https://doi.org/10.4081/monaldi.2024.2964

Quality of life and its determinants in patients with chronic respiratory diseases in the Fes-Meknes region, Morocco

Early Access
Submitted: February 23, 2024
Accepted: July 29, 2024
Published: September 12, 2024
Chronic respiratory disease, quality of life, SF-12, Morocco
Abstract Views: 57
PDF_EARLY VIEW: 26
SUPPLEMENTARY MATERIAL: 8
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Nassiba Bahra
nassibabahra@gmail.com
https://orcid.org/0000-0002-1568-3460
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez, Morocco.
Bouchra Amara
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Hind Bourkhime
Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Medical Informatics Unit, Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Soukaina El Yaagoubi
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Nada Othmani
Medical Informatics Unit, Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Nabil Tachfouti
https://orcid.org/0000-0002-8826-2827
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez, Morocco.
Mohamed Berraho
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez; Cancer Research Institute, Fez, Morocco.
Mounia Serraj
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Mohamed Chakib Benjelloun
Pneumology Department, Hassan II University Hospital, Fez, Morocco.
Samira El Fakir
Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohammed Ben Abdellah University, Fez; Laboratory of Epidemiology and Health Sciences Research (ERESS), Sidi Mohammed Ben Abdellah University, Fez; Hospital of Specialties, Hassan II University Hospital, Fez, Morocco.

