Could Euroqol 5 Dimension questionnaire predict the characteristics of a hospitalization?

Abstract Background Health related quality of life (HRQL) reflects how a particular state of health could influence individual wellbeing. Pathologies have a significant impact on the life, but the same conditions can be perceived differently so subjective evaluation by patient can be a valuable help to the doctors. The aim of the study is to describe how the HRQL may correlate with some clinical conditions. Methods A cross-sectional study was conducted in January-March 2019 in a private clinic. The Euroqol-5 Dimension (EQ-5D) questionnaire is a measure of quality of life to capture physical, mental and social functioning of patients and it was submitted at the time of admission. Examined variables were: age, sex, hospitalization period, EQ-5D index, EQ-5D dimensions (mobility, self-care, activity, pain, depression) and mini-mental state examination (MMSE). The sample was divided into subgroups for age (S1:<75 years, S2:>75) and for presence of problems (with or without). Statistical analysis was conducted using Stata 12. Results A total of 59 patients were admitted, but only 33 (69.7% females) received the EQ-5D questionnaire. Average age was 80.2±12.3, higher for females (p = 0.02). The average length of stay was 12.7±9.4 days. The mean of EQ-5D index for the patients was 0.36±0.27 (S1:0.38±0.26; S2:0.27±0.3) and it did not seem to be significantly correlated with variables. The frequency of the EQ-5D dimensions problem stratified by age group was: mobility 96.97%(S1 21.21%, S2 75.76%), self-care 90.91%(S1 21.21%, S2 69.7%), usual activity 93.94%(S1 21.21%, S2 72.73%), pain 87.88%(S1 18.18%, S2 69.7%), depression 66.66%(S1 15.15%, S2 51.51%). The length of stay showed a significant correlation with pain(Spearman r=-0.45, p = 0.018) and depression(r = 0.46, p = 0.015). Conclusions The majority of patients showed low level of EQ-5D index which is reflected in a low level of perceived HRQL. Pain and depression are the two dimensions that have shown a possible correlation. Key messages The EQ-5D index does not appear correlated to variables such as sex, age and length of stay. Depression and pain could be two important factors influencing a patient’s admission and its length.

Download Full-text

Quality of life in Hungarian polio survivors

Journal of Public Health ◽

10.1007/s10389-020-01459-w ◽

2021 ◽

Author(s):

Erika Viktória Miszory ◽

Melinda Járomi ◽

Annamária Pakai

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Sample Selection ◽

Cross Sectional Study ◽

Two Dimensions ◽

Cross Sectional ◽

Emotional Role ◽

The Difference ◽

Polio Survivors

Abstract Aim The number of Hungarian polio patients can be estimated at approximately 3000. Polio infection is currently affecting people 56–65 years of age. The aim of the study was to reveal the quality of life of patients living with polio virus in Hungary. Subject and methods The quantitative cross-sectional study was conducted in January–April 2017 among polyomyelitis patients living in Hungary. In the non-random, targeted, expert sample selection, the target group was composed of patients infected with poliovirus (N = 268). We have excluded those who refused to sign the consent statement. Our data collection method was an SF-36 questionnaire. Using the IBM SPSS Statistics Version 22 program, descriptive and mathematical statistics (χ2-test) were calculated (p < 0.05). Results The mean age of the members of the examined population is 63.5 years; 68.1% were women and 31.90% were men. The majority of the respondents were infected by the polyovirus in 1956 (11.9%), 1957 (24.3%), and 1959 (19.5%). Polio patients, with the exception of two dimensions (mental health, social operation), on the scale of 100 do not reach the “average” quality of life (physical functioning 23 points, functional role 36 points, emotional role 47 points, body pain 48 points, general health 42 points, vitality 50 points, health change 31 points). Conclusion The quality of life of polio patients is far below the dimensions of physical function, while the difference in mental health compared to healthy people is minimal. It would be important to educate health professionals about the existing disease, to develop an effective rehabilitation method.

Download Full-text

Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study

Heliyon ◽

10.1016/j.heliyon.2020.e03412 ◽

2020 ◽

Vol 6 (2) ◽

pp. e03412

Author(s):

Binu Koirala ◽

Cheryl R. Dennison Himmelfarb ◽

Chakra Budhathoki ◽

Patricia M. Davidson

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Self Care ◽

Health Related Quality ◽

Cross Sectional ◽

Factors Influencing ◽

Related Quality ◽

Health Related ◽

The Relationship

Download Full-text

Predicting Professional Quality of Life and Life Satisfaction in Spanish Nurses: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17124366 ◽

2020 ◽

Vol 17 (12) ◽

pp. 4366

Author(s):

Noemí Sansó ◽

Laura Galiana ◽

Amparo Oliver ◽

Macià Tomás-Salvá ◽

Gabriel Vidal-Blanco

Keyword(s):

