| 1. |
- Saffari, M., et al.
(författare)
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Determinants of health-related quality of life in Iranian patients after recovery from COVID-19 : Demographic influences and insomnia
- 2022
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Ingår i: International Journal of Public Health Science. - : Intelektual Pustaka Media Utama. - 2252-8806 .- 2620-4126. ; 11:1, s. 220-231
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Tidskriftsartikel (refereegranskat)abstract
- The current study sought to identify factors that may affect health-related quality of life (HRQoL) in patients recovering from COVID-19 infection in Iran. In a cross-sectional study 258 patients diagnosed with COVID-19, participants completed a questionnaire approximately one month after hospital discharge when demographic and clinical factors (including insomnia) and HRQoL were assessed. A logistic regression was used. Age, gender, marital status, education, having child, early physician visit, early diagnosis, early hospitalization, symptom type, Rhesus factor, and level of insomnia were associated with various components of HRQoL (p<0.05). In multivariate analyses, poorer physical HRQoL was independently associated with female gender (OR=4.53; 95% CI=2.22-2.29), initial symptom of cough (OR=2.73; 95% CI=1.26-5.94), and insomnia (OR=2.74; 95% CI=1.22-6.14). Poorer mental HRQoL was associated with being age 40 years or older (OR=1.90; 95% CI=1.02-3.54), female gender (OR=2.48; 95% CI=1.26-4.88), initial symptom being cough (OR=3.12; 95% CI=1.46-6.68), and insomnia (sub-threshold insomnia, OR=3.19; 95% CI, 1.51-6.74, to severe insomnia, OR=3.86; 95% CI=1.35-11.07). Healthcare professionals should be aware that older people, female gender, those with initial symptom of cough, and insomnia may be at greater risk for poor quality of life following hospital discharge.
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| 2. |
- Saffari, M., et al.
(författare)
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Is there an association between health related quality of life, socio-demographic status and fatigue in patients with chronic hepatitis B?
- 2017
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Ingår i: Acta Gastro-Enterologica Belgica. - : Universa Press. - 0001-5644. ; 80:2, s. 229-236
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Tidskriftsartikel (refereegranskat)abstract
- Background: Chronic hepatitis B (CHB) is a serious and prevalent disease which may negatively influence health related quality of life (HRQOL) and fatigue. The aim of the present study was to examine the relationship between demographic variables, HRQOL, and fatigue.Methods: A cross-sectional study was conducted involving 418 Iranian patients with CHB (average age 44.1 years, majority males). Participants completed a multidimensional fatigue inventory, chronic liver disease questionnaire, Euro quality of life-five dimensions questionnaire, and demographic information. Bivariate analyses were conducted using the Spearman correlation and Mann-Whitney U test. Hierarchical logistic regression modeling identified independent predictors of fatigue.Results: The most prevalent problems related to HRQOL were anxiety/depression and pain/discomfort. Except for reduced motivation other dimensions of fatigue were significantly higher among those with CHB compared to healthy controls (p<0.05). Age, sex, education, employment, disease stage and all HRQOL subscales were significantly related to fatigue level. The Nagelkerke R Square for the logistic regression model was 0.542.Conclusions: Poor HRQOL and fatigue are widespread among patients with CHB. Given these associations between demographic, psychological, and other HRQOL dimensions and fatigue, interventions that address these factors may help to reduce fatigue in patients with CHB.
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| 3. |
- Sanaeinasab, H., et al.
(författare)
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Effects of a health education program to promote healthy lifestyle and glycemic control in patients with type 2 diabetes : A randomized controlled trial
- 2021
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Ingår i: Primary Care Diabetes. - : Elsevier. - 1751-9918 .- 1878-0210. ; 15:2, s. 275-282
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Tidskriftsartikel (refereegranskat)abstract
- Background: Type 2 diabetes mellitus (T2DM) is a common chronic disease with an increase in prevalence within developing countries. The aim of this study was to determine the efficacy of a structured educational program for improving lifestyle and health-related measures in Iranians with T2DM. Methods: A randomized controlled trial was conducted in 80 participants with T2DM who were randomly assigned to either the intervention or a control group. A demographic questionnaire along with the Health Promoting Lifestyle Profile-II and related laboratory tests were used to assess the efficacy of the program. The intervention consisted of six educational sessions held over 45 days. The control group received routine diabetic care at the clinic. Three months after the intervention, participants completed the measures again. Within-group and between-group comparisons were then made. Results: All subscales of lifestyle measure improved in the intervention group, whereas only the nutrition domain improved in the control group. After adjusting for baseline differences, physical activity and nutrition domains showed the greatest improvement in the intervention group compared to controls. All clinical measures were also significantly improved within intervention group from baseline to follow-up (p < 0.001), whereas HbA1c, fasting blood glucose, HDL, triglyceride, cholesterol, and weight also changed significantly in the control group. The frequency of HbA1c < 7% was increased from 27.5% at baseline to 37.5% at follow-up (10%) in the intervention group compared to only a 5% increase in the control group. Conclusion: This educational health program significantly improved lifestyle changes and health-related clinical characteristics in persons with T2DM, compared to routine diabetic care in Iran. Further research is needed to better understand the usefulness of such programs in diabetics and other medical conditions among those in different cultural settings.
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