scholarly journals EDUCATIONAL INTERVENTIONS IN IMPROVING QUALITY OF LIFE FOR HYPERTENSIVE PEOPLE: INTEGRATIVE REVIEW

2020 ◽  
Vol 29 ◽  
Author(s):  
Ricardo Costa da Silva ◽  
Flaviana Vieira ◽  
Karina Suzuki ◽  
Agueda Maria Ruiz Zimmer Cavalcante
Keyword(s):  
Quality Of Life ◽  
Arterial Hypertension ◽  
Group Technology ◽  
Data Extraction ◽  
Educational Interventions ◽  
Hypertensive Patients ◽  
Analysis Process ◽  
Effective Interventions ◽  
Quasi Experimental

ABSTRACT Objective: to evaluate the effectiveness of educational interventions in improving the quality of life of people with arterial hypertension. Method: an integrative literature review which included studies that conducted educational interventions aimed at the hypertensive public to improve quality of life. The search was performed in the following databases: MEDLINE, LILACS, IBECS, CUMED, BDENF, SciELO and CINAHL, without restriction of language, date and sample size. For this, the following descriptors were crossed: “hipertensão” (hypertension), “educação em saúde” (health education) and “qualidade de vida” (quality of life). 619 articles were retrieved and after the selection and analysis process, a total of 10 made up this review. Data extraction and analysis were performed with the help of validated instruments and the result summarized. Results: Most studies were developed on a quasi-experimental basis, using generic instruments to measure quality of life with significant improvement after educational interventions, with group technology being the most used educational strategy. Just one study used a specific instrument to evaluate hypertensive patients. Conclusion: these results may direct the interventions to be implemented by health professionals in managing arterial hypertension. Further investigations are needed to identify and verify the most effective interventions for hypertensive patients, considering heterogeneous profiles and aiming at improving quality of life.

scholarly journals The Effect of Educational Intervention on Anxiety and Quality of Life Among Individuals Referring to Healthcare Centers in the Face of COVID-19

2021 ◽  
Author(s):  
Fariba Zahedifar ◽  
Zahra Nejatifar ◽  
Sima Rafiei ◽  
Fariba Hashemi
Keyword(s):  
Quality Of Life ◽  
Educational Intervention ◽  
Effect Size ◽  
Knowledge Score ◽  
Educational Interventions ◽  
Anxiety Control ◽  
Small Effect Size ◽  
Quasi Experimental ◽  
Most Significant Change

Educational interventions are helpful strategies to empower communities encountering the threat of pandemics like Covid-19. This study was carried out to examine the effect of educational intervention on anxiety control and improvement in public quality of life. A quasi-experimental study. The study was conducted among individuals referred to healthcare centers of Qazvin province, Iran, in 2020. Given that Qazvin consists of nine urban healthcare centers, two centers were selected by a simple random selection method. After considering inclusion and exclusion mentioned criteria, 240 individuals were selected to participate in the research and were randomly assigned into two groups of experimental and control. Following the educational intervention, all study variables, including knowledge score, anxiety level, and quality of life, improved significantly in the experimental group compared to the pre-intervention phase (P<0.05). The most significant change was in knowledge score with a nearly large effect size (0.63), presenting an increase of 40.09% from 11.1 to 18.8 exactly after intervention and 12.2 after passing one month from the date of educational intervention; while the quality of life presented a 3.2% increase with a small effect size (0.28). Our findings have implications for the development and implementation of psychological interventions, particularly educational programs. During the outbreak, such strategies can empower the public and diminish the negative emotional effects of the pandemic, helping people to cope with the current situation, and decrease the risk of suffering future psychological disorders.  

scholarly journals Comparison of the Effectiveness of Mindfulness-Based Cognitive Therapy and a Quality of Life-Based Therapy on Rumination in Patients With Migraine

2019 ◽  
Vol 4 (2) ◽  
pp. 61-68
Author(s):  
Mohammad Shabani ◽  
Hamid Najat ◽  
Mohammad Reza Saffarian
Keyword(s):  
Quality Of Life ◽  
Cognitive Therapy ◽  
Intrusive Thoughts ◽  
Educational Interventions ◽  
Substantial Improvement ◽  
Control Group ◽  
Response Scale ◽  
Before And After ◽  
Quasi Experimental

