scholarly journals Autopercepción de Salud, Calidad de vida y Bienestar Psicológico en una muestra de mayores = Autoperception of Health, Quality of life and Psychological Well-being in a sample of major

2019 ◽  
Vol 10 (1) ◽  
pp. 21
Author(s):  
María Hinojal Benavente Cuesta ◽  
María Paz Quevedo Aguado

La OMS (2015) afirma que existe un incremento del envejecimiento en la población mundial al que además se le añaden situaciones de discriminación por motivo de la edad. Estas actitudes negativas, constituyen arraigados estereotipos que perjudican no sólo a la sociedad sino también al propio mayor. Por este motivo, es preciso que todos los agentes sociales y sanitarios trabajen bajo el paradigma del Envejecimiento Activo, que aboga por una vejez integrada en un contexto de desarrollo y participación social. Objetivo: Analizar dos de los predictores implicados en este tipo de envejecimiento: la Autopercepción que tiene el propio sujeto sobre su salud y calidad de vida, y el Bienestar psicológico. Muestra: 91 sujetos (=74,07 años). Instrumentos: Cuestionario de Salud SF (36) y Escala de Bienestar Psicológico (Díaz et al., 2006). Resultados: Los participantes muestran una valoración muy satisfactoria de su percepción de salud aun reconociendo la presencia de dolor y situaciones de estrés, además se observan tendencias distintas según el lugar de residencia. Existen diferencias en las dimensiones del Bienestar psicológico según el Sexo y la forma de percibir la jubilación.Palabras clave: Autopercepción de salud; Calidad de vida; Bienestar psicológico; Envejecimiento; Envejecimiento Activo; Vejez.AbstractWHO (2015) states that there is an increase in ageing in the world population, which is further compounded by situations of age discrimination. These negative attitudes constitute entrenched stereotypes that harm not only society but also the elderly themselves. For this reason, all social and health actors need to work under the paradigm of Active Ageing, which advocates an integrated old age in a context of development and social participation. Objectives: To analyse the health self perception, quality of life and psychological welfare of the elderly, as well as to compare whether there are differences in relation to sex, place of residence (urban/rural) and how to perceive retirement. Methodology: Sample: 91 subjects (=74,07 years).Instruments: Health Questionnaire SF (36) and Psychological Welfare Scale (Díaz et al., 2006). Results: The participants show a very satisfactory assessment in their own perception of health and quality of life. In this respect, different trends are observed according to habitat, rural/urban, where the largest resides. On the other hand, there are also differences in the dimensions of psychological welfare according to the sex of the subjects and the way they perceive the fact of retirementKeywords: Autoperception of health; Quality of life; Psychological Well-being; Aging; Active Aging; Oldness

2020 ◽  
Vol 50 (3) ◽  
pp. 253-263
Author(s):  
Vicente Navarro

This article covers a very central issue in the discussions of the implications of exploitation for the health, quality of life, and well-being of populations. Essentially, the objective of any emancipatory project should be the elimination of any form of exploitation, whether of class, gender, race, nation, or the environment. This article explores the interrelatedness between different types of exploitation and demonstrates how all forms of exploitation are impacted by the political context within which they exist. It compares the levels of class and gender exploitation (as well as environmental exploitation) in countries governed by different political traditions, underlining the enormous importance this political context has in shaping not only each form of exploitation but how they are related. The article concludes that those countries which have an ideological project that connects all these different projects of liberation have less exploitation of each type of discrimination.


2011 ◽  
Vol 20 (3-4) ◽  
pp. 25-56
Author(s):  
Andre Teixeira Reis

Epistemology of Health, Quality of Life, Social Connectedness and the Contribution of Sports for Subjective Wellbeing In this article, literature about the perspectives on the understanding and epistemology of health is addressed. This evolutionary process has opened new terms for a wider understanding of health, quality of life and well-being. From this, concepts of health are addressed through the role of personal consciousness and intentionality within the group context, and the specific term subjective social well-being (SSWB) will be employed to explore social experiences through sports. Because health is a complex issue and because interventions need to be similarly complex, the science underpinning this work must integrate information from the many disciplines (medicine, nursing, psychology, sociology, anthropology, economics, political science, biology, history, law, and demography, among others). Finally, the role of physical activities and sports for the attaining of SSWB and fundamental questions for researchers will be discussed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A James

