https://doi.org/10.4081/monaldi.2024.2964

Quality of life and its determinants in patients with chronic respiratory diseases in the Fes-Meknes region, Morocco

Early Access
Submitted: February 23, 2024
Accepted: July 29, 2024
Published: September 12, 2024
Chronic respiratory disease, quality of life, SF-12, Morocco
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SUPPLEMENTARY MATERIAL: 8
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Authors

Nassiba Bahra
nassibabahra@gmail.com
https://orcid.org/0000-0002-1568-3460
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez, Morocco.
Bouchra Amara
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Hind Bourkhime
Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Medical Informatics Unit, Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Soukaina El Yaagoubi
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Nada Othmani
Medical Informatics Unit, Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Nabil Tachfouti
https://orcid.org/0000-0002-8826-2827
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez, Morocco.
Mohamed Berraho
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez; Cancer Research Institute, Fez, Morocco.
Mounia Serraj
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Mohamed Chakib Benjelloun
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Samira El Fakir
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez, Morocco.

Chronic respiratory diseases (CRDs) pose a serious public health issue, affecting social functioning and psychological well-being and leading to a deterioration in the quality of life. The aim of this study was to assess the quality of life of patients with CRDs and determine the factors associated with their impairment in Morocco. A cross-sectional study was conducted in the Pulmonology Department of the Hassan II University Hospital in Fez in 2021. Data collection was carried out using an anonymous questionnaire containing sociodemographic, clinical, and therapeutic information. We employed the Moroccan version of the 12-item short-form (SF-12) scale to assess the mental and physical quality of life of patients. Bivariate analysis was performed to investigate the association between various factors and quality of life, using tests appropriate to the types of variables studied. Subsequently, multivariate analysis through multiple linear regression was employed to determine factors associated with quality of life, taking into account confounding factors. The threshold for inclusion in the model was set at 20%. Significant associations are presented as β values along with their 95% confidence intervals (CI). Our study included 209 patients, with 50.7% being female and 74.2% aged over 50 years. The most frequent clinical symptom was coughing. The average physical quality of life was estimated at 34.45±13.78, and the mental quality of life was 33.72±19.79. Multivariate analysis revealed that the deterioration of physical quality of life was associated with marital status (single) [β=-6.84; 95% CI (-11.43; -2.25); p=0.004], stage II dyspnea on the Modified Medical Research Council scale [β=-4.94; 95% CI (-9.41; -0.52); p=0.029], and the presence of cyanosis [β=-9.65; 95% CI (-15.64; -3.67); p=0.002]. The factors negatively associated with mental health in our patients were age ≥50 [β=-7.84; 95% CI (-15.05; -0.62); p=0.033], marital status (single) [β=-7.81; 95% CI (-15.14; -0.48); p=0.037], and presence of cyanosis [β=-10.70; 95% CI (-20.08; -1.32); p=0.026]. The SF-12 calculation reflected an impairment in the quality of life of patients with CRDs. It is imperative to integrate the assessment of quality of life into the management strategy for this pathology.

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Ethics approval

The study was approved by Hassan II University Hospital Committee, Fez. Reference: 26/18.

How to Cite

Bahra, Nassiba, Bouchra Amara, Hind Bourkhime, Soukaina El Yaagoubi, Nada Othmani, Nabil Tachfouti, Mohamed Berraho, Mounia Serraj, Mohamed Chakib Benjelloun, and Samira El Fakir. 2024. “Quality of Life and Its Determinants in Patients With Chronic Respiratory Diseases in the Fes-Meknes Region, Morocco”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2024.2964.
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