scholarly journals Relationship Between General Health and Health-Related Quality of Life in Educational Hospitals' Nurses in Ahvaz

Author(s):  
Mehdi Rezaei Far ◽  
Farzad Faraji-Khiavi

Background: Nurses face a lot of stress in their jobs, and the quality of life has a significant impact on the quality of their services. Therefore, the purpose of this study was to determine the relationship between general health and the quality of life conditions in nurses working in hospitals affiliated with Jundishapur University of Medical Sciences in Ahvaz. Methods: This cross-sectional descriptive-analytic study was conducted in 2017 on nurses working in educational hospitals in Ahvaz. The sample size was 265. A categorized random sampling was used for the research The collected data were analyzed using mean, standard deviation, independent t-test, ANOVA, regresson and Pearson correlation tests. Data collection tools included the general health questionnaire (GHQ) and the questionnaire on health-related quality of life (HRQOL). Results: Nurses had fairly good general health (23.9 ± 12.4) and their health-related quality of life was moderate (60.29 ± 16.07). Their physical health (63.4 ± 22.5) was found better than their mental health (61.7 ± 20.3) as a factor in the health-related quality of life states. General health had a strong and negative correlation with the quality of life associated with physical health (P-value < 0.001 and r = - 0.61) and the quality of life associated with mental health (P-value < 0.001 and r = - 0.68). Conclusion: Many aspects of health-related quality of life are influenced by general health factors. Therefore, it is recommended that prevention, identification, and treatment of physical and psychological problems and factors affecting the quality of life be considered as a priority, leading to an improvement in nurses’ quality of life.


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Ilham Alia ◽  
M.A. Fauzi ◽  
S.S Ismail ◽  
Ezmas Mahno ◽  
A W Ahmad ◽  
...  

Introduction: Foot ulcer is one of the most serious complications associated with diabetes mellitus that mat resulted in a disability and impairment of health related quality of life. Materials and Methods: The main objective of this cross-sectional study was to determine the factors adversely associated with quality of life among diabetic foot ulcer patients. Diabetic patients with evidence of diabetic foot ulcer attending outpatient orthopaedics and general surgical clinic of Hospital Tengku Ampuan Afzan were recruited into this study. A set of validated SF-36 questionnaire was employed to evaluate the health-related quality of life for each patient. This study was registered with the National Medical Research Register (NMRR registration no. 17-1520-36332). Results: There is a slightly higher proportion of female among the 104 respondents. Its prevalence is most pronounces in the lower income group. Majority presented with Wagner stage 2 and 3. Amputation has been performed in 54% of these patients. Physical health score fair worse than mental health. Age, low socioeconomic status, presence of comorbidities, major amputation, ulcer at the forefoot and wheelchair usage associated with an adverse effect on the physical health aspect in these patients. Interestingly, smoker seems to score better on the mental health aspect of the quality of life. Conclusion: Diabetic foot ulcer affected physical health aspect much more than mental health aspect within the context of the quality of life.



2022 ◽  
Vol 21 (1) ◽  
pp. 90-95
Author(s):  
Md Abdul Qader ◽  
AKM Abu Mottaleb ◽  
Naznin Akter Shetu ◽  
Raonokosh Salehin Khan ◽  
Tanjima Ahad Nisha ◽  
...  

