Health-related quality of life of chronic hepatitis c patients attending the outpatient clinics of Assiut University Hospital

ABSTRACT

Kgypl has possibly the highest chronic hepatitis C [CMC] prevalence in the world, which has been associated with decreased health-related quality of life [HRQoL]. Aim: The aim of the present study was to identify the most important predictors of HRQoL of CMC patients attending the outpatient clinics in Assiut city. HRQoL of 200 CMC patients and 200 age-and sex-matched normal subjects, was assessed by the validated Arabic version of the Medical Outcome Study Short Form Health Survey 36 [SF-36]. All patients were interviewed using a semi-structured questionnaire to assess the factors that could affect their HRQoL. Validated reliable instruments were used lo assess depression, illness-related stigma and disease related worries. HKQoL scores of CMC patients [age 40.43 +/- 12.11, 82.5% males] were significantly lower than age and sex matched controls. The most important predictors of the physical summary score of SF-36 were; depression [beta = 0.611, P = 0.000] and the presence of co-morbidities [beta =- 0.218, P - 0.000].while for the menial summary score, the most important predictors were; depression [beta =- 0,651. P=0.000] and illness-related stigma [beta= 0.222, P = 0.000]. Other factors such as age. Sexual dysfunction, interferon therapy and work affection by CMC illness showed a weaker, but nevertheless statistically significant relationship with HRQoL of CHC patients. The study found that patients with chronic hepatitis C had lower HRQoL than the healthy controls, and, depression, co-morbiditics, illness-related stigma were the most important predictors of their iower HRQoL. The results its of this study would assist healthcare personnel to introduce modifications in patient care protocols with relevance to patient needs