Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study
Abstract Background Chronic pain has a major impact on a patient’s quality of life, affecting physical and psychological functioning. It has debilitating consequences on social and economic aspects too. This study aimed to explore the status of health-related quality of life (HRQoL) of Malaysian pat...
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BMC
2022-04-01
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Series: | BMC Musculoskeletal Disorders |
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Online Access: | https://doi.org/10.1186/s12891-022-05354-1 |
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author | Ju-Ying Ang E-Li Leong Huan-Keat Chan Asrul Akmal Shafie Shi-Qi Lee Punita Mutiah Ronald Vei-Meng Lim Chia-Ming Loo R. Usha S. Rajah Mazlila Meor Ahmad Shah Zubaidah Jamil Osman Lee-Choo Yeoh Devanandhini Krisnan Kavita Bhojwani |
author_facet | Ju-Ying Ang E-Li Leong Huan-Keat Chan Asrul Akmal Shafie Shi-Qi Lee Punita Mutiah Ronald Vei-Meng Lim Chia-Ming Loo R. Usha S. Rajah Mazlila Meor Ahmad Shah Zubaidah Jamil Osman Lee-Choo Yeoh Devanandhini Krisnan Kavita Bhojwani |
author_sort | Ju-Ying Ang |
collection | DOAJ |
description | Abstract Background Chronic pain has a major impact on a patient’s quality of life, affecting physical and psychological functioning. It has debilitating consequences on social and economic aspects too. This study aimed to explore the status of health-related quality of life (HRQoL) of Malaysian patients suffering from chronic non-malignant pain. Methods Four hospitals offering pain clinic services were involved in this multicentre cross-sectional study conducted between June and September 2020. Adult patients who had been diagnosed with non-malignant chronic pain lasting for at least three months and able to communicate in English or Malay language were recruited in this study. Participants were informed about the study and were made aware that their participation was entirely voluntary. A battery of questionnaires consists of the EuroQol-5 dimensions-5 levels questionnaire (EQ-5D-5L) and the EuroQol visual analogue scale (EQ VAS), the Pain Self-Efficacy questionnaire (PSEQ) and the Pain Catastrophizing Scale (PCS) were self-administered by the patients. Besides, a structured questionnaire was used to collect their socio-demographic information, pain condition, sleep quality and working status. Participants’ usage of pain medications was quantified using the Quantitative Analgesic Questionnaire (QAQ). Results A total of 255 patients participated in this study. A median EQ-5D index value of 0.669 (IQR: 0.475, 0.799) and a median EQ VAS score of 60.0 (IQR: 50.0, 80.0) were recorded. Malay ethnicity (Adj. B: 0.77; 95% CI: 0.029, 0.126; p = 0.002) and a higher level of self-efficacy (Adj. B: 0.008; 95% CI: 0.006, 0.011; p < 0.001) were predictors of a better HRQoL, while suffering from pain in the back and lower limb region (Adj. B: -0.089; 95% CI: − 0.142, − 0.036; p = 0.001), the use of a larger amount of pain medications (Adj. B: -0.013; 95% CI: − 0.019, − 0.006; p < 0.001), and a higher degree of pain magnification (Adj. B: -0.015; 95% CI: − 0.023, − 0.008; p < 0.001) were associated with a poorer HRQoL. Conclusions These findings suggested that Malay ethnicity and a higher level of self-efficacy were predictors of a better HRQoL in patients with chronic pain, whereas pain-related factors such as higher usage of medication, specific pain site and pain magnification style were predictors of poorer HRQoL. |
first_indexed | 2024-04-13T18:17:12Z |
format | Article |
id | doaj.art-8e7cf151e42f4015b697c15ee3fe19ee |
institution | Directory Open Access Journal |
issn | 1471-2474 |
language | English |
last_indexed | 2024-04-13T18:17:12Z |
publishDate | 2022-04-01 |
publisher | BMC |
record_format | Article |
series | BMC Musculoskeletal Disorders |
