scholarly journals A PILOT TRAIL: EFFECTIVENESS OF BIBLIOTHERAPY ON QUALITY OF LIFE, PSYCHOLOGICAL DISTRESS AND DEPRESSION AMONG PATIENT WITH CHRONIC LEG AND FOOT ULCER IN MANGALORE

2015 ◽  
Vol 05 (01) ◽  
pp. 009-013
Author(s):  
Kirupa P. ◽  
Preetham Rai B. ◽  
Srinivasa Bhat U.

Abstract Introduction: Many clients living with chronic leg and foot ulcers experience diminished quality of life, pain, psychosocial maladjustment, limited work capacity, and physical disabilities. Bibliotherapy helps the individual to cope up with illness. Objectives: Assess the pretest level of psychological distress, quality of life and depression in both Interventional and control group. Evaluate the effectiveness of bibliotherapy on quality of life, psychological distress and depression Methods: Pilot study was conducted among the twenty patients with chronic leg and foot ulcer .Randomized clinical trial comparison with pair group method was used to evaluate the effectiveness of bibliotherapy .Data were assessed by using chronic wound impact schedule, Kessler's psychological distress scale and beck depression inventory were used to assess the quality of life, psychological distress and depression respectively. Simple random sampling by lottery method was used to collect the data. Results: Findings show that there is mean of the quality of life (56.3), distress (28.3) and depression (22.5) were falls on the moderate level among the patient suffering with chronic leg and foot ulcer. Two way analysis of variance proves that bibliotherapy highly significant in increasing quality of life (F= 20.3,P<0.001) ,decreasing the psychological distress (F=25.2,P<0.01) and decreasing depression (F=5.18 ,P<0.05). Conclusion. Need based bibliotherapy is effective to meet the psychological aspects of chronic leg and foot ulcer

2021 ◽  
Vol 11 (4) ◽  
pp. 93-101
Author(s):  
Kirupa P. ◽  
Shrinivasa Bhat

Chronic leg and foot ulcer is an endangering health issue secondary to chronic venous insufficiency and Diabetes Mellitus. Apart from physical problems, psychological and emotional disturbances were arising as a co morbid conditions, which interfere with recovery and it could be managed by bibliotherapy. Study was focused to ascertain the effectiveness of bibliotherapy on quality of life, psychological distress and depression of these patients in an Indian context. Randomized controlled trial comparison with parallel group design was chosen. Interventional group received usual care along with bibliotherapy and control group received only usual care. Data were collected pretest, post test (1st week), I follow up (2nd week) and II follow up (3rd week). Cardiff wound impact schedule, Kessler’s psychological distress scale and Beck depression inventory were used. Bibliotherapy was prepared by the researcher based on literatures and qualitative study. Setting was limited to the selected hospitals in Mangalore, India. Power analysis estimated sample size as 50 in interventional group and 50 in control group. Findings imply that compared with controls, patients who received bibliotherapy demonstrated improved quality of life, reduced psychological distress and depression. Conclusively, it recommends psychosocial perspectives of these clients should not be neglected and supporting the therapeutic benefit of bibliotherapy in chronic physical illnesses to reduce mental health burden. Key words: Quality of life, Psychological Distress, Depression, Bibliotherapy, Leg and Foot ulcer.


2021 ◽  
pp. bmjspcare-2021-003068
Author(s):  
Ting Ting Tan ◽  
Maw Pin Tan ◽  
Chee Loong Lam ◽  
Ee Chin Loh ◽  
David Paul Capelle ◽  
...  

