小于0.01）。结论：子宫内膜异位症显著损害疾病特异性生活质量以及一般健康相关生活质量。EIQ是衡量疾病特异性生活质量的有效指标，可用于评估子宫内膜异位症对女性生活的多个方面的影响。建议医生使用该工具更深入地了解对生活质量的影响，并针对子宫内膜异位症的多个维度量身定制患者特异性护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing for Women''s Health Nursing-Nursing (all)

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.