scholarly journals Treatment of diseases of the salivary glands in patients of older age groups

Author(s):  
V. V Lobeyko ◽  
Andrey Konstantinovich Iordanishvili ◽  
K. A Zaborovskiy

Conducted dynamic observation of 69 patients elderly (61-85 years) suffering from chronic diseases of the salivary glands, which were accompanied by pronounced changes in saliva formation and physiological status. The patients were divided into 3 groups: sufferingfrom various malignant tumors of the major salivary glands (n = 21), valsami - disease Mikulic and Sjogrens syndrome (n = 16), drug or radiation sialadenopathy (n = 32). At the 1st stage the patients were given conventional treatment from a dentist, which was directed on prevention of occurrence and progression of inflammatory degenerative distroficski processes in tissues of the salivary glands, as well as improvement of salivation - used peptide bioregulator the vezugen, biocorrectors food alhilal and lesmin during the month. Course this treatment was repeated 4 times a year, i.e. quarterly. At the 2nd stage of treatment (after 6 months after 1-stage) patients of all study groups in addition to this therapy was administered anxiolytic Afobazol 4 weeks. Patients were followed for a year from the date of completion of the 2nd phase of integrated treatment. In the course of the treatment was assessed the physiological status ofpatients. To assess the level of daytime stress and nighttime sleep quality, used instrument-hardware complex on the basis of First Beat sensor and Body Guard, the principle of which is based on the analysis of heart rate variability. It was found that all patients suffering from malignant tumors of the salivary glands, as well as valsami, medical and radiation sialadenopathy indicate a high level of daily stress compared to the control group and deterioration in the quality of nighttime sleep. Upon completion of the 1st stage of therapy in patients with chronic diseases of the salivary glands, clinically marked improvement, but no significant changes in the indicators of the level of daily stress and quality of night sleep did not happen. Use at the 2nd stage of treatment in addition to applied therapy anxiolitika Afobazol was effective and resulted in a 19-49. 3 percent to improve treatment outcomes, reduce daily stress and improve nighttime sleep in these patients that have a positive impact on their quality of life.

Homeopathy ◽  
2021 ◽  
Vol 110 (02) ◽  
pp. 102-107
Author(s):  
Natália S. Champs ◽  
Julia G. Lopes ◽  
Paula C. Sousa ◽  
Clariana C. Souza ◽  
Barbara L.T. Justo ◽  
...  

Abstract Background Despite the increasing demand for complementary and integrative medicine, only a few studies have evaluated the effect of these types of treatments on the quality of life (QoL) of patients with chronic diseases. The objective of this study was to evaluate the QoL of women treated with homeopathy within the Public Health System of Belo Horizonte, Brazil. Methods This is a prospective randomized controlled pragmatic trial. The patients were divided into two independent groups, one group underwent homeopathic treatment in the first 6-month period and the other did not receive any homeopathic treatment. In both randomized groups, patients maintained their conventional medical treatment when necessary. The World Health Organization Quality of Life abbreviated questionnaire (WHOQOL-BREF) was used for QoL analysis prior to treatment and 6 months later. Results Randomization afforded similar baseline results in three domains of QoL analysis for both groups. After 6 months' treatment, there was a statistically significant difference between groups in the physical domain of WHOQOL-BREF: the average score improved to 63.6 ± (SD) 15.8 in the homeopathy group, compared with 53.1 ± (SD) 16.7 in the control group. Conclusions Homeopathic treatment showed a positive impact at 6 months on the QoL of women with chronic diseases. Further studies should be performed to determine the long-term effects of homeopathic treatment on QoL and its determinant factors.


