Quality of Life Assessment Using the WHOQOL-BREF Survey in Hospitalized Patients with Alcohol Use Disorder from Romania

Diseases Pub Date : 2024-07-16 DOI:10.3390/diseases12070158
Melania Lavinia Bratu, D. Sandesc, Teodora Anghel, Liana Dehelean, Mariana Bondrescu, F. Bratosin, R. Tudor
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Abstract

This cross-sectional analysis aimed to assess the quality of life (QoL) among hospitalized patients with alcohol use disorder (AUD) in Romania, utilizing the WHOQOL survey. Conducted from January to December 2023 in the Psychiatry Clinic of the “Pius Brinzeu” Emergency Clinical Hospital in Timisoara, this study engaged 70 participants, adhering to ethical standards outlined in the Declaration of Helsinki. Employing the WHOQOL-BREF instrument, the research hypothesized that AUD patients would show significantly lower QoL scores across its domains compared to general population norms. The study focused on identifying the QoL domains most impacted by AUD, exploring correlations between QoL scores and AUD background characteristics, and pinpointing intervention areas for patient care improvement. Participants were predominantly males (88.57%) with a middle-aged average of 55.51 years. Educational backgrounds varied, with a notable percentage having attended college (44.29%) or university (17.14%). Regarding marital status, 41.43% were married. Comorbidities were present in 52.86% of the sample, with hypertension being the most common (34.29%). Results showed mean QoL scores in the physical (61.84 ± 16.05), psychological (64.11 ± 17.16), social (60.48 ± 24.85), and environmental (68.44 ± 17.34) domains, revealing a significant diversity in satisfaction levels across these areas. Statistical analyses highlighted marital status as significantly associated with a better QoL in the physical domain, with married, co-habiting, and divorced participants reporting higher scores compared to single ones. In conclusion, while AUD significantly affects the QoL of hospitalized patients in Romania, marital status emerges as a critical factor in mitigating these effects, particularly in the physical domain of QoL. These findings underscore the complexity of AUD’s impact on QoL and the importance of considering sociodemographic factors in patient care practices and interventions. The study contributes valuable insights into the nuanced relationship between AUD and QoL, proposing a foundation for enhancing care outcomes for AUD patients in Romania.
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使用 WHOQOL-BREF 调查对罗马尼亚住院酒精使用障碍患者进行生活质量评估
这项横断面分析旨在利用世界卫生组织生活质量调查 (WHOQOL) 评估罗马尼亚住院酒精使用障碍 (AUD) 患者的生活质量 (QoL)。这项研究于 2023 年 1 月至 12 月在蒂米什瓦拉 "Pius Brinzeu "急诊临床医院的精神病诊所进行,共有 70 人参加,并遵守了《赫尔辛基宣言》中规定的伦理标准。研究采用了 WHOQOL-BREF 工具,假设 AUD 患者在各领域的 QoL 分数均明显低于一般人群的标准。研究的重点是确定受 AUD 影响最大的 QoL 领域,探索 QoL 分数与 AUD 背景特征之间的相关性,并确定改善患者护理的干预领域。参与者主要为男性(88.57%),平均年龄为 55.51 岁。受教育背景各不相同,其中上过大学(44.29%)或学院(17.14%)的比例较高。在婚姻状况方面,41.43%的人已婚。52.86%的样本患有合并症,其中高血压最为常见(34.29%)。结果显示,在身体(61.84 ± 16.05)、心理(64.11 ± 17.16)、社交(60.48 ± 24.85)和环境(68.44 ± 17.34)领域的平均 QoL 分数,显示了这些领域满意度的显著差异。统计分析表明,婚姻状况与身体领域更高的 QoL 显著相关,已婚、同居和离婚参与者的得分均高于单身参与者。总之,虽然 AUD 严重影响了罗马尼亚住院患者的 QoL,但婚姻状况是减轻这些影响的关键因素,尤其是在 QoL 的身体领域。这些发现强调了 AUD 对 QoL 影响的复杂性,以及在患者护理实践和干预措施中考虑社会人口因素的重要性。这项研究为了解 AUD 与 QoL 之间的微妙关系提供了宝贵的见解,为提高罗马尼亚 AUD 患者的护理效果奠定了基础。
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