scholarly journals Problems experienced by mothers in postpartum period and their associations with quality of lifeAnnelerin doğum sonunda yaşadıkları sorunlar ve yaşam kalitesi ile ilişkisi

2016 ◽  
Vol 13 (2) ◽  
pp. 3266 ◽  
Author(s):  
Sinem Bağcı ◽  
Kamile Altuntuğ

This study was conducted to determine the relationship between problems regarding mothers’ own care in the postpartum period and baby care, and quality of life. Sample size of the study conducted in descriptive type was found to be 176. Mothers consulting Family Health Centers (FHC) in the 4-6 weeks postpartum were taken in the sample group in the province of Konya.To collect data, a 21-item questionnaire formed by the researcher and Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL) were used. The mean scale of the mothers’ (MAPP-QOL) was lower among those who experienced trouble bathing, among those who experienced trouble nourishing, among those who experienced trouble dealing with emotionality, among those who experienced trouble in the care of the perineum, among those who experienced trouble in breast care, among those who experienced trouble breastfeeding, and among those who experienced trouble in the care of other children than the ones who did not experience any trouble. The difference between mothers’ having trouble or not in their own self-care in the postpartum period and MAPP-QOL mean scores was found statistically significant (p<0.05).MAPP-QOL mean scores of mothers was determined lower among those who experienced trouble in their baby’s sucking, among those who experienced trouble in their baby’s sleeping, among those who experienced trouble in their baby’s among those who experienced trouble in their baby’s umbilical cord care, among those who experienced trouble in their baby’s gas pain, among those who experienced trouble in their baby’s skin care and dressing, among those who experienced trouble in their baby’s following of the vaccination than among those who did not experience trouble. The difference between mothers’ having trouble or not in baby care in the postpartum period and MAPP-QOL mean scores was found statistically significant (p<0.05). It was seen that the quality of life score of mothers not experiencing trouble in baby care was higher.It was indicated that mothers encountered many troubles in their own care and infant care in the postpartum period, and so those troubles experienced affected adversely the  quality of life of mothers in the postpartum period. When nursing care for the prevention of these factors includes appropriate support and training, both mother and baby’s health is protected and developed and compliance with the process of mother is facilitated, and it will raise the quality of life of mother in the postpartum period. ÖzetBu çalışma doğum sonu dönemdeki annelerin kendi bakımları ve bebek bakımına yönelik yaşanan sorunlar ve yaşam kalitesi ile ilişkisini belirlemek amacıyla yapılmıştır. Tanımlayıcı türde yapılan çalışmanın örnek büyüklüğü belirlenerek 176 olarak bulunmuştur. Konya il merkezinde Aile Sağlık Merkezlerine (ASM) başvuran doğum sonu 4-6 haftalarında olan anneler örneklem grubuna alınmıştır.Verilerin toplanmasında araştırmacı tarafından oluşturulan 21 soruluk anket formu ve Doğum Sonu Yaşam Kalitesi Ölçeği kullanılmıştır (DSYKÖ). Annelerin DSYKÖ puan ortalamasının, banyo yapmada sorun yaşayanlarda, beslenmede sorun yaşayanlarda, duygusal baş etmede sorun yaşayanlarda, perine bakımında sorun yaşayanlarda, meme bakımında sorun yaşayanlarda, emzirme sorunu yaşayanlarda ve diğer çocukların bakımında sorun yaşayanlarda düşük olduğu, sorun yaşamayanlarda yüksek olduğunu saptanmıştır. Annelerin doğum sonu dönemde kendi öz bakımlarında sorun yaşayıp yaşamaması ile DSYKÖ puan ortalamaları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p<0,05).Annelerin DSYKÖ puan ortalamalarının, bebeğinde emme sorunu yaşayanlarda, bebeğinde uyku sorunu yaşayanlarda, bebeğin göbek bakımında sorun yaşayanlarda, bebeğinde gaz sancısı sorunu yaşayanlarda, bebeğin cilt bakımı ve giydirilmesinde sorun yaşayanlarda, bebeğinin aşılarının takibinde sorun yaşayanlarda, sorun yaşamayanlara göre daha düşük olduğu saptanmıştır. Annelerin doğum sonu dönemde bebek bakımında sorun yaşayıp yaşamaması ile DSYKÖ puan ortalamaları arasındaki fark istatistiksel olarak anlamlı bulunmuştur (p<0,05). Bebek bakımında sorun yaşamayan annelerin yaşam kalitesi puanının daha yüksek olduğu görülmüştür.Doğum sonu dönemdeki annelerin kendi bakımları ve bebek bakımında birçok sorunla karşılaştıkları, yaşanan bu sorunların annelerin doğum sonu yaşam kalitesini olumsuz etkilediği belirlenmiştir. Bu faktörlerin önlenmesine yönelik hemşirelik yaklaşımının; uygun destek ve eğitimi içermesi, hem anne, bebek sağlığı korunup geliştirilmesi hem de annenin doğum sonu sürece uyumunu kolaylaştıracak ve doğum sonu yaşam kalitesini yükseltecektir.