Author(s):  
Jing Sun ◽  
Nicholas Buys

AbstractThe objective of this study was to assess the effectiveness of a 12-month community singing program on quality of life (QoL) using survey methods.We prospectively collected data on Aboriginal and Torres Strait Islander people with chronic diseases involved in a participatory community singing program. Aboriginal and Torres Strait Islander people with a chronic disease and an average age of 51 years (range, 18–85 years) self-selected to participate in the singing group (n=45), which included a weekly singing rehearsal and a monthly performance. There were 27 people in the control group. We compared the intervention and control groups by evaluating the QoL, social and emotional well-being, health behaviors, social isolation, and loneliness at a baseline and at 12 months.At 12 months, those who participated in the singing program showed a significant increase in QoL, reduced stress, and a significant reduction in social isolation and loneliness compared with patients in the control group.The community singing program may enhance social and emotional well-being and QoL in Aboriginal and Torres Strait Islander people with chronic diseases, and the singing program is a viable health promotion intervention program for this population.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Tian Ma ◽  
Ying Wang ◽  
Juan Liu ◽  
Aifang Wang

Objective. With the constant development of medical technology, the medical-nursing combination mode targeted at elderly chronic diseases has been proposed, and based on this, the study on the nursing mode of elderly chronic diseases under the background of medical-nursing combination was conducted. Methods. Total of 100 elderly patients with chronic diseases who were admitted to our hospital from April 2019 to April 2020 were selected and divided into a control group and an experimental group by lot drawing, with 50 patients in each group. Continuous nursing was conducted to patients in the control group, and continuous nursing combined with comfort nursing was performed to patients in the experimental group, so as to compare their nursing effective rate, satisfaction with nursing, self-care ability at 6 months after nursing, quality of life (QLI) scores, and blood glucose, pressure, and lipid levels at various periods. Results. Compared with the control group, the experimental group obtained significantly improved nursing effective rate, satisfaction with nursing, Exercise of Self-Care Agency (ESCA) scale scores, QLI scores, and lower blood glucose, pressure, and lipid levels at various periods 6 months after nursing, with statistical significance ( P all < 0.05). Conclusion. Under the context of medical-nursing combination, the continuous nursing intervention combined with comfort nursing intervention is conductive to promote the self-care ability and nursing effect of elderly patients with chronic diseases and obviously improve their quality of life and psychological state.


2009 ◽  
Vol 3 (3) ◽  
pp. 241-247 ◽  
Author(s):  
Fernanda Machado ◽  
Paula V. Nunes ◽  
Luciane F. Viola ◽  
Franklin S. Santos ◽  
Orestes V. Forlenza ◽  
...  

Abstract Quality of life is seldom explored in evaluations of therapeutic interventions in Alzheimer's disease. Objective: To verify whether participation in a cognitive and functional rehabilitation program improves quality of life (QOL) among Alzheimer's disease (AD) patients. Methods: 19 AD patients participated in this study, 12 of whom attended 24 multi-professional intervention sessions - the experimental group - whereas the remaining 7 comprised the control group. The following tools were used to assess changes: a) Mini-Mental State Examination (MMSE); b) Geriatric Depression Scale (GDS); c) Quality of Life in AD evaluation scale (QOL-AD); d) Open question on QOL. Results: Participation had no positive impact on quantitative clinical variables (MMSE, GDS, QOL-AD). The answers to the open question, examined using the Collective Subject Discourse (CSD) method, suggested that QOL improved after the intervention. Conclusion: Combining pharmacological treatment with psychosocial intervention may prove to be an effective strategy to enhance the QOL of AD patients.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
João Felipe Mota ◽  
Marília Arantes Rezio ◽  
Ronyson Camilo Soares ◽  
Gustavo Duarte Pimentel ◽  
Alexandre Siqueira Guedes Coelho ◽  
...  

Objective. To evaluate the health-related quality of life (HRQoL) of adolescents diagnosed with different chronic conditions and to identify demographic, socioeconomic, and health-status outcomes associated with the impairment in HRQoL. Study Design. Cross-sectional study. Methods. We evaluated 276 adolescents (50.7% male) aged 14 ± 2 years that were assisted by healthcare public service and diagnosed with cancer (CA), type 1 diabetes mellitus (DM1), overweight (OW), asthma (AS), and no chronic health condition—control group (CG). Adolescents and parent-proxy completed age-appropriate self-report and/or parent-proxy report on generic HRQoL measures using PedsQL™. Results. Adolescents with CA had lower overall HRQoL as well as poorer scores in all dimensions than either healthy participants or other chronic disease sufferers. HRQoL scores reported by parent-proxy were similar to those reported by adolescents across all chronic diseases. CG members reported better scores in all dimensions. Maternal education, family income, and marital status of parents were correlated with HRQoL scores in all dimensions. The risk of having an affected HRQoL score was higher in adolescents with CA than in adolescents with other chronic diseases. Conclusions. The likelihood of cancer affecting HRQoL was higher when compared to other chronic diseases, and the OW group had a worse overall score compared to CG. Adolescents with CA, AS, and OW reported worse school dimensions when compared to healthy adolescents. The education of adolescents and their parent-proxy, body weight, and family income influence the dimensions of HRQoL in adolescents with chronic diseases.


