Quality of life in patients with chronic liver disease

Background/Aim. Quality of life is impaired in patients with the chronic liver disease (CLD). Patients with this disease have numerous disabling problems which lead to a reduced health related quality of life (HRQoL). The aim of our study was to evaluate the predictive value of selected socio-demogr...

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Main Authors: Popović Dušan Đ., Kisić-Tepavčević Darija, Kovačević Nada, Milovanović Tamara, Krstić Miodrag, Ranković Ivan, Martinov Jelena, Glišić Tijana, Ješić Rada, Pekmezović Tatjana
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2018-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600339P.pdf
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author Popović Dušan Đ.
Kisić-Tepavčević Darija
Kovačević Nada
Milovanović Tamara
Krstić Miodrag
Ranković Ivan
Martinov Jelena
Glišić Tijana
Ješić Rada
Pekmezović Tatjana
author_facet Popović Dušan Đ.
Kisić-Tepavčević Darija
Kovačević Nada
Milovanović Tamara
Krstić Miodrag
Ranković Ivan
Martinov Jelena
Glišić Tijana
Ješić Rada
Pekmezović Tatjana
author_sort Popović Dušan Đ.
collection DOAJ
description Background/Aim. Quality of life is impaired in patients with the chronic liver disease (CLD). Patients with this disease have numerous disabling problems which lead to a reduced health related quality of life (HRQoL). The aim of our study was to evaluate the predictive value of selected socio-demographic and clinical characteristics on HRQoL in Serbian cohort of patients with the CLD. Methods. Over a period of one year, we performed a study which included patients with the CLD. We used Short Form Health Survay-36 (SF-36) for assessment of HRQoL. The assessment of depression and anxiety was made by using Hamilton scale of depression and anxiety, while the assessment of fatigue was performed by Fatigue severity scale. Results. The study included 103 patients with the CLD. The average values of the overall SF-36 scores were 52.6 ± 20.4, while the mean score of the composite scores were 53.5 ± 19.6 for the Mental component summary and 49.8 ± 21.3 for the Physical component summary. Some domains of HRQoL were significantly affected by following factors: gender, age, employment status, alcohol consumption, depression, anxiety and fatigue. Predictors of physical components of HRQoL were employment, depression and fatigue, and predictors of mental components were depression and fatigue. Conclusion. The tested socio-demographic, clinical and behavioral factors have an impact on the HRQoL in patients with the CLD. The most important predictors of HRQoL are behavioral factors suggesting the need for an adequate therapeutic action in order to improve the HRQoL in these patients.
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spelling doaj-art-ed8a6a63586f490481944c9222dff5e52025-08-20T02:22:09ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202018-01-0175545346010.2298/VSP160616339P0042-84501600339PQuality of life in patients with chronic liver diseasePopović Dušan Đ.0Kisić-Tepavčević Darija1Kovačević Nada2Milovanović Tamara3Krstić Miodrag4Ranković Ivan5Martinov Jelena6Glišić Tijana7Ješić Rada8Pekmezović Tatjana9Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, Belgrade Faculty of Medicine, Belgrade + Institute of Epidemiology, BelgradeClinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, Belgrade Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, Belgrade Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, Belgrade Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, BelgradeClinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, Belgrade Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, Belgrade Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade + Faculty of Medicine, BelgradeFaculty of Medicine, Belgrade + Institute of Epidemiology, BelgradeBackground/Aim. Quality of life is impaired in patients with the chronic liver disease (CLD). Patients with this disease have numerous disabling problems which lead to a reduced health related quality of life (HRQoL). The aim of our study was to evaluate the predictive value of selected socio-demographic and clinical characteristics on HRQoL in Serbian cohort of patients with the CLD. Methods. Over a period of one year, we performed a study which included patients with the CLD. We used Short Form Health Survay-36 (SF-36) for assessment of HRQoL. The assessment of depression and anxiety was made by using Hamilton scale of depression and anxiety, while the assessment of fatigue was performed by Fatigue severity scale. Results. The study included 103 patients with the CLD. The average values of the overall SF-36 scores were 52.6 ± 20.4, while the mean score of the composite scores were 53.5 ± 19.6 for the Mental component summary and 49.8 ± 21.3 for the Physical component summary. Some domains of HRQoL were significantly affected by following factors: gender, age, employment status, alcohol consumption, depression, anxiety and fatigue. Predictors of physical components of HRQoL were employment, depression and fatigue, and predictors of mental components were depression and fatigue. Conclusion. The tested socio-demographic, clinical and behavioral factors have an impact on the HRQoL in patients with the CLD. The most important predictors of HRQoL are behavioral factors suggesting the need for an adequate therapeutic action in order to improve the HRQoL in these patients.http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600339P.pdfliver diseaseshepatic insufficiencyquality of lifeserbiasociological factorsdemographydepressionsurveys and questionnaires
spellingShingle Popović Dušan Đ.
Kisić-Tepavčević Darija
Kovačević Nada
Milovanović Tamara
Krstić Miodrag
Ranković Ivan
Martinov Jelena
Glišić Tijana
Ješić Rada
Pekmezović Tatjana
Quality of life in patients with chronic liver disease
Vojnosanitetski Pregled
liver diseases
hepatic insufficiency
quality of life
serbia
sociological factors
demography
depression
surveys and questionnaires
title Quality of life in patients with chronic liver disease
title_full Quality of life in patients with chronic liver disease
title_fullStr Quality of life in patients with chronic liver disease
title_full_unstemmed Quality of life in patients with chronic liver disease
title_short Quality of life in patients with chronic liver disease
title_sort quality of life in patients with chronic liver disease
topic liver diseases
hepatic insufficiency
quality of life
serbia
sociological factors
demography
depression
surveys and questionnaires
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600339P.pdf
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