The Effect of a 12-Week Intradialytic Exercise on Patients’ Blood Indices, Physical Performance, and Quality of Life

2020 ◽  
Vol 10 (6) ◽  
pp. 1429-1435
Author(s):  
Ji-Yeon Lee ◽  
Seung-Hui Baek ◽  
Yoon-Mi Lee ◽  
Ji-Hyung Cho ◽  
Jun-Chul Kim ◽  
...  

This study aims to examine the effect of a 12-week intradialytic exercise program on patients’ blood indices, physical performance, and quality of life. Forty-six outpatients who were diagnosed with end-stage renal failure by a nephrologist and received hemodialysis therapy for six months or longer were recruited. The data were analyzed using SPSS and Kruskal-Wallis test was employed to analyze the continuous variables. Among blood indices, Hematocrit decreased significantly after aerobic and complex exercise; hemoglobin dropped only after complex exercise; P and Ca×P increased for a considerable amount only after complex exercise, but the postexamination results show no significant difference. As for physical performance, sit-to-stand (STS)-5 decreased with resistance and complex exercise (p < .01), while there was a significant increase in STS-30 after aerobic, resistance, and complex exercise (p < .01). 6-minute walk test (MWT) grew significantly in all groups (p < .01), but alongside gait speed, and grip strength, it diminished significantly in the non-exercise group (p< .05). When it comes to SF-36, there was a significant rise in the physical component score (PCS) (p< .01) with resistance and complex exercise. In the meantime, mental component summary (MCS) went up significantly after all types of exercises (p < .01). In contrast, Beck depression inventory (BDI) showed a significant decline only with complex exercise (p < .01). To sum up, this study suggests intradialytic complex exercise appears to be effective in enhancing Short Form (SF)-36 and BDI as well as physical performance, which is why we recommend this type of complex exercise program for hemodialysis patients.

2008 ◽  
Vol 26 (16) ◽  
pp. 2754-2760 ◽  
Author(s):  
Carrie A. Karvonen-Gutierrez ◽  
David L. Ronis ◽  
Karen E. Fowler ◽  
Jeffrey E. Terrell ◽  
Stephen B. Gruber ◽  
...  

Purpose The purpose of this study was to examine whether quality of life (QOL) scores predict survival among patients with head and neck cancer, controlling for demographic, health behavior, and clinical variables. Patients and Methods A self-administered questionnaire was given to 495 patients being treated for head and neck cancer while they were waiting to be seen for a clinic appointment. Data collected from the survey included demographics, health behaviors, and QOL as measured by Short Form-36 (SF-36) physical and mental component scores and the Head and Neck QOL scores. Clinical measures were collected by chart abstraction. Kaplan-Meier plots and univariate and multivariate Cox proportional hazards models were used to determine the association between QOL scores and survival time. Results After controlling for age, time since diagnosis, marital status, education, tumor site and stage, comorbidities, and smoking, the SF-36 physical component score and three of the four Head and Neck QOL scales (pain, eating, and speech domains) were associated with survival. Controlling for the same variables, the SF-36 mental component score and the emotional domain of the Head and Neck QOL were not associated with survival. Conclusion QOL instruments may be valuable screening tools to identify patients who are at high risk for poor survival. Those with low QOL scores could be followed more closely, with the potential to identify recurrence earlier and perform salvage treatments, thereby possibly improving survival for this group of patients.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ning Gao ◽  
Kun Fu ◽  
Jinghua Cai ◽  
Hao Chen ◽  
Wei He

AbstractThis study has analyzed 41 patients with mandibular ameloblastoma who underwent a partial mandibulectomy and reconstruction by folding the free fibular flap. In the preoperative and postoperative (6 months and 24 months after surgery), the Quality of Life (QOL) of these patients was assessed by using the University of Washington Quality of Life Questionnaire (UW-QOL) and the medical outcome study short form-36 (SF-36) questionnaires. SPSS 20.0 statistical software was used to conduct statistical analysis on the base data of the two groups of patients. Independent sample t test was conducted for sf-36 and UW-QOL scores at two time points in each group. The SF-36 survey showed that body pain (54.54 ± 8.10), general health (55.27 ± 7.54), and health changes (58.29 ± 9.60) decreased significantly at 6 months after surgery, but the mean score at 24 months after surgery all exceeded the preoperational level. At 24 months after the surgery, the vitality (80.41 ± 3.74), social function (81.61 ± 4.07), emotional role (82.39 ± 4.07), psychological health (81.66 ± 4.37) and total score (704.00 ± 31.53) all returned to the preoperative level, which was statistically significant compared with 6 months after surgery. However, there was no significant difference compared with the preoperative level. The UW-QOL survey showed that chewing (56.68 ± 7.23), speech (54.54 ± 7.7) and taste (62.29 ± 10.15) have significantly changed at 6 months after the surgery, and the difference was statistically significant at 24 months after surgery. Saliva generation decreased slightly (80.76 ± 3.35) at 6 months after surgery, but quickly returned to the preoperative level (81.59 ± 4.06). The total score of the patients almost recovered to the preoperative level at 24 months after surgery. The folded the fibular flap can not only repair the defects of soft tissue and bone tissue, but also restore the height of the alveolar ridge to, avoid the imbalance of crown and root ratio after implantation and reduce the occurrence of peri-implant inflammation, so that a true functional reconstruction can be realized.


