Skip to content
2000
Volume 22, Issue 3
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Introduction

Quality of life (QoL) in patients with chronic diseases is affected by physical, emotional, and social aspects, including medication burden. This study evaluates the impact of chronic diseases and medication on quality of life, emphasizing the importance of incorporating patient perception.

Methodology

A cross-sectional study conducted in Ecuador focused on the adult population treated at the Rheumatology Department of the Homero Castanier Crespo Hospital in 2023. A sample of 161 individuals was selected based on specific criteria, and the COOP-WONCA questionnaire was used to assess health-related quality of life. Statistical analysis was performed using SPSS®, including descriptive statistics and bivariate analysis with Chi-square and Fisher’s exact tests to explore relationships between variables.

Results and Discussion

The study population was predominantly composed of women (95.1%), adults over 70 years of age (37.8%), and individuals from urban areas (60.4%). Regarding education, the majority had completed primary education (62.2%) and a significant proportion were illiterate (18.3%). Additionally, 39.6% of the sample had hypertension and 14% had diabetes. Quality of life was characterized by high satisfaction with social activities (84.1%), while perceptions of physical fitness and general health were more moderate. Quality of life was influenced by osteoporosis and hypertension in the domain of physical fitness ( < 0.05) and individuals with depression reported negative effects on their emotional well-being ( < 0.05).

Conclusion

The predominantly female and elderly population presents differences in quality of life related to chronic diseases and depression, highlighting the impact of these conditions on physical and emotional well-being.

Loading

Article metrics loading...

/content/journals/cwhr/10.2174/0115734048381709250619183639
2025-07-01
2026-02-04
Loading full text...

Full text loading...