Author(s):  
Rory Hachamovitch ◽  
Brian Griffin ◽  
Alan Klein ◽  
Benjamin Nutter ◽  
Irene Katzan ◽  
...  

Background. Patients (pts) diagnosed with congestive heart failure (HF) have been reported to have more frequent depression and worsened health related quality of life (HRQOL). Although depression is more common in women than men in this condition, the impact of HF on depression and HRQOL in men versus women is unclear. We sought to examine the relationship between pt sex, HF diagnosis, and pt-perceived depression and HRQOL. Methods. Depression (PHQ-9) and HRQOL (EQ5D) data were collected using tablet computers from pts presenting for routine outpatient cardiovascular assessment at our institution between November, 2010 and December, 2011. Demographic, clinical, and historical data was collected as per routine. We examined the association of pt sex and clinical diagnosis of HF with instrument results after adjusting for potential confounding information using mutliple linear regression. Results. Of 3046 pts (age 61±15), 39% were female and 8.7% were diagnosed with HF. Overall, PHQ-9 was greater, and minor or major depression (PHQ-9≥10) was more frequent, in women than men (4.6±4.6 vs. 3.3±4.4; 14.0% vs. 8.9%, both p<0.05) and in HF pts than pts without HF (5.9±5.6 vs. 3.6±4.3, 22.0% versus 9.6%; both p<0.05). Similarly, HRQOL was worse in women than men (EQ-5D 0.80±0.18 vs. 0.87±0.16; p<0.01) and in HF pts than no HF (EQ-5D 0.76±0.18 vs. 0.85±0.17; p<0.01). However, the difference in PHQ-9 between pts with versus without HF was greater in men (6.23±6.06 vs. 3.02±4.06, p<0.01) than women (5.43±4.85 vs. 4.55±4.58, p=0.09). After adjusting for cardiovascular diagnoses, comorbidities, clinical and demographic data, multivariable modeling of PHQ-9 revealed a significant interaction between pt sex and HF diagnosis (p=0.001; see Figure) such that women had greater PHQ-9 scores compared to men without HF, but in the setting of HF, mens' PHQ-9 scores were greater. Modeling of EQ-5D also revealed that after risk-adjustment an interaction between HF diagnosis and sex was present with a similar pattern of findings. Conclusion. Although depression is more frequent and severe in women compared to men, and in pts with versus without HF, HF appears to impact depression severity more in men compared to women.


2020 ◽  
Vol 11 (4) ◽  
pp. 43
Author(s):  
Monefah Al-Shammari ◽  
Amani Khalil

Background and objective: Breast cancer is the most common malignancy among women worldwide, diagnosis and treatment and the months following primary therapy associated with different psychological symptoms that affect quality of life (QoL) in most women with breast cancer. The aim of this study was to identify the relationship between depression and quality of life QoL among Saudi women with breast cancer.Methods: Design: This is a descriptive, cross-sectional study. Methods: A convenience sample of 370 women with breast cancer was recruited from the out-clinic in King Faisal Specialist Hospital \& Research Center (KFSH&RC). Data were collected using self-report tools derived from the Patient-Reported Outcomes Measurement Information System (PROMIS) Emotional Distress-Depression-Short Form; the EORTC quality of life questionnaire (QLQ) (EORTC QLQ-C30, v.3.0 and EORTC QLQ-BR23); and from the Demographic and Clinical Data Sheet.Results: The correlation between depression and global health status with functioning subscales for the women was negative (Pearson’s r = -.357, p < .001; r = -.368, p < .001); whereas a positive correlation was found between depression and symptom subscales, together with its items.Conclusions: This study shows that depression is associated with QoL among Saudi women diagnosed with breast cancer. Therefore, depression affects upon QoL among the breast cancer population. However, enhancement of mental health statuses and psychological interventions helps to reduce the severity of depression and improves health related QoL among this population.


2020 ◽  
Vol 15 (5) ◽  
Author(s):  
Colin Lundeen ◽  
Jonathan R.Z. Lim ◽  
Kymora B. Scotland ◽  
Reza Safaee Ardekani ◽  
Kristina L. Penniston ◽  
...  

