Factors associated with poor health-related quality of life among patients with asthma: A hospital-based study from Jordan

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
A. Jarab, W. Al-Qerem, S. A. Abu Heshmeh, T. Mukattash, R. Beiram, S. Aburuz
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Abstract

Purpose: Exploring the factors that are associated with diminished health-related quality of life (HRQOL) in patients with asthma is essential to reach the optimal HRQOL. This study aim to assess HRQOL and its associated factors in patients with asthma in Jordan. Methods: This cross-sectional study was conducted on patients with asthma attending King Abdullah University Hospital and Jordan University Hospital in Jordan. In addition to socio-demographic variables, the study survey included mini asthma quality of life questionnaire (mini AQLQ) to measure HRQOL and asthma control test (ACT) to assess the degree of asthma control in asthmatic patients. Binary logistic regression was used to build a model of the independent predictors of poor HRQOL in the study participants. Results: Of the 314 participating patients, 70.1% were females, with a mean age of 51.47±16.37 years. 61.1% of the participants had low HRQOL, with a total mean mini AQLQ score of 4.30±1.30. Results revealed that advanced age (OR=0.961; 95% CI: 0.936-0.986; p<0.05) and lack of daily exercise (OR=0.233; 95% CI: 0.085-0.637; p<0.01) were significant predictors of poor HRQOL in patients with asthma, while better controlled disease, manifested by higher ACT score was associated with better HRQOL in these patients (OR=1.499; 95% CI: 1.344-1.672; p<0.01). Conclusions: HRQOL represents an area for improvement in patients with asthma. The current study provides insight on the factors associated with poor HRQOL. Future interventions and asthma management programs should focus on improving asthma control and encouraging physical activity, particularly for older patients, with the aim of improving HRQOL among patients with asthma.
哮喘患者健康相关生活质量差的相关因素:约旦一项基于医院的研究
目的:探讨与哮喘患者健康相关生活质量(HRQOL)降低相关的因素对于达到最佳HRQOL至关重要。本研究旨在评估约旦哮喘患者的HRQOL及其相关因素。方法:对约旦阿卜杜拉国王大学医院和约旦大学医院的哮喘患者进行横断面研究。除了社会人口学变量外,研究调查还包括用于测量HRQOL的迷你哮喘生活质量问卷(迷你AQLQ)和用于评估哮喘患者哮喘控制程度的哮喘控制测试(ACT)。二元逻辑回归用于建立研究参与者HRQOL差的独立预测因素模型。结果:314名参与患者中,70.1%为女性,平均年龄为51.47±16.37岁。61.1%的参与者HRQOL较低,总平均迷你AQLQ评分为4.30±1.30。结果显示,高龄(OR=0.961;95%CI:0.936-0.986;p<0.05)和缺乏日常锻炼(OR=0.233;95%CI:0.085-0.637;p<0.01)是哮喘患者HRQOL较差的显著预测因素,ACT评分越高,这些患者的HRQOL越好(OR=1.499;95%CI:1.344-1.672;p<0.01)。目前的研究提供了与低HRQOL相关因素的见解。未来的干预措施和哮喘管理计划应侧重于改善哮喘控制和鼓励体育活动,特别是对老年患者,目的是提高哮喘患者的HRQOL。
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来源期刊
Electronic Journal of General Medicine
Electronic Journal of General Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.80%
发文量
79
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