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首页> 外文期刊>Internal medicine journal >Effect of chronic diseases and associated psychological distress on health-related quality of life.
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Effect of chronic diseases and associated psychological distress on health-related quality of life.

机译:慢性疾病和相关的心理困扰对健康相关生活质量的影响。

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摘要

BACKGROUND: The purpose of this study was to clarify the correlations between the presence of comorbidities and psychological distress and health-related quality of life (HRQL). This was a population-based cross-sectional study. METHODS: Parents and grandparents of students from seven randomly selected primary schools in the city centre were asked to answer questionnaires sent by their children. All subjects were questioned for somatic diseases, psychological distress and HRQL by Health Questionnaire, Hospital Anxiety and Depression scale and short-form-12 health survey, respectively. RESULTS: Out of 5024 parents and grandparents (mean age 52.3 +/- 14.3 years, range 20-104 years) of primary school students 4605 returned the questionnaires, a figure that corresponds to the overall response rate of 91.6%. Chronic diseases substantially reduced HRQL and this effect did not differ markedly with the type of chronic disease. Association of comorbidities with psychological distress further impaired HRQL. As the number of chronic diseases was increased, HRQL and physical and mental functioning declined. The worst HRQL was observed in subjects who had five or more comorbidities associated with psychological distress. CONCLUSION: The present study indicates significant adverse effects of chronic diseases and psychological distress on HRQL in adults, the effect of psychological distress being the most important. Our results lead us to suggest that in the management of comorbidities, the detection of the presence and severity of associated psychological distress and its treatment, besides the specific treatment of comorbidities, may provide dramatic improvement in HRQL of the patients.
机译:背景:本研究的目的是阐明合并症和心理困扰与健康相关的生活质量(HRQL)之间的相关性。这是一项基于人群的横断面研究。方法:从市中心随机抽取的七所小学的学生的父母和祖父母或外祖父母被要求回答孩子们发送的问卷。分别通过健康问卷,医院焦虑和抑郁量表以及简短的12岁健康调查对所有受试者的躯体疾病,心理困扰和HRQL进行询问。结果:在5024名父母和祖父母(平均年龄52.3 +/- 14.3岁,范围20-104岁)中,小学生4605返回了问卷,这个数字与91.6%的总体答复率相对应。慢性疾病大大降低了HRQL,并且这种影响与慢性疾病的类型没有显着差异。合并症与心理困扰的关系进一步损害了HRQL。随着慢性病数量的增加,HRQL和身心功能下降。在患有五个或以上与心理困扰相关的合并症的受试者中观察到最差的HRQL。结论:本研究表明慢性疾病和心理困扰对成年人的HRQL具有明显的不良影响,其中心理困扰的影响最为重要。我们的结果使我们建议,在合并症的管理中,除了特定的合并症治疗方法外,对相关心理困扰的存在和严重程度及其治疗的检测还可以显着改善患者的HRQL。

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