Quality of Life in General Hospital Adult Patients: A Cross-Disciplinary Analysis from Pakistan
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-2.6495Keywords:
Chronic illnesses, Eczema, Hypertension, Primary Health Care, Quality of Life.Abstract
Objective: To compare the quality of life (QoL) in adult patients with different illnesses.
Study Design: Analytical cross-sectional.
Place and Duration of Study: Combined Military Hospital (CMH) Kharian, Pakistan, from Oct 2020 to Feb 2021.
Methodology: This cross-sectional study was conducted by enrolling 512 adults with pre-established medical diagnoses via convenient sampling where QoL was assessed using the World Health Organization Quality of Life (WHOQoL-BREF) tool across four domains (physical, psychological, social, and environmental), with data analyzed using descriptive statistics, one-sample t-test, independent samples t test and one-way ANOVA on SPSS version 21.00.
Results: Patients of chronic illnesses reported lowest levels of QoL and QoL-related to physical health (p<0.01), psychological wellbeing (p<0.01) and social relationships (p<0.01) varied significantly amongst the groups. Males reported better physical health (p<0.01) while females reported better environment related QoL (p<0.05). Increasing age was found to be a risk factor, while higher education was found to be a protective factor. Type of occupations (physical health: p<0.01, psychological wellbeing: p<0.01, social relationships: p>0.05, and environment: p>0.05) and rural-urban background (physical health: p<0.01, psychological wellbeing: p<0.01, social relationships: p>0.05, and environment; p>0.05) also significantly influenced patients’ physical health and psychological wellbeing.
Conclusion: Patients suffering from chronic illnesses reported significantly poorer quality of life compared to those with other conditions, with QoL scores varying across physical, psychological, social, and environmental domains
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References
1. World Health Organization. WHOQoL – measuring quality of life [Internet]. Geneva: WHO. Available from:
https://www.who.int/toolkits/whoQoL
2. Höfelmann DA, Gonzalez-Chica DA, Peres KG, Boing AF, Peres MA. Chronic diseases and socioeconomic inequalities in quality of life among Brazilian adults: findings from a population-based study in Southern Brazil. Eur J Public Health 2018; 28(4): 603–610.
https://doi.org/10.1093/eurpub/ckx224
3. Rissanen R, Ifver J, Hasselberg M, Berg HY. Quality of life following road traffic injury: the impact of age and gender. Qual Life Res 2020; 29(6): 1587–1596.
https://doi.org/10.1007/s11136-020-02427-3
4. Liao Y, Yi Y, Lin X, Hao YT. [Health-related quality of life and health-adjusted life expectancy among patients with chronic non-communicable diseases, in Guangdong province]. Zhonghua Liu Xing Bing Xue Za Zhi 2019; 40(4): 406–411.
https://doi.org/10.3760/cma.j.issn.0254-6450.2019.04.007
5. Arija V, Villalobos F, Pedret R, Vinuesa A, Jovani D, Pascual G, et al. Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial. Health Qual Life Outcomes 2018; 16(1): 184.
https://doi.org/10.1186/s12955-018-1008-6
6. Brown GC, Brown MM, Sharma S. Ethnicity and diabetic quality-of-life. Am J Med Sci 2019; 358(2): 121–126.
https://doi.org/10.1016/j.amjms.2019.04.007
7. Pérez-Herrera LC, Peñaranda D, Moreno-López S, Otoya-Tono AM, Gutiérrez-Velasco L, García JM, et al. Associated factors, health-related quality of life, and reported costs of chronic otitis media in adults at two otologic referral centers in a middle-income country. PLoS One 2020; 15(12): e0244797.
https://doi.org/10.1371/journal.pone.0244797
8. Palijan TŽ, Kovačević D, Vlastelica M, Dadić-Hero E, Sarilar M. Quality of life of persons suffering from schizophrenia, psoriasis and physical disabilities. Psychiatr Danub 2017; 29(1): 60–65.
https://doi.org/10.24869/psyd.2017.60
9. Pourdowlat G, Hejrati R, Lookzadeh S. The effectiveness of relaxation training in the quality of life and anxiety of patients with asthma. Adv Respir Med 2019; 87(3): 146–151.
https://doi.org/10.5603/ARM.2019.0024
10. World Health Organization. WHOQoL-BREF [Internet]. WHO. Available from:
https://www.who.int/tools/whoQoL/whoQoL-bref
11. Hawthorne G, Herrman H, Murphy B. Interpreting the WHOQoL-Bref: preliminary population norms and effect sizes. Soc Indic Res 2006; 77(1): 37–59.
https://doi.org/10.1007/s11205-005-5552-1
12. Sultan SM, Sos DG, Wadan MM, Hazzaa NM, Hamid DMA. Quality of life among hearing loss patients in audiology outpatient clinics in Ain Shams University Hospitals. New Egypt J Med 2018; 2(2): 18–31.
https://doi.org/10.21608/EFMJ.2019.68536
13. Almeida-Brasil CC, Silveira MR, Silva KR, Lima MG, Faria CDCM, Cardoso CL, et al. Quality of life and associated characteristics: application of WHOQoL-BREF in the context of Primary Health Care. Cien Saude Colet 2017; 22(5): 1705–1716.
https://doi.org/10.1590/1413-81232017225.20362015
14. Lee YW, Park EJ, Kwon IH, Kim KH, Kim KJ. Impact of psoriasis on quality of life: relationship between clinical response to therapy and change in health-related quality of life. Ann Dermatol. 2010; 22(4): 389–396.
https://doi.org/10.5021/ad.2010.22.4.389
15. Ha NT, Duy HT, Le NH, Khanal V, Moorin R. Quality of life among people living with hypertension in a rural Vietnam community. BMC Public Health 2014; 14: 833.
https://doi.org/10.1186/1471-2458-14-833
16. Sarma SI, Byrne GJ. Relationship between anxiety and quality of life in older mental health patients. Australas J Ageing 2014; 33(3): 201–4.
https://doi.org/10.1111/ajag.12102
17. Muhwezi WW, Okello ES, Turiho AK. Gender-based profiling of quality of life of primary health care attendees in central Uganda: a cross sectional analysis. Afr Health Sci 2010; 10(4): 374–385.
18. Desalegn D, Girma S, Abdeta T. Quality of life and its association with psychiatric symptoms and socio-demographic characteristics among people with schizophrenia: a hospital-based cross-sectional study. PLoS One 2020; 15(2): e0229514.
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