Assessment of health-related quality of life in Turkish patients with facial prostheses

Health and Quality of Life Outcomes

Research

Kadriye Peker¹  Ömer Uysal²  Arzu Atay³  Yumushan Günay³  Banu Karayazgan⁴  Servet Ebrinç⁵ 

[1] Department of Dental Public Health, Faculty of Dentistry, Istanbul University, 34093, Fatih/Çapa, Istanbul, Turkey;Department of Medical Statistics and Informatics, Medical School, Bezmialem Vakif University, Fatih, Istanbul, Turkey;Department of Prosthodontics, GATA Haydarpaşa Training Hospital Dental Service, Usküdar, Istanbul, Turkey;Department of Prosthodonticsy, Dental Faculty of Baskent University, Altunizade, Istanbul, Turkey;Department of Psychiyatry, GATA Haydarpaşa Training Hospital, Usküdar, Istanbul, Turkey;

关键词: Quality of life;    Facial prosthesis;    Acquired facial defect;    WHOQOL-BREF;   

DOI  :  10.1186/1477-7525-11-11

 received in 2012-06-09, accepted in 2013-01-23,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundFacial prostheses are intended to provide a non-operative rehabilitation for patients with acquired facial defects. By improving aesthetics and quality of life (QOL), this treatment involves reintegration of the patient into family and social life. The aim of this study was to evaluate the perception of QOL in adult patients with facial prostheses and to compare this perception with that of a control group.MethodsThe study participants consisted of 72 patients, who were divided into three equal-sized groups according to the type of prosthesis (OP- orbital prosthesis, AP- auricular prosthesis, NP - nasal prosthesis) and 24 healthy control participants without any congenital or acquired deformity of face or body. Clinical and socio-demographic data were gathered from each person’s medical chart. Participants completed the Turkish version of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF). Descriptive statistics, independent sample t-tests, Pearson's chi-square test, ANOVA, ANCOVA, and Pearson correlation were used to analyse the data.ResultsCompared with the control participants, patients with NP scored lower on the all domains of QOL and all three patient groups had lower scores on overall QOL and its domains of physical and environmental health. Patients with OP reported significantly lower physical health scores than those with AP, while patients with NP reported significantly lower overall QOL and psychological health scores than those with AP. Female patients had lower environmental domain scores than did male patients. The patient’s age and income correlated with social relationships QOL, while the patient’s income and the age of facial prosthesis were correlated with environmental QOL.ConclusionPatients with facial prostheses had lower scores in overall QOL, physical and environmental health domains than the control participants. Socio-demographic and clinical characteristics such as age, gender, income, localization of the defect, and age of facial prosthesis were associated with patients’ QOL. These findings may provide valuable information about the specific health needs of these patients that may affect their well-being. Further studies are needed to confirm these results. Use of the WHOQOL-BREF may provide valuable information for determining patients’ needs and priorities as well as for planning and developing comprehensive prosthetic rehabilitation programs.

【 授权许可】

CC BY   
© Atay et al.; licensee BioMed Central Ltd. 2013