ContextNumerous studies have shown that gratitude can reduce stress and improve quality of life.ObjectiveOur study aimed to examine the effect of mindful gratitude journaling on suffering, psychological distress and quality of life of patients with advanced cancer.MethodsWe conducted a parallel-group, blinded, randomised controlled trial at the University of Malaya Medical Centre, Malaysia. Ninety-two adult patients with advanced cancer, and an overall suffering score ≥4/10 based on the Suffering Pictogram were recruited and randomly assigned to either a mindful gratitude journaling group (N=49) or a routine journaling group (N=43).ResultsAfter 1 week, there were significant reductions in the overall suffering score from the baseline in both the intervention group (mean difference in overall suffering score=−2.0, 95% CI=−2.7 to −1.4, t=−6.125, p=0.000) and the control group (mean difference in overall suffering score=−1.6, 95% CI=−2.3 to −0.8, t=−4.106, p=0.037). There were also significant improvements in the total Hospital Anxiety and Depression Scale score (mean difference=−3.4, 95% CI=−5.3 to −1.5, t=−3.525, p=0.000) and the total Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being score (mean difference=7.3, 95% CI=1.5 to 13.1, t=2.460, p=0.014) in the intervention group after 7 days, but not in the control group.ConclusionThe results provide evidence that 7 days of mindful gratitude journaling could positively affect the state of suffering, psychological distress and quality of life of patients with advanced cancer.Trial registration numberThe trial was registered with the Australian and New Zealand Clinical Trials Registry (ACTRN1261800172191) and conducted in accordance with the Declaration of Helsinki.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Marjolein M. Iversen ◽  
Jannicke Igland ◽  
Hilde Smith-Strøm ◽  
Truls Østbye ◽  
Grethe S. Tell ◽  
...  

Abstract Background Follow-up care provided via telemedicine (TM) is intended to be a more integrated care pathway to manage diabetes-related foot ulcers (DFU) than traditionally-delivered healthcare. However, knowledge of the effect of TM follow-up on PROMs including self-reported health, well-being and QOL in patients with DFUs is lacking and often neglected in RCT reports in general. Therefore, in this study of secondary outcomes from the DiaFOTo trial, the aim was to compare changes in self-reported health, well-being and QOL between patients with DFUs receiving telemedicine follow-up care in primary healthcare in collaboration with specialist healthcare, and patients receiving standard outpatient care. Methods The current study reports secondary endpoints from a cluster randomized controlled trial whose primary endpoint was ulcer healing time. The trial included 182 adults with diabetes-related foot ulcers (94/88 in the telemedicine/standard care groups) in 42 municipalities/districts, recruited from three clinical sites in Western Norway. Mean (SD) diabetes duration for the study population was 20.8 (15.0). The intervention group received care in the community in collaboration with specialist healthcare using an asynchronous telemedicine intervention. The intervention included an interactive web-based ulcer record and a mobile phone enabling counseling and communication between the community nurses and specialist healthcare; the control group received standard outpatient care. In total 156 participants (78/78) reported on secondary endpoints: self-reported health, well-being and quality of life evaluated by generic and disease-specific patient-reported outcome measures (e.g. Euro-QOL, the Hospital Anxiety and Depression Scale (HADS), Problem Areas in Diabetes (PAID), Neuropathy and Foot Ulcer–Specific Quality of Life Instrument (NeuroQOL)). Linear mixed-effects regression was used to investigate possible differences in changes in the scores between the intervention and control group at the end of follow-up. Results In intention to treat analyses, differences between treatment groups were small and non-significant for the health and well-being scale scores, as well as for diabetes-related distress and foot ulcer-specific quality of life. Conclusions There were no significant differences in changes in scores for the patient reported outcomes between the intervention and control group, indicating that the intervention did not affect the participants’ health, well-being and quality of life. Trial registration Clinicaltrials.gov, NCT01710774. Registered October 19th, 2012.


