顺化医药大学医院哮喘门诊患者健康相关生活质量评估

Phuong Vo Thi Hong, Quyen Nguyen Thi Ngoc, Cuc Ngo Thi Kim, Anh Phan Dang Thuc, Huong Hoang Thi Lan, Ngoc Nguyen Phuoc Bich
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摘要

背景:哮喘是一种慢性呼吸系统疾病,也是一种严重的全球健康问题,在所有年龄段都很常见,发病率很高。它不仅严重影响患者的身体健康,而且严重影响患者的健康相关生活质量。目的:(1)了解顺化医学院附属医院哮喘门诊患者的HRQoL评分;(2)评价顺化医药大学附属医院哮喘门诊患者HRQoL的相关因素。研究对象和方法:采用自填问卷对顺化医药大学附属医院102例哮喘门诊患者进行描述性横断面研究。结果:男女患者比为1.68/1。研究参与者的平均年龄为59.2±15.39(26-95岁)。大量患者无业(55.9%),文化程度低(54.9%)。患有合并症和被诊断为哮喘的时间超过10年的参与者所占比例最高,分别为69.6%和48.0%,但大多数患者在过去一年内未因急性哮喘发作而住院(88.2%)。最常见的吸入器类型是DPI或MDI和DPI的组合(35.3%),而仅使用计量吸入器(MDI)的患者患病率为29.4%。重度患者占40.2%。HRQoL总分的平均值为4.27±0.747。对HRQoL影响最大的域是“活动限制”,而对“症状”影响最小。男性HRQoL高于女性(6.441倍);无哮喘相关家族史的受试者HRQoL明显优于其他受试者(3.3倍);单独使用MDI或DPI的患者HRQoL评分高于两者联合使用组(2.788次)。结论:哮喘显著影响哮喘患者的生活质量。与HRQoL相关的因素有性别、哮喘家族史和吸入器类型。关键词:哮喘,健康相关生活质量,门诊,顺化医药大学附属医院
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of health-related quality of life among outpatients with asthma at Hue University of Medicine and Pharmacy Hospital
Background: Asthma is either a chronic respiratory disease or a serious global health problem that is common in all ages at a high rate. It seriously affects not only the physical health but also the health-related quality of life (HRQoL) of patients. Objectives: (1) To determine HRQoL score among asthmatic outpatients at Hue University of Medicine and Pharmacy Hospital; (2) To assess factors associated with HRQoL among asthmatic outpatients at Hue University of Medicine and Pharmacy Hospital. Subjects and methods: A descriptive cross-sectional study was conducted on 102 asthmatic outpatients at Hue University of Medicine and Pharmacy Hospital by using a self-administered questionnaire. Results: The male-to-female patient ratio was 1.68/1. The mean age of study participants was 59.2 ± 15.39 (26-95). A large number of patients were unemployed (55.9%) and had a low education level (54.9%). Participants with comorbidities and time of being diagnosed with asthma over 10 years accounted for the highest percentage, 69.6%, and 48.0% respectively, but most patients were not hospitalized due to an acute asthma attack within the past year (88.2%). The most common type of inhaler being used was DPI or the combination of MDI and DPI (35.3%) whereas the prevalence of patients only using the Metered-Dose Inhalers (MDI) was 29.4%. There were 40.2% of patients who were severely affected. The mean value of the total HRQoL score was 4.27 ± 0.747. The domain that most impacted HRQoL was “Activity limitations” whereas “Symptoms” affected the least. Men had higher HRQoL than women (6.441 times); The participants who did not have asthma-related family history were likely to have better HRQoL than others (3.3 times); The patients who used MDI or DPI alone had higher HRQoL scores than the group used the combination of two devices (2.788 times). Conclusions: Asthma remarkably affected asthmatic patients’ quality of life. The factors associated with HRQoL were gender, family history of asthma, and the type of inhaler. Key words: sthma, health-related quality of life, outpatients, Hue University of Medicine and Pharmacy Hospital.
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