发展中国家多学科社会中无症状慢性静脉功能不全(CVI)对健康相关生活质量(HR Qol)的影响

Mohd Norhisham Azmi Abdul Rahman, Dineshwary Periasammy, Hashima Nasreen, Faisal Elagili, Ahmad Faidzal Othman
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引用次数: 0

摘要

简介:慢性静脉功能不全(CVI)是一种常见病,尤其是在高龄人群中,但却常常被忽视。随着病情的加重,医疗费用和所需资源也随之增加,同时降低了患者的生活质量。一旦开始出现症状,CVI 患者与健康相关的生活质量(HRQoL)就会开始下降,并随着症状的恶化而进一步降低。材料和方法:这是一项前瞻性、多中心、横断面研究,研究对象是在马来西亚彭亨州的马来西亚国际伊斯兰大学(IIUM)教学医院就诊并同意接受治疗的有症状的 CVI 患者。CVI 的诊断是通过双相成像确认的。临床分级采用临床病因解剖病理生理学(CEAP)分类法。患者填写通用的经验证的马来语简表 36 (SF36) HRQoL 工具。结果:共招募了 110 名患者(62% 为男性),平均年龄为 57 岁,其中马来人(60%)、华人(25%)和印度人(15%)各占一半。最常见的心血管疾病症状是疼痛(42%)。根据临床、病因、解剖和病理生理学(CEAP)分类,大多数患者属于 C2 类(34%)。除参加社交活动外,随着病情的发展,SF 36 表中所有其他身心健康要素都明显恶化。结论:我们发现,在一个多民族的发展中国家,有症状的 CVI 患者到印度综合医院就诊时,其 HRQoL 明显下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Symptomatic Chronic Venous Insufficiency (CVI) on Health-Related Quality of Life (HR Qol) in A Multi-Ethnics Society in a Developing Nation
INTRODUCTION: Chronic venous insufficiency (CVI) is a common condition especially among those of advance age that is often neglected. As the disease severity progresses, it increases the healthcare cost and resources required, while diminishing the quality of life of the persons. Health-related Quality of Life (HRQoL) among CVI patients begins to decline once the symptom starts to appear, and reduces it further as the symptoms worsens. MATERIALS AND METHODS: This is a prospective, multi-centred, cross-sectional study on consenting symptomatic CVI patients who presented to the International Islamic University of Malaysia (IIUM) teaching hospital in Pahang, Malaysia. The diagnosis of CVI was confirmed on duplex imaging. Clinical grading was performed using Clinical Etiologic Anatomic Pathophysiologic (CEAP) classification. Patients completed generic validated Malay language Short Form 36 (SF36) HRQoL instrument. RESULTS: One hundred and ten patients (62% male) with a mean age of 57 years, Malays (60%), Chinese (25%) and Indian (15%) were recruited. The most frequent CVD symptoms reported were pain (42%). The clinical, aetiological, anatomical, and pathophysiological (CEAP) classification placed most patients in the C2 class (34%). Apart from partaking in social functions, all other elements of mental and physical health component of SF 36 showed a marked deterioration as the disease progressed. CONCLUSIONS: We found a significant decline in the HRQoL among symptomatic CVI patients presenting to IIUM hospital in a multi-ethnic developing country.
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