2016 ◽  
Vol 62 (6) ◽  
pp. 544-552 ◽  
Author(s):  
Ana Cristina Aoun Tannuri ◽  
Mariana Aparecida Elisei Ferreira ◽  
Arthur Loguetti Mathias ◽  
Uenis Tannuri

Summary Introduction: Patients operated for correction of anorectal malformations (ARM) can develop fecal incontinence, constipation, and soiling, with loss in quality of life. Objective: To evaluate, through the use of questionnaires, fecal continence, and quality of life of children in the late postoperative follow-up of ARM correction, both high and low. In addition, the levels of fecal continence and quality of life were compared with those of a control group. Method: A Fecal Continence Index Questionnaire (ICF) and a Questionnaire for Assessment of Quality of Life Related to Fecal Continence in Children and Adolescents (QQVCFCA) were administered to 63 patients with ARM, aged from 7 to 19 years, whose surgical treatment had been completed for at least 6 months. The patients were compared to a control group of 59 children. Results: In the control group, 25 (42.4%) patients had good continence and 34 (57.6%), normal continence. We found that the quality of life in children with ARM is compromised globally, in all areas and in the ICF questionnaire, compared to controls (p<0.001). There was no difference between patients with high and low defects. Thirty-two (50.8%) patients had other associated anomalies. Conclusion: In patients operated for ARM correction, quality of life and ICF were compromised, and there was no difference between patients with high-type and low-type of the disease. In about half the cases there are other associated malformations.


2009 ◽  
Vol 39 (3) ◽  
pp. 297-312 ◽  
Author(s):  
Ayhan Algul ◽  
M. Alpay Ates ◽  
Umit Basar Semiz ◽  
Cengiz Basoglu ◽  
Servet Ebrinc ◽  
...  

Objective: Recently, the increasing rate of obesity has been elucidated as a major public health problem. The aim of this study was to examine the psychological distress, subjective sleep quality, and health-related quality of life (HRQOL) in a group of patients diagnosed with obesity. Methods: A total of 124 obese patients (32 of them Class I obesity (BMI: 30–34.9 kg/m2), 92 Class II obesity (BMI: ≥ 35kg/m2)) and 106 healthy control subjects were involved in the study. Subjects were evaluated with self-administered questionnaires including the Symptoms Checklist-90-Revised (SCL-90-R), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Short Form 36 (SF-36). Several clinical and socio-demographic data were also recorded. Results: Class II obesity group had a significantly worse psychological status, quality of life, and sleep quality than control group. Although Class I obesity group did not differ from Class II and control groups according to sleep quality and psychological status, they had worse HRQOL than the control group. BMI scores positively correlated with the majority of subscales of psychological distress (SCL-90-R) and sleep quality (PSQI, ESS) and negatively correlated with all dimensions of HRQOL (SF-36). Conclusions: Obesity is associated with psychological distress, poor sleep quality, and reduced quality of life. Thus, obesity should be evaluated in a biopsychosocial manner, including management of patients' psychopathology.


2019 ◽  
Vol 55 (2) ◽  
pp. 127
Author(s):  
Kusnanto Kusnanto ◽  
Dismalyansa Dismalyansa ◽  
Retnayu Pradanie ◽  
Hidayat Arifin

DM with ulcer can result in a decrease in the quality of life of patients and need to reduce the intensity of pain and odor on the ulcer, preventing amputation and Hyperbaric Oxygen as an adjuvant therapy in accelerating wound healing. This study aims to explain the effect of HBO on the quality of life of patients with diabetic foot ulcers at RSAL Dr. Ramelan Surabaya. Methods: The research used quasi-experimental design with a non-equivalent control group design approach. The samples were 70 patients from population of all diabetes patients who suffered from diabetic foot ulcers at RSAL Dr. Ramelan. Data were collected by WHOQOL-BREF questionnaire. Analyzed byWilcoxon signed rank test and Mann Whitney U test. Result: Mann Whitney in the post test, the physical p-value domain (0.000), psychological domain (0.012), social domain (0.003), and environmental domain (0,001), where the intervention group has a better value than the control group. Wilcoxon signed rank test results on the physical domain (0,000), psychological (0,012), social (0,003), and environmental (0,001), meaning there were significant differences between pre post test in intervention group. Discussion: Diabetes mellitus patients with foot ulcers given hyperbaric oxygen showed improvement on wound condition, thus reducing pain and medical needs. This makes patients motivated, reduce anxiety, and improve interpersonal support and confidence. Therefore, it is necessary to socialize the effect of HBO on DM patients with foot ulcer, as a treatment option in improving the quality of life of DM patients with foot ulcers.


