Factors influencing quality of life and predictors of low quality of life scores in patients on treatment for pulmonary tuberculosis: a cross sectional study.

Adeyeye, O O; Ogunleye, Olayinka O; Coker, Ayodele Olurotimi; Kuyinu, Yetunde; Bamisile, Raymond T; Ekrikpo, Udeme; Onadeko, B.O.

doi:10.4081/jphia.2014.366

Cited by 29 publications

(29 citation statements)

References 11 publications

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“…It was found that aging had negative effect on the TB patients' physical well-being, with the younger patients having better physical well-being status than older patients. This result is congruent with other studies which published correlations between the quality of life among TB patients and demographic factors [10,13,[15][16][17]. In addition, this could be explicated based on the overall health status among individuals in older age group and possible existing co-morbidities among older population where illnesses such as hypertension and diabetes are more prominent.…”

Section: Discussionsupporting

confidence: 90%

Multidimensional Health-Related Quality-of-Life Among Patients with Pulmonary Tuberculosis in Saudi Arabia

Dhelaimi¹

2018

WJPH

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This study aimed to explore the multi-dimensional health-related quality of life (HRQOL) among tuberculosis patients and examined its association between with their demographic profiles. A cross-sectional survey using the Functional Assessment of Chronic Illness Therapy-Tuberculosis (FACIT-TB) was carried out on a convenience sample of 87 tuberculosis patients at a large tertiary hospital operating the National TB Control Program (NTP) under the Ministry of Health, Western Region, Saudi Arabia. The overall HRQOL of the respondents is poor, whereas the different dimensions were rated as poor to moderate. The respondents' age, smoking status, duration of TB, experience of travelling outside KSA, and educational attainment exhibited significant association to some degree with some of the dimensions of HRQOL. Strategies to strengthen the treatment support could sustain acceptable levels of physical, social and emotional functioning among TB patients. The need to increase public awareness about tuberculosis is needed to ensure prompt healthcare seeking, early detection, adherence to remedy, and better prognosis.

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Section: Discussionsupporting

confidence: 90%

Multidimensional Health-Related Quality-of-Life Among Patients with Pulmonary Tuberculosis in Saudi Arabia

Dhelaimi¹

2018

WJPH

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“…Abilities are impaired by ill health and worse still chronic medical illnesses [68][69][70]. Quality of life can be altered by both the immediate and the long-term consequences of treatment especially the case of chronic illnesses [71][72][73][74][75][76][77][78]. Hence, the focus of medical practice has always been directed toward relieving physical symptoms of chronic medical diseases which often overlook the huge impact on the physical and psychological well-being, psychiatric comorbidity and the overall patient's quality of life.…”

Section: Quality Of Life and Well-being In Patients With Chronic Medimentioning

confidence: 99%

“…It has become important that tuberculosis and HIV control programs at public health clinics design strategies to improve the quality of health of tuberculosis and HIV separately or co-infected patients. Tuberculosis affected all predicted domains of QOL, including general health perceptions, somatic sensation, psychological health, spiritual wellbeing, and physical, social and role functioning [74][75][76]. Social stigmatization, isolation, pill burden, long duration of therapy, sexual dysfunction, loss of income and fear are associated with chronic medical diseases and all affect patients' QOL and well-being.…”

Section: Quality Of Life and Well-being In Patients With Chronic Medimentioning

confidence: 99%

Well-being and Quality of Life—Medical Perspective

Nkporbu¹

2017

Well-Being and Quality of Life - Medical Perspective

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The prevalence of chronic diseases, both communicable and non communicable, has continued to increase worldwide and its consequences including psychiatric co-morbidity with accompanying decrease in quality of life of the sufferers. The aim of this study, therefore, was to determine the quality of life of patients with HIV, Tuberculosis, Diabetes Mellitus and Hypertension and the effect of psychiatric comorbidity on the quality of life and well-being of these patients who attend the different outpatient clinics of the University of Port Harcourt Teaching Hospital(UPTH). Following ethical approval and informed consent from the participants, 120 subjects from each group of HIV, Tuberculosis, Diabetes Mellitus and Hypertension were recruited based on the study's inclusion and exclusion criteria. Subjects were further administered with the study's instruments including the socio-demographic/clinical questionnaire, GHQ-12, WHO Composite International Diagnostic Interview (WHO CIDI) and the WHO QOL-Bref. The data were analyzed using the Statistical Package for Social Sciences (SPSS) version 20 statistical package. Confidence interval was set at 95% while P-value of less than 0.05 was considered statistically significant. The study found a prevalence of psychiatric comorbidity of 43.75% in all. Tuberculosis had the highest prevalence of psychiatric comorbidity with 63(52.5%), followed by. hypertension with 59(49.17%), and Diabetes mellitus 46 (38.3%), while HIV was the least with 42(35%). There were significant relationships between the presence of psychiatric co-morbidity and level of education(p=0.004), income class(p=0.001) in all four medical conditions and self stigma for HIV and tuberculosis. Hypertension had the highest average mean quality of life with 6.34+253 followed by HIV with 60. , diabetes with 5.8 while tuberculosis had the least with mean quality of life 5.3(p=0.001). However, when quality of life was associated with psychiatric comorbidity, the mean quality of life was 5.9, 5.6, 5.2 and 4.9 for Hypertension, diabetes, HIV and tuberculosis respectively. The management of patients with these medical conditions should therefore necessarily include adequate attention to the mental health status the sufferers.

