Assessment of the Problems Faced, Coping Modalities Adopted and Quality of Life of Female Students with Polycystic Ovarian Diseas

Author(s):  
Neha Anand ◽  
Poonam Sheoran ◽  
Amandeep Kaur

Polycystic ovary disease (PCOD) is a complex endocrine disorder that affects 6% to 10% of women of reproductive age. It is not only accompanied with negative physical consequences, but this syndrome also affects psycho-social and sexual well-being. The aim of the present study was to assess the problems faced, coping modalities adopted and quality of life of female students with polycystic ovarian disease at M.M University, Mullana (Ambala).Quantitative research approach with Non experimental, descriptive exploratory survey design was used. Total 1383 female students were selected by proportionate random sampling technique. Out of total sample 56 students were included for further study of variables those who are diagnosed with polycystic ovarian disease. The findings of the study revealed that less than half (48.2%) of the female students were in the age group of 21-23 years and majority (80.4%) were pursuing graduation. More than half (55.4%) of the female students had information regarding polycystic ovarian disease and their major source of information is friends (33.9%) and mass media (30.4%) respectively. Majority (96.4%) of the female students had no family history of polycystic ovarian disease. Results further revealed that majority of the female students (92.5%) were facing the problem of Irregular menstrual periods followed by Hirsutism (83.9%) whereas only (3.6%) were facing problem of infertility. Majority (97.1%) of the female students had adopted the coping modalities for pelvic pain which were allopathic medicine (86.5%) followed by home remedies (32.4%)and for hirsutism (93.6%) which were waxing (92.5) and threading (82.6%).The quality of life among female students with Polycystic ovarian disease was assessed in five aspects which were Emotional, Body Hair, Weight, Infertility problem, Menstrual problem. The lowest mean percentage(63.69%) was observed for body hairs which was the most problematic area whereas the highest mean percentage(89.58%) was observed for infertility problem which was the least problematic area on quality of life among female students. The study concluded that most of the female students have adopted coping modalities for physical symptoms because they were considered it as a most problematic area affected their quality of life.

2020 ◽  
Vol 9 (12) ◽  
pp. 219
Author(s):  
Fatmaelzahraa Hussein ◽  
John Stephens ◽  
Reena Tiwari

Although grounded theory (GT) has emerged as a popular research approach across multiple areas of social science, it has been less widely taken up by researchers working in the fields of urban planning and design. The application of GT enables uniquely innovative insights to be gained from qualitative data, but it has attracted criticism and brings its own challenges. This paper proposes a methodology that could be applied by other researchers in the field of urban research. Utilising constructivist GT as a qualitative approach, this research investigates how cultural memory impacts the psychosocial well-being and quality of life (QoL) of users of, and visitors to, historic urban landscapes (HULs). Based on the findings, it can be posited that the application of GT yields a rich and nuanced understanding of how users of HULs experience the settings in which they live, and the impact and significance on human psychosocial well-being of the cultural memories incarnated within such settings. The current paper also contends that GT enables researchers studying the built environment to construct inductively based theories. Lastly, the practical implications of developing GT for application to HUL management are discussed, both in regard to how users experience the contexts in which they live and the impact of such contexts on well-being and quality of life.


2004 ◽  
Vol 22 (20) ◽  
pp. 4202-4208 ◽  
Author(s):  
A.G.E.M. de Boer ◽  
J.J.B. van Lanschot ◽  
J.W. van Sandick ◽  
J.B.F. Hulscher ◽  
P.F.M. Stalmeier ◽  
...  

PurposeTo assess 3 years of quality of life in patients with esophageal cancer in a randomized trial comparing limited transhiatal resection with extended transthoracic resection.Patients and MethodsQuality-of-life questionnaires were sent at baseline and at 5 weeks; 3, 6, 9, and 12 months; and 1.5, 2, 2.5, and 3 years after surgery. Physical and psychological symptoms, activity level, and global quality of life were assessed with the disease-specific Rotterdam Symptom Checklist. Generic quality of life was measured with the Medical Outcomes Study Short Form-20.ResultsA total of 199 patients participated. Physical symptoms and activity level declined after the operation and gradually returned toward baseline within the first year (P < .01). Psychological well-being consistently improved after baseline (P < .01), whereas global quality of life showed a small initial decline followed by continuous gradual improvement (P < .01). Quality of life stabilized in the second and third year. Three months after the operation, patients in the transhiatal esophagectomy group (n = 96) reported fewer physical symptoms (P = .01) and better activity levels (P < .01) than patients in the transthoracic group (n = 103), but no differences were found at any other measurement point. For psychological symptoms and global quality of life, no differences were found at any follow-up measurement. A similar pattern was found for generic quality of life.ConclusionNo lasting differences in quality of life of patients who underwent either transhiatal or transthoracic resection were found. Compared with baseline, quality of life declined after the operation but was restored within a year in both groups.


2021 ◽  
Author(s):  
Shaked Ashkenazi ◽  
Ole Linvaag Huseby ◽  
Gard Kroken ◽  
Luis Adrian Soto ◽  
Marius Pents ◽  
...  

