Medical and social factors and quality of life in patients with arterial hypertension: the role of the nurse

The paper examines the role of medical and social factors, general well-being, and quality of life in patients with hypertension. The role of the nurse of the therapeutic department in the preventive training of patients is emphasized to form a healthy lifestyle and reduce the pathogenic impact of negative social factors.Objective – substantiation of the main measures for prevention of hypertension and improvement of quality of life by studying medico-social and social factors of patients' quality of life with arterial hypertension by nurses.Material and methods. The survey (by questionnaire) involved 120 patients with arterial hypertension consulted at the Municipal Institution "Polyclinic №1" in Chernivtsi, including: men – 43.3%, women – 56.7% aged from 23 to 79 years. With the help of the questionnaires, medical and social, sociological factors of influence, general well-being and quality of life were studied. The research was conducted according to all ethical rules, in particular, in compliance with the principles of voluntariness, confidentiality, research integrity. The results of the study were processed by conventional statistical methods using computer packages STATISTICA 10 and presented by the appropriate number of observations, percentages, and the exact value of p.Results. I and II degree AH prevailed among the examined individuals, and burdened heredity was found in 62.5% (75 people). Insufficient amount of vegetables and fruits, fish in the diet and salt intake of more than 5 g per day (60%) was found. The vast majority of respondents had a secondary special, less of respondents – higher education. Social status survey: 71.62% were employed, most worked full time. According to the survey, 22.09% of people noted excellent working conditions, 38.37% – good, satisfactory – 25.58%, and 13.96% poor working conditions. It was found that the percentage of patients (60.47%), among whom there are excellent and good sanitary and working conditions, exceeds the percentage of respondents with satisfactory and poor working conditions (39.53%). The majority of respondents (53.49%) indicated satisfactory and poor psychological working conditions, which slightly exceeded the number of employees with excellent and good working conditions (46.51%). The advantage of assessing excellent and good material and technical working conditions over excellent and good psychological conditions (60.47% vs. 46.51%) was revealed. The financial condition of the majority of respondents was assessed as average (42.5%). The level of QOL fluctuated from very high to extremely low. Factors that led to a decrease in the level of QOL are the following: the indicator of "health" (1.44), "social status" (1.48), "job satisfaction" (1.59), "social activity" (1.62). Social factors such as financial difficulties, additional work to increase income were reported as negative during the last 6 months by every second patient; deterioration of mutual understanding, deterioration of relations: husband / wife, children, parents, friends, the threat of unemployment for relatives – every third respondent.Conclusions 1. 120 Patients with hypertension have a burdened heredity (62,5%), insufficient consumption of the recommended amount of vegetables and fruits (25,83%), fish in the diet (12,5%), and excessive salt consumption (60%); the predominance of people is with secondary special education and workers (71,62%) with excellent and good sanitation and satisfactory and poor psychological working conditions (39,53%), with an average financial situation (42,5%) and fluctuations in the level of QOL from very high to extremely low. 2. Hypertension worsens the QOL of patients, which is manifested by a decrease in both physical and psychological states. 3. The ability of patients to adequately perceive their disease and form attitudes toward treatment and prevention depends on the level of education. 4. Social support, training and diagnosis of hypertension are significant predictors of commitment to prevention and treatment. 5. Education of patients with hypertension on the principles of a healthy lifestyle by nurses, assistance in reducing the pathogenic impact of negative social factors, the constant promotion of medical knowledge will contribute to the formation of a responsible attitude to maintaining their own health, prevent complications, improve the QOL and social adaptation.

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The Quality of Life Definition: Where Are We Going?

Uro ◽

10.3390/uro1010003 ◽

2021 ◽

Vol 1 (1) ◽

pp. 14-22

Author(s):

Tommaso Cai ◽

Paolo Verze ◽

Truls E. Bjerklund Johansen

Keyword(s):

Quality Of Life ◽

Extra Dimension ◽

Sexual Partner ◽

Therapeutic Approach ◽

Well Being ◽

Narrative Review ◽

Laboratory Findings

The quality of life (QoL) concept now includes new aspects related to patients’ well-being because QoL has become more of a personal perception than an an objective and measurable entity. Here, we discuss the principal aspects of QoL-related aspects in urology and andrology by using a narrative review. Some aspects concerning the QoL are essential when managing uro-andrological patients. The aim of treatments should not only include the absence of disease or symptoms relief but also the improvement of a patient’s QoL with regard to his/her internal status and relationship with others. In this sense, any therapeutic approach should be based on the patient’s perspectives and not only on the instrumental and laboratory findings. Finally, we discussed the role of a patient’s sexual partner adding an extra dimension to the patient-centerd approach as part of the QoL concept in andrology.

