Factors affecting the impact of olfactory loss on the quality of life and emotional coping ability
Factors affecting the impact of olfactory loss on the quality of life and emotional coping ability
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DOI：
10.4193/rhino10.130
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发表时间：
2011-08-01
期刊：
影响因子：
7.2
通讯作者：
Lee, Yi-Lun
中科院分区：
文献类型：
--
作者：
Shu, Chih-Hung;Lee, Po-Lei;Lee, Yi-Lun
背景：嗅觉障碍患者的生活质量下降，可能需要培养嗅觉丧失的应对能力。本研究调查了嗅觉功能、病程等因素对嗅觉功能的影响。病因、年龄和性别影响患者的生活质量和情绪科普能力。方法：对413例以嗅觉功能障碍为主诉的连续患者进行评估。嗅觉障碍问卷（QOD）包括反映生活质量影响的消极陈述（QOD-NS）和反映情绪应对能力的积极陈述（QOD-PS）。结果：嗅觉减退、年龄较小与QOD-NS评分增高相关，病程较长、年龄较大与QOD-PS评分增高相关。女性比男性应对较差。QOD-PS评分呈负相关QOD-NS scores.Conclusions：嗅觉丧失的影响是更显着的年轻患者感觉到较差的嗅觉。年龄较大或病程较长的患者情绪应对能力较强，从而减少对生活质量的影响。嗅觉丧失患者尽早进行情绪应对有助于减少嗅觉影响。
Background: Olfactory impaired patients have decreased quality of life and may need to develop a coping ability for the olfactory loss. This study investigated how factors like olfactory function, disease duration. etiology, age, and gender affect patients' quality of life and emotional ability to cope.Methods: Four hundred and thirteen consecutive patients with the chief complaint of olfactory dysfunction were evaluated. The Questionnaire of Olfactory Disorders (QOD) included negative statements (QOD-NS) that indicated the impact on the quality of life, and positive statements (QOD-PS) reflecting the emotional coping ability. Relations between studied factors and QOD-NS or QOD-PS were analyzed.Results: Poorer olfaction and younger age correlated with increased QOD-NS scores, whereas longer disease duration and older age correlated with increased QOD-PS scores. Females had poorer coping than males. QOD-PS scores were inversely related to QOD-NS scores.Conclusions: The impact of olfactory loss is more significantly felt by younger patients with poorer olfaction. Older patients or those with longer disease duration develop better emotional coping abilities so as to reduce the impact on quality of life. It may be helpful for the patients with olfactory loss to develop emotional coping as early as possible to decrease the olfactory impact.