Introduction: Health-related quality of life (HRQOL) is decreased in patients with kidney stones at all stages of stone disease, even when asymptomatic. Stress is thought to contribute to HRQOL, although there has been minimal investigation into the effect of stress on stone-related quality of life (QOL). We used the Wisconsin Stone Quality of Life Questionnaire (WISQOL) to assess the relationship of stress to stone-related QOL in kidney stone patients. Methods: As part of the WISQOL Research Consortium, patients were approached in outpatient clinics and completed the WISQOL and the Perceived Stress Scale 10-item questionnaire (PSS-10). Patients with stones at enrollment were divided into those with symptoms and those without, while patients with no current stones formed another group. Questionnaire scores from each group were compared statistically and correlations between the groups were calculated. Results: Patients (n=704) were enrolled from six centers. The WISQOL successfully discriminated between patients with current stones and those without (p<0.0001), while the PSS-10 did not (p=0.0869). The PSS-10 revealed patients with symptomatic kidney stones experienced higher levels of general stress than asymptomatic subjects (p<0.0001). However, a Pearson correlation test comparing the responses from each instrument revealed no overall correlation between general stress and HRQOL (r=0.05). Conclusions: Symptomatic kidney stones increase general stress, as these patients demonstrate higher PSS-10 scores. Despite this, no correlation exists between general stress and stone-related QOL in patients with stone disease regardless of their stone and symptom status. This implies the existence of other factors impacting QOL in these patients, which warrants further exploration.


2013 ◽  
Vol 29 (10) ◽  
pp. 648-653 ◽  
Author(s):  
Mong-Loon Kuet ◽  
Tristan RA Lane ◽  
Muzaffar A Anwar ◽  
Alun H Davies

Objectives This work was presented as a poster in the American Venous Forum 25th Annual Meeting; 28 February 2013; Phoenix, Arizona, USA. Quality of life (QoL) is an important outcome measure in the treatment for chronic venous disease. The Aberdeen Varicose Vein Questionnaire (AVVQ) and the ChronIc Venous Insufficiency quality of life Questionnaire (CIVIQ-14) are two validated disease-specific QoL questionnaires in current use. The aim of this study is to evaluate the relationship between the AVVQ and the CIVIQ-14 to enable better comparison between studies and to compare these disease-specific QoL tools with generic QoL and clinician-driven tools. Methods Adults attending our institution for management of their varicose veins completed the AVVQ, CIVIQ-14 and EuroQol-5D (EQ-5D). Clinical data, CEAP classification and the Venous Clinical Severity Score (VCSS) were collected. The relationship between the AVVQ and CIVIQ-14 scores was analysed using Spearman’s correlation. The AVVQ and CIVIQ-14 scores were also analysed with a generic QoL tool (EQ-5D) and a clinician-driven tool, the VCSS. Results One hundred patients, mean age 57.5 (44 males; 56 females), participated in the study. The median AVVQ score was 21.9 (range 0–74) and the median CIVIQ-14 score was 30 (range 0–89). A strong correlation was demonstrated between the AVVQ and CIVIQ-14 scores ( r = 0.8; p < 0.0001). Strong correlation was maintained for patients with C1-3 disease ( r = 0.7; p < 0.0001) and C4-6 disease ( r = 0.8; p < 0.0001). The VCSS correlated strongly with the AVVQ and CIVIQ-14 scores ( r = 0.7; p < 0.0001 and r = 0.7; p < 0.0001, respectively). Both the AVVQ and CIVIQ-14 scores correlated well with the EQ-5D score ( r = −0.5; p < 0.0001 and r = −0.7; p < 0.0001, respectively). Conclusions This study demonstrates that there is good correlation between two widely used varicose vein specific QoL tools (AVVQ and CIVIQ-14) across the whole spectrum of disease severity. Strong correlation exists between these disease-specific QoL tools and generic and clinician-driven tools. Our findings confirm valid comparisons between studies using either disease-specific QoL tool.


2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18613-18613 ◽  
Author(s):  
J. Pardo ◽  
A. Mena ◽  
A. Monleon ◽  
V. Macias ◽  
J. Sole ◽  
...  

