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How do the influencing factors of health-related quality of life of the injured patient differ according to activity limitations?

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Abstract

Purpose

This study aimed to ascertain the general characteristics of injured patients and use the Andersen Model to identify factors affecting health-related quality of life (QOL) in injured patients with or without activity limitations.

Methods

We used data of 1602 injured patients from 2014 to 2017 from the population-based Korea National Health and Nutrition Examination Survey, South Korea. QOL was measured using the EQ-5D-3L, and activity limitations were analyzed alongside predisposing factors (gender, age, education level, and marital status), enabling factors (basic living security, health insurance type, private insurance status, household income, and living with family), need factors (number of chronic diseases, subjective health status, and unmet medical needs), and health behaviors (smoking status, alcohol consumption, physical activity, and health screening). Data were analyzed using homogeneity testing, t tests, and logistic and multiple regression.

Results

The mean EQ-5D index was 0.8 with activity limitations and 0.9 without activity limitations. In mobility domain, patients without activity limitations showed significant effects of age, education level, number of chronic diseases, subjective health status, and unmet medical needs on mobility, whereas patients with activity limitations only showed a significant effect of age. In self-care domain, age, household income, and number of chronic diseases showed significant factors on patients without activity limitations, but there was no significant factor associated with activity limitations. Among the factors affecting usual activities, gender was found to have a significant effect only on patients with activity limitations, and subjective health status was found to have a significant effect regardless of activity limitations. Among the factors affecting pain/discomfort, living with family only affected pain/discomfort in patients with activity limitations. Among the factors affecting anxiety/depression, gender and alcohol consumption had significant effects only on patients with activity limitations.

Conclusion

Factors affecting the QOL of injured patients differed depending on whether patients had activity limitations. Therefore, when assessing injured patients, it may be necessary to ascertain the extent of activity limitations, and medical institutions and local communities need when implementing education and interventions to improve their QOL.

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Acknowledgements

Korea Centers for Disease Control and Prevention provided the data for this study. This work is not funded.

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Authors and Affiliations

  1. Department of Nursing, Hoseo University, 20, Hoseo-ro 79beon-gil, Baebang-eup, Asan-si, Chungcheongnam-do, 31499, Republic of Korea

    Eunmi Lee

  2. College of Nursing, Research Institute of Nursing Science, Kyungpook National University, 680 Gukchabosangro, Jung-gu, Daegu, 41944, Republic of Korea

    Yujeong Kim

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Contributions

A designed the study and performed the statistical analyses and description of study methods and results. B involved the design of the study, reviewed literatures and wrote the manuscript. All authors read and approved the final manuscript.

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Correspondence to Yujeong Kim.

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The authors report no actual or potential conflicts of interest.

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The study was approved by the Kyungpook National University’s Institutional Review Board (no. KNU 2020-0035). Ethical issues regarding plagiarism, informed consent, misconduct, data fabrication and/or falsification, double publication and/or submission, and redundancy have been completely observed by the author.

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Lee, E., Kim, Y. How do the influencing factors of health-related quality of life of the injured patient differ according to activity limitations?. Qual Life Res 30, 1103–1118 (2021). https://doi.org/10.1007/s11136-020-02708-x

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