2008 ◽  
Vol 36 (05) ◽  
pp. 815-826 ◽  
Author(s):  
Mei-Chi Hsu ◽  
Tsai-Shu Wang ◽  
Ya-Ping Liu ◽  
Chi-Feng Liu

The purpose of this study was to evaluate the effects of Baduanjin exercise on oxidative stress, antioxidant status and quality of life in middle-aged women. A quasi-experimental design was adopted. Subjects were 31 middle-aged women. Subjects completed a supervised and standardized Baduanjin exercise program 3 times a week for 12 weeks. Malondialdehyde (MDA) level was measured and determined by using a spectrophotometer for oxidative stress. The superoxide dismutase (SOD) was measured for the antioxidant status. A 36-item Short Form Health Survey (SF-36) was used to evaluate changes in quality of life. All outcome measures were collected before intervention and at the end of a 12-week intervention. The results suggest that there are significant differences in serum SOD level with Baduanjin exercise. SOD level was significantly increased after exercise ( p < 0.05). Baduanjin exercise contributed significantly to antioxidant status on these samples. However, a reduction in MDA level was observed. The t-test value was 2.03 with a p-value of 0.052. The changes may be meaningful at a 5% level. There are significant improvements in quality of life after the exercise program. Subjects had greater improvements in 4 dimensions of SF-36, namely physical function, body pain, social function and general mental health ( p < 0.05). In conclusion, Baduanjin exercise has beneficial effects on improving quality of life, increasing antioxidant enzymes and reducing oxidative stress in middle-aged women. Reduction of MDA level may be more attributable to the increase in the antioxidant enzyme SOD.


2017 ◽  
Vol 34 (4) ◽  
pp. 337-343 ◽  
Author(s):  
Gislene C. Erbs ◽  
Marco F. Mastroeni ◽  
Mauro S. L. Pinho ◽  
Álvaro Koenig ◽  
Geonice Sperotto ◽  
...  

Purpose: To assess how preexisting disabling comorbidities (DC) affect the recovery rate of quality of life (QOL) over time in sepsis survivors. Methods: A prospective study was conducted on sepsis survivors who answered the 36-Item Short Form Health Survey (SF-36) 7 days after discharge from the intensive care unit. Subsequent interviews were held at 3, 6, and 12 months. The results of the physical component score (PCS) and mental component score (MCS) of the SF-36 were evaluated. Patients were divided into 2 groups to compare patients with DC (DC group) and without DC (no-DC group). Quantile regression was used to model changes in PCS and MCS between different time points. Results: Seventy-nine sepsis survivors were enrolled. After controlling for baseline age and QOL, the QOL scores were lower among patients with DC than in no-DC patients. The QOL of DC group got worse when compared to no-DC group. Recovery rate of PCS and MCS was higher in the DC group than in the no-DC group (PCS: 20.51 vs 16.96, P < .01; MCS: 19.24 vs 9.66, P < .01). Their baseline QOL was recovered only by 6 months after the sepsis episode. Conclusion: Quality-of-life impairment and its recovery rhythm in patients with sepsis appear to be conditioned by coexisting DC.


2016 ◽  
Vol 53 (3) ◽  
pp. 203-205 ◽  
Author(s):  
Danusa ROSSI ◽  
Lucas Homercher GALANT ◽  
Claudio Augusto MARRONI

