BACKGROUND Although research on health-related quality of life (HRQoL) has increased in the addiction field, few studies have focused on the determinants of HRQoL changes. This study aimed to describe dependent patients' HRQoL changes at a 3-month follow-up and to assess whether satisfaction with care can predict those changes among outpatients starting care for alcohol or opioid dependence. METHODS HRQoL was measured with the SF-12 at baseline and 3 months later in a prospective cohort of dependent outpatients. Satisfaction was assessed with the EQS-C early after inclusion. Data on sociodemographics, clinical characteristics and patients' levels of anxiety and depression were also collected. A multivariable analysis was performed to identify factors associated with HRQoL changes in both the physical and mental component summary scores (PCS and MCS, respectively). RESULTS Of the 172 patients included at baseline, a total of 136 patients assessed their satisfaction with care. The mean PCS and MCS scores were initially low, and HRQoL improvement was significant after 3 months for both the PCS and MCS. Never having been married (β = 5.5; p = 0.001) and a lower baseline PCS score (β = - 0.6; p < 0.0001) were associated with significant PCS improvement, whereas being legally compelled to undergo drug treatment (β = - 5.9; p = 0.02) was associated with less PCS change. Higher early satisfaction with care (β = 0.1; p = 0.02) and a lower baseline MCS score (β = - 0.7; p < 0.0001) were associated with significant MCS improvement. CONCLUSION The study supported the hypothesis that greater satisfaction with care may predict HRQoL improvement among dependent outpatients. Further studies are needed to understand the factors that affect patients' early satisfaction to identify areas of improvement and thus improve HRQoL.

中文翻译：

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病人对护理的早期满意度：依赖药物的门诊病人健康相关生活质量变化的预测指标。

背景技术尽管在成瘾领域中对与健康有关的生活质量（HRQoL）的研究有所增加，但很少有研究集中在HRQoL变化的决定因素上。这项研究旨在描述3个月随访中依赖患者的HRQoL变化，并评估对护理的满意度是否可以预测开始戒酒或阿片类药物依赖的门诊患者的变化。方法在前瞻性队列的依赖门诊患者中，使用SF-12在基线时和3个月后测量HRQoL。纳入后早期用EQS-C评估满意度。还收集了有关社会人口统计学，临床特征以及患者焦虑和抑郁水平的数据。进行了多变量分析，以识别与HRQoL的身体和精神成分总分（分别为PCS和MCS）得分相关的因素。结果在基线纳入的172例患者中，共有136例患者对其护理满意度进行了评估。PCS和MCS的平均评分最初较低，而3个月后PCS和MCS的HRQoL改善显着。从未结婚（β= 5.5； p = 0.001）和较低的基线PCS得分（β=-0.6； p <0.0001）与PCS的显着改善有关，而合法地被迫接受药物治疗（β=-5.9； p = 0.02）与较少的PCS变化相关。较高的早期护理满意度（β= 0.1； p = 0.02）和较低的基线MCS评分（β=-0.7； p <0.0001）与MCS的显着改善有关。结论该研究支持以下假设：对护理的更高满意度可以预测依赖门诊患者的HRQoL改善。需要进行进一步的研究以了解影响患者早期满意度的因素，以发现需要改善的方面，从而改善HRQoL。