scholarly journals Spectrum of Quality of Life after Valve Surgery in Patients with Rheumatic Heart Disease.

2021 ◽  
Vol 18 (1) ◽  
pp. 53-56
Author(s):  
Dikshya Joshi ◽  
Anushruti Shrestha ◽  
Minani Gurung ◽  
Navin C Gautam ◽  
Yogeshwor M. Singh ◽  
...  

Background and Aims: Improvement in quality of life is one of the principal goals of valve surgery. The purpose of this study was to assess the quality of life in patients living with mechanical heart valves. Methods: We conducted a cross-sectional descriptive study among 131 (42 Males, and 89 Female) patients, who had undergone valve procedures at different times in clinic visit of department of cardiac surgery, unit I of Shahid Gangalal National Heart Centre from August 1 till August 29, 2019. Quality of life index was measured using Ferrans and Power quality of life index, cardiac version IV via written questionnaire or verbal interview. Results: Mean age was 40.57±1.4 (16-75) years. Mean duration of follow up was 4.68±4.03 years (3 months to 18 years). Subjects reported the lowest quality of life scores in the health and functioning domain prior to surgery (15.61±1.30), which improved 47.15% after surgery (22.95±0.45), psychological/spiritual domain improved 16.68%, social and economic domain 26.24%, family domain 11.49%, with overall improvement 28.62%. Women had significantly lower mean overall quality of life index (22.99±03.58) (95% confidence interval 22.24-23.75) compared to male counterparts (24.21±4.11) (95% confidence interval 22.92-25.49) (p<0.05). Family domain had the highest score at the latest follow up (28.84±1.63). There was a statistically significant correlation between the duration of operation and overall quality of life index (Pearson's rho 0.217, p<0.01). There was no significant difference with the patients’ age. Conclusion: This study confers significant improvement of quality of life after valve surgery with time. Age does not appear to limit the quality of life. Family support seems to be the biggest strength in our population.

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Gabriela Sellen Campos Ribeiro ◽  
Tamires Barradas Cavalcante ◽  
Kezia Cristina Batista Dos Santos ◽  
Adrielly Haiany Coimbra Feitosa ◽  
Barbara Regina Souza Da Silva ◽  
...  

Objetivo: Avaliar a qualidade de vida de pacientes com feridas crônicas. Metodologia: Trata-se de um estudo observacional, correlacional, transversal, com abordagem quantitativa. A população do estudo foi de 71 pacientes internados com feridas crônicas em um hospital universitário. Para coleta dos dados, utilizou-se o IQVFP-VF e questões sobre variáveis sociodemográficas e clínicas. Para análise estatística foram utilizados o Teste T Student, ANOVA e Correlação de Pearson. Resultados: Participaram do estudo 30 pacientes. O sexo correlacionou com o Índice de Qualidade de Vida Geral, o tempo de internação com o domínio família e o Psicológico e espiritual, a área total da ferida com o domínio Psicológico e Espiritual, os sinais de cicatrização com os domínios Saúde e Funcionamento, Socioeconômico, Psicológico e Espiritual e no Índice de Qualidade de Vida Geral. Conclusão: O enfermeiro deve conhecer os aspectos envolvidos na qualidade de vida para a garantia da integralidade do cuidado.Descritores: Qualidade de vida; Ferimentos e Lesões; Cuidados de Enfermagem.INTERNAL PATIENTS WITH CHRONIC WOUNDS: A FOCUS ON QUALITY OF LIFEObjective: To evaluate the quality of life of patients with chronic wounds. Methodology: This was an observational, correlational, cross-sectional study with a quantitative approach. The study population consisted of 71 hospitalized patients with chronic wounds in a university hospital. Data were collected using IQVFP-VF and questions about socio-demographic and clinical variables. For statistical analysis, the Student’s T-Test, ANOVA and Pearson’s Correlation were used. Results: 30 patients participated in the study. Sex correlated with the General Quality of Life Index, the time of hospitalization with the family domain and the Psychological and spiritual domain, the total area of the wound with the Psychological and Spiritual domain, the signs of healing with the Health and Functioning, Socioeconomic domains, Psychological and Spiritual, and in the General Quality of Life Index. Conclusion: The nurse must know the aspects involved in the quality of life to guarantee the integrality of care.Descriptors: Quality of life; Wounds and Injuries; Nursing Care.PACIENTES INTERNADOS CON FERIDAS CRÓNICAS: UN ENFOQUE EN LA CALIDAD DE VIDAObjetivo: Evaluar la calidad de vida de pacientes con heridas crónicas. Metodología: Se trata de un estudio observacional, correlacional, transversal, con abordaje cuantitativo. La población del estudio fue compuesta por 71 pacientes internados con heridas crónicas en un hospital universitario. Para la recolección de los datos, se utilizó el IQVFP-VF y cuestiones sobre variables sociodemográficas y clínicas. Para el análisis estadístico se utilizó el test T Student, ANOVA y Correlación de Pearson. Resultados: Participaron del estudio 30 pacientes. El sexo correlacionado con el Indice de Calidad de Vida General, el tiempo de internación con el dominio familiar y el Psicológico y espiritual, el área total de la herida con el dominio Psicológico y Espiritual, los signos de cicatrización con los dominios Salud y Funcionamiento, Socioeconómico, Psicológico y Espiritual y en el Índice de Calidad de Vida General. Conclusión: El enfermero debe conocer los aspectos involucrados en la calidad de vida para la garantía de la integralidad del cuidado.Descriptores: Calidad de vida; Lesiones y lesiones; Cuidados de Enfermería. 