2012 ◽  
Vol 24 (12) ◽  
pp. 1972-1979 ◽  
Author(s):  
Gisela Pusswald ◽  
Martina Fleck ◽  
Johann Lehrner ◽  
Dietrich Haubenberger ◽  
Germain Weber ◽  
...  

ABSTRACTBackground: Antonovsky's salutogenic model of the “Sense of Coherence” (SOC) is an important resource in dealing with chronic diseases. The aim of this study was to investigate SOC as a psychological factor and its correlation with illness, subjective well-being, and health-related quality of life (QoL) in patients with Parkinson disease (PD) compared to patients with other chronic diseases.Methods: Fifty-one patients suffering from PD and 59 participants with other chronic non-neurological diseases took part in this study. The PD patients were assessed through medical routine examinations and all participants were asked to complete several questionnaires for psychological assessment. In order to compare controls with the PD group, t-tests, U-tests, and multivariate analysis were conducted. Multiple regression analysis was calculated to identify predictor variables.Results: Patients with PD were characterized by lower SOC and higher scores concerning depression compared to the control group (CG). Furthermore, the PD group showed fewer active coping strategies and lower scores concerning well-being. There were correlations between depression, coping, well-being and QoL, and SOC. The SOC had a particular predictive value with regards to the outcome “quality of life” and coping strategies.Conclusions: There are a number of differences regarding psychological characteristics of coping mechanisms in neurological and non-neurological patients. The SOC correlated with several psychological factors; however, there was no correlation with medical data. The SOC predicts scores pertaining coping mechanism and health-related QoL.


2020 ◽  
pp. bmjspcare-2020-002416 ◽  
Author(s):  
Radka Bužgová ◽  
Radka Kozáková ◽  
Michal Bar

ObjectivesThe aim of the research was to identify the most frequent symptoms of patients with progressive neurological disease (PND) in relation to their functional state. Another objective was to determine the effects of consultations with a multidisciplinary palliative team on mitigating the symptoms burden, subjective evaluation of health, disease progression and improvement of the functional state.MethodsThe interventional control study included 151 patients with PND (98 patients in the intervention group, 53 patients in the control group). The intervention group was provided with consultations of a multidisciplinary palliative team. The symptoms scale of the progressive neurological diseases quality of life was used to collect data. The patients completed the questionnaire before the provided intervention and 3 months after that.ResultsPain and fatigue were identified as the symptoms that trouble the patients the most. After the intervention, there was a determined statistically significant improvement in the evaluation of 9 out of 11 symptoms (except excretion and urination) among the patients from the intervention group compared with the control group. When assessed again, the patients from the intervention group showed an improvement with respect to six symptoms (pain, fatigue, tremor, stiffness, cramps, excretion), while the patients from the control group had six symptoms that deteriorated (drowsiness, dyspnoea, stiffness, swallowing, salivation, excretion). There was not any confirmed positive impact of the intervention on the cognitive functions of the patients.ConclusionThe provision of consultations with the multidisciplinary palliative team to patients with PND in an advanced stage of disease resulted in decreasing their symptoms burden and improving their functional state.