Background and purpose In response to the ongoing coronavirus disease 2019 (COVID-19) pandemic, self-isolation practices aimed to curb the spread of COVID-19 have severely complicated the medical management of patients suffering from endometriosis and their physical and mental well- being. Endometriosis, the main cause for chronic pelvic pain (CPP), is a highly prevalent disease characterized by the presence of endometrial tissue in locations outside the uterine cavity that affects up to 10% of women in their reproductive age. This study aimed to explore the effects of the global COVID-19 pandemic on patients suffering from endometriosis across multiple countries, and to investigate the different approaches to the medical management of these patients based on their self- reported experiences. Methods A cross-sectional survey, partially based on validated quality of life questionnaires for endometriosis patients, was initially created in English, which was then reviewed by experts. Through the process of assessing face and content validity, the questionnaire was then translated to fifteen different languages following the WHO recommendations for medical translation. After evaluation, the questionnaire was converted into a web form and distributed across different platforms. An analysis of 2964 responses of participants from 59 countries suffering from self-reported endometriosis was then conducted. Results The data shows an association between COVID-19 imposed compromises with the reported worsening of the mental state of the participants, as well as with the aggravation of their symptoms. For the 1174 participants who had their medical appointments cancelled, 43.7% (n=513) reported that their symptoms had been aggravated, and 49.3% (n=579) reported that their mental state had worsened. In comparison, of the 1180 participants who kept their appointments, only 29.4% (n=347) stated that their symptoms had been aggravated, and 27.5% (n=325) stated their mental health had worsened. 610 participants did not have medical appointments scheduled, and these participants follow a similar pattern as the participants who kept their appointments, with 29.0% (n=177) reporting aggravation of symptoms and 28.2% (n=172) reporting that their mental state had worsened. Conclusions These findings suggest that COVID-19 pandemic has had a clinically significant negative effect on the mental and physical well-being of participants suffering from endometriosis based on their self-reported experiences. Thus, they show the importance of further assessment and reevaluation of the current and future management of this condition in medical practices worldwide. Keywords Endometriosis, COVID-19, questionnaire, Quality of life, Mental health, Physical health


2021 ◽  
Vol 27 ◽  
pp. 419-425
Author(s):  
Shrenik P. Ostwal ◽  
Richa Singh ◽  
Priti Rashmin Sanghavi ◽  
Himanshu Patel ◽  
Queenjal Anandi

Objectives: Head and neck cancer (HNC) account for major cancer burden in the Indian population. Patients often present with a diversity of distressing physical and psychological symptoms, significantly affecting their quality of life. This study aims to determine the correlation between symptom cluster and perceived distress in such patients. Materials and Methods: This single center prospective observational study was done on 175 adults advanced HNC patients referred to palliative medicine outpatient clinic. Patients fulfilling eligibility criteria were regularly assessed for their symptoms and distress at baseline and followed up at days 7, 14, and 28. Results: Most patients belong to the age group of 40–50 years and having a diagnosis carcinoma of the tongue. The most common symptoms presented were pain, tiredness, loss of appetite, and feeling of well-being. We observed statistically significant correlation between total ESAS score and distress levels in patients at days 0, 7, and 14, respectively, (P = 0.003 vs. 0.0004 vs. 0.002). However, at day 28, no such statistically significant correlation was found (P = 0.085) suggesting attention to other factors during assessment. Conclusion: Outpatient palliative care consultations have shown significant improvement in symptom and distress score. Perceived distress in a person can not only be related to physical symptoms. Acute control of symptom may uncover underlying psychosocial and spiritual issues which need to be addressed promptly for better quality of life.


Author(s):  
Camelia SOPONARU ◽  
Ancuta BOJIAN ◽  
Magdalena IORGA

The aim of the study is to investigate the influence of physiological and psychosocial stress on the quality of life (QoL) in a group of hemodialysis (HD) patients from our center. Materials and methods: A number of 70 patients were included in the study. We used the Hemodialysis Stressors Scale, in order to estimate the stress level, and the Short Form-36 (SF-36) Health Survey Questionnaire, to evaluate the QoL. Results: The M for age = 54.5 ± 11.7 years and 38.6% were men. Patients with a low level of stress had significantly higher physical health (M = 53,52; p = 0.04) and mental health (M = 51,61; p <0.01) scores. The disease-related factors that induced the highest level of stress were the physical symptoms (1.67 ± 0.68), the food and water intake restrictions (1.64 ± 0.76), the vascular access problems (1.44 ± 0.83), the daily activity limitations (1.22 ± 0.72), the dependence on the medical staff (1.14 ± 0.74). Socio-economical and demographical factors had no effect on stress and QoL. Conclusions:  The study prove the importance of stress for the QoL in HD patients. Efforts should be undertaken to minimize stress factors. Keywords: Dialysis; stress; physical well-being; psychological well-being; quality of life;


2017 ◽  
Vol 9 (2) ◽  
pp. 112-115 ◽  
Author(s):  
Salvatore Giovanni Vitale ◽  
Valentina Lucia La Rosa ◽  
Agnese Maria Chiara Rapisarda ◽  
Antonio Simone Laganà

Endometriosis is one of the most common gynaecological diseases and has an incidence of about 6%-10% in women of reproductive age. It has been estimated that 50% of women with fertility problems have endometriosis. The management of infertility associated with endometriosis is difficult and controversial and it is important to provide a multidisciplinary approach in order to reduce the impact of these diseases on psychological and emotive well-being of affected women, as much as possible.


