Đánh giá chất lượng cuộc sống người bệnh lao tại khoa nội III - Bệnh viện Phổi Hà Nội, năm 2020

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đình Đoạt Hoàng

Ngôn ngữ: Vie

Ký hiệu phân loại: 612 Human physiology

Thông tin xuất bản: Y học cộng đồng 2021

Mô tả vật lý: 122-127

Bộ sưu tập: Metadata

ID: 409424

Thêm vào giỏ Liên kết toàn văn

Đánh giá chất lượng cuộc sống (CLCS) và tìm hiểu một số yếu tố liên quan đến CLCS của bệnh nhân lao điều trị nội trú tại Khoa Nội III - Bệnh viện Phổi Hà Nội, năm 2020. Phương pháp: Nghiên cứu mô tả cắt ngang, thực hiện trên 171 bệnh nhân lao tại Khoa III - Bệnh viện Phổi Hà Nội từ tháng 6 đến tháng 11 năm 2020 sử dụng thang điểm SF 36.V2. Kết quả: Thang điểm SF36.V2 là thang điểm tin cậy để đánh giá CLCS cho người bệnh lao tại Khoa Nội III, Bệnh viện Phổi Hà Nội, năm 2020, với chỉ số Cronbach'anpha của thang đo và Cronbach'anpha cho cả 8 khu vực CLCS>
0,7. Điểm CLCS của người bệnh lao ở mức trung bình thấp: 1922,2 +/- 699,7
với điểm trung bình lĩnh vực sức khỏe thể chất: 1126 +/- 476,3. Điểm trung bình trong lĩnh vực sức khỏe tâm thần: 796,2 +/- 277,5. Người bệnh lao trên 60 tuổi có CLCS thấp hơn và nguy cơ bị ảnh hưởng tới CLCS cao hơn 4,5 lần so với người bệnh từ 41 đến 60 tuổi (p <
0,05) và cao gấp 5, 05 lần đối với người bệnh dưới 40 tuổi (p <
0,05). Người bệnh lao có các bệnh mắc kèm có nguy cơ bị ảnh hưởng tới CLCS cao gấp 3,2 lần so với người không có bệnh mắc kèm (CI: 1,1- 9,3
p = 0,025). Sự sụt giảm trọng lượng cơ thể ảnh hưởng đến CLCS của những người bệnh lao, những bệnh nhân bị sụt giảm cân nặng cơ thể trong vòng 1 đến 2 tháng trước đó có nguy cơ bị ảnh hưởng tới CLCS cao hơn 4,04 lần so với những người không có biểu hiện này (CI: 1,2-13,1
p = 0,013). Kết luận: Người bệnh lao có CLCS thấp vừa phải ở cả hai lĩnh vực thể chất và tinh thần. Điểm số lĩnh vực sức khỏe thể chất có tương quan thuận và chặt chẽ với điểm số lĩnh vực sức khỏe tâm thần. Những người bệnh lao có nguy cơ bị ảnh hưởng tới CLCS bao gồm: người cao tuổi
những người bị sụt giảm trọng lượng cơ thể
người có bệnh mắc kèm như HIV, đái tháo đường, cao huyết áp. , Tóm tắt tiếng anh, Quality of life (QoL) assessment and finding out some factors related to QoL of inpatients tuberculosis (TB) at Internal Medicine Department III - Hanoi Lung Hospital, 2020. Methods: Descriptive cross-sectional study, performed on 171 TB patients at Department III - Hanoi Lung Hospital from June to November 2020 using the SF 36.V2 scale. Results: The SF36.V2 scale is a reliable scale for assessing QoL for TB cases at the Department of Internal Medicine III, Hanoi Lung Hospital, in 2020, with Cronbach'anpha of the scale and Cronbach'anpha for all 8 regions >
0.7. The QoL score of TB patients is at the average low level: 1922.2 +/- 699.7
with the physical health field average: 1126 +/- 476.3. Average score in the mental health domain: 796.2 +/- 277.5. Tuberculosis patients over 60 years old have lower QoL and the risk of being affected by QoL is 4.5 times higher than those of 41 to 60 years old (p <
0.05) and 5, 05 times higher than diseases under 40 years old (p <
0.05). TB cases with comorbid diseases were 3.2 times more likely to be affected than those without comorbid diseases (CI: 1.1- 9.3
p = 0.025). The loss of body weight affects QoL of people with tuberculosis, patients with a loss of body weight within the previous 1 to 2 months have a 4.04 times higher risk of developing QoL than who haven't loss their body weight (CI: 1,2-13,1
p = 0.013). Conclusion: TB cases have moderately low QoL in both physical and mental domains. The physical health field scores were positively and closely correlated with the mental health field scores. TB patients has risk of being affected by QoL include: the elderly
people with a loss of body weight
people with comorbid diseases such as HIV, diabetes, high blood pressure.

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