ABSTRACT Background Fatigue is a common complaint in patients with liver disease and may be considered a disabling symptom, affecting their quality of life and mental health. The Brazilian version of the Fatigue Severity Scale showed sensitivity to assess fatigue in some populations, but has not been tested in cirrhotic individuals. Objective The aim of this study was to evaluate the reliability of the Fatigue Severity Scale and association with depression and quality of life in patients with liver cirrhosis. Methods A prospective cohort study where the same interviewer applied to 25 patients Fatigue Severity Scale questionnaires, Brazilian version of the Beck Depression Inventory II (BDI- II) and Brazilian version of the Short Form Health Survey II (SF-36 v.II). Evaluating the reliability of the Fatigue Severity Scale through internal consistency and reproducibility was conducted. Results Statistical analysis showed strong internal consistency (Cronbach's alpha = 0.917) and intraobserver reproducibility test, there was no significant difference between both moments (P=0.828). Fatigue Severity Scale was significantly associated with BDI- II (r=0.478; P=0.016) and quality of life in areas PF (r=-0.484; P=0.014), BP (r=-0.402; P=0.046) and GH (r=-0.406; P=0.044) and SF (r=-0.520; P=0.008). Conclusion The Fatigue Severity Scale showed satisfactory reliability in evaluation of fatigue in cirrhotic and can be used as a tool for this purpose. Fatigue is related to depression and quality of life in the physical aspects domains, pain, general health and social aspects.


2013 ◽  
Vol 4 (2) ◽  
pp. 10-17
Author(s):  
SM Nurul Irfan ◽  
Md. Mahbubur Rahaman ◽  
Abu Noman ◽  
Sangita Mithun

This descriptive type of cross sectional study was carried out among purposively selected 90 coronary artery bypass graft operated patients attended at cardiovascular surgery out patient department of combined military hospital, Dhaka from 01 March 2012 to 30 June 2012 with the objective to assess the quality of life by using the RAND Medical Outcomes Short Form 36 (SF- 36) questionnaire. The population studied had a mean age of 54.60 years with 92.2% were male and 7.8% were female. Most of the respondents were retired (43.3%) followed by service personnel (38.9%). Regarding educational qualification, most of them were between class VIII to SSC and 95.6% were Muslim. The mean monthly income of the respondents was Tk. 18127.78. The findings showed that post CABG respondents possessed a good level of QOL with an average score of 86.0921. The mental components score (87.8571) was found to be higher than physical component score (84.9153). It was found that the association between age and physical functioning domain of physical component was statistically significant (r= -.189*, p<0.05) and association between all other domains (role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) were statistically not significant. The study also revealed a negative correlation of total quality of life with age but positive correlation with other socio demographic characteristics (level of income, education and occupation) though all of the relations were statistically not significant. No statistically significant difference revealed with the different domains of quality of life and socio demographic characteristics. In regards to the monthly income, highest score noted in Tk. 10000-30000 income groups in all the domains. Respondents' occupation showed significant difference with the general health domain (F= 3.456, p <0.05) and physical component summary (F= 2.969, p <0.05) of the SF- 36 items. The education level showed significant difference with the physical functioning of physical component domain (F= 2.675, p <0.05). The findings showed that the highest score was for HSC education in both the components of quality of life. The post CABG respondents possessed a good level of QOL with good mental components score than physical component score. It is also revealed from the study that with increasing age the physical functioning of the patient decreases. From the study it depicts that higher education, better occupation and good monthly income of the respondents have better quality of life out come than that of others. Study on larger sample size may be carried out for more accurate results on quality of life after CABG operation. Anwer Khan Modern Medical College Journal Vol. 4, No. 2: July 2013, Pages 10-17 DOI: http://dx.doi.org/10.3329/akmmcj.v4i2.16918


2021 ◽  
Vol 9 (E) ◽  
pp. 156-160
Author(s):  
Mona Hamdy ◽  
Iman Hassan Draz ◽  
Inas Talaat El Sayed ◽  
Azza Ali Fahmy Ayyad ◽  
Marwa Rashad Salemd

AIM: This paper aimed at assessing the quality of life (QoL) among beta (β)-thalassemia major patients using the short-form-36questionnaire (SF-36) and determining the factors associated with it. METHODS: A cross-sectional study was conducted among β-thalassemia major patients who were attending the hematology outpatient clinic at Cairo University Hospital using the consecutive sampling technique. Data were collected between October 2016 and March 2017. The QoL was assessed for patients aged ≥17 years. During the study period, a total number of 112 patients were included for participation. RESULTS: The mean age of the studied group was 18.32 ± 1.33 years. Most of the included patients (93.63%) had 1 monthly blood transfusion. The mean total score of SF-36 was 44.90 ± 7.54. Among the QoL domains of the studied patients, the “general health perception” domain was the most affected one with a mean score of (add the value of the score here), while the “vitality” domain was the least affected one. No statistically significant difference was reported between males and females regarding different QoL domains except for the “vitality” domain which mean score was significantly higher in males compared to females (p = 0.05). The age at onset of the disease and at first blood transfusion was the most documented factors to be positively correlated with the QoL among the studied patients. CONCLUSION: This study revealed that the QoL in thalassemia major patients is compromised. QoL assessment should be performed for all thalassemia patients to determine and implement the necessary interventions that focus on the affected domains.