2017 ◽  
Vol 10 (6) ◽  
pp. 1788
Author(s):  
G. Deepthi ◽  
P. Sankarakumaran ◽  
Albin Jerome ◽  
Deivendran Kalirathinam ◽  
Naresh Baskar Raj ◽  
...  

Author(s):  
Roland Okoro ◽  
Helen Malgwi ◽  
Glory Okoro

Dysmenorrhoea is defined as painful menses in women.1 Dysmenorrhoea is frequently encountered in young women around adolescence. It affects the quality of life (QOL) of women during reproductive age. The aetiology of primary dysmenorrhoea is not precisely understood, but most symptoms can be explained by the action of uterine prostaglandins, particularly PG F2α. It may be associated with other symptoms such as nausea, vomiting, diarrhoea, back pain, fatigue, headache, dizziness, and fainting. These symptoms could be very severe and social activity is very limited during menstruation, reducing quality of life in women. Severity of symptoms is usually assessed by grading of dysmenorrhoea as mild, moderate, and severe according to the degree of pain and analgesic requirement. Risk factors for dysmenorrhoea are early age at menarche (< 12 years), age < 20 years, nulliparity, heavy or prolonged menstrual flow, smoking, positive family history, obesity, attempts to lose weight, depression/anxiety, disruption of social networks among others. A study on factors influencing the prevalence and severity of dysmenorrhoea in young women had been conducted in Sweden by Sundell et al. Another study was conducted by Okusanya et al on menstrual pain and associated factors amongst undergraduates of Ambrose Ali University Ekpoma, South- south, Nigeria. These studies were carried out in other areas; however, to the best of our knowledge, no study on the factors that influence severity of dysmenorrhoea has been conducted at the University of Maiduguri. Dysmenorrhoea is the leading cause of recurrent short-term school absence in adolescent girls and a common problem in women of reproductive age.7 Knowledge of the severity factors is important because of the potential for intervention. It is against this background that we undertook this study. The objectives of the study, therefore, were to evaluate the factors that increase the severity of dysmenorrhoea among university female students, and to determine if increased severity of dysmenorrhoea affects the academic performance of the participants.


2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 246-246
Author(s):  
Marvin Omar Delgado-Guay ◽  
Alejandra Palma ◽  
Eva Rossina Duarte ◽  
Monica Grez ◽  
Laura Tupper ◽  
...  

246 Background: The associations between spirituality (S), religiosity (R), spiritual pain (SP), symptom, coping and quality of life (QOL) have not been well characterized in LAAdCa. The main purpose of this Multicenter study was to analyze these associations. Methods: We interviewed 325 LAAdCa at a Palliative Care clinic in Chile, Guatemala, and USA. They completed FICA (S/R assessment), ESAS–FS (including SP), PSWQ (Worry), B-COPE and B-R-COPE (coping), FACIT-sp-ex (Spiritual Well-being). Results: Median age 58 (range: 19-85), 60% women, 62% Catholic, 30% Christian not Catholics, and 2% with no religion. 97% of LAAdCa considered themselves spiritual and 89% religious, median 7(IQR: 5-10) and 7(5-9) respectively. Median Importance of S/R in life (score 0 = none, 10 = very important) was 10 (IQR:8-10). The frequency and associations among the importance of S/R and different items were: helps them to cope with their illness (98%, r = 0.73; p < 0.0001), is a source of strength and comfort (99%, r = 0.79; p < 0.0001), and has a positive effect in physical symptoms (81%, r = 0.40; p < 0.0001), emotional symptoms (84%, r = 0.42, p < 0.0001), and helps to their caregivers to cope with pts' illness (100%, r = 0.66, p < 0.0001). 60% of LAAdCa reported that their S/R needs had not been supported by the medical team. 24% had received pastoral attention inside the hospital. 162/311 (52%) of LAAdCa reported spiritual pain (median 6; IQR: 5-8). Spiritual pain significantly correlated with worse pain (p = 0.02), fatigue (p = 0.0002), depression (p < 0.0001), anxiety (p < 0.0001), Financial distress (p < 0.0001), worry (p < 0.001), behavioral disengagement (p = 0.01), FACIT-sp-Ex (p = 0.0002), negative religious coping strategies (p < 0.0001), caregiver’s SP (p = 0.02), caregiver’s depression (p < 0.0001), caregiver’s anxiety (p = 0.0007), and worse caregiver’s QOL (p = 0.001). Conclusions: Majority of LAAdCa considered themselves spiritual and religious. S/R help to deal with their illness and correlates with less emotional distress, positive coping strategies and QOL. Still more than 50% LAAdCa reported SP and their S/R needs are not totally supported by the medical team. More research is needed.


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