Impact of disability on quality of life and coping in patients with allergic rhinosinusitis: A cross-sectional tertiary hospital-based study

Context: Allergic rhinosinusitis (AR) is common disabling disorder which is prevalent more in western India. Most of these patients have chronic rhinosinusitis and nasal polyposes. The present study assessed disability and its impact on quality of life (QoL) in AR that would help to include psychosocial measures along with the drugs treatment. Aims: To study to the impact of Disability, QoL and mechanism of Coping in AR. Settings and Design: The study was conducted in the ENT out-patient department of a tertiary care hospital over a 3 month period. Materials and Methods: Patients with age more than 18 years and without any comorbidity were included in the study. Gujarati versions of Rhinosinusitis Disability Index (for disability), SF-36 survey (QoL) and Coping Strategies Inventory-Short-Form were used. Statistical Analysis: SPSS (IBM Corp. Released 2013.IBM SPSS Statistics for Windows, Version 1.0. Armonk, NY: IBM Corp.) was used for all analysis. Descriptive statistics (mean, standard deviation) and correlation were calculated. Results: A significant impact of disability on QoL (general health and health change) was noted among these patients (P = 0.505, P = 0.370), more in urban than rural patients with greater distress and significant relationship between engagement and disengagement based coping style (r = 0.701). Conversely, social functioning and engagement based coping style had a negative co-relationship (−0.210). Sample was predominantly male using emotional coping than practical one. Conclusions: Faulty coping can lead to increased morbidity which may be altered with disease specific psychoeducation and counseling.