背景:今天,许多暴露于芥子气的退伍军人的生活质量(QoL)很差。然而,影响这些患者QoL的因素尚未被仔细审查。QoL被认为是一个至关重要的结构,需要在评估和干预过程中仔细注意。本研究旨在深入研究物理,心理,以及影响芥子气受害者生活质量的社会因素。
方法:所有的物理,心理,和影响芥子气受害者生活质量的社会参数通过系统评价进行了审查。我们搜索了波斯语和英语的科学数据库,即,PubMed,Scopus,和谷歌学者,和国家数据库,即SID,IranMedex,和Magiran,以确定到2015年底进行的与化学受害者相关的研究。接下来,使用美国国立卫生研究院(NIH)的清单评估了21篇文章和研究的质量,随后,选取13篇文章进行数据提取和分析的阶段。
结果:研究结果表明,在物理因素中,化学损伤引起的几种医疗条件的共存以及化学损伤的严重程度对化学损伤的退伍军人的QoL影响最大。此外,患有心理和神经系统疾病,随着教育水平和就业状况,是影响退伍军人QoL的最有影响力的心理社会参数。
结论:本文进行的审查确定了影响芥子气受害者生活质量的身体和社会心理因素。事实上,它是第一个以系统有序的方式呈现大量关于QoL贡献者的描述性信息的集合。
BACKGROUND: Today, a host of veterans who were exposed to mustard gas suffer from substantially poor quality of life (QoL). However, factors that influence these patients\' QoL have not been yet scrutinized. QoL is deemed as a crucial construct that demands careful attention during evaluation as well as intervention. The present study aimed to delve into the physical, mental, and social factors that affect the QoL of mustard gas victims.
METHODS: All the physical, mental, and social parameters that influence the QoL of mustard gas victims were scrutinized through a systematic
review. We searched for Persian and English scientific databases, i.e., PubMed, Scopus, and Google Scholar, and national databanks, namely SID, IranMedex, and Magiran to identify studies related to chemical victims conducted up to the end of 2015. Next, the quality of 21 articles and studies were assessed using the checklist of the National Institute of Health (NIH), and subsequently, 13 articles were selected for the stages of data extraction and analysis.
RESULTS: Findings revealed that, among the physical factors, coexistence of several medical conditions caused by chemical injury and the severity of the chemical injury had the greatest impact on the QoL of chemically injured veterans. Besides, suffering from psychological and neurological disorders, along with educational level and employment status, were the most influential psychosocial parameters that influenced veterans\' QoL.
CONCLUSIONS: The
review conducted herein identified the physical and psychosocial factors affecting the QoL of mustard gas victims. In fact, it is the first to present a large collection of descriptive information on QoL contributors in a systematic and orderly fashion.