Objectives: Assessment of health related quality of life (HRQOL) is an essential part of evaluation of end stage renal disease (ESRD) as we have conducted this study on haemodialysis patients to see the HRQOL and to asses and compare the parameters which influence physical and mental health. Materials and Methods: This was a single centre study on haemodialysis patients using Short Form 36 (SF-36) of Kidney Disease Quality of Life (KDQOL). All the eight domains of HRQOL were assessed individually as well as summary scores for mental health (MCS Mental composite summary) and physical health (PCS Physical composite summary) were also evaluated. The questionnaire was completed by patient themselves and the clinical data was extracted from the medical records with prior consent from the patient. Results and discussion: The study participants showed a female predominance of 66% with a lower PCS and MCS scores among female participants in comparison to their male counterparts. Overall summary scores showed a lower PCS (38.71±8.15) than MCS (42.79±11.6) which reflects better mental health than physical health in the study population. A multiple regression analysis showed, the presence of residual renal function (β= -0.421, p= 0.02), duration of dialysis (β= 0.405, p= 0.03) and haemoglobin less than 12g/dL (β= 0.379, p= 0.02) were significant predictors of MCS. Conclusion: HRQOL in haemodialysis patients are influenced by socio-demographic as well as clinical parameters. In our population, kidney disease affects physical health more than mental health and the reasons are multifactorial. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 90-95



2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Shahid Sarwar ◽  
Abdul Aleem ◽  
Muhammad Arif Nadeem

Objective: To determine health related quality of life (HRQOL) of medical students and its correlation with their academic performance. Methods: Cross sectional study at Services Institute of Medical Sciences, included students of 4th and final year MBBS, who filled SF-36 proforma of HRQOL. Scores of 8-domains and of physical component and mental component summary were determined. Marks in all professional examinations were used to stratify students as high performers (≥ 70% marks) and average performing students (< 70%). HRQOL scores was correlated with academic performance using unpaired student’s t-test. Results: Among 267 students included, mental health score (56.2±21.3) was lower than physical health component score (69.03±18.5). Role limitation due to emotional health (RE) (44.81), Vitality (VT) (54.19) and general health perception (GH) (58.89) had lower scores among 8domains of questionnaire. Female students had significantly lower scores in role limitation due to emotional problems (p value <0.04), vitality (<0.05), bodily pain (p value <0.05) and general health perception (p value<0.03) than male students. Physical health and role limitation due to physical health domains were better in high performing students. Conclusion: Mental health of medical students is suboptimal, especially among female students. Students with better physical health have better academic performance. How to cite this:Sarwar S, Aleem A, Nadeem MA. Health Related Quality of Life (HRQOL) and its correlation with academic performance of medical students. Pak J Med Sci. 2019;35(1):266-270. doi: https://doi.org/10.12669/pjms.35.1.147 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.



Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Rumana J Khan ◽  
Samson Gebreab ◽  
Pia Crespo ◽  
Amadou Gaye ◽  
Ruihua Xu ◽  
...  

Background: Health-related quality of life (HRQOL) is defined as perceived physical and mental health over time. Lower HRQOL has previously been shown to be associated with elevated adverse health events and mortality. Leukocyte telomere length (LTL), which is a biomarker of aging at the cellular level, has also been associated with age-related diseases and mortality. However, the association of HRQOL with LTL in the general population is poorly understood. Objective: We examined the relationship between different measures of HRQOL and LTL by ethnicity among a nationally representative sample of US adults using the data of the National Health and Nutrition Examination Survey (NHANES, 2001-2002). Method: HRQOL were assessed through a brief set of survey-based questions that asked participants about their self-rated general health and the number of recent days when the person was physically unwell, mentally unwell, or limited in usual activities. Telomere length was assessed using the quantitative polymerase chain reaction method of telomere length relative to standard reference DNA. Multiple linear regression was used to estimate the relationship, where we sequentially controlled for demographic (age, sex, education, marital status), health risk indicator (cancer, hypertension, diabetes, obesity, heart failure) and health behavior (smoking, physical activity, and alcohol intake) variables. Log transformed value of LTL was used for regression modeling and all the analyses were estimated with adjustment for sample weights for the genetic sub-sample and design effects. Results: The current study included 2090 White, 788 Mexican American, and 669 African American participants with mean age of 46.89 (Standard Error, SE=0.56), 37.57 (SE=0.73) and 41.99 (SE=0.74) years respectively. After controlling for demographic factors, health risk indicators, and health behaviors, recent days of unwell physical health was associated with shorter telomere length for Whites (beta=-0.005, 95% Confidence Interval, 95% CI=-0.01 to -0.001, p value 0.03). Among African Americans, those who perceived their general health condition as “good” had shorter telomere length compared to those who perceived general health status as “excellent” (beta=-0.02, 95% CI=-0.03 to -0.01, p value 0.001). Mental health related quality of life showed no significant association with LTL in any race. For Mexican Americans none of the HRQOL measures had any association with LTL. Conclusion: Lower physical HRQOL and lower general HRQOL were associated with shorter LTL or faster cellular aging for Whites and African Americans in our study. The results endorse the value of assessing HRQOL,specially in relation to to physical and general health, and the importance of using this measure for evaluating age and disease related consequences.