Quality Of Life ◽

Structural Equation ◽

Self Care ◽

Well Being ◽

Practice Environment ◽

Professional Quality Of Life ◽

Cross Sectional ◽

Self Compassion ◽

Professional Quality

Background: Dealing with suffering, grief, and death on a daily basis, together with the particular working conditions, may produce high levels of burnout in nurses, and hinder their well-being. The purpose of this research is to study the effect of self-care and self-compassion on nurses’ professional quality of life and well-being. Methods: The research had a cross-sectional design, used correlational methodology and a structural equation model was hypothesized. Along the study, 210 nurses from the Healthcare Public System of the Balearic Islands, participated. The study took place from June to September 2018. Results: The hypothesized model showed an overall adequate fit. Practice environment predicted both self-care and self-compassion, whereas nursing stress did not. Self-care and self-compassion predicted nurses’ professional quality of life, whereas the practice environment and nursing stress were not predictors. Finally, professional quality of life showed a positive relationship with life satisfaction. Conclusions: The study presents a comprehensive structural equation model in which self-care and self-compassion are the best predictors of nurses’ professional quality of life. A direct relation of professional quality of life and nurses’ well-being has also been found, while controlling for the effects of nurses’ practice environment and stress.

Download Full-text

What impact do specialist and advanced-level nurses have on people living with heart failure compared to physician-led care? A literature review

Journal of Research in Nursing ◽

10.1177/1744987120946791 ◽

2020 ◽

pp. 174498712094679

Author(s):

Dean A Anderson ◽

Victoria Clemett

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Length Of Stay ◽

Literature Review ◽

Hospital Admissions ◽

Self Care ◽

Self Assessment ◽

Advanced Level ◽

The Impact

Background The inclusion of specialist nurses in multi-disciplinary teams is the current gold standard for care of people with heart failure (HF) in the UK; however, they remain underutilised in practice. Though existing systematic reviews favourably compare advanced nursing roles to physician-led care, none has focused solely on HF. Aim To investigate the impact of specialist and advanced nurse-led care on the clinical outcomes, quality of life and satisfaction of people with HF compared to physician-led care. Methods Literature review and narrative synthesis. Results This review included 12 studies and categorised their measured outcomes into five domains: mortality; hospital admissions and length of stay; HF diagnosis and management; quality of life and patient satisfaction; and finally, self-assessment and self-care. Five studies appraised as medium or low risk of bias suggest the impact of specialist and advanced-level nurses on people with HF to be broadly equivalent to physicians regarding mortality, hospital admissions and length of stay, while superior in terms of self-assessment and self-care behaviours. Conclusions There were too few studies of sufficient methodological quality to draw definitive conclusions. However, no evidence was found to suggest that nurse-led services are any less effective or safe than physician-led services.

Download Full-text

Impact of health literacy and self-care behaviors on health-related quality of life in Iranians with type 2 diabetes: a cross-sectional study

10.21203/rs.3.rs-24026/v1 ◽

2020 ◽

Author(s):

Saber Gaffari-fam ◽

Yosef Lotfi ◽

Amin Daemi ◽

Towhid Babazadeh ◽

Ehsan Sarbazi ◽

...

Keyword(s):

Quality Of Life ◽

Health Literacy ◽

Self Care ◽

Health Related Quality ◽

Cross Sectional ◽

Related Quality ◽

Health Related ◽

Care Behavior

Abstract Background Regarding the importance of health literacy as a key factor in self-care, appropriate understanding of health information by patients with type 2 diabetes mellitus (T2DM) is fundamental for better management of risk factors, which can also benefit their quality of life. This study aimed to describe the relationship between health literacy (HL), and self-care behaviors with health-related quality of life (HRQL) in patients with T2DM. Methods A cross-sectional survey was done in Iran in 2019. Patients were recruited randomly from health centers by medical records (n = 192, 55.2% male, mean age 58.12 years). The data collection included demographic form, health literacy questionnaire, diabetes self-care behavior questionnaire, and world health organization’s Quality of Life-BREF (WHOQOL-BREF). Analyses were adjusted for confounders using hierarchical regression analysis. Results HL as predictor variables explained 47.5% of variance in overall HRQL (p-value < 0.001), reading health information was the strongest HL dimension (β = 0.478). Self-care behaviors explained an additional 13.6% of the HRQL variance. In total, 65.5% of the variation in the HRQL is explained by the HL, self-care behavior, and the demographic variables. Conclusions We found that more almost two-third of the HRQL explained by the HL and self-care behaviors. Given the importance of health literacy and self-care behaviors in the quality of life in patients with T2DM, adoption of health-promoting behaviors and increasing health literacy can be beneficial for promoting quality of life among these patients.