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Role of clinical, functional and social factors in the association between multimorbidity and quality of life: Findings from the Survey of Health, Ageing and Retirement in Europe (SHARE)

PLoS ONE ◽

10.1371/journal.pone.0240024 ◽

2020 ◽

Vol 15 (10) ◽

pp. e0240024 ◽

Cited By ~ 1

Author(s):

Tatjana T. Makovski ◽

Gwenaëlle Le Coroller ◽

Polina Putrik ◽

Yun Hee Choi ◽

Maurice P. Zeegers ◽

...

Keyword(s):

Quality Of Life ◽

Social Factors

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Why We Ought to Accept the Repugnant Conclusion

Utilitas ◽

10.1017/s0953820800003642 ◽

2002 ◽

Vol 14 (3) ◽

pp. 339-359 ◽

Cited By ~ 16

Author(s):

Torbjorn Tannsjo

Keyword(s):

Quality Of Life ◽

Well Being ◽

Derek Parfit ◽

Worth Living ◽

Repugnant Conclusion ◽

High Quality ◽

Hedonistic Utilitarianism ◽

Sentient Beings ◽

Very High

Derek Parfit has famously pointed out that ‘total’ utilitarian views, such as classical hedonistic utilitarianism, lead to the conclusion that, to each population of quite happy persons there corresponds a more extensive population with people living lives just worth living, which is (on the whole) better. In particular, for any possible population of at least ten billion people, all with a very high quality of life, there must be some much larger imaginable population whose existence, if other things are equal, would be better, even though its members have lives that are barely worth living. This world is better if the sum total of well-being is great enough, and it is great enough if only enough sentient beings inhabit it. This conclusion has been considered by Parfit and others to be ‘repugnant’.

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Well‐being of nurses and working conditions—Are polish nurses different from doctors and midwives in terms of professional quality of life?

Nursing Open ◽

10.1002/nop2.606 ◽

2020 ◽

Vol 8 (1) ◽

pp. 87-95

Author(s):

Monika Bąk‐Sosnowska ◽

Magdalena Gruszczyńska ◽

Aleksandra Tokarz

Keyword(s):

Quality Of Life ◽

Working Conditions ◽

Well Being ◽

Professional Quality Of Life ◽

Professional Quality

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Impact of Exercise/Sport on Well-being in Congenital Bleeding Disorders

Seminars in Thrombosis and Hemostasis ◽

10.1055/s-0038-1673628 ◽

2018 ◽

Vol 44 (08) ◽

pp. 796-801

Author(s):

Silvia Fasoli ◽

Giorgio Gandini ◽

Anna Giuffrida ◽

Massimo Franchini

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Well Being ◽

The Other ◽

Bleeding Disorders ◽

Coagulation Disorders ◽

Sporting Activity ◽

The Impact

AbstractPhysical activity provides many benefits in patients with congenital bleeding disorders. Patients with hemophilia are encouraged to participate in exercise and sports, especially those patients receiving prophylaxis. Several publications and guidelines have explored this issue in hemophilia patients, evaluating in particular the impact of physical activity on patients' well-being and quality of life. The other rare congenital bleeding disorders are less studied; they are heterogeneous in terms of clinical bleeding phenotype, incidence of hemarthrosis, and arthropathy. Furthermore, prophylaxis in these patients is less common than in hemophilia patients, which must be considered when choosing the type of physical and sporting activity. In this review, the authors have analyzed the literature focusing their attention on those rare coagulation disorders that may be complicated by arthropathy and the role of exercise and sports in this context.

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The role of physiotherapy in terminal care

Advances in Rehabilitation ◽

10.1515/rehab-2015-0038 ◽

2016 ◽

Vol 30 (1) ◽

pp. 41-50

Author(s):

Przewłocki Sławomir ◽

Ronikier Aleksander

Keyword(s):