18613 Background: Anorexia is a common and major problem in cancer patients. Its ethiology is multifactorial and has negative effects on pts QoL. Up to 30% of non-metastasic lung cancer pts receiving radiotherapy will develop anorexia during treatment. We conducted a randomized trial comparing the efficacy of two different doses of MA. The results of the first 130 pts included, presented at ASCO 2003, indicated that MA at doses of 600 mg/day is significantly more effective in the treatment of anorexia in these pts than low doses (320 mg/day) of MA. Here we present the results of the quality of life sub-study which purpose is to evaluate the effect of reversing anorexia in pts health related quality of life (HRQOL). Methods: From February 1999 to April 2003, 160 non-mestastatic lung cancer pts who developed anorexia during radiotherapy were randomized to receive either 320 mg/day or 600 mg/day of MA. All pts who developed anorexia filled up the EuroQuol (EQ-5D) quality of life questionnaire before treated with MA and the responders did it again when appetite was regained. The endpoint was improvement in pts HRQOL (defined as an increase > 5 mm in the EQVAS score between the second and first questionnaires). Results: The analysis of the EuroQuol (EQ-5D) questionnaires of the 131 pts who responded to treatment with MA shows that 106 pts (81%) had an improvement > 5 mm in the EQVAS score while 19 % did not. The difference is statistically significant (Binomial test: p < 0.0001). Regarding differences between the two series, 42 pts improved in the 320 mg arm versus 64 in the 600 mg arm which is not statistically significant (Fisher test: p = 0.501). Conclusions: Our results indicate that reversal of anorexia with MA has a clinically significant improvement in HRQOL in non-metastatic lung cancer pts undergoing radiation therapy. The absence of statistically significant differences between the two series may be due to the sample size. [Table: see text] No significant financial relationships to disclose.


2021 ◽  
Vol 8 (06) ◽  
pp. 5463-5468
Author(s):  
Ruchika Kalra ◽  
Bhavna Anand ◽  
Shubh Shree ◽  
Himani Chauhan ◽  
Harshita Sharma

Background: Cancer is one of the lifestyle diseases which in years have multiplied the patients into numbers in every country and on the graph in inclination depending on the factors of our lifestyle and genetic mutation leading to this disease. Studies have proved that effect of cancer is more on the quality of life for the patient in all aspects of his or her life. Objectives: The objective of the study was to find the relationship between quality of life and physical activity in the cancer patients. Search Methods: Survey questionnaire was given by google forms where the Quality-of-life questionnaire with the FACT- G form for physical activity. Selection criteria:  The criteria were males and females of 40 years and above patients with the cancer in any stage and able to understand English. Data collection and analysis: There were 63 patients as sample for study, proceeded with the consent of 40 years and above with different types and stages of cancers. The analysis created the relation of cancer to depending upon the stage of it and associating the physical activity with quality of life. Main Results: The statistical analytical tool for finding correlation was Pearson correlation coefficient creating labelling the QOL at X value and FACT-G at Y value creating the positive correlation in the study with the value of is 0.7563. Authors’ conclusions:  Authors came with the conclusion that there is correlation between quality of life and physical activity and are directly proportional as one value decrease so as in other and vice-versa.


Author(s):  
Amara Iqbal ◽  
S. Farhana Kazmi

The aim of the present study was to ascertain the difference between adolescents belonging to only child family and adolescents belonging to number of siblings. To main objectives of the study were to examine that the difference between self esteem, quality of life and personality type of adolescents belonging to only child family and the association between the self esteem, quality of life and personality type of adolescents belonging to only child family. Population of the present study comprised of hundred (N=100) participants. The sample included fifty (n=50) (only child) adolescent who is the only child of their biological parents and fifty (n=50) adolescents having number of siblings studying in different schools, colleges and universities of Abbottabad, Mansehra, and Haripur. Urdu version of “Riffai Self esteem inventory”, “World health organization quality of life questionnaire” and Eysenck personality questionnaires (2007) were used for data collection. t-test was used to analyze the data. Finding showed that that there is a difference between the scores of participants who were the single child of their parents and subject belonging to number of children family.


