scholarly journals The relationship between health-related quality of life, acceptance of illness and characteristics of pregnant women with hyperglycemia

2020 ◽  
Author(s):  
Grażyna Iwanowicz-Palus ◽  
Marta Zarajczyk ◽  
Agnieszka Bień
Keyword(s):  
Quality Of Life ◽  
Glucose Tolerance ◽  
Pregnant Women ◽  
Pregnancy Complications ◽  
Health Impact ◽  
Living Conditions ◽  
Professional Activity ◽  
Diabetes Treatment ◽  
Acceptance Of Illness

Abstract Background: The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia.Methods: The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire.Results: Factors associated with quality of life in women with hyperglycemia include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05).The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors associated with illness acceptance in women with hyperglycemia include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05).Conclusion: Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains. General Quality of Life is positively correlated with reported living conditions and self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations. AIS is positively correlated with living conditions, self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations, and self-reported knowledge on possible pregnancy complications and infant health impact associated with glucose tolerance disorders.

scholarly journals The relationship between health-related quality of life, acceptance of illness and characteristics of pregnant women with hyperglycemia

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Grażyna Iwanowicz-Palus ◽  
Marta Zarajczyk ◽  
Agnieszka Bień
Keyword(s):  
Quality Of Life ◽  
Glucose Tolerance ◽  
Pregnant Women ◽  
Pregnancy Complications ◽  
Health Impact ◽  
Living Conditions ◽  
Professional Activity ◽  
Diabetes Treatment ◽  
Acceptance Of Illness

Abstract Background The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia. Methods The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire. Results Factors associated with quality of life in women with hyperglycemia include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05).The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors associated with illness acceptance in women with hyperglycemia include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05). Conclusion Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains. General Quality of Life is positively correlated with reported living conditions and self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations. AIS is positively correlated with living conditions, self-reported knowledge on glucose tolerance disorder treatment and lifestyle recommendations, and self-reported knowledge on possible pregnancy complications and infant health impact associated with glucose tolerance disorders.

scholarly journals The Relationship Between Health-Related Quality of Life, Acceptance of Illness and Characteristics of Pregnant Women with Hyperglycemia

2020 ◽  
Author(s):  
Grażyna Iwanowicz-Palus ◽  
Marta Zarajczyk ◽  
Agnieszka Bień
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Pregnancy Complications ◽  
Perceived Health ◽  
Health Impact ◽  
Professional Activity ◽  
Diabetes Treatment ◽  
Fetal Health ◽  
Acceptance Of Illness

Abstract Background: The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia.Methods: The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire.Results: Factors that affect hyperglycemic women’s quality of life include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p < 0.05). The mean illness acceptance score among the patients is near the lower boundary of “moderate”, 31.37 points. Factors with an impact on illness acceptance include: professional activity, living conditions, and self-reported knowledge of diabetes treatment and lifestyle and of the potential pregnancy complications and fetal health impact associated with the disease (p < 0.05).Conclusion: Better overall quality of life, general perceived health, and quality of life in all specific domains was found among healthy pregnant women compared to those with hyperglycemia. A higher level of illness acceptance has a positive effect on overall quality of life, general perceived health, and quality of life in all specific domains.

scholarly journals Quality of Life, Social Support, Acceptance of Illness, and Self-Efficacy among Pregnant Women with Hyperglycemia

2019 ◽  
Vol 16 (20) ◽  
pp. 3941 ◽  
Author(s):  
Iwanowicz-Palus ◽  
Zarajczyk ◽  
Pięta ◽  
Bień
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Pregnant Women ◽  
Carbohydrate Metabolism ◽  
Self Efficacy ◽  
World Health ◽  
World Health Organization Quality ◽  
The Mean ◽  
Acceptance Of Illness