Quality Of Life ◽

Survival Time ◽

Terminal Care ◽

Depression Scale ◽

Well Being ◽

Terminal State ◽

Health State ◽

Willingness To Participate

Abstract Introduction: Terminal patients require proper care standards and professional team of doctors, physiotherapists, social workers, educators, psychologists and clergy directly involved in mitigating the suffering of a dying person. A physiotherapist as a member of such a team should be focused on sustaining the patient’s quality of life until the end at the level relevant to the patient’s health state. This quality of life should be perceived integrally as a combination of procedures reducing pain and physical suffering as well as improving physical fitness and mental well-being. Material and methods:The aim of the research was to define the role of physiotherapy in assessing mental and physical state of terminal patients; to determine the applicability of ADLs, GDS and BDI in diagnosing the validity and usefulness of tiresome physiotherapeutic procedures for terminal patients and to assess the applied tests in predicting terminal patients’ survival time. The research was carried out on the turn of 2012 and 2013 in the group of 103 subjects (74 females - 71.8% and 29 males - 28.2%) For the research the following methods were used: - Activity of Daily Living scale (ADL)- - Beck Depression Inventory (BDI) - Geriatric Depression Scale (GDS) - Questionnaire regarding their willingness to participate in physiotherapeutic procedures. Results: In the research the range of diagnostic possibilities of the applied scales and tests, correlations between theses scales and tests as well as correlations between them and subjects’ age and survival time were assessed. Additionally, a questionnaire survey was carried out which assessed the willingness to participate in physiotherapeutic procedures. Strong stress, terminal state of the patient and generalisation of symptoms brought about the fact that only 14.6% of patients declared their willingness to participate in physiotherapeutic procedures. Conclusions: 1. Implementing physiotherapeutic and psychological diagnostic tests in everyday terminal care makes it easier to assess survival time of terminal patients and significantly improves their life and dying with dignity 2. Proper understanding of the symptoms of dying must serve as a basis for organising adequate activities compliant with the progress of a disease of a terminal patient without disturbing the process of dying. 3. Modern physiotherapy in terminal care should limit the range of physiotherapeutic procedures and physical therapy while increasing psychological care in this population.

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The Influence of COVID-19 Pandemic on Physical Health–Psychological Health, Physical Activity, and Overall Well-Being: The Mediating Role of Emotional Regulation

Frontiers in Psychology ◽

10.3389/fpsyg.2021.667461 ◽

2021 ◽

Vol 12 ◽

Author(s):

Jianhui Dai ◽

Xuehui Sang ◽

Rashid Menhas ◽

Xia Xu ◽

Sumaira Khurshid ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Psychological Health ◽

Emotional Regulation ◽

Negative Relationship ◽

Well Being ◽

Mediating Role ◽

Significant Negative Relationship

Background: Highly infectious respiratory disease COVID-19 emerged in Wuhan, China, and spread worldwide. Different measures have been adopted worldwide to contain the COVID-19, and these measures have various impacts on health-related quality of life (HRQoL). This study aimed to assess the impact of the COVID-19 pandemic (CP) and lockdown policy on physical health (PH)–psychological health (PsH), physical activity (PA), and overall well-being (OW) in the context of HRQoL, exploring the mediating role of emotional regulation (ER).Method: The current study was conducted in two provincial cities of China. An online survey was conducted in both the cities to collect the data. After quantifying the data, a total of 2,200 respondents data were analyzed through appropriate statistical techniques.Results: The study results indicate that CP was found significantly and negatively related to PH (β = −0.157, t = 9.444, p < 0.001). A significant relationship was found between CP and PsH (β = 0.779, t = 45.013, p < 0.001). The third prediction revealed a significant negative relationship between the CP and OW (β = −0.080, t = 5.261, p < 0.001). The CP and PA had a significant negative relationship (β = −0.047, t = 3.351, p < 0.001).Conclusion: The PH, PsH, and OW of the Chinese people were affected due to the CP and lockdown measures. It is suggested that ER intervention reduces the negative psychological impacts for improving quality of life. ER can function one's sentiments in their social environment effectively for quality of life.

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A szégyen mediációs szerepe a stigma és az életminőség kapcsolatában coeliakiában szenvedő betegek körében.

Orvosi Hetilap ◽

10.1556/650.2021.32258 ◽

2021 ◽

Vol 162 (49) ◽

pp. 1968-1976

Keyword(s):

