scholarly journals Accident-related neurogenic fecal incontinence: a retrospective study

2019 ◽  
Author(s):  
Jie Liu ◽  
Ruiling Wei ◽  
Dewei Wu ◽  
Hulin Chen ◽  
Juan Dong ◽  
...  

Abstract Abstract Background To evaluate the anorectal motility characteristics, the quality of life and psychological health of accident-related neurogenic fecal incontinence(ArNFI) patients. Methods A retrospective study was conducted on 26 patients with ArNFI visiting the gastrointestinal motility center of affiliated provincial hospital of Anhui medical university were collected as research objects from January 2016 to August 2019. The anorectal motility characteristics of these patients were recorded and analysed by high resolution manometry (HRM), 10 healthy subjects for the same period were recruited as the control group. The psychological characteristics of these patients and healthy subjects were compared by HAMA and HAMD scores,and their quality of life was investigated by SF36. Results Anal sphincter resting pressure in the ArNFI group was more lowwer than that of the control group (21.18± 4.68vs34.83± 14.13, P<0.05). Anorectal compliance in the ArNFI group was more lowwer than that of the control (1.41± 0.32vs4.03± 1.06, P<0.05). Maximal squeeze pressure were in the ArNFI group was also lowwer than that of the control(53.66±14.59 vs 143.95±19.82, P<0.05).HAMA ,HAMD scores of the ArNFI group in the ArNFI group were all higher than that of the control ( 21.29±2.06 vs 7.63±1.41 ;22.00±3.70 vs 8.75±1.91, respectively.all P<0.01). There were significant differences between SF36 scores of ArNFI group and the control group in the 8 dimensions of PF,RP,GH,VT,SF,RE and MH.(P<0.01) . Conclusion In patients with ArNFI,there were significantly reduced anorectal motility characteristics, increased HAMA.HAMD scores,and their life quality was obviously declined.

2006 ◽  
Vol 134 (9-10) ◽  
pp. 369-374 ◽  
Author(s):  
Zana Stankovic ◽  
Gordana Nikolic-Balkoski ◽  
Ljubica Leposavic ◽  
Ljiljana Popovic

Introduction: Depression is the most commonly present psychiatric entity in clinical practice, accompanied by significant impairment of both social and professional functioning. In addition, depression frequently develops as complication of other psychiatric disorders and various somatic diseases. Objective: To investigate subjective perception of quality of life and social adjustment, severity of depressive symptoms as well as level of correlation of severity of depressive symptoms and quality of life and social adjustment of patients with recurrent depression in comparison to the group of patients with diabetes and healthy subjects. Method: The study included 45 subjects of both sexes, ranging from 18 to 60 years of age, divided in three groups of 15 subjects each. The experimental group comprised the patients diagnosed with recurrent depression in remission (DSM-IV), one control group was consisted of patients diagnosed with Type 2 Diabetes mellitus and another one comprised healthy subjects. The instruments of assessment were: The Beck Depression Inventory- BDI, The Social Adaptation Self -evaluation scale - SASS, The Psychological General Well-Being Scale - WBQ. Results: Significant difference of both BDI and WBQ scales was found between the experimental and the control group of healthy subjects (ANOVA, Mann Whitney; p?0.01), as well as between two control groups (p?0.02). The level of inverse correlation of mean score values of BDI and SASS scales was significant in the control group of patients with diabetes while such levels of BDI and WBQ scales (Spearman correlation coefficient, p<0.01) were found in all groups of our study. Conclusion: In the group of patients with recurrent depression, significant decline of quality of life and significantly higher severity of depressive symptoms were present in comparison to the group of healthy subjects as well as significant level of inverse correlation of severity of depressive symptoms and quality of life.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Munvar Miya Shaik ◽  
Norul Badriah Hassan ◽  
Huay Lin Tan ◽  
Siew Hua Gan

Background. Disability caused by migraine may be one of the main causes of burden contributing to poor quality of life (QOL) among migraine patients. Thus, this study aimed to measure QOL among migraine sufferers in comparison with healthy controls.Methods. Female diagnosed migraine patients (n= 100) and healthy controls (n=100) completed the Malay version of the World Health Organization QOL Brief (WHOQOL-BREF) questionnaire. Only migraine patients completed the Malay version of the Migraine Disability Assessment questionnaire.Results. Females with migraines had significantly lower total WHOQOL-BREF scores (84.3) than did healthy controls (91.9,P<0.001). Similarly, physical health (23.4 versus 27.7,P<0.001) and psychological health scores (21.7 versus 23.2,P< 0.001) were significantly lower than those for healthy controls. Seventy-three percent of patients experienced severe disability, with significantly higher number of days with headaches (13.8 days/3 months,P< 0.001) and pain scores (7.4,P< 0.013). Furthermore, migraine patients with lower total QOL scores had 1.2 times higher odds of having disability than patients with higher total QOL scores.Conclusions. The present study showed that migraine sufferers experienced significantly lower QOL than the control group from a similar population. Disability was severe and frequent and was associated with lower QOL among the migraine patients.