Carbohydrate metabolism disorders resulting in hyperglycemia are among the most common metabolic complications of pregnancy. According to 2017 data from the International Diabetes Federation (IDF), 16.2% of pregnancies are complicated with hyperglycemia, of which gestational diabetes mellitus (GDM) accounts for 86.4% of cases. Carbohydrate metabolism disorders developing during pregnancy require the patient to change her lifestyle or, in some cases, to undergo pharmaceutical treatment, which may affect various aspects of the patient’s life, including her perceived quality of life (QoL). The purpose of the present study was to evaluate levels of QoL, social support, acceptance of illness, and self-efficacy among pregnant patients with hyperglycemia. The study was performed between July 2016 and September 2017 in a group of hyperglycemic pregnant women. The following instruments were used: the World Health Organization Quality of Life—BREF (WHOQOL-BREF), the Berlin Social Support Scales (BSSS), the Acceptance of Illness Scale (AIS), the Generalized Self-Efficacy Scale (GSES) and a standardized interview questionnaire. Participants rated their overall QoL (3.64 points) higher than their overall perceived health (3.43). In terms of social support, the highest scores were obtained in terms of actually received support (3.53) and perceived available instrumental support (3.52), while the lowest in terms of support seeking (2.99) and the need for support (2.95). The mean acceptance of illness score among the hyperglycemic pregnant women that were studied was 31.37, and the mean generalized self-efficacy score was 31.58. Participants’ reported QoL in the various WHOQOL-BREF domains was associated with specific social support scales, acceptance of illness, and generalized self-efficacy.

scholarly journals The Relationship between Acceptance of Illness and Quality of Life in Mothers with Gestational Diabetes Mellitus

2019 ◽  
pp. 1-10
Author(s):  
Tahereh Alidoost Balas Baneh ◽  
Homa Mosaffay Khomami ◽  
Leila Mirhadian ◽  
Zahra Atrkarroushan
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Two Dimensions ◽  
Acceptance Of Illness ◽  
The Relationship

Introduction: Study on quality of life and acceptance of the illness plays a significant role in the health of pregnant women, especially pregnant women with gestational diabetes mellitus. The aim of this study was to determine the relationship between the acceptance of illness and quality of life in mothers with gestational diabetes mellitus. Methods: This descriptive-analytical study was performed on 150 mothers with gestational diabetes mellitus referred to Al-Zahra Hospital of Rasht, Iran, using available sampling method. Data were collected by a demographic information checklist and 36-Item Short Form Health Survey questionnaire (SF-36) in two dimensions, physical and mental health. Data were analyzed by SPSS 20 software and using chi-squared, Fisher's exact, and Mantel-Haenszel tests. Results: Among the mothers, 37.3% accepted the illness and 62.7% did not. There was a significant relationship between the quality of life status or score and the gestational age (p = 0.019), surgical history (p = 0.005), number of operations (p = 0.002) and previous history of diabetes in previous pregnancies (p = 0.037). However, with the control of individual and social variables, Mantel-Haenszel test did not show significant relationship between acceptance of illness and the quality of life of the mothers. On the other hand, the relationship between acceptance of illness and quality of life was not significant, based on χ2 test. Conclusion: It is suggested that training classes be held before and during pregnancy for mothers at the reproductive age so that they have the readiness and knowledge to deal with the disease properly.

Patient satisfaction and comfort after a full-arch immediate loaded prosthesis

2020 ◽  
Author(s):  
Elena Dellepiane ◽  
Francesco Pera ◽  
Paola Zunino ◽  
Maria Grazia Mugno ◽  
Paolo Pesce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Intermediate Phase ◽  
Critical Issue ◽  
Health Impact ◽  
Immediate Loading ◽  
Oral Rehabilitation ◽  
Masticatory Ability ◽  
Chewing Ability

The aim of this study was to assess oral health related quality of life (OHRQoL) of patients before, during and after completion of implant-supported full-arch immediate loading rehabilitation according to the Columbus Bridge Protocol (CBP). 25 patients with compromised dentition were rehabilitated according to the CBP and were assessed for OHRQoL using 4 questionnaires specifically realized for this study and inspired to the OHIP (Oral Health Impact Profile) questionnaire. Patients assessed themselves before surgery, during the healing period (1 week and 2 months after surgery) and after definitive prosthodontic treatment (4 months after surgery). The questionnaires specifically investigated patients’ pain, confort, home oral hygiene habits, satisfaction related to esthetics, masticatory ability, phonetics and general satisfaction toward the treatment.Patients reported an improvement of OHRQoL after full-arch immediate loading rehabilitation. A statistically significant improvement in aesthetic and chewing ability was found. After 4 months 92% of the patients did not feel tense with their smile, 96% did not show problems to relate with other people or smiling, 92% did not show difficulty to eat some foods. Phonetics was found to be a critical issue, especially in the intermediate phase of healing. One week after surgery the percentage of patients who was very satisfied with phonetics slightly decreased from 48% to 36%. The assessment of patients' OHRQoL related to full-arch immediate loading implant therapy exhibited a significant improvement of their quality of life. The questionnaires herein presented could be an effective tool to evaluate patients' reaction to oral rehabilitation.