2018 ◽  
Vol 4 (2) ◽  
pp. 15-24
Author(s):  
Nidup Dorji ◽  
Michael P. Dunne ◽  
Charrlotte Seib ◽  
Sibnath Dep

Introduction: Health-related quality of life (HRQoL) is a multi-dimensional construct that assesses an individual’s and group’s perceived physical and mental health over time. Measurement of HRQoL is an important medical outcome study and its study among older adults in Bhutan is limited. Methods: This is a cross-sectional study aimed to assess HRQoL and its sociodemographic and health correlates, among older adults in Bhutan. Data for this study was collected from the four major towns of Thimphu, Phuntsholing, Gelephu, and Samdrupjongkhar, Bhutan, from November 2014 - February 2015, using structured questionnaire with face-to-face interview. A total of 337 Bhutanese older adults participated in this study. Statistical analysis was performed using statistical package for social science version 21.0. Results: The overall mean score for the HRQoL among older adults in this study was 0.67 (SD: 0.13) significantly different between the gender (p-value<0.001). A significantly low scores inthe areas of role limitations (p<0.05), pain (p<0.01), mental health (p<0.001), and vitality (p<0.05) of the HRQoL was observed for the female gender. Frequent back pain (67.1%), memory decline (60.5%), depression (46.0%) mobility impairment (45.4%), insomnia (42.1%), and problem affecting breathing (31.8%) were common health problems and were significantly higher among the female gender. Better health conditions was positively related with better HRQoL (p-value<0.001). Conclusions: Low HRQoL was reported higher among female gender and was linked to multiple and cumulative health morbidities. Members of the family, community and healthcare providers could incorporate holistic approach to foster positive health outcomes and HRQoL of the older adults.



2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S877-S877
Author(s):  
Anjana Muralidharan ◽  
Clayton H Brown ◽  
Richard W Goldberg

Abstract Older adults with serious mental illness (i.e., schizophrenia spectrum disorders and affective psychoses) exhibit marked impairments across medical, cognitive, and psychiatric domains. The present study examined predictors of health-related quality-of-life and mental health recovery in this population. Participants (N=211) were ages 50 and older with a chart diagnosis of serious mental illness and a co-occurring medical condition, engaged in outpatient mental health services at a study site. Participants completed a battery of assessments including subtests from the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), the 24-Item Behavior and Symptom Identification Scale (BASIS-24), the 12-Item Short-Form Health Survey (SF-12), and the Maryland Assessment of Recovery Scale (MARS). Multiple linear regression analyses, with age, race, gender, and BMI as covariates, examined number of current medical conditions, RBANS, and BASIS as predictors of quality-of-life and recovery. Significant predictors of physical health-related quality-of-life (R-squared=.298, F(9,182)=8.57, p&lt;.0001) were number of medical conditions (β=-1.70, p&lt;.0001), BASIS-Depression/Functioning (β=-4.84, p&lt;.0001), and BASIS-Psychosis (β=2.39, p&lt;.0008). Significant predictors of mental health-related quality-of-life (R-squared=.575, F(9,182)=27.37, p&lt;.0001) were RBANS (β=0.03, p=.05), BASIS-Depression/Functioning (β=-6.49, p&lt;.0001), BASIS-Relationships (β=-3.17, p&lt;.0001), and BASIS-Psychosis (β=-1.30, p=.03). Significant predictors of MARS (R-squared=.434, F(9,183)=15.56, p&lt;.0001) were BASIS-Depression/Functioning (β=-4.68, p=.002) and BASIS-Relationships (β=-9.44, p&lt;.0001). To promote holistic recovery among older adults with serious mental illness, integrated interventions are required. For example, to improve physical health-related quality-of-life, one should target depression and psychotic symptoms as well as medical illness burden. To improve mental health-related quality-of-life, depression symptoms and interpersonal functioning may be key targets, as well as neurocognitive function.



