scholarly journals Knowledge, attitude and behaviour of women towards abnormal menstrual bleeding and its impact on quality of life

2017 ◽  
Vol 6 (10) ◽  
pp. 4291
Author(s):  
Binti R. Bhatiyani ◽  
Shrikant V. Dhumale ◽  
Pandeeswari B.
Keyword(s):  
Quality Of Life ◽  
Social Life ◽  
Current Knowledge ◽  
Tertiary Care ◽  
Hormonal Treatment ◽  
Menstrual Bleeding ◽  
Attitudes And Beliefs ◽  
Tertiary Care Centre ◽  
Group A

Background: Abnormal menstrual bleeding has a major impact on a woman's quality of life. Any intervention therefore should aim to improve this rather than focusing on the amount of menstrual blood loss. The aim of this study was to gain an in depth understanding of women’s current knowledge, attitudes and beliefs around abnormal menstrual bleeding. Also, to understand how it affects their lives, while identifying current misconceptions and gaps in knowledge and their expectations and attitudes towards the treatment so that treatment can address their most bothersome complaint.Methods: A total of 200 women, between 18-55 years of age, not on any hormonal treatment attending the gynaecology OPD at a tertiary care centre between Jan 2017 to May 2017 were interviewed by a questionnaire. Women who had undergone hysterectomy were excluded from the study.Results: Of the 200 women interviewed, 49 women felt that their bleeding was heavy and formed the heavy menstrual bleeding group (HMB) while 151 women who perceived their bleeding to be normal formed the normal bleeding group. In the (HMB) group, a significantly greater proportion of women identified their menstrual bleeding as being an inconvenience and a disruption to their lives. HMB also significantly affected their relationships, social life and productivity at work place.Conclusions: Despite its common occurrence, awareness and understanding of HMB and its treatment within the survey population was poor.

scholarly journals Comparative study on effect of oral hypoglycemics and insulin treatment on quality of life among diabetic subjects

2017 ◽  
Vol 4 (5) ◽  
pp. 1246
Author(s):  
Harish Kumar S. ◽  
Srinivasa S. V. ◽  
Prabhakar K.
Keyword(s):  
Quality Of Life ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Physical Domain ◽  
Tertiary Care Centre ◽  
Social Domain ◽  
Insulin Group ◽  
Oral Hypoglycemics ◽  
Oral Group

Background: Diabetes is a chronic non-communicable disease with variable presentation and complications. It is well known that over a period of time complications sets in and causes substantial decrease in the patient’s quality of life (QoL). QoL domains plays and important factor in prediction of outcome of diabetic treatment. Hence this study was conducted with the objectives to find the difference in quality of life (QoL) domains in diabetics on oral hypoglycaemic agents and Insulin.Methods: Longitudinal Study was undertaken in tertiary care centre, for duration of 6 months. Type 2 Diabetics on treatment with oral hypoglycemics and Insulin were included in the study. Socio - demographic profile, laboratory investigations were collected using structured and pretested questionnaire. Quality of life was assessed by WHOQOL-BREF. SPSS 22 version, EPI Info and Open EPI software were used for Statistical analysis. Chi-square and Students t-test were the statistical tests.Results: 59 diabetic subjects were included in Oral and insulin group respectively. Mean age of oral hypoglycemics was 59.6±8.7 years and Insulin group was 61.4±8.2 years. Age and gender were matched between two groups. Glycemic profile was significantly higher in Oral group than in Insulin group. Physical domain was significantly higher (better) in oral group than in Insulin group. Psychological and Social domain was significantly higher (better) in Insulin group. Hence QoL is affected by type of hypoglycaemic agent used among diabetics.Conclusions: Quality of life with respect to physical domain was reduced in Insulin group, were as psychological and social domain was reduced in Oral group.

scholarly journals A clinico-epidemiological study of psoriasis patients with moderate to severe plaque type in tertiary care centre in South India

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Suganya Sekar ◽  
Samuel J. Daniel
Keyword(s):  
Quality Of Life ◽  
Family History ◽  
Age Of Onset ◽  
Tertiary Care ◽  
Positive Family History ◽  
Severe Psoriasis ◽  
Tertiary Care Centre ◽  
Plaque Type ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Psoriasis is a chronic disorder with the most common manifestation being the plaque-type. Nearly 20% of the plaque type suffer from a disease of moderate to severe intensity with immense effect on the quality of life. Aim was to study the clinical, socio-economic and demographic characteristics of patients with moderate to severe plaque type of psoriasis.</p><p class="abstract"><strong>Methods:</strong> This was an observational study conducted in about fourty patients diagnosed with moderate to severe plaque type of psoriasis based upon the clinical history, morphology of the lesions and assessed using psoriasis area and severity index (PASI), dermatology life quality index (DLQI) scoring and for comorbidities. Data was compiled and analyzed with statistical package for social science (SPSS) Version 20.0.</p><p class="abstract"><strong>Results:</strong> Mean age was 37.43±10.1 years. 22 were males (55%) and 18 were females (45%). The mean duration was 8.93 years and 15% had family history. The mean age of onset was earlier in the females (20.23 years) with a positive family history, as compared to males (25.36 years). About 62.5% had moderate psoriasis and 37.5% had severe psoriasis. At the baseline the PASI score was 31.98±6.08 and DLQI score was 36. About 67.5% had nail changes and 10% had psoriatic arthritis. Almost in half (47.5%) the duration of the disease was 1 to 5 years and scalp (32.5%) the most common initial site of involvement. Various comorbidities were documented, 72% in moderate psoriasis and 73.33% in severe psoriasis with dyslipidemia (67.5%) being commonest.</p><p class="abstract"><strong>Conclusions:</strong> Patients with moderate to severe psoriasis mostly have a low quality of life with multiple significant co-morbidities that increases the risk for morbidity and mortality.  </p>

scholarly journals Effect of treatment on the quality of life of cervical cancer patients: a prospective study from a tertiary care centre of West Bengal