spelling | doaj.art-8e7cf151e42f4015b697c15ee3fe19ee2022-12-22T02:35:39ZengBMCBMC Musculoskeletal Disorders1471-24742022-04-012311910.1186/s12891-022-05354-1Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional studyJu-Ying Ang0E-Li Leong1Huan-Keat Chan2Asrul Akmal Shafie3Shi-Qi Lee4Punita Mutiah5Ronald Vei-Meng Lim6Chia-Ming Loo7R. Usha S. Rajah8Mazlila Meor Ahmad Shah9Zubaidah Jamil Osman10Lee-Choo Yeoh11Devanandhini Krisnan12Kavita Bhojwani13Clinical Research Centre (CRC), Hospital Raja Permaisuri Bainun, Ministry of HealthClinical Research Centre (CRC), Hospital Raja Permaisuri Bainun, Ministry of HealthClinical Research Centre (CRC), Hospital Sultanah Bahiyah, Ministry of HealthSchool of Pharmaceutical Sciences, Universiti Sains MalaysiaPharmacy Department, Hospital Pulau Pinang, Ministry of HealthDepartment of Anaesthesiology and Intensive Care, Hospital Pulau Pinang, Ministry of HealthDepartment of Anaesthesiology and Intensive Care, Hospital Selayang, Ministry of HealthDepartment of Anaesthesiology and Intensive Care, Hospital Sultanah Bahiyah, Ministry of HealthDepartment of Anaesthesiology and Intensive Care, Hospital Pulau Pinang, Ministry of HealthPain management Unit,Department of Anesthesiology and Intensive Care, Hospital Selayang, Ministry of HealthManagement Science UniversityDepartment of Anaesthesiology and Intensive Care, Hospital Sultanah Bahiyah, Ministry of HealthPain Management Clinic, Department of Anaesthesiology and Intensive Care, Hospital Raja Permaisuri Bainun, Ministry of HealthDepartment of Anaesthesiology and Intensive Care, Hospital Raja Permaisuri Bainun, Ministry of HealthAbstract Background Chronic pain has a major impact on a patient’s quality of life, affecting physical and psychological functioning. It has debilitating consequences on social and economic aspects too. This study aimed to explore the status of health-related quality of life (HRQoL) of Malaysian patients suffering from chronic non-malignant pain. Methods Four hospitals offering pain clinic services were involved in this multicentre cross-sectional study conducted between June and September 2020. Adult patients who had been diagnosed with non-malignant chronic pain lasting for at least three months and able to communicate in English or Malay language were recruited in this study. Participants were informed about the study and were made aware that their participation was entirely voluntary. A battery of questionnaires consists of the EuroQol-5 dimensions-5 levels questionnaire (EQ-5D-5L) and the EuroQol visual analogue scale (EQ VAS), the Pain Self-Efficacy questionnaire (PSEQ) and the Pain Catastrophizing Scale (PCS) were self-administered by the patients. Besides, a structured questionnaire was used to collect their socio-demographic information, pain condition, sleep quality and working status. Participants’ usage of pain medications was quantified using the Quantitative Analgesic Questionnaire (QAQ). Results A total of 255 patients participated in this study. A median EQ-5D index value of 0.669 (IQR: 0.475, 0.799) and a median EQ VAS score of 60.0 (IQR: 50.0, 80.0) were recorded. Malay ethnicity (Adj. B: 0.77; 95% CI: 0.029, 0.126; p = 0.002) and a higher level of self-efficacy (Adj. B: 0.008; 95% CI: 0.006, 0.011; p < 0.001) were predictors of a better HRQoL, while suffering from pain in the back and lower limb region (Adj. B: -0.089; 95% CI: − 0.142, − 0.036; p = 0.001), the use of a larger amount of pain medications (Adj. B: -0.013; 95% CI: − 0.019, − 0.006; p < 0.001), and a higher degree of pain magnification (Adj. B: -0.015; 95% CI: − 0.023, − 0.008; p < 0.001) were associated with a poorer HRQoL. Conclusions These findings suggested that Malay ethnicity and a higher level of self-efficacy were predictors of a better HRQoL in patients with chronic pain, whereas pain-related factors such as higher usage of medication, specific pain site and pain magnification style were predictors of poorer HRQoL.https://doi.org/10.1186/s12891-022-05354-1Quality of lifeChronic painMalaysia |
spellingShingle | Ju-Ying Ang E-Li Leong Huan-Keat Chan Asrul Akmal Shafie Shi-Qi Lee Punita Mutiah Ronald Vei-Meng Lim Chia-Ming Loo R. Usha S. Rajah Mazlila Meor Ahmad Shah Zubaidah Jamil Osman Lee-Choo Yeoh Devanandhini Krisnan Kavita Bhojwani Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study BMC Musculoskeletal Disorders Quality of life Chronic pain Malaysia |
title | Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study |
title_full | Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study |
title_fullStr | Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study |
title_full_unstemmed | Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study |
title_short | Health-related quality of life of Malaysian patients with chronic non-malignant pain and its associated factors: a cross-sectional study |
title_sort | health related quality of life of malaysian patients with chronic non malignant pain and its associated factors a cross sectional study |
topic | Quality of life Chronic pain Malaysia |
url | https://doi.org/10.1186/s12891-022-05354-1 |
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