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“…It has become important that TB and HIV control programs as well as cancer awareness and prevention programs at public health clinics design strategies to improve the quality of health and life of these patients. In patients with chronic diseases, all predicted domains of quality of life (QOL), including general health perceptions, somatic sensation, psychological health, spiritual well-being, and physical, social, and role functioning, all tend to be negatively affected [86][87][88][89][90][91][92][93]. Social stigmatization, isolation, pill burden, long duration of therapy, sexual dysfunction, loss of income, and fear were additional specific problems related to chronic medical conditions [80,[82][83][84][85][86][87][88].…”

Section: Introductionmentioning

confidence: 99%

“…Social stigmatization, isolation, pill burden, long duration of therapy, sexual dysfunction, loss of income, and fear were additional specific problems related to chronic medical conditions [80,[82][83][84][85][86][87][88]. Despite available curative therapy, TB and its treatment still have significant short-and long-term consequences on patients' QOL [82,83,[86][87][88][89][90][91][92][93]. QOL has also been characterized as "the ultimate goal of all health interventions" [81].…”

Section: Introductionmentioning

confidence: 99%

Impact of Chronic Medical and Neuropsychiatric Illnesses on Quality of Life and Life Expectancy among Patients at the University of Port Harcourt Teaching Hospital (UPTH)

Nkporbu¹

2020

Aging - Life Span and Life Expectancy

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The prevalence of chronic medical and psychiatric diseases has continued to increase worldwide, and their consequences have remained a growing concern. Acting with a number of sociodemographic and clinical variables, they tend to affect quality of life (QOL) and onward to life expectancy. There is a direct relationship between QOL and life expectancy. Hypertension and diabetes mellitus acting with adverse environmental factors reset and overamplify the sympathetic outflow, and this may worsen hypertension and or cause depression, dysthymia, and anxiety disorders. Tuberculosis and HIV are two chronic infective medical conditions that equally negatively affect quality of life well-being and life expectancy. These chronic medical and psychiatric conditions have been associated with reduced QOL and life expectancy. The aim of this study, therefore, was to determine the impact of chronic medical and psychiatric disorders (HIV, tuberculosis, diabetes mellitus, hypertension, dysthymia, and GAD) on quality of life and life expectancy. Following ethical approval and informed consent from the participants, 40 subjects from each group of HIV, tuberculosis, diabetes mellitus, hypertension, anxiety, and dysthymia were studied using sociodemographic/ clinical questionnaire and the WHOQOL-Bref. The data were analyzed using the SPSS version 20 statistical package. Confidence interval was set at 95% while P-value of less than 0.05 was considered statistically significant. There was reduced QOL on physical, psychological, and social relationship, environment domains, and general health facet, respectively. Chronic medical and psychiatric conditions may contribute to reduced QOL and life expectancy. Management of patients with these conditions should necessarily include attention to their QOL and well-being.

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Factors influencing quality of life and predictors of low quality of life scores in patients on treatment for pulmonary tuberculosis: a cross sectional study.

Cited by 29 publications

References 11 publications

Multidimensional Health-Related Quality-of-Life Among Patients with Pulmonary Tuberculosis in Saudi Arabia

Multidimensional Health-Related Quality-of-Life Among Patients with Pulmonary Tuberculosis in Saudi Arabia

Well-being and Quality of Life—Medical Perspective

Impact of Chronic Medical and Neuropsychiatric Illnesses on Quality of Life and Life Expectancy among Patients at the University of Port Harcourt Teaching Hospital (UPTH)

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