2017 ◽  
Vol 41 (S1) ◽  
pp. s786-s786
Author(s):  
L. Fattah Moghaddam ◽  
F. Mollasalehi

IntroductionThe caregivers of the psychic patients experience decreased quality of life (QOL).AimsThe aim of this study is the determination of the effect of coping skills training on improved quality of life of these caregivers compared to traditional treatments.MethodsThe samples consisted of 82 caregivers of psychiatric patients who were admitted in the educational hospital of Tehran for the first time from 2015 to 2016. The caregivers were randomly divided into two groups including Interventional group (n = 41) who received an educational booklet in addition to coping skills training, and control group (n = 41) who received usual care. A two-group randomized controlled trial was conducted, including WHOQOL-BREF questionnaire used to collect the data before and after 90 days.ResultsThe results demonstrated that there were significant changes in the quality of life of family after training (P = 0.05). But this change was not seen in the control group. The comparison of the two groups after intervention indicated, that the scores of the intervention group were higher than the control group in all dimensions. But these scores were significantly different in the psychological health and the environmental health.ConclusionsTo educate the coping skills interventions can have a positive effect on the quality of life of caregivers than usual care.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 9 (2) ◽  
pp. 112 ◽  
Author(s):  
Fereydoon Laal ◽  
Mohammad Jafari Modrek ◽  
Davoud Balarak ◽  
Mahdi Mohammadi ◽  
Mahdieh Rakhshani ◽  
...  

<p>With the development of science and technology, occupational accidents, as one of the most important problems in the world, result in negative effects on physical and psychological health, and also the quality of life of workers. The aim of this study was to compare the quality of life among workers with and without accident. In a cross-sectional study, 93 workers were selected, 31 who experienced accident and 62 as control group. To gather the data, a researcher-made questionnaire for demographic characteristics and the quality of life questionnaire (SF-36) were used. Mann-Whitney and Chi-square tests were used for data analysis. The mean and standard deviation of age was 30.81±7.29 and 30.56±7.19 in workers with accident (case group) and control group, respectively. Homogeneity was ensured in terms of age and work experience and the two groups had no significant difference in this regard (p&gt;0.05). Most of the participants were high school graduates (67.7%). The majority of accidents (68.8%) had occurred in the manufacturing sections. The most common accident type was sprayed chemical substances (19.4%) and the less frequent was electrocution (3.2%). The mean total score for the quality of life was 37.61±14.29 and 74.92±12.95 in the case and control groups with a statistical significance difference (p&lt;0.001). The results of this study indicate that the incident could affect the quality of life of workers. Therefore, promoting the safety culture can help to reduce the occupational accidents.</p>


Author(s):  
Ummavathy PERIASAMY ◽  
Sherina MOHD-SIDIK ◽  
Mehrnoosh AKHTARI- ZAVARE ◽  
Lekhraj RAMPAL ◽  
Siti Irma Fadhilah ISMAIL ◽  
...  

Background: We aimed to assess whether “Managing Patients on Chemotherapy” book is effective to improve quality of life (QOL) of cancer patient via counselling by pharmacist. Methods: A randomized control trial study was run among 2120 cancer patients in public hospitals in Peninsular Malaysia, from Apr 2016-Jan 2018. The treatment group received counselling regarding chemotherapy by using developed module. The data were collected at three time-points: baseline, 1st, 2nd and 3rd follow-ups after counseling by Validated Malay version of the WHOQOL-BREF of questionnaire. Data analyses were done using χ2 and two-way repeated measure ANOVA. Results: The treatment group improved significantly as compared to control group in physical health, psychological health, social relationship, environment and overall QOL (P<0.00). Conclusion: The “Managing Patients on Chemotherapy” book along with repetitive counselling by pharmacists is a useful intervention for improving QOL of cancer patients undergoing treatment.  