2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
EJ Pedreso ◽  
L Alamban ◽  
B Faderan

Abstract Funding Acknowledgements Type of funding sources: None. Background Determining the level of health-related quality of life among cardiovascular patients and looking into the demographic factors and clinical characteristics that might influence the dynamics of their physical and mental health are highly essential for health practitioners to improve current management procedures and interventions. Objective The study was conducted to evaluate the level of health-related quality of life among cardiac patients seen in adult cardiology clinic.  Methods This study used a descriptive research design. A total of 117 cardiac patients at the adult Cardiology Clinic in a Tertiary Hospital were interviewed using the MOS-SF – 36 Questionnaire. Statistical correlation analysis was then performed. Results The results showed that the patients are challenged in their physical functioning and general mental health with an average score of 33.33 ± 33.33 aside from their average median score of 55 ± 0.0 in  their role limitations due to physical health. In terms of mental health, higher score was reflected for vitality (75 ± 12.5), followed by emotional well-being (67.5 ± 20.0). Demographic and clinical factors that affect their quality of life were also determined. Marital status, family income, educational attainment and participation on cardiac rehabilitation program affect their quality of life. Married, income above Php10,000, college level, college graduate or with post graduate degree and those who participated in the cardiac rehabilitation program have higher level of physical health (W = 1127; p=.007; W = 1729.5; p=.024; W = 1300; p=.043).  Consistently, those who are married, a family income of above Php10,000 and are aware on cardiac rehabilitation  have higher level of mental health (W = 1189; p=.019; W = 1895; p=.001; W = 1187; p=.005). Although not statistically significant, an increase in age is associated with decrease in the physical health (r=-.176; p=.058). It should not also be discounted that those patients who are employed have higher level of physical health than those who were unemployed (W = 1729.5; p=.052). Moreover, health change are higher for those who participated in the cardiac rehabilitation program (W = 960; p=.003). On clinical characteristics, those who underwent interventions have higher level of health change than those who only received medical management (W = 100.0; p&lt;.001). Mental health was also seen to be higher in those patients with no history of smoking and with &gt;40% left ventricular ejection fraction (W = 264.5; p=.005). Conclusion This study concludes that those patients who are married, employed, with income above Php10,000, who have higher educational status, non-smoker,  LVEF of more than 40%, who received interventions and who underwent cardiac rehabilitation have higher level of quality of life.



2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Barbara Malicka ◽  
Katarzyna Skośkiewicz-Malinowska ◽  
Urszula Kaczmarek

