ABSTRACT
Background: The COVID-19 pandemic affects all aspects of the patient's health. This study aimed to investigate the relationship between disease severity and long term health-related quality of life (HRQOL) in patients who have been discharged for 6 months. Methods: In this historical cohort study, 192 patients with a history of severe and 192 patients with a history of non-severe COVID-19, who had been discharged at least 6 months before the interview, using the convenient sampling method and through the information registered in Medical care monitoring center(MCMC) of Shiraz's hospitals, in the Shiraz , a city in the sought part of Iran country in 2020, were selected. Data was collected through Telephone-based interview. The short form of the 12-item health-related quality of life (SF-12) questionnaire was used to measure the health-related quality of life. Mean (SD), frequency (percentage) were used to description. Chi-square test, independent samples t-test, Fisher's exact test, and multiple linear regression model was used to inferential statistics. All statistical analyzes were performed in SPSS software version 24, considering a significance level of 0.05. Results: Generally out of 384 patients, 79.95% (307 people) were married and mean (SD) of age was 53.95 (15.87). Most of the patients in the two groups were male (57.81% in severe and 51.04% in non-severe disease group). Independent samples t-test showed that the mean of quality of life score in patients with severe type was significantly lower compared to patients with non-severe (p<0.001, 34.45(6.59) versus 39.64 (5.07)). Results of multiple linear regression also showed that the severity of the disease had a significant negative effect on HRQOL of patients (p<0.001, B=-4.84). Conclusion: Our finding showed that HRQOL in patients with a non-severe level of COVID -19 was significantly higher than in patients with a severe level. Therefore, it seems Necessary to consider a policy for development of a kind of social, psychological or medical support for improving the HRQOL of patients with severe disease.
Subject(s)
COVID-19 , Sexual Dysfunctions, PsychologicalABSTRACT
Objective: Identification of the self-care behaviors and their barriers in the COVID-19 pandemic can help health policymakers design appropriate and practical plans. The purpose of this study was to investigate effective self-care behaviors in preventing COVID-19 based on the health belief model (HBM) in Yazd in 2019. Materials and Methods: The present cross-sectional descriptive study was conducted using the convenience sampling method. The research data were collected via a researcher-made questionnaire based on the HBM. Followed by confirming its validity and reliability, the questionnaire was distributed on social networks and 232 questionnaires were collected and analyzed by running SPSS20 Results: The participants’ mean age was 35.5 ± 11.9 years and the majority of them (49%) were at a moderate level of economic status. No significant correlation was observed between the participants’ mean scores of HBM constructs and their age, gender, and education level (pv≥0.05). The HBM constructs could significantly predict preventive behaviors of COVID-19 and accounted for 29.6% of their changes (Adjusted R2= 0.296, F = 18.85, p ≤ 0.000). Among the HBM constructs, the perceived barriers construct was the best predictor of the disease (B = 0.268, p ≤ 0.000) Conclusion: As an expectancy-value theory, HBM addresses the desire to avoid diseases and the belief that health-related measures can prevent illnesses. Based on the findings, the perceived susceptibility, perceived benefits, and perceived severity of the participants’ self-care behaviors were at favorable levels but their perceived barriers and self-efficacy in terms of the self-care behaviors related to COVID-19 were not in a favorable status. To meet this problem, planning educational interventions is recommended to improve self-care behaviors.