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Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study

BACKGROUND: Assessment of quality of life (QoL) in patients with tuberculosis (TB) may improve healthcare providers’ understanding of the disease burden. This study aimed to investigate the QoL of patients with TB in Alexandria, Egypt. METHODS: This cross-sectional study was conducted in chest clini...

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Autores principales: Hammouda, Esraa Abdellatif, Gobran, Wahib Fayez, Tawfeek, Reem Mohamed, Esmail, Ola Fahmy, Ashmawy, Rasha, Youssef, Naglaa, Ghazy, Ramy Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208181/
https://www.ncbi.nlm.nih.gov/pubmed/37226176
http://dx.doi.org/10.1186/s12913-023-09381-z
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author Hammouda, Esraa Abdellatif
Gobran, Wahib Fayez
Tawfeek, Reem Mohamed
Esmail, Ola Fahmy
Ashmawy, Rasha
Youssef, Naglaa
Ghazy, Ramy Mohamed
author_facet Hammouda, Esraa Abdellatif
Gobran, Wahib Fayez
Tawfeek, Reem Mohamed
Esmail, Ola Fahmy
Ashmawy, Rasha
Youssef, Naglaa
Ghazy, Ramy Mohamed
author_sort Hammouda, Esraa Abdellatif
collection PubMed
description BACKGROUND: Assessment of quality of life (QoL) in patients with tuberculosis (TB) may improve healthcare providers’ understanding of the disease burden. This study aimed to investigate the QoL of patients with TB in Alexandria, Egypt. METHODS: This cross-sectional study was conducted in chest clinics and main chest hospitals in Alexandria, Egypt. A structured interview questionnaire was used to collect data from participants through face-to-face interviews from November 20, 2021, until the June 30, 2022. We included all adult patients aged 18 years or above during the intensive or continuation phase of treatment. The World Health Organization (WHO) WHOQOL-BREF instrument was used to measure QoL, which includes the physical, psychological, social relationships, and environmental health domains. Using propensity score matching, a group of TB free population was recruited from the same setting and completed the questionnaire. RESULTS: A total of 180 patients participated in the study: 74.4% were males, 54.4% were married, 60.0% were 18–40 years old, 83.3% lived in urban areas, 31.7% were illiterate, 69.5% reported insufficient income, and 10.0% had multidrug-resistant TB. The TB-free population group had higher QoL scores than the TB patients’ group: (65.0 ± 17.5 vs. 42.4 ± 17.8) for the physical domain, (59.2 ± 13.6 vs. 41.9 ± 15.1) for the psychological domain, (61.8 ± 19.9 vs. 50.3 ± 20.6) for the social domain, (56.3 ± 19.3 vs. 44.5 ± 12.8) for the environment domain, (4.0(3.0–4.0) vs. 3.0(2.0–4.0)) for general health, and (4.0(3.0–4.0) vs. 2.0(2.0–3.0)) for the general QoL, P < 0.0001. Patients with TB aged 18–30 years had the highest environmental score compared with the other age groups (P = 0.021). CONCLUSIONS: TB had a significant negative impact on QoL, with the physical and psychological domains being the most affected. This finding necessitates strategies to improve QoL of patients with to enhance their compliance to treatment. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09381-z.
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spelling pubmed-102081812023-05-25 Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study Hammouda, Esraa Abdellatif Gobran, Wahib Fayez Tawfeek, Reem Mohamed Esmail, Ola Fahmy Ashmawy, Rasha Youssef, Naglaa Ghazy, Ramy Mohamed BMC Health Serv Res Research BACKGROUND: Assessment of quality of life (QoL) in patients with tuberculosis (TB) may improve healthcare providers’ understanding of the disease burden. This study aimed to investigate the QoL of patients with TB in Alexandria, Egypt. METHODS: This cross-sectional study was conducted in chest clinics and main chest hospitals in Alexandria, Egypt. A structured interview questionnaire was used to collect data from participants through face-to-face interviews from November 20, 2021, until the June 30, 2022. We included all adult patients aged 18 years or above during the intensive or continuation phase of treatment. The World Health Organization (WHO) WHOQOL-BREF instrument was used to measure QoL, which includes the physical, psychological, social relationships, and environmental health domains. Using propensity score matching, a group of TB free population was recruited from the same setting and completed the questionnaire. RESULTS: A total of 180 patients participated in the study: 74.4% were males, 54.4% were married, 60.0% were 18–40 years old, 83.3% lived in urban areas, 31.7% were illiterate, 69.5% reported insufficient income, and 10.0% had multidrug-resistant TB. The TB-free population group had higher QoL scores than the TB patients’ group: (65.0 ± 17.5 vs. 42.4 ± 17.8) for the physical domain, (59.2 ± 13.6 vs. 41.9 ± 15.1) for the psychological domain, (61.8 ± 19.9 vs. 50.3 ± 20.6) for the social domain, (56.3 ± 19.3 vs. 44.5 ± 12.8) for the environment domain, (4.0(3.0–4.0) vs. 3.0(2.0–4.0)) for general health, and (4.0(3.0–4.0) vs. 2.0(2.0–3.0)) for the general QoL, P < 0.0001. Patients with TB aged 18–30 years had the highest environmental score compared with the other age groups (P = 0.021). CONCLUSIONS: TB had a significant negative impact on QoL, with the physical and psychological domains being the most affected. This finding necessitates strategies to improve QoL of patients with to enhance their compliance to treatment. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09381-z. BioMed Central 2023-05-24 /pmc/articles/PMC10208181/ /pubmed/37226176 http://dx.doi.org/10.1186/s12913-023-09381-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Hammouda, Esraa Abdellatif
Gobran, Wahib Fayez
Tawfeek, Reem Mohamed
Esmail, Ola Fahmy
Ashmawy, Rasha
Youssef, Naglaa
Ghazy, Ramy Mohamed
Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study
title Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study
title_full Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study
title_fullStr Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study
title_full_unstemmed Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study
title_short Survey to measure the quality of life of patients with tuberculosis in Alexandria, Egypt: a cross-sectional study
title_sort survey to measure the quality of life of patients with tuberculosis in alexandria, egypt: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208181/
https://www.ncbi.nlm.nih.gov/pubmed/37226176
http://dx.doi.org/10.1186/s12913-023-09381-z
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