Impact of Sleep, Mental Health, and Health Literacy on Health-Related Quality of Life in Patients with Allergic Rhinitis: A Secondary Analysis of the 2023 Korea National Health and Nutrition Examination Survey

Purpose: This study aimed to identify the impact of sleep, mental health, and health literacy on health-related quality of life in patients with allergic rhinitis.Methods: A descriptive secondary analysis design was used. The participants were 771 adults aged 19 to 64 years with allergic rhinitis whose raw data were available from the 2023 Korea National Health and Nutrition Examination Survey. Data were analyzed using complex sample descriptive statistics, frequency, x2 test, t-test, and multiple regression using SPSS 29.0.Results: Gender (t=4.90, p<.001), smoking habits (t=2.14, p=.034), perceived health status (t=5.83, p<.001), physical activity limitation (t=5.11, p<.001), stress (t=6.19, p<.001), depressive mood (t=4.48, p<.001), anxiety (t=5.43, p<.001), and health literacy (t=3.45, p<.001) showed statistically significant associations with health-related quality of life, accounting for 44.8% of the total variance.Conclusion: Community health nursing should prioritize the early identification of psychological issues and provide tailored education to improve health literacy in patients with allergic rhinitis. Health promotion programs for smoking cessation and physical activity are necessary, particularly for vulnerable groups.