Abstract Background Older people are representative of the vulnerable population. According to census 2011, the proportion of elderly in India is 8.6%. Owing to social transformation and evolving lifestyles, the number of old age homes is increasing rapidly with institutionalized elderly having poorer oral health status. This study was conducted to assess the situation among the sample of institutions meant for the elderly and to plan relevant intervention, policy development aligning with principles of health promotion to improve the oral health quality of life. Methods A mixed-method study was adopted after approval from the institutional ethical board. To plan an appropriate intervention, situation analysis was done by conducting in-depth interviews, administrating questionnaires and direct observation. The intervention was planned based on the data obtained by building healthy public policy by a memorandum of understanding (MoU) between institutions, distribution of oral hygiene aids, oral health education, and demonstration of oral hygiene techniques. Institutionalized elderly selected for intervention in an old age home were 82. At baseline, oral health quality of life was assessed using the Geriatric Oral Health Assessment Index (GOHAI). After 3 months follow-up, Paired t-tests were used to compare baseline and follow-up data. Results Qualitative data on thematic analysis revealed that administrators highlighted on fiscal, economic, administrative, personnel, ethical aspects of policy instrument and type of oral health care services to be provided. Quantitative results showed that mean and SD for the pre and post GOHAI score was 1.6 ± 0.41 and 3.06 ± 0.80 (P < 0.001) Conclusions Oral health promotion approach to address challenges and issues at the community level appears a more promising approach as it facilitates a systematic process and more comprehensive. Policy initiatives with stakeholders brought a sustainable improvement of oral health quality of life. Key messages Ottawa charter model oral health promotion based intervention with the coordination of stakeholders helps in improving functional ability and intrinsic capacity of institutionalized elderly. To improve the quality of life among institutionalized elderly there is a need for transformation of health systems away from disease based curative models to comprehensive health care models.


Author(s):  
Ana Belén Regalado Cuenca ◽  
Mª Isabel Fajardo Caldera

Abstract:The multiple sclerosis affects 46000 people in Spain and is suffered by young adults mainly. Nevertheless, nowadays numerous cases are discovered in the adolescence. EM’s diagnosis in this stage influences all the dimensions of his development. To avoid this impact and to manage to favor the adolescence development positively, it´s necessary to encourage the subject´s personal characteristics that helps in the disease´s adaptation and gets a quality of life. For this reason we have believed necessarily to approach the above mentioned characteristics from the positive psychology, with the aim to get an improvement the mood to personal and clinical level, as well as an increase in the sensation of the psychological and physical well-being across the Fierabrás preventive program. We intervened through a case study with two subjects (separately), evaluating the efficiency of the program with three instruments: HAD Scale, Authentic Happiness Inventory and SF-36 Questionnaire. The results indicate that the program appear to be effective in the teenager with EM in the treatment of the depression and certain dimensions of the psychological well-being. Though for the healthy teenager it doesn´t appear to be effective in the treatment of the anxiety and depression, it favors diverse dimensions of the psychological well-being.Key Words: Adolescence, multiple sclerosis, positive psychology, quality of life.Resumen:La esclerosis múltiple afecta a 46000 personas en España y se da en mayor medida en adultos jóvenes. Sin embargo, en la actualidad se están descubriendo numerosos casos en la adolescencia. El diagnostico de EM en esta etapa afecta a todas las dimensiones de su desarrollo. Para evitar este impacto y lograr favorecer el desarrollo de la adolescencia de una manera ajustada, es necesario fomentar aquellas características personales del  sujeto que ayuden en la adaptación a la enfermedad y en la consecución de una calidad de vida óptima. Por este motivo hemos creído necesario abordar dichas características desde la psicología positiva, con el objetivo de obtener una mejora del estado de ánimo a nivel personal y a nivel clínico, así como un aumento en la sensación del bienestar psicológico y físico a través del Programa de Intervención Fierabrás. A través de un estudio de caso único se intervino sobre una muestra de dos sujetos (por separado), evaluando la eficacia del programa con tres instrumentos: la Escala HAD, el Inventario de la felicidad auténtica, y el Cuestionario SF-36. Los resultados indican que el programa resulta eficaz en el adolescente con EM en el tratamiento de la depresión y ciertas dimensiones del bienestar psicológico, y, si bien para la adolescente sana no resulta eficaz en el tratamiento de la ansiedad y depresión, favorece en gran medida diversas dimensiones del bienestar psicológico.Palabras clave: adolescencia, esclerosis múltiple, psicología positiva, calidad de vida.


