Abstract 2866: The Ross-Yacoub Operation For Aneurismal Autograft Roots: A Strategy To Preserve Autologous Pulmonary Valves And Normal Quality Of Life

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Giovanni Battista Luciani ◽  
Francesca Viscardi ◽  
Mara Pilati ◽  
Maria Antonia Prioli ◽  
Giuseppe Faggian ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pulmonary Valve ◽  
Nyha Class ◽  
Root Diameter ◽  
Ross Procedure ◽  
Cross Sectional ◽  
Uncomplicated Pregnancy ◽  
Valve Insufficiency ◽  
Valve Sparing

Background: Prevalence of autograft dilatation late after the Ross procedure is increasing. To define feasibility and outcome of autograft valve-sparing root reoperation, a 14-year clinical experience was reviewed. Methods: One-hundred-twenty-five late survivors after the Ross procedure (7.0±1.9, 0.5–14 years) had cross-sectional clinical and echocardiographic examination. End-points were freedom from autograft dilatation (Ø>4 cm), from root reoperation, from root replacement and functional outcome after valve-sparing reoperation. Results: Autograft dilatation was found in 33 (26%) patients (freedom of 46±12% at 14 years):12 (10%) patients had aortic aneurysm (>5.0 cm). Age at Ross was 22.6±8.8 years, diagnosis was AI in 9, AS in 1, mixed in 2; 10 had bicuspid aortic valve and 3 prior cardiac operations. All, but one (cylinder inclusion), had undergone root technique. Risk factors for root reoperation were younger age (p=0.04), prior operation (p=0.01), root technique (p=0.001). Nine of 12 had reoperation for aneurysm at 7.8±1.8 years after the Ross procedure, 3 are scheduled. During this study, 2 additional patients underwent root reoperation 12.6 years after Ross procedure done abroad. Two patients had root replacement and 9 (82%) remodelling with autograft-valve preservation (7 Yacoub, 2 sinotubular junction/ascending aorta): all survived. Severe AI, but not root diameter, was associated with failure to preserve the valve (p=0.015). Fourteen-year freedom from root reoperation was 80±8% and from full root replacement 96±3%. Up to 6 years (mean 3.1±1.5) after reoperation, all pts are in NYHA class I and medication-free: 8/9 patients have mild AI or less, while 1 required valve replacement 51 months after remodeling. One patient carried out an uncomplicated pregnancy 3 years after Ross-Yacoub operation. Conclusions: Root reoperation with pulmonary valve preservation is feasible in most patients with autograft aneurysm, allowing for maintenance of normal quality of life. Referral of patients with dilated root for surgery prior to onset of severe valve insufficiency increases likelihood of pulmonary valve-sparing. Mid-term functional behaviour of remodelled autograft roots is rewarding, however continued observation is warranted.

Abstract 16304: Readiness for Physical Activity in Patients With Heart Failure

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Elena Marques-Sule ◽  
Luis Almenar ◽  
Pallav Deka ◽  
Dola Pathak ◽  
Raquel López-Vilella ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Heart Failure ◽  
Self Efficacy ◽  
Nyha Class ◽  
Analysis Of Covariance ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Patients With Heart Failure

Introduction: Little attention has been given to assessing the physical readiness and psychological readiness (motivation & self-efficacy) in patients with heart failure (HF). The aim of this study is to explore the readiness for PA (physical and psychological) in patients with HF and factors related. Method: A cross-sectional study with 163 patients included (mean age 66±16, 50% female, 63% NYHA I, 37% NYHA II) assessing background and clinical data, physical activity (IPAQ-s), depression and anxiety (HADs), quality of life (SF36). Readiness for PA was assessed with physical readiness based on the PA Readiness Questionnaire (PAR-Q) and psychological readiness was measured with the Exercise Self-efficacy Scale (ESES) and motivation with the Motivation for PA and Exercise/ Working Out questionnaire (RM 4-FM). Correlational analyses were done to explore the relationship between physical readiness and psychological readiness and factors related. A multivariate analysis of covariance was done to test the effect of categorical variables on readiness for PA. Results: Of the patients, 64% were not physically ready in becoming more physically active (n=105), 80% of the patients reported low self-efficacy (n=129), 45% (n=74) were extrinsically motivated for change and 55% (n=89) had primarily internal factors that motivated. Physical readiness and psychological readiness were highly correlated with each other. There was a statistically significant higher readiness for PA based on lower age (p < 0.01), male gender (p < 0.01), lower time since diagnose (p < 0.01), being married (p < 0.01), higher educational level (p < 0.01), lower NYHA-class (p = 0.04), lower BMI (p < 0.01), not having COPD (p < 0.01), higher quality of life (p < 0.01) and lower experience of anxiety symptoms (p = 0.03). Conclusions: A prudent first step in fitness assessments and exercise prescription process is the determination of readiness for PA. Along with screening for any physical limitations, it is also important to screen for psychological readiness for engaging in PA. Our findings may assist healthcare providers who are dealing with patients with HF to modify current and develop new practices related to risk reduction as screening readiness for PA before entering PA programs.