Introduction: The effects of mindfulness-based cognitive therapy and quality of life-based therapy on rumination were compared in patient with migraine. The present study also investigated the effectiveness of quality of life-based therapy and mindfulness-based cognitive therapy.Methods: This quasi-experimental study with 3 (2 experimental and one control) groups was carried out with pretest-post test design. The study population consisted of all patients with migraine headache referring to Torbat Heidarie hospitals and clinics from June to July 2018. The samples were 45 patients who were selected by random sampling and then randomly allocated to 2 experimental groups and one control group each with 15 members. One experimental group underwent mindfulness-based cognitive therapy and the other received quality of life based therapy. The control group received no intervention. Research instruments were Ahvaz Migraine Questionnaire and Huksema and Maro’s Ruminative Response Scale. The tools were filled out by the participants before and after the interventions. The data was analyzed in SPSS version 22.Results: The mindfulness-based cognitive therapy and quality of life-based therapy significantly improved rumination in patients with migraine. In addition, the effectiveness of the 2 interventions was not significantly different.Conclusion: The educational interventions based on modifying basic cognitions, replacing negative intrusive thoughts with positive thoughts, and avoiding and neutralizing intrusive thoughts through mindfulness-based cognitive methods and interventions based on improving quality of life resulted in a substantial improvement of rumination and frequent intrusive thoughts. Indeed, changes in cognitive reactions to pain and altering beliefs and expectations are the main mechanisms for improving headache.

scholarly journals Adesão ao tratamento medicamentoso da hipertensão arterial e fatores associados

2018 ◽  
Vol 12 (5) ◽  
pp. 1273 ◽  
Author(s):  
Liane Gack Ghelman ◽  
Mariana Ferreira da Assunção ◽  
Sheila Nascimento Pereira de Farias ◽  
Elaine Franco dos Santos Araujo ◽  
Maria Helena Do Nascimento Souza
Keyword(s):  
Quality Of Life ◽  
Drug Treatment ◽  
Arterial Hypertension ◽  
Hypertensive Patients ◽  
Calidad De Vida ◽  
Clinical Questions ◽  
Nursing Quality ◽  
Consequent Improvement ◽  
Adherence To Therapy

RESUMOObjetivo: identificar o grau de adesão ao tratamento medicamentoso de portadores de hipertensão arterial sistêmica. Método: estudo quantitativo, seccional. Participaram 60 usuários hipertensos atendidos em uma unidade básica de saúde. A coleta de dados foi realizada por meio da aplicação de um questionário baseado no Teste de Morisky-Green acrescido de questões sociodemográficas e clínicas. Resultados: dos 60 hipertensos, 10% apresentavam alta adesão ao tratamento medicamentoso; 46,7%, média adesão e 43,3% apresentaram baixa adesão. A maioria (95%) acreditava ter sido suficientemente informada sobre a HAS e seu tratamento. Os fatores que se mostraram associados à baixa adesão à terapia foram idade menor de 60 anos (p=0,038) e desconforto quando não toma medicação (p=0,023). Conclusão: a adesão ao tratamento medicamentoso para a hipertensão arterial é influenciada por múltiplos fatores, o que revela a necessidade de intervenções individualizadas e inovadoras que contemplem a realidade de cada sujeito, favoreçam a aderência à terapia e a consequente melhoria da qualidade de vida. Descritores: Hipertensão Arterial; Adesão à Medicação; Enfermagem; Qualidade de Vida; Terapia Medicamentosa; Saúde Pública. ABSTRACT Objective: to identify the degree of adherence to the drug treatment of patients with systemic arterial hypertension. Method: quantitative, sectional study. Sixty hypertensive patients cared for at a basic health unit, participated. Data collection was carried out through the application of a questionnaire based on the Morisky-Green Test plus sociodemographic and clinical questions. Results: of the 60 hypertensive patients, 10% had high adherence to drug treatment; 46.7%, mean adherence and 43.3% presented low compliance. The majority (95%) believed to have been sufficiently informed about SAH and its treatment. The factors that were associated with low adherence to therapy were age less than 60 years (p = 0.038) and discomfort when not taking medication (p = 0.023). Conclusion: adherence to drug treatment for arterial hypertension is influenced by multiple factors, which reveals the need for individualized and innovative interventions that contemplate the reality of each subject, favor adherence to therapy and the consequent improvement of quality of life. Descriptors: Arterial Hypertension; Adherence to Medicine; Nursing; Quality of Life; Drug Therapy; Public Health.RESUMENObjetivo: identificar el grado de adhesión al tratamiento medicamentoso de portadores de hipertensión arterial sistémica. Método: estudio cuantitativo, seccional. Participaron 60 usuarios hipertensos atendidos en una unidad básica de salud. La recolección de datos se realizó a través de la aplicación de un cuestionario basado en la prueba de Morisky-Green acrecidos de las cuestiones socio-demográficas y clínicas. Resultados: de los 60 hipertensos, 10% presentaba alta adhesión al tratamiento medicamentoso; 46,7%, media adhesión y 43,3% presentaron baja adhesión. La mayoría (95%) creía haber sido suficientemente informada sobre la HAS y su tratamiento. Los factores que se mostraron asociados a la baja adhesión a la terapia fueron edad menor de 60 años (p = 0,038) y molestias cuando no toma medicación (p = 0,023). Conclusión: la adhesión al tratamiento medicamentoso para la hipertensión arterial es influenciada por múltiples factores, lo que revela la necesidad de intervenciones individualizadas e innovadoras que contemplan la realidad de cada sujeto, favorezcan la adherencia a la terapia y la consecuente mejoría de la calidad de vida. Descriptores: Hipertensión Arterial; Adhesión a la Medicación; Enfermería; Calidad de Vida; Tratamiento Farmacológico; Salud Publica.

