Effect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p < 0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.

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Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN ◽

10.33859/dksm.v10i1.437 ◽

2020 ◽

Vol 10 (1) ◽

pp. 11-24

Author(s):

Agustinus Hermino

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Care Quality ◽

Health Sector ◽

Well Being ◽

Individual Variability ◽

Care Quality ◽

Global Era ◽

The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life

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Pain location matters: the impact of leg pain on health care use, work disability and quality of life in patients with low back pain

European Spine Journal ◽

10.1007/s00586-014-3355-2 ◽

2014 ◽

Vol 24 (3) ◽

pp. 444-451 ◽

Cited By ~ 23

Author(s):

Samantha L. Hider ◽

David G. T. Whitehurst ◽

Elaine Thomas ◽

Nadine E. Foster

Keyword(s):

Quality Of Life ◽

Health Care ◽

Low Back Pain ◽

Work Disability ◽

Health Care Use ◽

Leg Pain ◽

Low Back ◽

Pain Location ◽

The Impact

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Dedicated Severe Asthma Services Improve Health-care Use and Quality of Life

CHEST Journal ◽

10.1378/chest.14-3056 ◽

2015 ◽

Vol 148 (4) ◽

pp. 870-876 ◽

Cited By ~ 64

Author(s):

David Gibeon ◽

Liam G. Heaney ◽

Chris E. Brightling ◽

Rob Niven ◽

Adel H. Mansur ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Severe Asthma ◽

Health Care Use ◽

Improve Health Care ◽

Improve Health

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Consequences of anxiety in older persons: its effect on disability, well-being and use of health services

Psychological Medicine ◽

10.1017/s0033291799008351 ◽

1999 ◽

Vol 29 (3) ◽

pp. 583-593 ◽

Cited By ~ 217

Author(s):

E. de BEURS ◽

A. T. F. BEEKMAN ◽

A. J. L. M. van BALKOM ◽

D. J. H. DEEG ◽

R. van DYCK ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Anxiety Disorder ◽

Older Persons ◽

Well Being ◽

Anxiety Symptoms ◽

Appropriate Care ◽

Older Subjects ◽

Use Of Health Services

Background. Although anxiety is quite prevalent in late life, its impact on disability, well-being, and health care utilization of older persons has not been studied. Older persons are a highly relevant age group for studying the consequences of anxiety, since their increasing numbers put an extra strain on already limited health care resources.Methods. Data of a large community-based random probability sample (N=659) of older subjects (55–85 year) in the Netherlands were used to select three groups: subjects with a diagnosed anxiety disorder, subjects with merely anxiety symptoms and a reference group without anxiety. These groups were compared with regard to their functioning, subjective well-being, and use of health care services, while controlling for potentially confounding variables.Results. Anxiety was associated with increased disability and diminished well-being. Older persons with a diagnosed anxiety disorder were equally affected in their functioning as those with merely anxiety symptoms. Although use of health services was increased in anxiety sufferers, their use of appropriate care was generally low.Conclusions. Anxiety has a clear negative impact on the functioning and well-being of older subjects. The similarity of participants with an anxiety disorder and those having merely anxiety symptoms regarding quality of life variables and health care use was quite striking. Finally, in spite of its grave consequences for the quality of life, appropriate care for anxiety is seldom received. Efforts to improve recognition, disseminate effective treatments in primary care, and referring to specialized care may have positive effects on the management of anxiety in late life.

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More Than Just a Mammogram: Breast Cancer Screening Perspectives of Relatives of Women With Intellectual Disability

Intellectual and Developmental Disabilities ◽

10.1352/1934-9556-52.6.444 ◽

2014 ◽

Vol 52 (6) ◽

pp. 444-455 ◽

Cited By ~ 8

Author(s):

Nechama W. Greenwood ◽

Deborah Dreyfus ◽

Joanne Wilkinson

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Health Care ◽

Intellectual Disability ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Breast Cancer Mortality ◽

Family Members ◽

Well Being

Abstract Women with intellectual disability (ID) have similar rates of breast cancer as the general public, but higher breast cancer mortality and lower rates of regular screening mammography. Screening rates are lowest among women who live with their families. Though women with ID often make decisions in partnership with their relatives, we lack research related to family member perspectives on mammography. We conducted a qualitative study of family members of women with ID, with an interview guide focused on health care decision making and experiences, and breast cancer screening barriers, facilitators, and beliefs as related to their loved ones. Sixteen family members underwent semistructured interviews. Important themes included mammography as a reference point for other social and cultural concerns, such as their loved one's sexuality or what it means to be an adult woman; fear of having to make hard decisions were cancer to be diagnosed acting as a barrier to screening; a focus on quality of life; and desire for quality health care for their loved one, though quality care did not always equate to regular cancer screening. Adults with ID are valued members of their families, and their relatives are invested in their well-being. However, families fear the potentially complicated decisions associated with a cancer diagnosis and may choose to forgo screening due to misinformation and a focus on quality of life. Effective interventions to address disparities in mammography should focus on adults with ID and their families together, and incorporate the family context.