Download Full-text

HUBUNGAN SELF CARE DENGAN KUALITAS HIDUP PASIEN DIABETES MELITUS

Jurnal Endurance ◽

10.22216/jen.v2i2.1357 ◽

2017 ◽

Vol 2 (2) ◽

pp. 132

Author(s):

Reny Chaidir ◽

Ade Sry Wahyuni ◽

Deni Wahyu Furkhani

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Random Sampling ◽

Pearson Correlation ◽

Self Care ◽

Simple Random Sampling ◽

Font Size ◽

Cross Sectional ◽

Diabetes Melitus

Indonesia merupakan daerah terbanyak nomor dua penderita diabets melitus di kawasan Asia Tenggara dengan angka kejadian sebesar 9,116.03 kasus. Puskesmas Tigo Baleh angka kunjungan penderita diabetes melitus pada tahun 2015 mengalami peningkatan yaitu sebesar 408 kunjungan. Pasien diabetes melitus rentan mengalami komplikasi yang disebabkan oleh peningkatan kadar gula darah. Peningkatan kadar gula darah dapat dicegah dengan melakukan self care terdiri dari pengaturan diet, olah raga, terapi obat, perawatan kaki, dan pemantauan gula darah. Tujuan penelitian ini adalah untuk mengetahui adanya hubungan self care dengan kualitas hidup pasien diabetes mellitus. Penelitian ini menggunakan pendekatan cross sectional yang dilakukan terhadap 89 orang responden dengan menggunakan teknik simple random sampling. Pengumpulan data menggunakan kuesioner The Summary of Diabetes Self-Care Activities (SDSCA) dan kuesioner The Diabetes Quality of Life Brief Clinical Inventory. Hasil penelitian ini menggunakan uji product moment (pearson correlation), diperoleh nilai r = 0.432. Kesimpulan dari penelitian ini adalah terdapat hubungan antara self care dengan kualitas hidup pasien diabetes melitus di wilayah kerja Puskesmas Tigo Baleh yang berbanding lurus dan memiliki tingkat korelasi yang sedang. Terdapat faktor yang mempengaruhi korelasi dengan kualitas hidup. Diharapkan agar pasien diabetes melitus dapat meningkatkan aktivitas self care sehingga dapat menjalankan kehidupan secara normal.

Download Full-text

Impact of health literacy and self-care behaviors on health-related quality of life in Iranians with type 2 diabetes: a cross-sectional study

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01613-8 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Saber Gaffari-fam ◽

Yosef Lotfi ◽

Amin Daemi ◽

Towhid Babazadeh ◽

Ehsan Sarbazi ◽

...

Keyword(s):

Quality Of Life ◽

Health Literacy ◽

Self Care ◽

Health Related Quality ◽

Cross Sectional ◽

Related Quality ◽

Health Related ◽

Care Behavior

Abstract Background Regarding the importance of health literacy as a key factor in self-care, appropriate understanding of health information by patients with type 2 diabetes mellitus (T2DM) is fundamental for better management of risk factors, which can also benefit their quality of life. This study aimed to describe the relationship between health literacy (HL), and self-care behaviors with health-related quality of life (HRQL) in patients with T2DM. Methods A cross-sectional survey was done in Iran in 2019. Patients were recruited randomly from health centers by medical records (n = 192, 55.2% male, mean age 58.12 years). The data collection included demographic form, health literacy questionnaire, diabetes self-care behavior questionnaire, and world health organization’s Quality of Life-BREF (WHOQOL-BREF). Analyses were adjusted for confounders using hierarchical regression analysis. Results HL as predictor variables explained 47.5% of variance in overall HRQL (p value < 0.001), reading health information was the strongest HL dimension (β = 0.478). Self-care behaviors explained an additional 13.6% of the HRQL variance. In total, 65.5% of the variation in the HRQL is explained by the HL, self-care behavior, and the demographic variables. Conclusion We found that more almost two-third of the HRQL explained by the HL and self-care behaviors. Given the importance of health literacy and self-care behaviors in the quality of life in patients with T2DM, adoption of health-promoting behaviors and increasing health literacy can be beneficial for promoting quality of life among these patients.