References

  1. Lopera-VásquezJ.P. Health-related quality of life: Exclusion of subjectivity.Cien. Saude Colet.2020252693702 32022209
    [Google Scholar]
  2. Pascual-SánchezA. Caballo-EscribanoC. Pascual SánchezA. Caballo-EscribanoC. Functioning and quality of life in people with chronic diseases: Predictive power of different psychological variables.Enferm. Glob20171646281294
    [Google Scholar]
  3. ChowdhuryS.R. Chandra DasD. SunnaT.C. BeyeneJ. HossainA. Global and regional prevalence of multimorbidity in the adult population in community settings: A systematic review and meta-analysis.EClinicalMedicine20235710186010.1016/j.eclinm.2023.101860 36864977
    [Google Scholar]
  4. HajatC. SteinE. The global burden of multiple chronic conditions: A narrative review.Prev. Med. Rep.20181228429310.1016/j.pmedr.2018.10.008 30406006
    [Google Scholar]
  5. TeferaY.G. AlemayehuM. MekonnenG.B. Correction: Prevalence and determinants of polypharmacy in cardiovascular patients attending outpatient clinic in Ethiopia University Hospital.PLoS One2020157e023632810.1371/journal.pone.0236328 32663231
    [Google Scholar]
  6. TamargoJ. KjeldsenK.P. DelpónE. SembA.G. CerbaiE. DobrevD. SavareseG. SulzgruberP. RosanoG. BorghiC. WassmannS. Torp-PedersenC.T. AgewallS. DrexelH. BaumgartnerI. LewisB. CeconiC. KaskiJ.C. NiessnerA. Facing the challenge of polypharmacy when prescribing for older people with cardiovascular disease. A review by the European Society of Cardiology Working Group on cardiovascular pharmacotherapy.Eur. Heart J. Cardiovasc. Pharmacother.20228440641910.1093/ehjcvp/pvac005 35092425
    [Google Scholar]
  7. DelaraM. MurrayL. JafariB. BahjiA. GoodarziZ. KirkhamJ. ChowdhuryM. SeitzD.P. Prevalence and factors associated with polypharmacy: A systematic review and meta-analysis.BMC Geriatr.202222160110.1186/s12877‑022‑03279‑x 35854209
    [Google Scholar]
  8. AlbrechtG.L. DevliegerP.J. The disability paradox: High quality of life against all odds.Soc. Sci. Med.199948897798810.1016/S0277‑9536(98)00411‑0 10390038
    [Google Scholar]
  9. LondoñoJ. Peláez BallestasI. CuervoF. AngaritaI. GiraldoR. RuedaJ.C. Prevalence of rheumatic disease in Colombia, according to the COPCORD-Colombian Association of Rheumatology strategy.Rev. Colomb. Reumatol.2018
    [Google Scholar]
  10. Guevara PachecoS.V. Feican AlvaradoE.A. Peláez BallestasI. Prevalence of rheumatic diseases and quality of life in the Saraguro indigenous people, Ecuador: A cross-sectional community-based study.J. Clin. Rheumatol.2019257e201e20810.1097/RHU.0000000000000980
    [Google Scholar]
  11. López AlonsoS.R. Martínez SánchezC.M. Romero CañadillasA.B. Angel RuedaM. Validity and reliability of the COOP/WONCA questionnaire completed by telephone in people with hip and knee osteoarthritis.Index Enferm.20051451242810.4321/S1132‑12962009000300012
    [Google Scholar]
  12. AlonsoJ. FerrerM. GandekB. WareJ.E.Jr AaronsonN.K. MosconiP. RasmussenN.K. BullingerM. FukuharaS. KaasaS. LeplègeA. Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project.Qual. Life Res.200413228329810.1023/B:QURE.0000018472.46236.05 15085901
    [Google Scholar]
  13. Al QadireM. ALHosni, F.; Al-Daken, L.; Aljezawi, M.; Al Omari, O.; Khalaf, A. Quality of life and its predictors among patients with selected chronic diseases.Nurs. Forum202320231910.1155/2023/6657164
    [Google Scholar]
  14. GalenkampH. van OersH.A.M. KunstA.E. StronksK. Is quality of life impairment associated with chronic diseases dependent on educational level?Eur. J. Public Health201929463463910.1093/eurpub/cky276 30668855
    [Google Scholar]
  15. ParkY. ParkK. Health-related quality of life and depressive symptoms of patients with chronic diseases and the general population before and during the COVID-19 pandemic in Korea.Front. Psychol.202314111736910.3389/fpsyg.2023.1117369 36844301
    [Google Scholar]
  16. SnarskaK. ChorążyM. SzczepańskiM. Wojewódzka-ŻelezniakowiczM. ŁadnyJ.R. Quality of Life of patients with arterial hypertension.Medicina (Kaunas)202056945910.3390/medicina56090459 32916933
    [Google Scholar]
  17. KatsiV. KallistratosM.S. KontoangelosK. SakkasP. SouliotisK. TsioufisC. NihoyannopoulosP. PapadimitriouG.N. TousoulisD. Arterial hypertension and health-related quality of life.Front. Psychiatry2017827010.3389/fpsyt.2017.00270 29255431
    [Google Scholar]
  18. RizzoM. TammaroG. GuarinoA. BassoM. CozzolinoA. MaricondaM. Quality of life in osteoporotic patients.Orthop. Rev. (Pavia)20221463856210.52965/001c.38562 36267218
    [Google Scholar]
  19. StanghelleB. BentzenH. GiangregorioL. PrippA.H. BerglandA. Associations between health-related quality of life, physical function and pain in older women with osteoporosis and vertebral fracture.BMC Geriatr.201919129810.1186/s12877‑019‑1268‑y 31684886
    [Google Scholar]
  20. ShumyeS. BelaynehZ. MengistuN. Health related quality of life and its correlates among people with depression attending outpatient department in Ethiopia: A cross sectional study.Health Qual. Life Outcomes201917116910.1186/s12955‑019‑1233‑7 31703701
    [Google Scholar]
  21. Sánchez-RodríguezJ.R. Escare-OviedoC.A. Castro-OlivaresV.E. Robles-MolinaC.R. Vergara-MartínezM.I. Jara-CastilloC.T. Polypharmacy in older adults and impact on their quality of life. Literature review.Rev. Salud Publica (Bogota)201921227127710.15446/rsap.v21n2.76678 33027340
    [Google Scholar]
  22. HosainM.N. KwakY.S. LeeJ. ChoiH. ParkJ. KimJ. IoT-enabled biosensors for real-time monitoring and early detection of chronic diseases.Phys. Act. Nutr.202428406006910.20463/pan.2024.0033 39934631
    [Google Scholar]
  23. MulitaF. VerrasG.I. AnagnostopoulosC.N. KotisK. A smarter health through the internet of surgical things.Sensors20222212457710.3390/s22124577 35746359
    [Google Scholar]
/content/journals/cwhr/10.2174/0115734048381709250619183639
Loading
/content/journals/cwhr/10.2174/0115734048381709250619183639
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test