ArticleJournal of public health research2025
Health-related quality of life among COVID-19 survivors in Pokhara Metropolitan, Nepal: A cross-sectional study.
Article in Journal of public health research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: The long-term impact of COVID-19 on Quality of Life (QoL) is a growing concern, particularly in low- and middle-income countries (LMICs) like Nepal. However, there is limited evidence on how post-COVID-19 health conditions affect daily life in Nepalese communities. This study assesses the QoL among COVID-19 survivors in Pokhara Metropolitan City, Nepal. Methods: A community-based cross-sectional study was conducted among 271 post-COVID-19 patients discharged from hospitals in Pokhara Metropolitan City. Participants were selected using systematic random sampling, and data were collected through face-to-face interviews using the WHOQOL-BREF questionnaire. Multivariable logistic regression was applied to determine factors associated with QoL. Results: The mean HRQoL score was 61.29 ± 12.54, with the physical health domain scoring the highest (65.58 ± 21.53) and the environment domain the lowest (57.50 ±11.52). Among participants, 82.3% had good QoL, while 17.7% had poor QoL. Living in a nuclear family (aOR = 2.61, 95% CI: 2.14-6.00), being employed (aOR = 4.10, 95% CI: 1.87-9.21), and engaging in regular exercise (aOR = 3.32, 95% CI: 1.36-8.06) were significant positive factors for good QoL among post-COVID-19 patients. Conversely, chronic disease was the strongest negative predictor of QoL, with those without chronic conditions being 6.15 times more likely to report good QoL (aOR = 6.15, 95% CI: 2.65-14.24). Conclusion: COVID-19 survivors in Nepal experience varying degrees of QoL impairment, particularly in the environmental and psychological domains. Employment status, exercise, and family structure play crucial roles in post-COVID well-being, while chronic illness remains a significant barrier.
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