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

Glittre ADL test in eutrophic, overweight and obese elderly

2020 ◽  
Vol 21 (1) ◽  
pp. 49
Author(s):  
Augusto Baumhardt Guidoti ◽  
Ângelo Pereira Cattani ◽  
Cintia Laura De Araujo ◽  
Fernanda Beatriz Costa Delacoste ◽  
Guilherme Scotta Hentschke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Elderly Women ◽  
Handgrip Strength ◽  
Exercise Intolerance ◽  
World Health ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
World Health Organization Quality

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.­­­

Kualitas Hidup Pasien Pascaintervensi Koroner Perkutan

1970 ◽  
Vol 2 (1) ◽  
Author(s):  
Remita Ully Hutagalung ◽  
F Sri Susilaningsih ◽  
Ai Mardiyah
Keyword(s):  
Quality Of Life ◽  
Percutaneous Coronary Intervention ◽  
Heart Disease ◽  
College Education ◽  
Coronary Intervention ◽  
Health Condition ◽  
Cross Sectional ◽  
Percutaneous Coronary ◽  
Environment Domain

Penyakit jantung koroner adalah penyakit yang dapat mengancam kehidupan seseorang. Pelaksanaan tindakan non bedah intervensi koroner perkutan pasien masih memiliki risiko terjadinya serangan berulang, stenosis dan ancaman kematian. Tujuan penelitian ini adalah mengidentifikasi kualitas hidup pasien pascatindakan intervensi koroner perkutan. Desain penelitian ini adalah potong lintang. Pengambilan sampel secara consecutive samplingdidapatkan 50 responden yaitu pasien yang sedang kontrol pascaintervensi coroner per kutan di Poliklinik Spesialis Jantung RSUP Dr. Hasan Sadikin Bandung, penelitian ini dilakukan pada 1-14 November 2013. Kualitas hidup diukur dengan instrumen WHOQOL-BREFdengan empat domain kualitas hidup yaitu domain fisik, psikologis, sosial, dan lingkungan. Analisis menggunakan statistik deskripsi. Hasil penelitian menunjukkan bahwa responden memiliki kualitas hidup baik sebesar 50%. Perawat memiliki peran dalam membantu pasien mencapai kualitas hidup yang optimal, diantaranya melalui peningkatan efikasi diri pasien melalui pendampingan dan pemberian informasi dalam usaha mencapai kualitas hidup.Kata kunci:Intervensi koroner perkutan, kualitas hidup, WHOQOL-BREF AbstractCoronary heart disease is a disease that can threaten person’s life, and can lead to the change of the quality of life. This coronary heart disease can be solved with non-surgical called percutaneous coronary intervention. This action will be normalized the quality of perfusion in the coronary arteries, which would certainly have an impact on the quality of life of patients. The research objective was to observe the patient of quality of life after treatment on intervention percutaneous coronary. The research design was cross sectional. There were 50 respondents taken by consecutive sampling. Data were collected in outpatient room in RSUP Dr. Hasan Sadikin Bandung, who have came with treatment routine schedule after percutaneous coronary intervention during November 1st–14th 2013. The questionnaire use WHOQOL-BREF format with 26 questions that consisting of 4 domains of quality of life: physical domain, psychological domain, social domain, and environment domain. Majority of patients were male (74 %), with the range of age mostly 56-66 years ( 34 % ), married ( 96 % ), college education was the highest ( 66 % ), the majority had not a primary job like as housewife , retired, student, etc. ( 26 % ). Data were collected using the questionnaire WHOQOL – BREF. The result have shown that rates of quality of life was good ( 50 % ) and health condition after percutaneous coronary intervention neither satisfied nor dissatisfied ( 44 % ). Nurses have a role in helping patients achieve optimal quality of life like giving information to patient correctlyKey words: Percutaneous coronary intervention, quality of life, WHOQOL – BREF

HUBUNGAN EFIKASI DIRI DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

2018 ◽  
Vol 5 (2) ◽  
pp. 56-63
Author(s):  
Abdul Wakhid ◽  
Estri Linda Wijayanti ◽  
Liyanovitasari Liyanovitasari
Keyword(s):  
Quality Of Life ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Efficacy ◽  
Healing Process ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Kolmogorov Smirnov

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.

OSTEOPOROSIS AND RISK FACTORS IN THE PATIENTS ON CHRONIC HEMODIALYSIS

2015 ◽  
pp. 50-58
Author(s):  
Thi Dung Nguyen ◽  
Tam Vo
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Bone Density ◽  
Region Of Interest ◽  
Cross Sectional Study ◽  
Chronic Hemodialysis ◽  
Cross Sectional ◽  
X Ray ◽  
Density Reduction

Background: The patients on hemodialysis have a significantly decreased quality of life. One of many problems which reduce the quality of life and increase the mortality in these patients is osteoporosis and osteoporosis associated fractures. Objectives: To assess the bone density of those on hemodialysis by dual energy X ray absorptiometry and to examine the risk factors of bone density reduction in these patients. Patients and Method: This is a cross-sectional study, including 93 patients on chronic hemodialysis at the department of Hemodialysis at Cho Ray Hospital. Results: Mean bone densities at the region of interest (ROI) neck, trochanter, Ward triangle, intertrochanter and total neck are 0.603 ± 0.105; 0.583 ± 0.121; 0.811 ± 0.166; 0.489 ± 0.146; 0.723 ± 0.138 g/cm2 respectively. The prevalences of osteoporosis at those ROI are 39.8%, 15.1%; 28%; 38.7%; and 26.9% respectively. The prevalences of osteopenia at those ROI are 54.8%; 46.3%; 60.2%; 45.2% and 62.7% respectively. The prevalence of osteopososis in at least one ROI is 52.7% and the prevalence of osteopenia in at least one ROI is 47.3%. There are relations between the bone density at the neck and the gender of the patient and the albuminemia. Bone density at the trochanter is influenced by gender, albuminemia, calcemia and phosphoremia. Bone density at the intertrochanter is affected by the gender. Bone density at the Ward triangle is influenced by age and albuminemia. Total neck bone density is influenced by gender, albuminemia and phosphoremia. Conclusion: Osteoporosis in patients on chronic hemodialysis is an issue that requires our attention. There are many interventionable risk factors of bone density decrease in these patients. Key words: Osteoporosis, DEXA, chronic renal failure, chronic hemodialysis

PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Social Activities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

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