2019 ◽  
Vol 7 (1) ◽  
pp. 300
Author(s):  
Manisha Sarkar
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Cancer Patients ◽  
West Bengal ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Financial Difficulties ◽  
History Of

Background: Cervical cancer is one of many health care ironies. Better survival rates demand better quality of life (QoL). The aim of present study was to determine the change in QoL of cervical cancer patients due to treatment.Methods: An observational prospective study was conducted from July 2017 to June 2018 among 80 new cervical cancer patients without any prior history of treatment for cervical cancer, attending radiotherapy department of a tertiary care centre of West Bengal using a semi-structured schedule and European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ). Information was collected on socio-demographic and clinical aspects and QoL domains. Those with history of surgery for cervical cancer, advanced stage of disease were excluded. EORTC QLQ was administered at baseline and one month after completion of treatment. Data was analysed by percentage, means±standard deviation, range and Wilcoxon signed rank test etc. using SPSS-16.Results: Only 60 patients could be analysed as 10 patients died and 10 lost to follow-up. After treatment there was a significant improvement in global health, physical, emotional and cognitive functioning as well as decrease in symptoms like fatigue, pain, insomnia, appetite loss and constipation along with worsening of financial difficulties. There was significant improvement in body image, decrease in problems of symptom experience, peripheral neuropathy and menopausal symptoms after treatment.Conclusions: The cervical cancer patients show an overall improvement in their QoL in most of the domains after one month of treatment except worsening of financial difficulties. 

scholarly journals ADHERENCE TO ANTIEMESIS GUIDELINES IN A DAY CARE CHEMOTHERAPY UNIT: EXPERIENCE FROM A TERTIARY CARE CENTRE

2019 ◽  
pp. 1-3
Author(s):  
Arun Philip
Keyword(s):  
Quality Of Life ◽  
Treatment Outcome ◽  
Day Care ◽  
Public Awareness ◽  
Tertiary Care ◽  
Population Based ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Adherence To Guidelines

Among the side effects of cancer therapy, chemotherapy induced nausea and vomiting (CINV) is the most distressing and it affects the quality of life of patients and the treatment outcome. The study was undertaken to audit the adherence to antiemesis guidelines in the day care chemotherapy unit at our centre. Avast majority of our chemotherapies (85%) were high emetic risk regimes. We found that the adherence to anti-emesis guideline was 57%. Among the cases of non adherence, a majority were over-treated (57%). Looking into the reasons of non adherence, we feel the need to evolve our own population based guidelines. Improving public awareness about the toxicities of chemotherapy will help in dispelling unwanted fear of toxicity. Improving awareness about anti-emetic guidelines among clinicians also will play a major role in improving adherence to guidelines and thus improving outcome of therapy.

scholarly journals Quality of life among people living with HIV/AIDS in tertiary care centre of Himachal Pradesh

2020 ◽  
Vol 7 (12) ◽  
pp. 5144
Author(s):  
Sunita . ◽  
D. S. Dhadwal ◽  
Anmol Gupta ◽  
Anjali Mahajan ◽  
Deepesh Barall
Keyword(s):  
Quality Of Life ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
World Health ◽  
Value Systems ◽  
People Living With Hiv ◽  
Tertiary Care Centre ◽  
Living With Hiv ◽  
Hiv Aids

Background: The world health organization (WHO) has defined quality of life as an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. The objective of study was to assess the quality of life among people living with HIV/AIDS by comparison of mean scores of their quality of life in physical, psychological, social and environmental domain.Methods: This cross-sectional study was conducted among PLWHA on ART during 2016-17. Data were collected using WHOQOLHIV‑BREF scale and mean±SD of score was calculated. The difference in mean scores of various domains were analysed using ANOVA test. All variables with p<0.2 on univariate analysis were included in multivariate linear regression model.Results: The total score of QOL was 61.71±9.43. The scores of QOL was highest in physical and lowest in environmental domains with 69.55±12.27 and 57.14±10.61 respectively. 71.25% patients rated their QOL good and only 10% were dissatisfied with their health. Currently ill status was the most associated factor under all except social domain. Males with higher education or living with their spouse had significantly better QOL scores.Conclusions: Being a male, educated, employed in the government sector, belonging to general caste category and living with their married spouse were the factors for their better QOL in comparison to their counterparts. Along with ART, other factors should be taken into consideration to improve QOL of PLWHA.

Sign in / Sign up

Export Citation Format

Share Document