Author(s):  
Thị Hồng Chuyên Nguyễn

ASSESSING THE RELATIONSHIP OF NUTRITIONAL STATUS TO THE QUALITY OF LIFE OF CANCER PATIENTS RECEIVING CHEMOTHERAPY AT THE ONCOLOGY DEPARTMENT OF HUE COLLEGE OF MEDICINE AND PHARMACY Background: Cancer is the second leading cause of death globally as well as in Vietnam. Chemotherapy is a systemic treatment with chemical drugs. Chemotherapy often causes many problems related to physical, mental and toxicity, which have an effect on the quality of life and nutritional status of patients. While malnutrition has been shown to be common in cancer patients, its impacts on the patient's quality of life have not been adequately studied, especially in Vietnam. Objective: To evaluate the quality of life of cancer patients receiving chemotherapy. To determine the relationship of nutritional status to the quality of life in these patients. Methods: A cross-sectional study was conducted on 82 patients with cancer during a chemotherapytreatment at the Department of Oncology, Hue College of Medicine and Pharmacy from February 2018 to February 2019. Assessing the quality of life by the Quality of Life Questionnaire of the European Organizationfor Research and Treatment of Cancer (EORTC QLQ-C30). Descriptive statistics and test Chi-square and Fisher exact were performed to analyze the quality of life parameters and the relationship between nutritional status and quality of life. Results: A total of 82 subjects were included in this study, 51 subjects (62.20%) were males and 31 subjects (37.80%) were females, the mean age was 58.98 ± 12.52. The most common type of cancer is gastrointestinal cancer (37.80%), the highest stage of cancer is stage 4 (56.10%), symptomatic chemotherapy accounts for the highest rate with 53.70% and the average number of chemotherapy cycles is 4.00 ± 3.68. The study shows that the meanglobal health status is 50.00 ± 16.89, the best quality of life score is in the field of cognitive function with 83.33 points, the worst quality of life score is in the symptoms field of insomnia and in the financial difficulties with 66.67 points. Results from Chi-square and Fisher Exact analysis test revealed a statistically significant association between the risk of malnutrition according to SGA classification and the role functioning offunctional scales (p <0.05). Conclusions: The quality of life of cancer patients is generally good. The nutritional status affects the quality of life in the field of role function. Keywords: Quality of life, cancer, chemotherapy.


2015 ◽  
Vol 8 (7) ◽  
pp. 110 ◽  
Author(s):  
Somaye Ansari Moghadam ◽  
Zohre Abdollahi ◽  
Sirous Risbaf Fakour ◽  
Alireza Ansari Moghaddam ◽  
Farin Kiany ◽  
...  

<p><strong>BACKGROUND:</strong> Periodontal diseases, such as periodontitis, are considered the main cause of tooth loss in the elderly.The present study is aimed to determine the relationship between periodontal condition and quality of life. Quality of life consists of a range of people’s objective needs related to the self-perception of well-being.</p><p><strong>METHODS:</strong> This study was done from January 2014 to June 2015 in a healthcare clinic in Zahedan, southeast Iran. Using the random sampling method, the researchers enrolled 700 individuals over 35 years of age. The participants initially completed a demographic questionnaire consisting of data, such as age, sex, educational level, and smoking habit. Then, the periodontal chart was completed. Moreover, patients, based on the number of their natural teeth, were divided into two groups (≥10 teeth in both maxillary and mandible arches and &lt;10 teeth in at least one arch). The body mass index (BMI) was also measured.To assess the participants’ general health, the WHO’s quality of life questionnaire (WHOQOL-BREF) was used.</p><p><strong>RESULTS: </strong>Of the 700 enrolled individuals, 53.3% were womenand 47.7% were men. Moreover, most of the participants (63.71%) had BMI of less than 25 and 68% did not smoke.We found that as the people’s periodontal status deteriorated, their quality of life also declined and the total mean score in all four health domains decreased (P&lt;0.001)<strong>.</strong>Moreover, people with more than 10 teeth in both arches scored higher with respect to life quality than those with less than 10 teeth in at least one arch (P&lt;0.001).</p><p><strong>CONCLUSION: </strong>This studyindicates a decrease in the general quality of life in patients with periodontal disease.The authors suggest performing studies with larger sample sizes andcohort studies for more reliable results.</p>


2009 ◽  
Vol 67 (2a) ◽  
pp. 203-208 ◽  
Author(s):  
Paula Scalzo ◽  
Arthur Kummer ◽  
Francisco Cardoso ◽  
Antonio Lucio Teixeira

BACKGROUND: Depression has been proposed as a major contributor to poor quality of life (QoL) in Parkinson's disease (PD). OBJECTIVE: To evaluate the relationship between depressive symptoms and QoL in subjects with PD. METHOD: Beck Depression Inventary (BDI) was used to evaluate depressive symptoms and Parkinson's Disease Quality of Life Questionnaire (PDQ-39) to assess the perception of the QoL. RESULTS: Thirty seven patients (19 male/ 18 female) with a typical onset PD and mean disease duration of 7.7 years were studied. Higher scores on BDI correlated with poorer perception of the QoL. This association occurred at the expense of the following PDQ39 domains: mobility, activities of daily living, social support, cognition and emotional well-being dimensions. PD severity also correlated with QoL. CONCLUSION: Our study corroborates the assumption that depressive symptoms contributed significantly to QoL in PD.


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