The prediction model of health-related quality of life after nasal endoscopy constructed based on the Wilson-Cleary model

REN Yanli; ZOU Qirui; YANG Lili; ZHANG Mengmeng; WANG Wenzhong

doi:10.16766/j.cnki.issn.1674-4152.004041

Volume 23 Issue 6

Jun. 2025

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Article Navigation > Chinese Journal of General Practice > 2025 > 23(6): 954-957

REN Yanli, ZOU Qirui, YANG Lili, ZHANG Mengmeng, WANG Wenzhong. The prediction model of health-related quality of life after nasal endoscopy constructed based on the Wilson-Cleary model[J]. Chinese Journal of General Practice, 2025, 23(6): 954-957. doi: 10.16766/j.cnki.issn.1674-4152.004041

Citation:

REN Yanli, ZOU Qirui, YANG Lili, ZHANG Mengmeng, WANG Wenzhong. The prediction model of health-related quality of life after nasal endoscopy constructed based on the Wilson-Cleary model[J]. Chinese Journal of General Practice, 2025, 23(6): 954-957. doi: 10.16766/j.cnki.issn.1674-4152.004041

Citation:

REN Yanli, ZOU Qirui, YANG Lili, ZHANG Mengmeng, WANG Wenzhong. The prediction model of health-related quality of life after nasal endoscopy constructed based on the Wilson-Cleary model[J]. Chinese Journal of General Practice, 2025, 23(6): 954-957. doi: 10.16766/j.cnki.issn.1674-4152.004041

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The prediction model of health-related quality of life after nasal endoscopy constructed based on the Wilson-Cleary model

doi: 10.16766/j.cnki.issn.1674-4152.004041

1.
Department of Otolaryngology and Head and Neck Surgery, Huaibei People's Hospital, Huaibei, Anhui 235000, China

Funds:

2020112

KJ2020A0568

Received Date: 2024-12-12
Available Online: 2025-09-04

Abstract

Abstract

Objective To analyze the factors affecting health-related quality of life (HRQoL) of patients after functional endoscopic sinus surgery (FESS) based on Wilson-Cleary model, and construct an individualized nomogram prediction model to provide a reference for improving patients'HRQoL level. Methods A total of 172 patients undergoing FESS operation in the Department of Otolaryngology and Head and Neck Surgery of Huaibei People's Hospital from January 2022 to December 2023 were selected as the study objects. According to the HRQoL level one month after discharge, they were divided into high HRQoL group and low HRQoL group. The main influencing factors of HRQoL of patients were analyzed by logistic regression. The nomogram was constructed by rms package in R software and the model was verified. Results Lesion range, regular review, depression-anxiety-stress self-rating score, family caring score, disease perception score and nasal subjective symptom score were the main influencing factors of HRQoL in patients after FESS (P < 0.05). Hosmer-Lemeshow goodness of fit test were χ²=2.618, P=0.162, indicating that the regression model was well fitted. The area under ROC curve was 0.933 (95% CI: 0.886-0.979, P < 0.001), the sensitivity was 87.3%, and the specificity was 91.6%, indicating that the model was well distinguished. Conclusion The HRQoL of FESS postoperative patients with chronic sinusitis, irregular follow-up review, negative psychology, poor family care, high negative illness perception, and severe subjective nasal symptoms is relatively poor. The HRQoL nomogram model constructed based on Wilson-Cleary model has a good predictive effect, which is helpful for medical staff to predict the HRQoL level of patients after FESS.
- Wilson-Cleary model,
- Functional nasal endoscopy,
- Health-related quality of life,
- Prediction model,
- Nomograph

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References(20)

References

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The prediction model of health-related quality of life after nasal endoscopy constructed based on the Wilson-Cleary model

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