Abstract Background The study aims to evaluate the impact of socioeconomic status, general health and oral health parameters on Health-Related Quality of Life (HRQoL), Oral Health-Related Quality of Life (OHRQoL) and mental health in elderly urban residents of South-Western Poland. Methods The 500 residents of Wroclaw, aged 65 and older provided demographic and personal information as well as their medical history. A patient's oral condition were determined based on the clinical oral examination.Quality of Life was assessed using Euro-Quality of Life (EQ-5D), Oral Health Impact Profile-14 (OHIP-14) and Patient Health Questionnaire (PHQ-9).The association between exposure (socioeconomic status, general health and oral health) and outcome (HRQoL, OHRQoL and mental health variables) were analyzed with the use of four models: P – Poisson model, NB-Negative Binomial model, ZIP – Zero Inflated Poisson model, ZINB – Zero Inflated Negative Binomial model. Results The best model turned out to be the ZINB model, in which a negative binomial distribution in the count equation is assumed. In this model, only 13 independent variables had a significant effect on HRQoL, OHRQoL, and mental health. HRQoL assessed with the EQ-5D is significantly influenced by: living conditions 0.133 (95% CI: 0.001, 0.267, p = 0.049), income -0.348 (95%CI: -0.466, -0.230, p < 0.001), diabetes mellitus 0.437 (95%CI: 0.250, 0.624, p < 0.001), myocardial infarction 0.454 (95% CI: 0.151, 0.757, p = 0.003), stroke 0.543 (95%CI: 0.094, 0.992, p = 0.018) and renal disease 0.466 (95% CI: 0.206, 0.726, p < 0.001). Factors negatively affecting OHRQOL are: the need for oral treatment 0.278 (95%CI: 0.104, 0.452, p = 0.002), the number of missing teeth 0.053 (95%CI: 0.039, 0.067, p < 0.001) and gender 0.271 (95%CI: 0.015, 0.527, p = 0.038) and age -0.025 (95%CI: -0.042, -0.008, p = 0.003). An important factor influencing the level of depression assessed by the PHQ-9 questionnaire may be the material condition -0.225 (95%CI: -0.349, -0.101, p < 0.001). It should be emphasized that living with other people may be a factor that significantly increases the probability of avoiding the occurrence of depression symptoms. Conclusion The study concerning elderly residents of the macroregion in Poland found the impact of socioeconomic, general health and oral health parameters on Health-Related Quality of Life, Oral Health-Related Quality of Life and mental health. Research on the quality of life of the elderly at the local level allowed to assess the factors linked to quality of life of older adults.



2016 ◽  
Vol 9 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Sabita Mandal ◽  
Shantonu Kumar Ghosh ◽  
Mahbubur Rahman ◽  
Alpana Majumder ◽  
Redoy Ranjan ◽  
...  

Background: Coronary heart disease (CHD) is one of the leading causes of death in both developed and developing countries including Bangladesh. CHD endanger not only physical health but also psychological, environmental and social health of the patients seriously and many of them live without hope to improve. Thus evaluation of health related quality of life of such patients is very important.Methods: This descriptive cross sectional study was conducted among 217 CHD patients at the National Institute of Cardiovascular Diseases (NICVD), Sher-e-Bangla Nagar, Dhaka, during the period from January to December 2013. The study intended to assess their health related quality of life in terms of general health, physical health, psychological health, social relationship and environmental conditions. Data were collected by a semi-structured questionnaire based on WHOQOLBREF (26) scale.Results: Regarding level of quality of life and general health, majority (51.2%) had “average” quality of life while in respect of physical health, most (89.9%) of the patients had “average” quality of health. Regarding psychological health, majority (72.8%) had “average” quality while regarding social relationship, majority (53.9%) had “average” quality and by environmental conditions, majority (64.1%) had “average” quality. Overall health related quality of life by age of the CHD patients was statistically significant as most (391.3%) of the CHD patients with age 30-49 years had “average” while majority (53.3%) of the elderly (65-75 years) had “poor” quality of life [c2(4)=28.42, p<0.01]. Overall quality of life and general health was “average” among most (31.3%) of the middle aged patients while it was “poor” among majority (53.3%) of the elderly patients and this variation was statistically significant [c2(10)=35.89, p<0.01]. Overall quality of life and general health was “average” among most (91.3%) of the middle aged patients while it was “poor” among majority (53.3%) of the elderly patients and this variation was statistically significant (c2(4), p<0.01). All of the retired patients had “average” and most (94.0%) of the service-holder had “average” physical health.Conclusion: The study recommends effective measures to improve the overall health related quality of life of the CHD patients in the context of Bangladesh.Cardiovasc. j. 2016; 9(1): 43-48



Sign in / Sign up

Export Citation Format

Share Document