Quality Of Life ◽

Coeliac Disease ◽

Psychological Symptoms ◽

Well Being ◽

Cross Sectional Study ◽

Cross Sectional ◽

Mediation Analyses ◽

Mediating Role

Összefoglaló. Bevezetés: A coeliakia és a kapcsolódó terhek befolyásolják az érintettek életminőségét. A krónikus betegségekkel járó stigmatizáció hozzájárul a fizikai tünetek és a lelki panaszok fokozódásához, valamint az egészségmagatartás csökkenéséhez. Mindez szükségessé teszi a krónikus megbetegedések kapcsán a stigmatizáció felismerését, felmérését és kezelését. Célkitűzések: Fő célunk a 8 tételes Stigmatizáció Krónikus Betegségekben Kérdőív (SSCI-8) magyar adaptációja és pszichometriai vizsgálata volt coeliakiások körében. További célunk volt megvizsgálni a szégyen közvetítő szerepét a stigmatizáció és a jóllét között. Módszerek: A kutatás önbeszámolós, online kérdőíves, keresztmetszeti vizsgálatként zajlott (n = 85, átlagéletkor: 37,64, 91,8% nő). Az SSCI-8 mellett felvételre kerültek a szégyenélményt, a coeliakiás életminőséget, a jóllétet mérő kérdőívek. A kutatási célok tesztelése megerősítő faktorelemzéssel, korrelációs és mediációs elemzésekkel történt. Eredmények: Az SSCI-8 faktorelemzése során az egydimenziós modell megfelelő illeszkedést mutatott magas belső konzisztenciaértékek mellett. A mediációs modellek szerint a magasabb stigmatizáció a magasabb szégyenélményen keresztül járulhat hozzá a pszichés jóllét (coeliakiás életminőség, jóllét) csökkenéséhez. Megbeszélés: Az SSCI-8 rövid, átfogó kérdőívként megbízhatóan és érvényesen mérte a krónikus betegségben tapasztalt stigmatizációt a jelen coeliakiás mintán. Eredményeink alátámasztják, hogy a stigmatizáció és a szégyen fontos szerepet tölt be a jóllét csökkenésében. Következtetés: A nemzetközileg széles körben alkalmazott SSCI-8 adaptálására került sor, mely hazai kutatásokban és az egészségügyi ellátásban is hasznos mérőeszköz lehet. Az eredmények rávilágítanak, hogy a stigmatizáció és a szégyenélmény további kutatása szükséges, különösen a hatékony pszichoszociális intervenciók kifejlesztését megcélozva. Hatékony pszichológiai segítség révén a szégyen és a stigmatizáltság mérséklésével javulhat a coeliakiával élők fizikai és lelki állapota, ami a gluténmentes diéta betartása révén hozzájárulhat a betegség okozta tünetek és szövődmények mérsékléséhez. Orv Hetil. 2021; 162(49): 1968–1976. Summary. Introduction: Coeliac disease can detrimentally affect well-being. Stigmatization related to a chronic disease can enhance physical and psychological symptoms and negatively influence health behaviour, hence, stigma in chronic diseases needs to be addressed. Objectives: Our main goal was to psychometrically evaluate the Hungarian adaptation of the Stigma Scale for Chronic Illness-8 (SSCI-8). Further aim was to examine the mediating role of shame on the relationship between stigmatization and well-being aspects among individuals with coeliac disease. Methods: This cross-sectional study collected data using online questionnaires based on self-reports (n = 85, mean age: 37.64 years, 91.8% women). Instruments assessed levels of stigmatization, shame experience, quality of life in coeliac disease and well-being. Confirmatory factor, correlation and mediation analyses were used. Results: Factor analysis showed adequate fit for a unidimensional model with high internal consistency. Mediation models showed that higher levels of stigmatization can contribute to decreased levels of quality of life in coeliac disease and well-being via increased levels of shame. Discussion: The SSCI-8 is a short, valid, reliable instrument measuring stigmatization in the current sample of people with coeliac disease. The results highlight the role of stigma and shame in the decrease of well-being. Conclusion: The adapted version of the SSCI-8 can be a useful tool in Hungarian research and healthcare. The results suggest that stigmatization and shame need further attention to develop effective intervention which can reduce their effect and enhance adherence to gluten-free diet and improve physical and psychological well-being. Orv Hetil. 2021; 162(49): 1968–1976.

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The Concept of Mindfulness in Integrative Preventive Medicine

10.1093/med/9780190241254.003.0005 ◽

2017 ◽

Author(s):

Kim Aikens ◽

Shauna Shapiro

Keyword(s):

Quality Of Life ◽

Health Promotion ◽

Preventive Medicine ◽

Psychological Health ◽

Healthy Lifestyle ◽

Well Being ◽

Tertiary Prevention ◽

Preventive Strategy ◽

The Impact

This chapter discusses mindfulness as it applies to integrative preventive medicine. Defining mindfulness as the awareness that arises through intentionally attending in an open, caring, and discerning way, the chapter proposes three core mindfulness elements: intention, attention, and attitude. It explores the potential application of mindfulness to primary, secondary, and tertiary prevention. The chapter looks at the impact of mindfulness on health promotion and examines mindfulness as a secondary prevention strategy, particularly in hypertension and diabetes. It then addresses tertiary prevention and the impact of mindfulness in chronic disease. Lastly, mindfulness as a preventive strategy for psychological well-being is explored. Overall, there is strong evidence suggesting that mindfulness is positively associated with healthy lifestyle as well as improvements in depressive symptoms, stress, anxiety, quality of life, physical outcomes, and positive psychological health.

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