Author(s):  
Mi Young Kwak ◽  
Eun Jeong Hwang ◽  
Tae Ho Lee

Chronic diseases are a major cause of death and have a negative impact on community health. This study explored the effects of a chronic-disease management program utilizing the physician–primary-healthcare nurse telemedicine model (P–NTM) on medication adherence and health-related quality of life (HRQoL) in 113 patients with chronic diseases in remote rural areas. We used a quasi-experimental, nonequivalent-control-group pretest–post-test design. This study used secondary data from the 2018 Pilot Telemedicine Project for Underserved Remote Rural Areas. In this study, 113 subjects participated, in which the patient’s first visit was assigned as a control group for the previous face-to-face hospital care; after three months of receiving the P–NTM program, the same subjects were assigned to be the experiment group for P–NTM. Data were analyzed by using descriptive statistics, a paired t-test, and logistic regression. With regard to the results, subjects showed a 1.76 times higher probability of improving medication adherence after participating in P–NTM compared to hospital care (odds ratio (OR) = 1.76, 95% confidence interval (CI) = 1.34–2.31). Our findings showed that patients with chronic diseases, especially those who reside in remote rural areas, should be provided with effective health services, utilizing various strategies to enhance a healthy life.


2019 ◽  
Vol 8 ◽  
Author(s):  
Roline Y. Barnes ◽  
Jennifer Jelsma ◽  
Romy Parker

Background: Musculoskeletal diseases consume a large amount of health and social resources and are a major cause of disability in both low- and high-income countries. In addition, patients frequently present with co-morbid chronic diseases of lifestyle. The area of musculoskeletal disease is restricted by a lack of epidemiological knowledge, particularly in low- and middle-income countries.Objectives: This pragmatic randomised controlled trial assessed the benefits of a 6-week physiotherapy intervention for middle-aged women with musculoskeletal conditions compared to usual care.Method: A weekly 2-h educational programme utilising a workbook, discussion group and exercise class was presented for the intervention group, while the control group received usual care. The primary outcome was health-related quality of life. Parametric and non-parametric data were used to determine the equivalence between the groups.Results: Twenty-two participants were randomised to the intervention and 20 to the control group. The control group demonstrated no within-group improvement in health-related quality of life items, compared to significant improvements in two items in the intervention group. The change in median utility score within the intervention group was twice as large as the change in the control group. With regard to self-efficacy, the intervention group demonstrated significant within-group changes in perceived management of fatigue and discomfort.Conclusion: The positive impact of the intervention on the participants suggests that the programme should continue at the clinic in question, but should be presented at a more convenient time for participants who work, as recruitment to the study was less than anticipated. Primary health care systems in South Africa urgently need to put structures in place for effective management of the functional impact of chronic diseases of lifestyle and musculoskeletal conditions. It is time for physiotherapists and possibly other health care professionals to participate in the development of appropriate community level interventions to address the functioning and quality of life of individuals living with the diseases.


2021 ◽  
Author(s):  
Masoumeh MonfaredKashki ◽  
Azam Maleki ◽  
Kourosh Amini

Abstract Background: poor pregnancy QoL is associated with adverse outcomes.Objective: To examine the effect of integrating midwifery counseling with spiritual content on improving the antenatal quality of life. Method: This randomized controlled trial was carried out on 60 first time pregnant women who were referred to two childbirth preparation centers in Zanjan city, Iran in 2019. The counseling was conducted in eight sessions. The quality of life was measured before and two months after the intervention. Data were analyzed using the chi-square test, independent t-test, paired-samples t-test, and linear regression model. The level of significance was p< 0.05.Results: After intervention based on an independent t-test the total score of QoL was significantly greater in the intervention group compared to the control group (p=0.001). after the intervention the mean score of four domains of QoL (Role-Physical, General Health, Vitality, Role-Emotional, and Mental Health) was significantly higher than the control group(p=0.001). While in terms of Physical Functioning, Bodily Pain and Social Functioning domains were not statistically significant (p>0.05).Conclusion: Integrating midwifery counseling with spiritual content had a positive impact on improving the psychological aspect of quality of life more than the physical aspect. It can be used by providers for planning childbirth package.Trial registration: The study registered at the Iranian Registry of Clinical Trials website under the code IRCT20150731023423N12, Registration date: 2018-11-06, started recruitment start date: 2018-11-11(https://en.irct.ir/user/trial/32031/view)


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