孟加拉国西南地区COVID-19患者生活质量的决定因素

Md. Injamul Haq Methun, M. G. Uddin, Iqramul Haq, Md Asaduzzaman Noor, M. Habib, Md. Ismail Hossain, A. Saleheen, S. Roy, Shatabdi Shamrita Ume, Md. Rukonozzaman Rukon, Md. Amit Hasan, Md. jahangir Alam
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摘要

新冠肺炎疫情引发了前所未有的健康危机,极大地改变了人类的生活。本研究旨在确定与出院的COVID-19患者健康相关生活质量(HRQoL)相关的危险因素。本横断面研究选择了2021年2月1日之前孟加拉国吉纳伊达地区检测呈阳性的557例COVID-19患者。采用EuroQol 5维5级问卷测量HRQoL。使用泰国值集评估完全健康状态。采用卡方检验探讨HRQoL与社会人口学及临床因素的相关性。最后,采用logistic回归分析找出影响HRQoL各维度的预测因子。使用泰国值集,可以观察到57.27%的参与者报告说他们经历过中度或严重的健康问题。约40.57%的受访者表示焦虑或抑郁,而39.14%的参与者经历过中度或重度疼痛或不适。logistic回归分析结果显示,年龄、性别、职业、就诊地点、心脏问题、糖尿病对HRQoL各维度均有显著影响。新冠肺炎严重损害了患者的身心健康状况。因此,政策制定者和政府应该制定全面的战略,以减少新冠肺炎患者的心理和身体健康痛苦。
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Determinants of quality of life among COVID-19 patients in Southwestern region of Bangladesh
The outbreak of COVID-19 has caused an unprecedented health crisis and dramatically changed human lives. This study aims to identify risk factors related to health-related quality of life (HRQoL) among COVID-19 patients who were discharged from the hospital. A total of 557 COVID-19 patients of Jhenaidah district of Bangladesh who had tested positive before February 1 of 2021 were selected for this cross-sectional study. The EuroQol 5-dimensional-5 level questionnaire was used to measure the HRQoL. Thai value set was used to assess the full health status. Chi-square test was used to find out the association of HRQoL with sociodemographic and clinical factors. Finally, logistic regression was used to find out the predictors of the dimensions of HRQoL. Using the Thai value set, it is observed that 57.27% of participants had reported that they had experienced moderate or severe health problems. About 40.57% of the respondent reported anxiety or depression, whereas 39.14% of the participants had experienced moderate or severe pain or discomfort. The result of the logistic regression showed that age, gender, occupation, place of care, heart problems, and diabetes significantly affect various dimensions of the HRQoL. The COVID-19 significantly depletes the health condition of the patients in both mental and physical aspects. Therefore, the policy-makers and government should need to come with comprehensive strategies to reduce the psychological and physical health woe of COVID-19 patients.
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