title: Factors Associated with Reduced Quality of Life in Polio Survivors in Korea.
abstract: The purpose of this study is to assess health-related quality of life in polio survivors (PS) compared with that in the general population in Korea. Polio survivors (n = 120) from outpatient clinics at two hospitals, healthy controls (HC, n = 121) and members of the general population with activity limitations (AL, n = 121) recruited through a proportional-allocation, systematic sampling strategy from the Fourth Korean National Health and Nutrition Examination Survey were surveyed with self-rated health-related quality of life (Euro QoL five-dimensions). The proportion of participants who reported problems in mobility, usual activity, and symptoms of anxiety/depression were higher in the PS group compared with the HC and AL groups. There was no significant difference in the self-care dimension across the groups. Polio-specific questionnaire, pain, depression, fatigue, Modified Barthel Index (K-MBI) and Short Physical Performance Battery (SPPB) were assessed in the PS group. Those with post-poliomyelitis syndrome had greater problems in mobility, usual activity, and depression/anxiety. Polio survivors, especially those with more pain and fatigue symptoms, and those who did not have access to medical services had poorer health-related quality of life. These findings afford useful information for potential intervention improving quality of life in polio survivors.
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Eun Joo
authors.initials: EJ
authors.lastname: Yang
authors.affiliation: Department of Physical Medicine and Rehabilitation, Soonchunhyang University Bucheon Hospital, Gyeonggi, Republic of Korea.
authors.forename: Seung Yeol
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
authors.forename: Keewon
authors.initials: K
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
authors.forename: Se Hee
authors.initials: SH
authors.lastname: Jung
authors.affiliation: Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.
authors.forename: Soong-Nang
authors.initials: SN
authors.lastname: Jang
authors.affiliation: Department of Rehabilitation Medicine, Ewha Womans University Medical Center Seoul, Republic of Korea.
authors.forename: Soo Jeong
authors.initials: SJ
authors.lastname: Han
authors.affiliation: Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Republic of Korea.
authors.forename: Wan-Ho
authors.initials: WH
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
authors.forename: Jae-Young
authors.initials: JY
authors.lastname: Lim
mesh_terms: D000368:Aged; D001007:Anxiety / Q000150:complications; D003625:Data Collection; D003863:Depression / Q000150:complications; D005221:Fatigue / Q000150:complications; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D011051:Poliomyelitis / Q000523:psychology* / Q000628:therapy*; D016262:Postpoliomyelitis Syndrome / Q000523:psychology*; D011788:Quality of Life; D056910:Republic of Korea; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*