Author(s):  
Yanti Nopita ◽  
Susmiati Susmiati ◽  
Emil Huraini

Hemodialysis is a kidney replacement therapy for clients with chronic renal failure. Hemodialysis therapy helps the client's survival, but on the other hand the client will experience various problems including psychosocial problems, which ultimately affect the client's quality of life. Self Help Group is a social support therapy and the Mobile Messaging Apps (WhatsApp) application can be used in Self Help Group. The purpose of this study was to determine the effect of implementing a combination of Self Help Group and the use of Mobile Messaging Apps on the quality of life of clients with chronic kidney failure. The research design was quasy experiment with pre and post test design with control group, the sampling technique was simple random sampling. The research sample consisted of 42 people, consisting of 21 respondents in the control group and 21 in the intervention group. The test results showed the effect of implementing a combination of Self Help Group and the use of Mobile Messaging Apps on the quality of life of clients with p value < 0.05. It is recommended that Self Help Group and the use of WhatsApp be implemented as part of nursing interventions in nursing care. Keywords: mobile messaging apps; quality of life; self help group ABSTRAK Hemodialisa merupakan salah satu terapi pengganti ginjal bagi klien gagal ginjal kronik. Terapi hemodialisa membantu kelangsungan hidup klien, namun di sisi lain klien akan mengalami berbagai masalah termasuk masalah psikososial, yang pada akhirnya mempengaruhi kualitas hidup klien. Self Help Group adalah salah satu terapi dukungan sosial dan aplikasi Mobile Messaging Apps (WhatsApp) aplikasi yang dapat digunakan dalam Self Help Group. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penerapan kombinasi Self Help Group dan penggunaan Mobile Messaging Apps terhadap kualitas hidup klien gagal ginjal kronik. Desain penelitian yang digunakan yaitu quasy experiment dengan rancangan pre and post test with control group, teknik pengambilan sampel yaitu simple random sampling. Sampel penelitian berjumlah 42 orang terdiri dari 21 responden kelompok kontrol dan 21 kelompok intervensi. Hasil uji menunjukkan adanya pengaruh penerapan kombinasi Self Help Group dan penggunaan Mobile Messaging Apps terhadap kualitas hidup klien dengan p value < 0,05. Direkomendasikan Self Help Group dan penggunaan WhatsApp diterapkan sebagai bagian intervensi keperawatan dalam asuhan keperawatan. Kata kunci: mobile messaging apps; kualitas hidup; self help group


Author(s):  
Ruchika Rani ◽  
Sukhpal Kaur ◽  
Manoj Gupta

Background: Breast cancer has seized the whole world and affecting almost one in four women, globally. Many patients receive chemotherapy as treatment regimen. Oncology nurses are responsible to meet the educational needs of newly diagnosed patients and alleviate their anxiety. Objectives of the study were to assess the effects of Nurse-led pre-chemotherapy education programme on quality of life and psychological distress among breast cancer patients receiving chemotherapy.Methods: A randomized controlled trial was conducted on newly diagnosed breast cancer patients receiving chemotherapy for the first time at AIIMS, Rishikesh India. Data was obtained from thirty patients (16 in experimental and 14 in control group) by using standardized scale i.e., European organization for research and treatment of cancer quality of life questionnaire C-30 (EORTC QLQ C-30)-version-3 and hospital anxiety and distress scale (HADS) to assess quality of life and psychological distress among patients at baseline (before first cycle of chemotherapy) and at chemotherapy cycle 4.Results: The mean scores of qualities of life significantly enhanced in experimental group as compared to control group, in terms of global health status (p=0.00), functional scores (p=0.00) and symptom scores. Similarly, the mean HADS score was significantly less in experimental group as compared to control group (p=0.05).Conclusions: It is concluded that the nurse-led pre-chemotherapy education programme is effective to improve quality of life and reduce psychological distress among patients receiving chemotherapy.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Xuepei Li ◽  
Jianqiang Lin ◽  
Zidong Chen ◽  
Guangming Jin ◽  
Danying Zheng

