Screening for depression in diabetes in an Indian primary care setting: Is depression related to perceived quality of life?

The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU. We conducted a cross-sectional study in 22 primary care health centers with a sample of 93 individuals with VLU. The variables collected were the following: perceived quality of life measured with Spanish version of the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e), ulcer severity measured with the RESVECH 2.0 Score, demographic variables, and those related to the healing process. The results showed a mean CCVUQ-e score of 47.4 ± 11.8 points (Mean ± SD), with the most affected dimension being the emotional status, followed by cosmesis, social interaction, and domestic activities. The mean RESVECH 2.0 score was 11.1 ± 3.7 points. An association was found between ulcer-related pain and poorer quality of life ( P < .05, t test) and between erythema in perilesional skin and poorer quality life ( P < .05, t test). The signs of infection and inflammation in the VLUs were as follows: increasing exudate, friable tissue, and biofilm-compatible tissue, which were associated with a poorer quality of life ( P < .05, t test). The multivariate model was statistically significant and explained a variability of 26% in the CCVUQ-e score. This study confirms that wound severity, pain, and signs of infection in VLU decrease the perceived quality of life of individuals with these wounds.

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Diagnosis and management of gastroesophageal reflux disease in the primary care setting: can health-related quality of life play a role?

The American Journal of Gastroenterology ◽

10.1016/s0002-9270(01)02586-2 ◽

2001 ◽

Vol 96 (8) ◽

pp. S54-S56 ◽

Cited By ~ 3

Author(s):

I GRALNEK

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Care Setting ◽

Primary Care Setting ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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The Impact of Telehome Care on Health Status and Quality of Life Among Patients with Diabetes in a Primary Care Setting in Poland

Telemedicine Journal and e-Health ◽

10.1089/tmj.2010.0113 ◽

2011 ◽

Vol 17 (3) ◽

pp. 153-163 ◽

Cited By ~ 46

Author(s):

Maria Magdalena Bujnowska-Fedak ◽

Edward Puchała ◽

Andrzej Steciwko

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Health Status ◽

Care Setting ◽

Primary Care Setting ◽

Patients With Diabetes ◽

The Impact

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Chronic conditions, multimorbidity, and quality of life among patients attending monk healers and primary care clinics in Thailand

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01707-x ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Supa Pengpid ◽

Karl Peltzer

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Health Care ◽

Chronic Conditions ◽

Care Setting ◽

Primary Care Setting ◽

Older Age ◽

Migraine Headaches ◽

Treatment Settings

Abstract Background The study aimed to assess chronic diseases, multimorbidity, and QoL among patients attending two different treatment settings in Thailand. Methods In all, 1409 attendees of three monk healer or three health centres were assessed with self-reported measures on chronic conditions and Quality of Life (QoL). Results Results indicate that the most common chronic conditions were common mental disorder (25.2%), followed by hypertension (22.8%), high blood cholesterol (18.0%), fatigue disorder (14.4%), diabetes (14.0%), migraine headaches (13.7%), sleeping problem (12.2%), and ulcer (11.0%). In all, 40.6% had multimorbidity (two or more chronic conditions) (42.4% in the monk healer and 38.9% in the primary care setting). In ANCOVA analysis, adjusted for sex, age, employment status, marital status, education, economic status, comorbidity, and health care setting, the poorest overall QoL was found among clients with common mental disorders (58.5 mean score), followed by emphysema or asthma (60.2), sleeping problem (61.5), migraine headaches (62.7), fatigue disorder (63.3), substance use disorder (63.6) and ulcer (64.3). The overall QoL was poorer among monk healer clients (66.5) than primary care patients (68.8). In adjusted logistical regression analysis, being a monk healer attendee, older age (55–93 years), and high debt were positively, and being employed and better overall quality of life were negatively associated with multimorbidity, overall, for the monk healer and primary care setting. In adjusted linear regression analyses, primary health care attenders, older age, were employed and post-secondary education increased the odds of better overall QoL. Conclusion Multimorbidity was higher among clients attending monk healers than those attending primary care facilities and QoL was poorer among clients seeking care from monk healers than those attending primary care. High multimorbidity was found and major chronic conditions were found to have poor QoL. Determinants of multimorbidity and QoL in two different treatment settings provide information to improve the management of chronic conditions.

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Opening Minds through Art: A preliminary study evaluating the effects of a creative-expression program on persons living with dementia and their primary care partners

Dementia ◽

10.1177/1471301221997290 ◽

2021 ◽

pp. 147130122199729

Author(s):

Kate Levenberg ◽

Daniel R George ◽

Elizabeth Lokon

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Emotional Support ◽

Perceived Quality ◽

Art Making ◽

Perceived Quality Of Life ◽

Care Partners ◽

Preliminary Study ◽

Anxiety Depression

For people living with dementia and their care partners, a decline in the ability to effectively communicate can cause significant distress. However, in recent decades, the arts have emerged as an effective care modality in fostering communication and expression for those with declining verbal skills and memory loss. Opening Minds through Art (OMA) is a national initiative that empowers people living with dementia by facilitating creative expression and social engagement through art-making in partnership with trained college student volunteers. Research has demonstrated that participation in the program benefits quality of life for those living with dementia and also improves student attitudes toward dementia. To date, however, no research has involved primary care partners. We implemented an OMA program at three residential care homes in State College, Pennsylvania, with residents cocreating artwork alongside primary care partners (i.e., a family member or primary medical personnel) over the course of four art-making sessions. We evaluated the effects of participation on quality of life and care partner burnout through pre–post use of “emotional thermometers” (measuring levels of distress, anxiety, depression, anger, and perceived quality of life), the National Institute of Health NIH emotional support scale, and the NIH caregiver assessment (care partner burnout). For people living with dementia, participation significantly increased perceived quality of life while decreasing distress, anxiety, depression, and anger ( p < .01; n = 12) after each class; however, the intervention did not significantly impact perceived emotional support. For care partners, participation significantly lowered post-intervention measures of burnout and self-rated stress ( p < .01; n = 9). This preliminary study suggests that a structured art-based activity appears to positively impact acute mood for patients and, importantly, decrease care partner burnout. Future research can bring more robust methods to bear in determining how to use OMA and other arts interventions to optimize social support for people living with dementia and their care partners.

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