scholarly journals Effects of informal nursing care on quality of life in elderly patients with stroke complicated with functional dyspepsia at home: A mediating role based on frailty and depression

2020 ◽  
Vol 28 (5) ◽  
pp. 184-188
Author(s):  
Yuan-Hua Jiang ◽  
Jia Fu ◽  
Yu-Hua Fang
2017 ◽  
Vol 27 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Yumiko Aruga ◽  
Ayako Saito ◽  
Yuji Aoki

Some patients with severe dysphagia need to undergo percutaneous endoscopic gastrostomy (gastrostomy feeding), which improves nutrition but leads them to feel they are not living like human beings. The KT (Kuchi-kara Taberu, or ingesting orally in Japanese) index was developed in order to comprehensively assess and intervene in problems with eating and swallowing. We present three cases where the KT index improved quality of life after gastrostomy feeding. Through continued nursing care using the KT index, the patient in Case 1 was able to eat orally again; the patient in Case 2 could eat a piece of jelly and communicate a little; and the patient in Case 3 was able to ingest a small amount of food orally, with support from her husband. Thus, the feeding support provided by the KT index radar chart improves quality of life, even after the implementation of gastrostomy feeding. Further studies are needed to investigate how the KT index best helps elderly patients with severe dysphagia live like human beings while taking into account the perspectives of patients and their family members.


Author(s):  
Medvedev D.S. ◽  
Yushkova I.D. ◽  
Sevrukov V.V. ◽  
Makarenko S.V.

The results of a study aimed at assessing the potential use of millimeter therapy in the treatment of anxiety in elderly patients are presented. The aim of the study was to assess the potential use of millimeter therapy in the treatment of anxiety in elderly patients. Materials and methods. A comparative study of the effectiveness of EHF-therapy in the treatment of elderly patients with anxiety, against the background of chronic forms of coronary heart disease in the form of angina of tension of the first-third functional classes and arterial hypertension of the first or second degree of the fourth class of risk of cardiovascular complications. The total number of patients was 92 people. (men – 44, women – 48). Patients were divided into 2 groups. Patients of the clinical observation group (n = 45) during treatment of the main somatic disease additionally received EHF-therapy sessions, patients of the control group (n = 47) received only drug therapy for the somatic disease and phytotherapeutic drugs to alleviate anxiety symptoms. To assess the dynamics of anxiety and quality of life, a brief questionnaire SF-36 was used. Results and discussion. Before treatment, patients in the main group had reduced quality of life indicators on the scales: general health (GH) by 31.3 ± 2.0 points, role-based functioning (RP) - by 24.2 ± 3.1 points, pain (P) - by 20.6 ± 4.2 points, physical functioning (PF) - by 23.8 ± 2.0 points, vitality (VT) - by 26.1 ± 4.2 points, psychological health (MH) - by 37 , 8 ± 3.8 points, role-based emotional functioning (RE) - by 30.6 ± 3.5 points and social functioning (SF) - by 32.2 ± 2.1 points. At the end of treatment, there was a positive trend in the quality of life. It was noted that with concomitant alarming symptoms of cardiovascular pathology, the severity of cardiac pain syndrome was significantly (p < 0.05) compared with the value of the indicator before treatment, and indicators of physical and social functioning increased. Findings. It is shown that the inclusion of millimeter therapy in the treatment of anxiety in elderly patients with cardiovascular pathology contributes to a significant improvement in symptoms and quality of life. The inclusion of millimeter therapy in treatment programs improves their effectiveness, which consists in reducing the severity of anxiety symptoms in older people, and increases resistance to stress factors by forming an adequate behavioral stereotype.


2017 ◽  
Vol 63 (5) ◽  
pp. 776-779
Author(s):  
Galina Tkachenko ◽  
Irina Gladilina ◽  
Aleksandra Stepanova ◽  
Anna Potapova ◽  
Anatoliy Antonov ◽  
...  

The paper presents results of clinical and psychological studies of the quality of life of elderly patients with prostate cancer following radiation therapy. Socio-psychological aspects of the quality of life were assessed using a modified scale of self-evaluation of Dembo-Rubinstein. In 3-6 months after radiation therapy there was noted significant reduction, compared to the beginning of treatment, on scales: «satisfaction with communication», «satisfaction with health», «satisfaction material conditions», «satisfaction with sexual relations», «satisfaction with activity», «satisfaction with leisure time and rest». Average indices of scales «satisfaction with health», «satisfaction with sexual relations», «satisfaction with leisure time and rest» fell below the middle. At the same time patients were not depressed by their situation did not fixed on thoughts about the disease, on the contrary the mood was significantly higher compared to the initial course of radiotherapy that could be associated with the psychological characteristics of the age of the patients in our sample.


2016 ◽  
Vol 9 (4) ◽  
pp. 878-883 ◽  
Author(s):  
Mahshid Borumandpour Gholamabbas Valizadeh ◽  
Alizallah Dehghan ◽  
Alireza Poumarjani ◽  
Maryam Ahmadifar

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