The Quality of Life Improvement in Patients with Type 2 Diabetes in West of Iran in 2014, an Educational Intervention Study

2017 ◽  
Vol 24 (2) ◽  
pp. 101-109 ◽  
Author(s):  
Parisa Shabibi ◽  
Peiman Shabibi ◽  
Mostafa Qorbani ◽  
Babak Rastegarimehr ◽  
Omid Safari ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Rural Areas ◽  
Social Role ◽  
Age Groups ◽  
Educational Interventions ◽  
Quasi Experimental ◽  
Student Test

Abstract Background and aims: Diabetes is considered as the most prevalent disease due to metabolic disorders. This study aimed to determine the effect of an educational on the quality of life) QOL( in patients with type 2 diabetes mellitus (T2DM ). Material and methods: This quasi-experimental study was conducted in the form of a pre-test/post-test with intervention. The statistical sample of this study included 70 patients with type 2 diabetes living in the rural areas in the city of Ilam (west of Iran). The data were analyzed using the SPSS software version 20 via descriptive statistics, paired t-student test, independent samples t-student test, and ANOVA. Results: Except social role functioning, all aspects of QOL significantly increased after intervention (p<0.001). Regardless of age groups, gender, and educational level the QOL scores increased at follow -up (p<0.001). Conclusions: Education to patients with type 2 diabetes leads to increased means of all dimensions of QOL that reflect the effects of educational interventions on each domain.

ARTERIAL HYPERTENSION AND COMORBIDITY (REVIEW)

2020 ◽  
Vol 2 (1) ◽  
pp. 9-13
Author(s):  
Irina Agababyan ◽  
◽  
Shukhrat Ziyadullaev ◽  
Jamshid Ismailov
Keyword(s):  
Quality Of Life ◽  
Metabolic Syndrome ◽  
Arterial Hypertension ◽  
The Metabolic Syndrome

Today, hypertension is considered by many authors within the framework of the manifestation of the metabolic syndrome. It has been established that in persons with hypertension in 60% of cases, various variants of MS are found. In addition, hypertension is a factor that reduces the quality of life of patients, especially those with comorbid pathology

Clinical case of a comorbid patient with arterial hypertension

2020 ◽  
pp. 31-39
Author(s):  
Ella Polozova ◽  
Vsevolod Skvortsov ◽  
Olga Radaykina ◽  
Mariya Narvatkina ◽  
Anastasiya Seskina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Arterial Hypertension ◽  
Clinical Picture ◽  
Clinical Case ◽  
Diagnosis And Treatment ◽  
The Moment

The widespread prevalence of comorbid pathology determines the relevance of this problem. Comorbid pathology due to the interaction of diseases, drug pathomorphism, age characteristics of the patient, significantly changes clinical picture and course of the main nosology, affects severity of complications and their nature, significantly affects quality of life and prognosis of patients. Diagnosis and treatment of many diseases is complicated in the conditions of comorbidity. The article presents a clinical case of a comorbid patient with arterial hypertension from the moment of exposure to risk factors and ending with the formation of many concomitant diseases, as an example of trans-nosological comorbidity.

Assessment of the quality of life in the treatment approaches of patients with the comorbid course of arterial hypertension and metabolic disorders aimed at reducing cardiovascular risk

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
V Zlatkina ◽  
V Shkapo ◽  
A Nesen ◽  
T Starchenko
Keyword(s):  
Quality Of Life ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Arterial Hypertension ◽  
Metabolic Disorders ◽  
Clinical Signs ◽  
Blood Analysis ◽  
Sf 36 ◽  
Artery Disease