Chronic respiratory diseases (CRDs) pose a serious public health issue, affecting social functioning and psychological well-being and leading to a deterioration in the quality of life. The aim of this study was to assess the quality of life of patients with CRDs and determine the factors associated with their impairment in Morocco. A cross-sectional study was conducted in the Pulmonology Department of the Hassan II University Hospital in Fez in 2021. Data collection was carried out using an anonymous questionnaire containing sociodemographic, clinical, and therapeutic information. We employed the Moroccan version of the 12-item short-form (SF-12) scale to assess the mental and physical quality of life of patients. Bivariate analysis was performed to investigate the association between various factors and quality of life, using tests appropriate to the types of variables studied. Subsequently, multivariate analysis through multiple linear regression was employed to determine factors associated with quality of life, taking into account confounding factors. The threshold for inclusion in the model was set at 20%. Significant associations are presented as β values along with their 95% confidence intervals (CI). Our study included 209 patients, with 50.7% being female and 74.2% aged over 50 years. The most frequent clinical symptom was coughing. The average physical quality of life was estimated at 34.45±13.78, and the mental quality of life was 33.72±19.79. Multivariate analysis revealed that the deterioration of physical quality of life was associated with marital status (single) [β=-6.84; 95% CI (-11.43; -2.25); p=0.004], stage II dyspnea on the Modified Medical Research Council scale [β=-4.94; 95% CI (-9.41; -0.52); p=0.029], and the presence of cyanosis [β=-9.65; 95% CI (-15.64; -3.67); p=0.002]. The factors negatively associated with mental health in our patients were age ≥50 [β=-7.84; 95% CI (-15.05; -0.62); p=0.033], marital status (single) [β=-7.81; 95% CI (-15.14; -0.48); p=0.037], and presence of cyanosis [β=-10.70; 95% CI (-20.08; -1.32); p=0.026]. The SF-12 calculation reflected an impairment in the quality of life of patients with CRDs. It is imperative to integrate the assessment of quality of life into the management strategy for this pathology.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Aıt-Khaled N, Enarson D, Bousquet J. Les maladies respiratoires chroniques dans les pays en de´ veloppement : charge de morbidité et stratégies de prévention et de prise en charge. 2002. Available from: https://iris.who.int/bitstream/handle/10665/71443/RA_2002_6_52-60_fre.pdf?sequence=1. [Article in French].
WHO. Asthme. 2024. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/asthma. Accessed on: 14/05/2024.
SantéMaghreb.com. Moyen-Orient et Afrique : plus de 13 millions de personnes atteintes de Bpco. 2013. Available from: https://www.santemaghreb.com/actus.asp?id=15519. Accessed on: 14/05/2024.
WHO. Bronchopneumopathie chronique obstructive (BPCO). Available from: https://www.who.int/fr/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd). Accessed on: 14/05/2024.
Valeyre D, Freynet O, Dion G, Bet al. Épidémiologie des pneumopathies infiltrantes diffuses. Presse Médicale 2010;39:53-9. [Article in French]. DOI: https://doi.org/10.1016/j.lpm.2009.09.015
Fondation du Souffle. La dilatation des bronches (DDB) : vers une meilleure connaissance et reconnaissance. 2022. Available from: https://www.lesouffle.org/la-dilatation-des-bronches-ddb-vers-une-meilleure-connaissance-et-reconnaissance. Accessed on: 14/05/2024. [Article in French].
Santé Respiratoire France. La dilatation des bronches (DDB). Available from: https://sante-respiratoire.com/les-maladies-respiratoires/dilatation-des-bronches/. Accessed on: 14/05/2024. [Material in French].
Bopaka R, Jabri H, El Khattabi W, et al. Profil épidémiologique de dilatation des bronches au service de pneumologie, 20 août 1953. Revue des Maladies Respiratoires 2016;33:A246-7. [Article in French]. DOI: https://doi.org/10.1016/j.rmr.2015.10.549
Zaafouri A, Sahnoun I, Moussa I. Facteurs prédictifs des séquelles radiologiques dans la tuberculose pulmonaire. Revue des Maladies Respiratoires actualités 2022;14:265. [Article in French]. DOI: https://doi.org/10.1016/j.rmra.2021.11.495
WHO. Tuberculose. 2023. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/tuberculosis. Accessed on: 14/05/2024.
Nardell EA. Tuberculose (TB). 2022. Available from: https://www.msdmanuals.com/fr/professional/maladies-infectieuses/mycobactérie/tuberculose-tb.
Morsi TS, Ghobashy S, Younis G. Quality of life and psychological disorders in Egyptian patients with chronic lung diseases: clinico-physiological correlation. Egypt J Chest Dis Tuberc 2014;63:731‑43. DOI: https://doi.org/10.1016/j.ejcdt.2014.02.005
El Rhazi K, Nejjari C, BenJelloun MC, et al. Prevalence of chronic obstructive pulmonary disease in Fez, Morocco: results from the BOLD study. Int J Tuberc Lung Dis 2016;20:136‑41. DOI: https://doi.org/10.5588/ijtld.15.0029
Perez T, Serrier P, Pribil C, Mahdad A. BPCO et qualité de vie: impact de la maladie en médecine générale en France. Revue des Maladies Respiratoires 2013;30:22‑32. [Article in French]. DOI: https://doi.org/10.1016/j.rmr.2012.08.005
Celli BR, Decramer M, Wedzicha JA, et al. An Official American Thoracic Society/European Respiratory Society Statement: research questions in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2015;191:e4-27.
Aouadi S, Bayoudh A, Guermani M, et al. Qualité de vie dans l’asthme: degré d’altération et facteurs associés. Revue des Maladies Respiratoires 2015;32:A67-8. [Article in French]. DOI: https://doi.org/10.1016/j.rmr.2014.10.457
Gargouri R, Moussa N, Khemakhem R, et al. Relation entre le contrôle de l’asthme et la qualité de vie du patient. Revue des Maladies Respiratoires 2019;36:A62. [Article in French]. DOI: https://doi.org/10.1016/j.rmr.2018.10.116
Elhamdaoui L, Jabri H, Elkhattabi W, Afif H. Qualité de vie des patients suivis pour pneumopathies infiltrantes diffuses au stade de fibrose. Revue des Maladies Respiratoires 2019;36:A134. [Article in French]. DOI: https://doi.org/10.1016/j.rmr.2018.10.284
HUG. La bronchopneumopathie chronique obstructive. Available from: https://www.hug.ch/sites/interhug/files/2022-09/strategie_bpco_final.pdf. Accessed on: 14/05/2024. [Material in French].
Global Initiative for Asthma. 2022 GINA main report. Available from: https://ginasthma.org/gina-reports/. Accessed on: 14/05/2024.
Serhier Z, Bendahhou K, Abdelaziz AB, et al. F Methodological sheet n°1: how to calculate the size of a sample for an observational study?. Tunis Med 2020;98:1-7.
Wang DY, Ghoshal AG, Bin Abdul Muttalif AR , et al. Quality of Life and economic burden of respiratory disease in Asia-Pacific-Asia-Pacific burden of respiratory diseases study. Value Health Reg Issues 2016;9:72‑7. DOI: https://doi.org/10.1016/j.vhri.2015.11.004
Ware JE jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996;34:220‑33. DOI: https://doi.org/10.1097/00005650-199603000-00003
Obtel M, El Rhazi K, Elhold S, et al. Cross-cultural adaptation of the 12-item short-form survey instrument in a moroccan representative survey. SAJID 2013;28:166‑71. DOI: https://doi.org/10.1080/10158782.2013.11441540
Ware JE jr, Sherbourne CD. The MOS 36-ltem short-form health survey (SF-36): I. conceptual framework and item selection. Med Care 1992;30:473‑83. DOI: https://doi.org/10.1097/00005650-199206000-00002
Ware JE jr, Kosinski M, Keller SD. SF-12: how to score SF-12 physical and mental health summary scales. Available from: https://www.researchgate.net/profile/John-Ware-6/publication/291994160_How_to_score_SF-12_items/links/58dfc42f92851c369548e04e/How-to-score-SF-12-items.pdf27.
Carreiro-Martins P, Gomes-Belo J, Papoila AL, et al. Chronic respiratory diseases and quality of life in elderly nursing home residents. Chron Respir Dis 2016;13:211‑9. DOI: https://doi.org/10.1177/1479972316636990

Ethics approval

The study was approved by Hassan II University Hospital Committee, Fez. Reference: 26/18.

How to Cite

Bahra, Nassiba, Bouchra Amara, Hind Bourkhime, Soukaina El Yaagoubi, Nada Othmani, Nabil Tachfouti, Mohamed Berraho, Mounia Serraj, Mohamed Chakib Benjelloun, and Samira El Fakir. 2024. “Quality of Life and Its Determinants in Patients With Chronic Respiratory Diseases in the Fes-Meknes Region, Morocco”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2024.2964.
Copyright (c) 2024 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.


Similar Articles

You may also start an advanced similarity search for this article.