Selected factors associated with health-related quality of life in patients with chronic rhinosinusitis

Abstract

Background: Chronic rhinosinusitis (CRS) is a disease that affects especially health-related quality of life (HRQOL). Low HRQOL leads to decreased daily activities. It also affects the economic and social conditions due to the relatively high cost of the public health system. Data in Thailand is limited and studies on factors correlated HRQOL are lacking.

Objectives: This research aimed to investigate HRQOL, and relationships between selected factors and HRQOL in patients with CRS.

Methods: This descriptive research was conducted. From April and September 2022, 143 patients visited the Department of Otolaryngology (Rhino-allergy clinics) of 3tertiary hospitals and were recruited using a multistage sampling technique. Research instruments consisted of 6 parts including the demographic data and illness data, the Sino-Nasal Outcome Test-22, the Pittsburgh Sleep Quality Index, the Perceived Control Rhinitis Questionnaire, and the Short Form Health Survey 36 (SF-36). Data were analyzed using mean, standard deviation, Pearson’s product moment correlation, Spearman rank correlation, and Eta coefficient.

Results: Percentage of the number of patients with CRS with low HRQOL range from 9.1 to 50.3 %. There was negative relationships between poor sleep quality (rXY= -0.479, P < 0.05),nasal and olfactory symptoms (rXY = - 0.439, P < 0.05 and HRQOL). There were positive relationships between perceived control of disease (rXY = 0.306, P < 0.05), income (rS = 0.148, P < 0.05) and HRQOL. Meanwhile asthma and smoking status were correlated. (Eta= 0.204 and 0.123 respectively, P < 0.05)

Conclusion: HRQOL in CRS patients was low in all dimensions. Therefore, nurses should find strategies to reduce negative correlation factors and promote positive factors to increase the HRQOL.