Assessing the quality of life in patients requiring palliative care at the outpatient stage
Year: 2024, volume 20 Issue: №4 Pages: 474-478
Heading: Public health, organization and sociology of health care Article type: Original article
Authors: Dubgorin A.A., Erugina M.V., Sazanova G.Yu., Kagramanyan I.N.
Organization: First Moscow State Medical University n.a. I.M. Sechenov, Saratov State Medical University
Heading: Public health, organization and sociology of health care Article type: Original article
Authors: Dubgorin A.A., Erugina M.V., Sazanova G.Yu., Kagramanyan I.N.
Organization: First Moscow State Medical University n.a. I.M. Sechenov, Saratov State Medical University
Summary:
Objective: to substantiate the importance of quality of life indicators in the formation of an individual trajectory of palliative medical care at the outpatient stage. Material and methods. A survey of patients (n=150) in need of palliative medical care at the outpatient stage was conducted using the WHO Quality of Life 100 questionnaire for the period 2022-2023. The Dembo — Rubinstein test was used to determine the level of aspirations and self-assessment of patients. Clinically healthy respondents (n=130) served as a control group. Results. Patients in need of palliative care report a decrease in the quality of life in all areas of life. A significant decrease in quality of life indicators was noted in the areas of "Physical sphere" (p=0.004), "Psychological sphere" (p=0.031), "Level of independence" (p<0.001), there is a tendency for indicators to worsen as the disease progresses. Conclusion. Subspheres have been identified, the values of which determine the trajectories of interaction between the patient and the attending physician. The quality of life indicator can be integrated into the process of providing palliative medical care and be of key importance in the formation of an individual trajectory of palliative medical care at the outpatient stage.
Keywords: chronic diseases, medical and social research
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