scholarly journals Intervention Program Concerning Quality of Life of Diabetic Patients with Lower Limb Prosthesis

2018 ◽  
Vol 9 (1) ◽  
pp. 379-391
Author(s):  
Asmaa Mohamed Khalifa ◽  
Zeinab Abd-Elhameed Loutfi ◽  
Nevein Mostafa El- Ashry
PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S1-S1
Author(s):  
Shane R. Wurdeman ◽  
Phillip M. Stevens ◽  
James H. Campbell

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1242
Author(s):  
J. Quartey ◽  
D.P. Asamoah ◽  
J.E. Armah ◽  
N.A.B. Baidoo ◽  
K.P. Essuman

2017 ◽  
Vol 42 (5) ◽  
pp. 498-503 ◽  
Author(s):  
Shane R Wurdeman ◽  
Phillip M Stevens ◽  
James H Campbell

Background: While rehabilitation professionals are historically trained to place emphasis on the restoration of mobility following lower limb amputation, changes in healthcare dynamics are placing an increased emphasis on the limb loss patient’s quality of life and general satisfaction. Thus, the relationship between these constructs and mobility in the patient with lower limb loss warrants further investigation. Objectives: To determine the relationship between mobility of the patient with lower limb loss and both (1) general satisfaction and (2) quality of life. Study design: Retrospective chart analysis. Methods: A retrospective chart review of the Prosthetic Limb Users Survey of Mobility and the Prosthesis Evaluation Questionnaire—Well-Being subsection. Pearson correlations were used to test relationships. Results: Data from 509 patients with a lower limb prosthesis were included. Mobility was found to be positively correlated with quality of life ( r = 0.511, p < 0.001, 95% confidence interval (0.443, 0.569)) and general satisfaction ( r = 0.475, p < 0.001, 95% confidence interval (0.403, 0.542)), as well as their arithmetic mean (i.e. Prosthesis Evaluation Questionnaire—Well-Being) ( r = 0.533, p < 0.001, 95% confidence interval (0.466, 0.592)). Conclusion: This study provides evidence of a strong positive correlation between mobility and both quality of life and general satisfaction. Thus, in the holistic care of a patient with lower limb loss, maximizing mobility would correlate with greater quality of life and general satisfaction. Clinical relevance There is growing emphasis on the quality of life and general satisfaction experienced by patients undergoing prosthetic rehabilitation. The results of this study underscore the importance of providing prosthetic rehabilitation that maximizes the patient’s mobility, noting that these individuals also report greater quality of life and general satisfaction.


Psychiatry ◽  
2019 ◽  
Vol 83 (1) ◽  
pp. 47-57
Author(s):  
Susana Pedras ◽  
Estela Vilhena ◽  
Rui Carvalho ◽  
M. Graça Pereira

2019 ◽  
Author(s):  
Francisco Jesús Represas Carrera Sr ◽  
Ángel Alfredo Martínez Ques Sr ◽  
Ana Clavería Fontán Sr

BACKGROUND Diabetes mellitus is currently a major public health problem worldwide. It is traditionally approached in a clinical inpatient relationship between the patient and the healthcare professional. However, the rise of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model through the introduction of telehealthcare. OBJECTIVE (1) To assess the effects of mobile applications for improving healthy lifestyles on the quality of life and metabolic control of diabetes mellitus in adult patients. (2) To describe the characteristics of the mobile applications used, identify the healthy lifestyles they target, and describe any adverse effects their use may have. METHODS Review of systematic reviews and meta-analysis, following the guidelines of the Cochrane Collaboration and the Joanna Briggs Institute. We included studies that used any mobile application aimed at helping patients improve self-management of diabetes mellitus by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without the use of mobile devices. In May 2018, a search was conducted in Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct, updated in May 2019. The methodological quality of the studies was assessed using the Amstar-2 tool. RESULTS Seven systematic reviews of 798 articles were initially selected for analysis. The interventions had a duration of between 1 and 12 months. Mobile applications focused singly or simultaneously on different lifestyles aspects (diet, physical exercise, motivation, blood glucose levels, etc.). There are significant changes in HbA1c values, body weight and BMI, although in others, such as lipid profile, quality of life, or blood pressure, there is no clear improvement. CONCLUSIONS There is clear evidence that the use of mobile applications improves glycemic control in diabetic patients in the short term. There is a lack of evidence in its long-term benefits. It is thus necessary to carry out further studies to learn about the long-term effectiveness of mobile applications aimed at promoting the healthy lifestyles of diabetic patients. CLINICALTRIAL PROSPERO Register: CRD42019133685


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