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Open Access Research article

Health related quality of life in patients with chronic gastritis and peptic ulcer and factors with impact: a longitudinal study

Zhengwei Wen1, Xiaomei Li2, Qian Lu3, Julie Brunson4, Miao Zhao1, Jianfeng Tan5, Chonghua Wan5* and Pingguang Lei1*

Author Affiliations

1 People’s Hospital of Songgang, Baoan, Shenzhen, Guangdong 518105, China

2 School of Public Health, Kunming Medical University, Kunming, Yunnan 650031, China

3 Department of Psychology, University of Houston, Houston, TX 77204, USA

4 Department of Psychology, Pennsylvania State University, Pennsylvania, PA, USA

5 School of Humanities and Management, Research Center for Quality of Life and Applied Psychology, Guangdong Medical College, Dongguan 523808, China

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BMC Gastroenterology 2014, 14:149  doi:10.1186/1471-230X-14-149

Published: 20 August 2014

Abstract

Background

The assessment of Health Related Quality of Life (HRQOL) has been applied as a significant outcome indicator for patients with chronic diseases. No HRQOL study, however, has looked at HRQOL in patients with chronic gastritis and peptic ulcers. This paper focuses on comparing HRQOL in patients with chronic gastritis and peptic ulcers and examining the factors that influence the HRQOL of such patients. Results can be used for making decisions in clinical trials as well as aiding individual management and preventive care of these diseases.

Methods

The Chinese version of the SF-36 (CSF-36) was administered twice to 244 patients with chronic gastritis and peptic ulcers. Mean scores across the two disease groups were compared using t-tests, change over time was analyzed with paired samples t-tests, and factors predicting HRQOL were investigated using the univariate general linear model.

Results

The mean domain scores of patients with chronic gastritis were lower than those for patients with peptic ulcers, with the exception of physical functioning. Both groups had lower HRQOL compared with population norms. Mean domain scores increased after treatment in both groups. HRQOL in patients with these two chronic diseases differed by age, education level, marriage, income, and gender, but their explanatory power was relatively low.

Conclusion

Quality of life of patients with chronic gastritis was lower than that of patients with peptic ulcers, which was lower than population norms. Quality of life in both patients groups was associated with socio-demographic risk factors.

Keywords:
Chronic digestive disease; Health-related quality of life; SF-36; Influence factors; Standardized response mean