Purpose. To determine the changes in vision-related quality of life and psychological distress after cataract surgery in monocular patients and to compared these with a control group of age- and gender-matched binocular patients. Methods. We enrolled 40 monocular patients and 40 binocular patients who underwent cataract surgery from August 2017 to December 2018. All participants undertook eye examinations and answered questionnaires (the National Eye Institute Visual Function Questionnaire, Self-rating Anxiety Scale, and Self-rating Depression Scale) before and after cataract surgery. Result. The monocular patients had significantly worse mean CDVA than the binocular patients before and after surgery. However, there was no significant difference between the increases gained by the two groups. Mean composite VFQ-25 scores of the monocular group were significantly lower than those of the binocular group before and after surgery, but the improvement experienced by the monocular group was statistically larger than the binocular group (37.20 ± 12.84 vs. 19.11 ± 5.13, P < 0.001 ). Mean standard SAS scores of monocular patients were significantly higher than those of binocular controls before and after surgery, while monocular patients experienced a significant greater decline of SAS scores (−9.41 ± 5.39 VS −3.84 ± 1.61, P < 0.001 ). Mean standard SDS scores of the monocular group were significantly higher than those of the control group before and after surgery, but the monocular group experienced a significantly greater decline of SDS scores following cataract surgery (−11.91 ± 6.38 VS −4.78 ± 1.79, P < 0.001 ). There was a significant correlation between the preoperative logMAR CDVA and both the postoperative logMAR CDVA (r = 0.63, P < 0.001 ) and the changes in the logMAR CDVA (r = −0.881, P < 0.001 ) for monocular patients. Linear regression analyses suggested that higher postoperative VFQ-25 scores had significant associations with better preoperative CDVA and the absence of systemic comorbidity (both P < 0.05 ). Age and ocular comorbidity were significantly associated with postoperative SAS scores (both P < 0.05 ). Age and systemic comorbidity remained significant impact factors for SDS scores (both P < 0.05 ). Conclusion. Monocular patients reported greater improvement in vision-related quality of life and greater decline in the level of anxiety and depression than binocular control subjects, despite having similar CDVA gains after cataract surgery. We argue that it is not a better choice for monocular patients to delay cataract surgery until the cataract is very advanced. A clear understanding of the impact of cataract surgery on vision-related quality of life and psychological distress in monocular patients is needed by ophthalmologists when making surgery decision.


2012 ◽  
Vol 17 (3) ◽  
pp. 161-171 ◽  
Author(s):  
Paul G. Clark ◽  
Geronima Cortese-Jimenez ◽  
Eric Cohen

Three complementary approaches for managing physical and psychological symptoms related to chemotherapy-induced peripheral neuropathy were evaluated against an education-only control arm. This study included 26 participants who were randomly assigned to weekly, hour-long sessions of yoga, Reiki, meditation, or an educational control experience for 6 weeks. Each participant completed pre–post measures of neurotoxicity, quality of life, psychological distress, and mindfulness. Descriptive analysis of the data indicated that all experimental group participants demonstrated improved within-group scores on quality of life and neurotoxicity outcomes following intervention; however, the improvements were not statistically significant. Neurotoxicity worsened significantly in the control group, but there were no pre–post changes with respect to quality of life, psychological distress, or mindfulness. Effect sizes were large with respect to meditation and mindfulness and with Reiki and psychological distress. Moderate effect sizes with respect to yoga and neurotoxicity and quality of life offer promise for all 3 interventions in managing chemotherapy-induced peripheral neuropathy.


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