尼日利亚西南部接受治疗的耐药结核病患者的生活质量

J. Bamidele, O. Abiodun, K. Sodeinde, T. Bitto, A. Alabi, Callistus A. Akinleye, O. Adejumo, Olusoji Daniel
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摘要

背景:耐药性结核病(DR-TB)仍然是一个公共卫生问题。包括疾病本身在内的多种因素会影响 DR-TB 患者的生活质量。本研究旨在评估尼日利亚耐药结核病患者的生活质量(QOL)及相关因素。研究方法对 165 名参与者进行横断面研究,使用由访谈者管理的 26 个项目的世界卫生组织生活质量简明版(WHOQOL-BREF)工具。两个问题评估总体生活质量和一般健康状况,24 个问题评估 QOL 的身体、社会、心理和环境领域。连续变量采用均值和标准差进行总结,分类变量之间的关联采用卡方检验进行分析。二元逻辑回归模型评估了 QOL 的预测因素,P<0.05 时具有统计学意义:平均年龄为(35.63 ± 11.36)岁。总体生活质量为(3.96±0.82)分。环境领域的平均生活质量最高(64.9±14.6),而身体领域的平均生活质量最低(59.2±11.2)。婚姻状况、家庭规模和结核病计划的支持与良好的生活质量相关。结论:总体生活质量良好:总体生活质量良好。建议国家结核病控制项目继续为接受治疗的耐药结核病患者提供经济和社会支持。关键词:耐药结核病耐药结核病;生活质量;尼日利亚。
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Quality of life among drug-resistant tuberculosis patients on treatment in SouthWest Nigeria
Background: Drug-resistant tuberculosis (DR-TB) continues to be a public health concern. Several factors, including the disease itself, affect the quality of life of DR-TB patients. This study aimed to assess the quality of life (QOL) and associated factors of drug-resistant tuberculosis patients in Nigeria. Methods: A cross-sectional study of 165 participants using an interviewer-administered 26-item World Health Organization Quality of life Brief version (WHOQOL-BREF) tool. Two questions assessed overall quality of life and general health while twenty-four questions assessed the physical, social, psychological and environmental domains of QOL. Continuous variables were summarized using means, standard deviations while association between categorical variables were analyzed using Chi-square test. Binary logistic regression model assessed the predictors of QOL with statistical significance at p<0.05 Results: Mean age was 35.63 ± 11.36. The overall quality of life was 3.96±0.82. The environmental domain had the highest mean quality of life (64.9±14.6), while the physical domain had the lowest (59.2±11.2). Marital status, family size, and support from the TB programme were associated with a good QOL. Conclusion: Overall quality of life was good. Continued financial and social support for drug-resistant tuberculosis patients on treatment by the national tuberculosis control programme is recommended. Keywords: Drug-resistant tuberculosis; quality of life; Nigeria.
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