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The Costs of Obesity

AAOHN Journal ◽

10.1177/216507990705500702 ◽

2007 ◽

Vol 55 (7) ◽

pp. 265-270 ◽

Cited By ~ 14

Author(s):

Debra L. Thompson

Keyword(s):

Quality Of Life ◽

Health Care ◽

Wellness Programs ◽

Health Care Use ◽

Financial Impact ◽

Healthy Lifestyles ◽

Obesity Epidemic ◽

Workplace Productivity ◽

Care Costs

Each year millions of Americans struggle with obesity and health problems related to it. Despite the focus on health promotion and healthy lifestyles, the obesity epidemic is worsening. Disability, decreased quality of life, greater health care use, decreased workplace productivity, and increased absenteeism may be associated with obesity, leading to higher costs to businesses and society. The financial impact on businesses, especially health care costs to treat obese employees, is staggering. This is a burden for businesses trying to control expenses. Occupational health nurses are key to developing effective wellness programs for employers.

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The short-term effects of an integrated care model for the frail elderly on health, quality of life, health care use and satisfaction with care

International Journal of Integrated Care ◽

10.5334/ijic.1010 ◽

2014 ◽

Vol 14 (4) ◽

Cited By ~ 10

Author(s):

Wilhelmina Mijntje Looman ◽

Isabelle Natalina Fabbricotti ◽

Robbert Huijsman

Keyword(s):

Quality Of Life ◽

Health Care ◽

Frail Elderly ◽

Health Care Use ◽

Satisfaction With Care ◽

Care Model ◽

Short Term ◽

Health Quality ◽

Health Quality Of Life

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A Web-Based eHealth Intervention to Improve the Quality of Life of Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Controlled Trial

JMIR Research Protocols ◽

10.2196/25175 ◽

2021 ◽

Vol 10 (2) ◽

pp. e25175

Author(s):

David H Gustafson Sr ◽

Marie-Louise Mares ◽

Darcie C Johnston ◽

Jane E Mahoney ◽

Randall T Brown ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Primary Care ◽

Health Care ◽

Chronic Conditions ◽

Health Care Use ◽

Multiple Chronic Conditions ◽

Secondary Outcomes ◽

Ehealth Intervention

Background Multiple chronic conditions (MCCs) are common among older adults and expensive to manage. Two-thirds of Medicare beneficiaries have multiple conditions (eg, diabetes and osteoarthritis) and account for more than 90% of Medicare spending. Patients with MCCs also experience lower quality of life and worse medical and psychiatric outcomes than patients without MCCs. In primary care settings, where MCCs are generally treated, care often focuses on laboratory results and medication management, and not quality of life, due in part to time constraints. eHealth systems, which have been shown to improve multiple outcomes, may be able to fill the gap, supplementing primary care and improving these patients’ lives. Objective This study aims to assess the effects of ElderTree (ET), an eHealth intervention for older adults with MCCs, on quality of life and related measures. Methods In this unblinded study, 346 adults aged 65 years and older with at least 3 of 5 targeted high-risk chronic conditions (hypertension, hyperlipidemia, diabetes, osteoarthritis, and BMI ≥30 kg/m2) were recruited from primary care clinics and randomized in a ratio of 1:1 to one of 2 conditions: usual care (UC) plus laptop computer, internet service, and ET or a control consisting of UC plus laptop and internet but no ET. Patients with ET have access for 12 months and will be followed up for an additional 6 months, for a total of 18 months. The primary outcomes of this study are the differences between the 2 groups with regard to measures of quality of life, psychological well-being, and loneliness. The secondary outcomes are between-group differences in laboratory scores, falls, symptom distress, medication adherence, and crisis and long-term health care use. We will also examine the mediators and moderators of the effects of ET. At baseline and months 6, 12, and 18, patients complete written surveys comprising validated scales selected for good psychometric properties with similar populations; laboratory data are collected from eHealth records; health care use and chronic conditions are collected from health records and patient surveys; and ET use data are collected continuously in system logs. We will use general linear models and linear mixed models to evaluate primary and secondary outcomes over time, with treatment condition as a between-subjects factor. Separate analyses will be conducted for outcomes that are noncontinuous or not correlated with other outcomes. Results Recruitment was conducted from January 2018 to December 2019, and 346 participants were recruited. The intervention period will end in June 2021. Conclusions With self-management and motivational strategies, health tracking, educational tools, and peer community and support, ET may help improve outcomes for patients coping with ongoing, complex MCCs. In addition, it may relieve some stress on the primary care system, with potential cost implications. Trial Registration ClinicalTrials.gov NCT03387735; https://www.clinicaltrials.gov/ct2/show/NCT03387735. International Registered Report Identifier (IRRID) DERR1-10.2196/25175

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