2018 ◽  
Vol 11 (1) ◽  
pp. 1
Author(s):  
Ihsan Taufiq

<p><strong><em>Background:</em></strong><em> </em><em>Diabetes Mellitus (DM) causes a decrease in quality of life in all domains. The most often overlooked cause of DM patients is not carrying out physical activity regularly. </em><strong><em>Purpose:</em></strong><em> </em><em>The purpose of this study was to determine the effect of healthy pathways on the quality of life of type 2 D</em><em>M</em><em> patients in the Health Center in Kotabumi North Lampung in 2017.</em><em> </em><strong><em>Methods:</em></strong><em> </em><em>This study used quasi-experimental pre-post test design with a control group. The number of samples consisted of treatment groups and control groups, each group of 22 respondents. The treatment group was the respondents who carried out healthy walks of intervention, then measured the quality of life of patients with type 2 diabetes mellitus, while the control group did not carry out healthy walking activities. Data analysis uses t test dependent. </em><strong><em>Results:</em></strong><em> </em><em>The results showed that there was an effect of healthy pathways on the quality of life of patients with type 2 diabetes mellitus in the health centers in Kotabumi, North Lampung (p = 0.007). <strong>Conclusions</strong></em><strong><em>:</em></strong><em> Healthy paths improve the quality of life for patients with type 2 diabetes, including aspects of physical health, psychological health, social and environmental relations. </em></p><p><strong>Latar Belakang:</strong> Penyakit Diabetes Mellitus (DM) menyebabkan penurunan kualitas hidup disemua domain. Penyebab yang paling sering diabaikan penderita DM adalah tidak melaksanakan aktivitas fisik secara teratur. <strong>Tujuan: </strong>Tujuan penelitian ini untuk mengetahui pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara Tahun 2017. <strong>Metode:</strong> Penelitian ini menggunakan <em>kuasi eksperimen pre post test design </em> dengan kelompok kontrol. Jumlah sampel terdiri atas kelompok perlakuan dan kelompok kontrol masing-masing kelompok 22 responden. Kelompok perlakuan adalah responden yang dilakukan intervensi jalan sehat, kemudian dilakukan pengukuran kualitas hidup penderita DM tipe 2, sedangkan kelompok kontrol tidak melakukan kegiatan jalan sehat. Analisis data menggunakan <em>t </em><em>test dependent</em>. <strong>Hasil:</strong> Hasil penelitian menunjukkan terdapat pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara (p=0,007). <strong>Simpulan:</strong> Jalan sehat meningkatkan kualitas hidup penderita DM tipe 2 meliputi aspek kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan.</p>


2007 ◽  
pp. 81-86
Author(s):  
G. L. Ignatova ◽  
N. S. Fedosova ◽  
L. A. Stepanishcheva

The efficacy of immunization against various pathogens has been proved in a long term practice worldwide. A delayed effect of vaccination with pneumococcal vaccine Pneumo 23 in 243 workers in a large industrial enterprise in Chelyabinsk has been analyzed in the article. One year after the vaccination a second examination was carried out in 102 persons (38 with chronic simple bronchitis (CSB) and 64 with COPD) and 1.5 years after vaccination it was done in 92 persons (59 persons with CSB and 33 with COPD) The efficacy of the vaccination was assessed by the rate, length and severity of exacerbations of chronic respiratory diseases, as well as by clinical symptoms, results of physical examination, lung function parameters, and quality of life. The 1st control group included 33 patients with COPD, the 2nd control group included 57 patients with chronic bronchitis working in the same enterprise. The groups were compatible for age, length of work, duration of the disease and FEV1 . After immunization the exacer bation rate in the vaccinated patients with CSB decreased by 3.6 and 2.5 times within 1 and 1.5 years correspondingly (р < 0.01). The vaccinated patients with COPD demonstrated a 2.4 fold and a 2.2 fold reduction respectively (р < 0.01). The duration of exacerbations in patients with CSB decreased by 1.6 and 1.1 respectively (р < 0.01) and by 1.78 and 1.2 in patients with COPD respectively (р < 0.01). Of vaccinated patients with COPD 39.4 % did not experience any exacerbations during the follow up period compared to 0 % in the control group. The quality of life of the vaccinated patients improved in terms of physical activity, general and psychological health, vitality, reduction of discomfort. The results allow us to recom mend pneumococcal vaccination for wide implementation in high risk industrial workers.