Abstract Funding Acknowledgements Type of funding sources: None. Introduction. Cardiovascular diseases (CVD) remain the leading cause of premature death worldwide. According to epidemiological studies CVD prevention is highly effective. A 50% reduction in mortality from coronary artery disease (CAD) is associated with exposure to risk factors and only 40% with improved treatment. Purpose.  To assess the quality of life (QOL) in patients with arterial hypertension (AH) and metabolic disorders, to establish its impact on therapy effectiveness. We examined 280 patients with AH and comorbidity - 171 women and 109 men aged 45-75 years. Along with AH, all patients had comorbidities: 72.6 % suffered from coronary artery disease (CAD), 10.5% after myocardial infarction (MI), 35 % had clinical signs of heart failure (HF), 22, 1% - type 2 diabetes mellitus (t2DM), 27.4% - chronic kidney disease (CKD). Methods. Anthropometry, blood pressure (BP) measurement, immunoassay (C-reactive protein), biochemical blood analysis (lipid, carbohydrate metabolism parameters, QOL determination (questionnaire Sf-36). Results. In patients with comorbidity of pathologies (presence of AH, t2DM, CKD, CAD, obesity), there was a decrease in assessments in almost all indicators of QOL, and especially significant limitations in the performance of daily activities due to both physical and mental state. Conclusion. The degree of AH in patients with t2DM decreased QOL of physical activity, role-physical functioning, pain and general health, reflecting physical health, as well as mental health, including vitality, social activity, role emotional functioning. T2DM in patients with AH significantly worsens QOL of this category of patients as in physical component summary and mental component summary. The indicators of QOL are significantly affected by the duration of t2DM, as well as the degree of compensation. Achievement of the target BP levels in patients with AH with t2DM shows an improvement in a number of QOL parameters and makes it possible to recommend the Sf-36 questionnaire as a criterion for the effectiveness of the therapy.

The effectiveness of hope-fostering interventions in palliative care: A systematic review and meta-analysis

2021 ◽  
pp. 026921632199472
Author(s):  
Natalia Salamanca-Balen ◽  
Thomas V Merluzzi ◽  
Man Chen
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Palliative Care ◽  
Meta Analysis ◽  
Symptom Burden ◽  
Well Being ◽  
Medium Effect ◽  
Spiritual Well Being ◽  
Quasi Experimental

Background: The concept of hope is an important theme in chronic illness and palliative care and has been associated with increased psycho-spiritual well-being and quality of life. Psycho-spiritual interventions have been described in this population, but no systematic review of hope-enhancing interventions or hopelessness-reducing interventions has been conducted for persons with palliative care diseases. Aim: To describe and assess the effectiveness of interventions in palliative care that measure hope and/or hopelessness as an outcome. Design: This systematic review and meta-analysis was pre-registered (Prospero ID: CRD42019119956). Data sources: Electronic databases, journals, and references were searched. We used the Cochrane criteria to assess the risk of bias within studies. Results: Thirty-five studies (24 randomized controlled trials, 5 quasi-experimental, 6 pre-post studies) involving a total of 3296 palliative care patients were included. Compared with usual/standard cancer care alone, interventions significantly increased hope levels at a medium effect size ( g = 0.61, 95% confidence interval (CI) = 0.28–0.93) but did not significantly reduce hopelessness ( g = −0.08, 95% CI = −0.18 to 0.02). It was found that interventions significantly increase spirituality ( g = 0.70, 95% CI = 0.02–1.37) and decrease depression ( g = −0.29, 95% CI = −0.51 to −0.07), but had no significant effect over anxiety, quality of life, and symptom burden. Overall, quality of evidence across the included studies was rated as low. Conclusions: Evidence suggests that interventions can be effective in increasing hope in palliative care patients.

scholarly journals Diabetes knowledge, risk perception, and quality of life among South Asian caregivers in young adulthood

2020 ◽  
Vol 8 (2) ◽  
pp. e001268
Author(s):  
Angela Koipuram ◽  
Sandra Carroll ◽  
Zubin Punthakee ◽  
Diana Sherifali
Keyword(s):  
Quality Of Life ◽  
Risk Perception ◽  
South Asian ◽  
Online Survey ◽  
Educational Interventions ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Design And Methods

IntroductionPersons of South Asian descent have a higher prevalence of type 2 diabetes mellitus (T2DM). The management of T2DM in the South Asian community has required the support of adult children, potentially impacting the quality of life, diabetes-related knowledge, and risk perception among these caregivers.Research design and methodsTo investigate diabetes-related knowledge, quality of life, risk perception, and actual risk of developing diabetes among South Asian young adults whose parents are living with T2DM. A cross-sectional study was conducted (n=150). An online survey was administered. Data were analyzed with descriptive and inferential statistics.ResultsThere was a statistically significant difference in diabetes-related knowledge between males and females (p<0.001). Males (in comparison to females) had a lower risk perception of developing diabetes (p=0.06). Further, risk perception and diabetes-related knowledge were positively associated with caregiver’s physical health (p=0.002).ConclusionFindings highlight the importance of providing gender-specific and culturally tailored diabetes educational interventions.

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