2021 ◽  
Author(s):  
Dragana Maric ◽  
Dragana Jovanovic ◽  
Ljudmila Nagorni Obradovic ◽  
Tatjana Adzić Vukicevic ◽  
Spasoje Popevic ◽  
...  

Abstract The purpose: In context of forthcoming implementation of palliative care in Serbia we aimed to evaluate and compare the quality of life (QoL) and depressive symptoms level of chronic obstructive pulmonary disease (COPD) and non-small cell lung cancer (NSCLC) caregivers and to analyze the impact of demographic and socioeconomic factors as well as the correlation of patients' quality of life with the quality of life of caregivers.Methods: A cross-sectional survey of 200 caregivers and the patients they care for was undertaken in a three-year period. The Medical Outcomes 36-item Short Form Health Survey (SF-36) (Serbian version) was used to measure caregivers and patient’s health-related quality of life and Standard 21-item Beck Depression Inventory (BDI) was given to each study participant (patient and caregiver) in order to explore feelings and attitudes relating to general depressive status. Data were analyzed using appropriate statistical methods.Results of our study did not show a significant difference in most QoL domains and depressive symptoms of the two caregiver groups, but it did show a difference in the domain of general health (GH) and physical health (PHC) measured by the SF-36 (p=0.003 and p=0,038, respectively) in COPD caregivers. Conclusion: Particularly vulnerable caregiver group, the one that cared for patients with COPD, perceived their own general and physical health significantly worse compared to NSCLC caregivers. More depressed caregivers and those with a longer duration of unemployment (regardless of the disease type) reported poorer quality of life and represented a groups with greater support needs.


Author(s):  
Kyoung-Sim Jung ◽  
Jin-Hwa Jung ◽  
Hyung-Soo Shin ◽  
Jae-Young Park ◽  
Tae-Sung In ◽  
...  

The purpose of this study was to evaluate the effects of wrist stabilization exercise combined with taping on wrist pain, disability, and quality of life in postpartum women with wrist pain. Forty-five patients with wrist pain were recruited and randomly divided into three groups: wrist stabilization exercise + taping therapy (WSE + TT) group (n = 15), wrist stabilization exercise (WSE) group (n = 15), and control group (n = 15). The WSE + TT and WSE groups performed wrist stabilization exercises for 40 min (once a day, five times a week for eight weeks), and the control group performed passive range of motion (P-ROM) exercise for the same amount of time. Additionally, the WSE + TT group attached taping to the wrist and forearm during the training period. The visual analogue scale (VAS) was used to assess pain level of the wrist. The Disabilities of the Arm, Shoulder and Hand (DASH) and the Short Form-36 (SF-36) were used to evaluate the degree of wrist disability and quality of life, respectively. The WSE + TT group showed a significant decrease in wrist pain and functional disability compared to two groups (p < 0.05). Significant improvement in the SF-36 score was observed in the WSE + TT and WSE groups compared to that in the control group (p < 0.05). However, there was no significant difference between the WSE + TT and WSE groups in the SF-36. Our findings indicate that wrist stabilization exercise combined with taping is beneficial and effective in managing wrist pain and disability in postpartum women with wrist pain.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Simon Henry Pålsson ◽  
Ib Rasmussen ◽  
Patrik Lundström ◽  
Johanna Österberg ◽  
Gabriel Sandblom

Background. Assessment of gallstone surgery’s impact on quality of life (QoL) requires a reliable instrument with sufficient responsiveness. The instrument should also enable estimation of each individual’s expected condition in an unaffected state. Materials and Methods. The Swedish Register for Gallstone Surgery and ERCP (GallRiks) registers indications, complications, results, and QoL-outcome of gallstone surgery. In 2008, 68 hospitals were registered in GallRiks. Between 2007 and 2008, SF-36 (a short form health survey) was filled in 1-2 weeks pre- and 6–9 months postoperatively at five of the units. Expected scores were determined from an age- and gender-matched Swedish population (AGMSP). Results. Of the 330 patients, 212 responded to SF36 pre- and postoperatively (RR = 64%; 212/330). Standardized response means ranged from 0.20 to 0.93 for the SF-36 subscores. Highest responsiveness was seen for bodily pain. Preoperatively, all subscores were significantly lower than in the AGMSP (all ). Six months postoperatively, there was no significant difference between any of the observed and expected quality of life subscales. Conclusion. SF-36 is a useful instrument for measuring the impact of gallstone surgery on QoL. The postinterventional health status equalled or even exceeded the AGMSP for all subscales.


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