2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 16-16
Author(s):  
Fay J. Hlubocky ◽  
David Cella ◽  
Tamara Sher ◽  
Mark J. Ratain ◽  
Christopher Daugherty

16 Background: The impact of the physician’s (MD) disclosure of PI on the psychological well-being and quality of life (QoL) of clinical trial subjects with terminal disease on phase I trials has not been formally evaluated. Methods: A prospective cohort of ACP enrolling in phase I trials was assessed at baseline (T1) and one month (T2) utilizing various measures including: state-trait anxiety (STAI-S/T), depression (CES-D), quality of life/QoL (FACIT-Pal), and global health (SF-36). Semi-structured interviews of ACPs also evaluated MD-Pt communication re prognosis and worry about ACP death. Results: 100 subjects (50 Phase I ACPs and 50 SC) were separately interviewed at T1 and T2. For the population as a whole: median age 62 (28-78y); 51% male; 100% married; 88% Ca; 68% > HS educ; 56% GI dx; 54% income <$65,000 yr. At T1, 45% of ACPs acknowledged having a discussion re life expectancy with MD; 35% stated the MD gave a prognostic timeframe; and 41% reported worry re death. For SC at T1, 62% recalled a prognosis discussion with the MD; 50% stated MD gave a timeframe; 53% reported PI disclosure was initiated by the MD; 66% reported worry re ACP death. At T2, rates remained consistent for both ACP and SC with the exception of increased reported worry re ACP death at 55% and 70% respectively. At T2, ACP who denied a prognosis was given by the MD had higher STAI-S (35 ± 10 v 29 ± 9, p=0.03) and CES-D scores (16 ± 12 v 7 ± 4, p=0.01); and lower FACT-Pal scores (128 ± 18 v 153 ± 24, p=0.01). SC with acknowledgement of a prognostic timeframe given by the MD had higher STAI-S anxiety (39 ± 16 v 36 ± 16, p=0.04) at T2. Regression analyses revealed that ACP with acknowledgement of a prognostic timeframe given by the MD had poorer FACIT-Pal QoL over time. Also, SC with acknowledgement of a prognostic timeframe at T2 was negatively associated with SF-36 scores. ACP and SC qualitative responses re PI disclosure revealed salient themes: hope for a positive outcome or prolonged survival; stabilization of disease; emotional distress; ambivalence/fear; acceptance. Conclusions: Physician disclosure of a prognostic timeframe is negatively associated with QoL among clinical trial subjects and SC in phase I trials.


2021 ◽  
Author(s):  
Antonio Nicolucci ◽  
Jonida Haxhi ◽  
Valeria D’Errico ◽  
Massimo Sacchetti ◽  
Giorgio Orlando ◽  
...  

Abstract Background Psychological well-being and quality of life (QoL) are important outcomes of lifestyle interventions, as a positive impact may favour long-term maintenance of behaviour change. Objective This study investigated the effect of a behavioural intervention for adopting and maintaining an active lifestyle on psychological well-being and health-related QoL in individuals with type 2 diabetes. Methods Three hundred physically inactive and sedentary patients were randomized 1:1 to receive 1 month’s theoretical and practical counselling once a year (intervention group, INT) or standard care (control group, CON) for 3 years. Psychological well-being and QoL, assessed using the World Health Organization (WHO)-5 and the 36-Item Short Form (SF-36) questionnaire, respectively, were pre-specified secondary endpoints. The primary endpoint was sustained behaviour change, as assessed by accelerometer-based measurement of physical activity (PA) and sedentary time. Results WHO-5 and SF-36 physical and mental component summary (PCS and MCS) scores increased progressively in the INT group and decreased in the CON group, resulting in significant between-group differences (WHO-5: mean difference 7.35 (95% confidence interval (CI) 3.15–11.55), P = 0.0007; PCS 4.20 (95% CI 2.25–6.15), P < 0.0001; MCS 3.04 (95% CI 1.09–4.99), P = 0.0025). Percentage of participants with likely depression decreased in the INT group and increased in the CON group. PA volume changes were independently associated with WHO-5 changes, which were significantly higher in participants who accumulated > 150 min·wk−1 of moderate-to-vigorous intensity PA versus those who did not (13.06 (95% CI 7.51–18.61), P < 0.0001), whereas no relationship was detected for QoL. Conclusion A counselling intervention that was effective in promoting a sustained change in PA and sedentary behaviour significantly improved psychological well-being and QoL. Trial Registration ClinicalTrials.gov; NCT01600937; 10 October 2012.


2017 ◽  
Vol 57 (5) ◽  
pp. 1842-1855 ◽  
Author(s):  
Mario Fernando Prieto Peres ◽  
Helder H. Kamei ◽  
Patricia R. Tobo ◽  
Giancarlo Lucchetti

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