关键词: Foot disabilities Health-related quality of life Questionnaire Rural-urban disparities

Mesh : Humans Adult Middle Aged Quality of Life Rural Population Case-Control Studies Foot Pain / epidemiology Surveys and Questionnaires

来  源:   DOI:10.1016/j.jtv.2023.04.007

Abstract:
BACKGROUND: Foot health problems can affect quality of life and general health producing a source of discomfort and pain. Low levels of foot health-related quality of life (HRQoL) are present in patients with foot disabilities, such as hallux valgus, plantar fasciitis, or minor toe deformities.
OBJECTIVE: The objective was to analyze the foot health status in patients with and without foot problems in a rural population and its relationship with quality of life.
METHODS: A prospective case-control study was developed with a sample of 152 patients, 76 subjects with podiatric pathologies and 76 without, in a rural population. HRQoL was measured through the SF-36 Health Questionnaire in the Spanish version.
RESULTS: The case group had a mean age of 49.18 ± 14.96 and the control group 44.16 ± 11.79. Regarding the score of the lowest levels of quality of life related to foot problems, the case group compared to the controls showed: for physical function (79.86 ± 26.38 vs. 92.63 ± 11 0.17, p < 0.001); for the physical role (73.68 ± 41.00 vs. 88.48 ± 27.51, p < 0.0022); for body pain (45.81 ± 27.18 vs. 73.68 ± 41.00, p < 0.035); and for general health (60.36 ± 30.58 vs. 68.71 ± 18.52, p < 0.047). The differences between groups were analyzed using the Mann-Whitney U test, which showed statistical significance (P < 0.05).
CONCLUSIONS: In the rural population, people with foot pathologies present a worse quality of life compared to those who do not present foot pathology, especially for the health domains: physical function, physical role, body pain and health general.
摘要:
背景:足部健康问题会影响生活质量和总体健康,从而产生不适和疼痛。足部残疾患者的足部健康相关生活质量(HRQoL)水平较低,比如外翻,足底筋膜炎,或者轻微的脚趾畸形。
目的:目的是分析农村人口中有和没有足部问题的患者的足部健康状况及其与生活质量的关系。
方法:对152名患者进行了前瞻性病例对照研究,76名患有足病的受试者和76名没有足病的受试者,在农村人口中。HRQoL通过西班牙语版本的SF-36健康问卷进行测量。
结果:病例组平均年龄49.18±14.96,对照组为44.16±11.79。关于与足部问题相关的最低生活质量的得分,病例组与对照组相比显示:对于身体功能(79.86±26.38vs.92.63±110.17,p<0.001);对于身体角色(73.68±41.00vs.88.48±27.51,p<0.0022);对于身体疼痛(45.81±27.18vs.73.68±41.00,p<0.035);一般健康状况(60.36±30.58vs.68.71±18.52,p<0.047)。组间差异分析采用Mann-WhitneyU检验,具有统计学意义(P<0.05)。
结论:在农村人口中,与没有足部病理学的人相比,足部病理学的人的生活质量较差,特别是对于健康领域:身体功能,身体的作用,身体疼痛和健康一般。
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