2020 ◽  
pp. 69-76

Background and Aims: Student life has its challenges although it offers new opportunities for the individual. The present study aimed to determine the effectiveness of mindfulness training on reducing anxiety and improving the quality of life as well as perceived academic control of students. Materials and Methods: This quasi-experimental study was conducted based on a pretest and posttest design with a control group. The population of this study consisted of 40 students who were identified through anxiety, quality of life, and perceived academic control questionnaires. They were then randomly assigned to the case (n=20) and control (n=20) groups. The experimental group was subjected to eight 2-h mindfulness training sessions for two months. On the other hand, the control group received no pieces of training. It should be mentioned that the posttest sessions were administered for both groups. The data were analyzed using covariance analysis. Results: The results showed that the implementation of mindfulness training sessions had a significant effect on reducing anxiety (P<0.001) and improving quality of life (P<0.001) as well as perceived academic control (P<0.001) in students. Conclusion: According to the findings of this study, it is recommended that mindfulness training be provided to develop and promote students` psychological health


2020 ◽  
Vol 7 ◽  
Author(s):  
Marcelo Vasconcelos Mapurunga ◽  
Solange Andreoni ◽  
Daniela Rodrigues de Oliveira ◽  
Vicente Sarubbi ◽  
Ana Cláudia Bonilha ◽  
...  

Introduction: Population aging is a global phenomenon that has grown rapidly and progressively all over the world. Interventions that promote health must be studied and implemented to make the aging process be with quality of life. Depression and anxiety are the most common mental health conditions that compromise the quality of life on the elderly and it can cause damage to the autonomy and activities of daily life. Mindfulness training has been shown to improve psychological health and quality of life on adults. Studies involving Mindfulness-Based Interventions (MBIs) with older people are scarce in the literature, but they have been increasing in recent years showing promising results for healthy aging. This trial will investigate the feasibility and preliminary efficacy of an MBI on the quality of life of elderly assisted in the Primary Care.Materials and Methods: A cohort-nested randomized controlled trial with 3 assessment points (baseline, post-intervention and 1-year follow up) will be conducted to compare a MBI program (Mindfulness-Based Health Promotion) to a cognitive stimulation control-group in a Primary Care facility. One-hundred and two older adults will be recruited from a cohort of this facility and they will be randomized and allocated into an intervention group (N = 76) and the control group (N = 76). The primary outcome evaluated will be the improvement of quality of life assessed by the WHOQOL-BREF and WHOQOL-OLD. The secondary outcomes will be cognitive function, psychological health, sleep quality, self-compassion, and religiosity. Qualitative data will be assessed by focus group and the word free evocation technique. The feasibility of the program will also be evaluated by adherence and unwanted effects questionnaires.Discussion: This cohort-nested clinical trial will be the first mixed-methods study with 3 assessment points which will study the feasibility and preliminary efficacy of a mindfulness-based program for older people in Latin America population. If the findings of this study confirm the effectiveness of this program in this population it will be possible to consider it as intervention that might be implemented as public policy addressed to older people in healthcare systems.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT03048708. Registered retrospectively on October 11th 2018.


Author(s):  
James Joseph Karappally ◽  
Razeena Padmam ◽  
George Kurien

<p class="abstract"><strong>Background:</strong> Acne vulgaris is a seemingly harmless disease affecting majority of adolescents. It is actually a psycho-dermatological disorder associated with psychological trauma. The impact of acne on the quality of life of Indian patients remains undocumented. A study is undertaken to assess the impact of acne on health, family, emotional and social wellbeing of acne patients.</p><p class="abstract"><strong>Methods:</strong> 100 patients between age group of 13 to 19 years with acne vulgaris, attending St. Antony’s Skin Clinic, Pala, Kerala, between April 2010 and March 2012 were selected for study. The control group consisted of 100 adolescents without acne. Both groups had no other dermatological or systemic disease. Acne cases were graded using global acne grading system. Quality of life was assessed using WHO QOL BREF.Four domains were derived from this, physical and psychological health, social relationship and environment. Adjustment levels were assessed using adapted version of bell adjustment inventory.<strong></strong></p><p class="abstract"><strong>Results:</strong> The parameters assessed were quality of life, family, social, emotional, health related and overall adjustments in those with and without acne and severity of acne in relation to quality of life and all values were significantly in favour of those without acne.</p><p class="abstract"><strong>Conclusions:</strong> Acne affects personality, self-esteem and self-image of patients. It affects social interaction. Adolescents with acne report low quality of life and resultant poor psychosocial adjustment. There is an inverse relation between severity of acne and quality of life. The severity levels and adjustment also has an inverse relationship.</p>


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