Download Full-text

The Correlation Between Self-Care and Family Support With The Quality of Life of Type II Diabetic Mellitus Patient in Public Health Center I of West Denpasar

Journal of A Sustainable Global South ◽

10.24843/jsgs.2021.v05.i02.p07 ◽

2021 ◽

Vol 5 (2) ◽

pp. 29

Author(s):

Ni Kadek Dwi Yanti Anggreni ◽

Meril Valentine Manangkot ◽

I Gusti Ayu Pramitaresthi

Keyword(s):

Quality Of Life ◽

Family Support ◽

Health Workers ◽

Self Care ◽

Sampling Technique ◽

Cross Sectional ◽

Type 2 Dm ◽

Family Behavior

Diabetes mellitus (DM) is a metabolic disease with characteristics of hyperglycemia. Type 2 DM that is not handled properly will result in complications that affect the quality of life. Type 2 DM patients need to do self-care as one of the DM treatment. In addition to self-care, the quality of life of DM patients is also related to family support. This study aims to determine the relationship between variables of self-care and family support with the quality of life of patients with type 2 DM. The study was conducted on 26 March-23 April 2019. This study was a quantitative study with a cross sectional approach. The number of the respondents were 59 people, obtained through consecutive sampling technique. Self-care was measured using a summary of diabetes self-care activity (SDSCA) questionnaire, family support was measured using the diabetes family behavior checklist II (DFBC II) questionnaire, and quality of life was measured using the diabetes quality of life (DQOL) questionnaire. The data analysis was done using Pearson Product Moment test. The results showed that there was a relation between self-care and quality of life (p = 0.000, r = 0.548) and there was a relation between family support and quality of life (p = 0.005, r = 0.365). Health workers are expected to develop health education which is not only needed for type 2 DM patients but also their families in order to realize optimal quality of life. Index Terms— family support, quality of life, self-care, type 2 DM

Download Full-text

The burden of care, quality of life and depression in relatives of patients with serious mental illness treated at Lentegeur Hospital

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v24i0.1312 ◽

2018 ◽

Vol 24 ◽

Author(s):

Sihle Nhlabathi ◽

John Parker ◽

Bonginkosi Chiliza ◽

Lebogang Phahladira

Keyword(s):

Quality Of Life ◽

Mental Illness ◽

Caregiver Burden ◽

Psychosocial Support ◽

Subjective Evaluation ◽

Care Quality ◽

Burden Of Care ◽

Cross Sectional ◽

Symptoms Of Depression

Background: The association between caregiver burden, quality of life and depression in patients with mental illness in a resource-limited setting is underresearched. Factors associated with caregiver burden may be amenable to intervention.Aim: To describe the level of caregiver burden and its association with quality of life and depression.Methods: The cross-sectional study was carried out in a psychiatric hospital in the Cape Flats, which is an urban area on the periphery of Cape Town. Data were collected from 104 caregivers of patients attending the outpatients service. Caregiver burden was measured using the Zarit Burden Interview questionnaire. The PHQ-9 questionnaire was to screen and measure severity of symptoms of depression. The WHOQOL-BREF was used to measure the subjective evaluation of the quality of life.Results: Most caregivers were female (76.92%), and caregivers were mild to moderately stressed (mean ZBS score 33.38 ± 21.59) and experienced moderate depression (mean PHQ-9 score). These effects were significantly associated with quality of life in psychological and social domains.Conclusion: Caring for patients with mental illness can lead to immense physical and psychological distress, leading to poor quality of life. Strategies that may reduce the burden of care may include improving the patients’ quality of life and addressing psychosocial support, and clinicians should consider screening for symptoms of depression in caregivers.

Download Full-text

Palliative Care Professionals’ Inner Lives: Cross-Cultural Application of the Awareness Model of Self-Care

Healthcare ◽

10.3390/healthcare9010081 ◽

2021 ◽

Vol 9 (1) ◽

pp. 81

Author(s):

Amparo Oliver ◽

Laura Galiana ◽

Gustavo de Simone ◽

José M. Tomás ◽

Fernanda Arena ◽

...

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Structural Equation ◽

Self Care ◽

Equation Modeling ◽

Professional Quality Of Life ◽

Good Reliability ◽

Cross Sectional ◽

Professional Quality

Compassionate professional qualities traditionally have not received the most attention in either critical or end of life care. Constant exposure to death, time pressure and workload, inadequate coping with personal emotions, grieving, and depression urge the development of an inner curricula of competences to promote professional quality of life and compassionate care. The COVID-19 pandemic highlights the universality of these problems and the need to equip ourselves with rigorously validated measurement and monitoring approaches that allow for unbiased comparisons. The main objective of this study was to offer evidence on the generalizability of the awareness model of self-care across three care systems under particular idiosyncrasy. Regarding the sample, 817 palliative care professionals from Spain, Argentina, and Brazil participated in this cross-sectional study using a multigroup structural equation modeling strategy. The measures showed good reliability in the three countries. When testing the multigroup model against the configural and constrained models, the assumptions were fulfilled, and only two relationships of the model revealed differences among contexts. The hypotheses posited by the awareness model of self-care were supported and a similar predictive power on the professional quality of life dimensions was found. Self-care, awareness, and coping with death were competences that remained outstanding no matter the country, resulting in optimism about the possibility of acting with more integrative approaches and campaigns by international policy-makers with the consensus of world healthcare organizations.

Download Full-text