scholarly journals Individual quality of life and the environment – towards a concept of livable areas for persons with disabilities in Poland

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Izabela Grabowska ◽  
Radosław Antczak ◽  
Jan Zwierzchowski ◽  
Tomasz Panek
Keyword(s):  
Quality Of Life ◽  
Environmental Conditions ◽  
Basic Research ◽  
Research Problem ◽  
Individual Characteristics ◽  
Living Conditions ◽  
Special Focus ◽  
Persons With Disabilities ◽  
The Relationship

Abstract Background The United Nations Convention on the Rights of Persons with Disabilities [1] highlights the need to create proper socioeconomic and political conditions for persons with disabilities, with a special focus on their immediate living conditions. According to the Convention, these conditions should be built to ensure that persons with disabilities have the potential to enjoy a high quality of life (QoL), and this principle is reflected in the notion of livable areas. The crucial aspect of this framework is the relationship between the individual QoL and the environment, broadly understood as the socioeconomic as well as the technical conditions in which persons with disabilities function. Methods The basic research problem was to assess the relationship between individual QoL for the population with disabilities as a dependent variable and livability indicators as independent variables, controlling for individual characteristics. The study used a dataset from the EU-SILC (European Union Statistics on Income and Living Conditions) survey carried out in 2015 in Poland. The research concept involved several steps. First, we created a variable measuring the QoL for the entire population with disabilities. To measure the multidimensional QoL, we used Sen’s capability approach as a general concept, which was operationalized by the MIMIC (multiple indicators multiple causes) model. In the second step, we identified the livability indicators available in the official statistics, and merged them with survey data. Finally, in the last step, we ran the regression analysis. We also checked the data for the nested structure. Results We confirmed that the general environmental conditions, focused on creating livable areas, played a significant role in shaping the QoL of persons with disabilities; i.e., we found that the higher the level of the local Human Development Index, the higher the quality of life of the individuals living in this area. This relationship held even after controlling for the demographic characteristics of the respondents. Moreover, we found that in addition to the general environmental conditions, the conditions created especially for persons with disabilities (i.e., services for this group and support for their living conditions) affected the QoL of these individuals. Conclusions The results illustrate the need to strengthen policies aimed at promoting the QoL of persons with disabilities by creating access to community assets and services that can contribute to improving the life chances of this population.

scholarly journals Health-related quality of life in different trimesters during pregnancy

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.

scholarly journals Faces of Marginal Housing in Romania

2021 ◽  
Vol 13 (7) ◽  
pp. 3983
Author(s):  
Gheorghe-Gavrilă Hognogi ◽  
Ana-Maria Pop ◽  
Alexandra-Camelia Marian-Potra
Keyword(s):  
Quality Of Life ◽  
Content Analysis ◽  
Electronic Media ◽  
Living Conditions ◽  
Social Discrimination ◽  
Environmental Conflicts ◽  
Baia Mare ◽  
Basic Services ◽  
Housing Facilities

Marginal settlements may be defined as inhabited areas characterized by a series of negative features, typicallyethnic segregation, social discrimination, poor living conditions and conflicts, with impact on their dwellers and neighboring communities. In Romania, informal settlements were legislated in 2019; it subsequently became mandatory for the local authorities to spatially delimit them and formulate measures to improve living conditions. However, there are still numerous issues to be solved, from the lack of basic services (health, education) to the persistent poor living conditions or serious environmental problems. The Roma communities selected for our study are no exception. They are located on the outskirts of some cities or in their historical centers (Cluj-Napoca, Sibiu, Timișoara, Baia Mare). Through content analysis, based on print and electronic media from the last 10 years (n = 150 news items), different aspects of marginal housing were illustrated. The results of the study revealed some particular aspects, namely: some of the Roma communities are relocated whilst some others are subject to environmental conflicts; funding addressing the quality of life of Roma ethnics seems to deepen the phenomenon of segregation among communities, most of the measures being limited to the creation of housing facilities.

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