2006 ◽  
Vol 28 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Kurt I Schwartz ◽  
María I Zapata-Vega ◽  
Juan E Mezzich ◽  
Guido Mazzotti

OBJETIVE: The Multicultural Quality of Life Index is a concise instrument for comprehensive, culture-informed, and self-rated assessment of health-related quality of life. It is composed of 10 items (from physical well-being to global perception of quality of life). Each item is rated on a 10-point scale. The objective was to evaluate the reliability (test-retest), internal structure, discriminant validity, and feasibility of the Multicultural Quality of Life Index in Lima, Peru. METHOD: The reliability was studied in general medical patients (n = 30) hospitalized in a general medical ward. The Multicultural Quality of Life Index was administered in two occasions and the correlation coefficients ("r") between both interviews were calculated. Its discriminant validity was studied statistically comparing the average score in a group of patients with AIDS (with presumed lower quality of life, n = 50) and the average score in a group of dentistry students and professionals (with presumed higher quality of life, n = 50). Data on its applicability and internal structure were compiled from the 130 subjects. RESULTS: A high reliability correlation coefficient (r = 0.94) was found for the total score. The discriminant validity study found a significant difference between mean total score in the samples of presumed higher (7.66) and lower (5.32) quality of life. The average time to complete the Multicultural Quality of Life Index was less than 4 minutes and was reported by the majority of subjects as easily applicable. A high Cronbach's a (0.88) was also documented. CONCLUSIONS: The results reported that the Multicultural Quality of Life Index is reliable, has a high internal consistency, is capable of discriminating groups of presumed different quality of life levels, is quite efficient, and easy to use.


Author(s):  
Maicon Henrique Lentsck ◽  
Tatiane Baratieri ◽  
Maria Regiane Trincaus ◽  
Aline Padilha Mattei ◽  
Carine Teles Sangaleti Miyahara

ABSTRACT Objective: To evaluate the quality of life of people with chronic wounds and to compare this index with clinical parameters. Method: A cross-sectional study conducted between July 2014 and February 2015, evaluating people with chronic wounds in outpatient care during a nursing consultation, in the city of Guarapuava, Paraná. Quality of life was assessed by the Quality of Life Index - wounds version. Data were analyzed using the Mann Whitney test and T-test. Results: 53 people participated. The mean quality of life score was 22.65±3.08. The most significant scores in the analyzes were the family domain (27.71±2.94) with the highest mean score, and the health domain (18.91±4.58) had the lowest. Pain in walking (p=0.031) and using pain medication (p=0.002) presented a significant relation with overall score. There was a significant difference between the groups for the items pain at rest (p=0.022), pain in moving (p=0.006), using pain medication (p<0.001) and presence of infection (p=0.004), in the rest item (p=0.015) in the socioeconomic domain, and type of wound (p=0.05) and rest (p=0.041) in the psychological domain. Conclusion: The overall Quality of Life Index and by domains was classified as good and very good, where the family domain was better evaluated to the deriment of the health domain due to the clinical parameter of pain.


2020 ◽  
Vol 36 (1) ◽  
pp. 103-115
Author(s):  
Johannes C. Lauscher ◽  
Johan F. Lock ◽  
Katja Aschenbrenner ◽  
Rahel M. Strobel ◽  
Marja Leonhardt ◽  
...  

Abstract Purpose The German Classification of Diverticular Disease was introduced a few years ago. The aim of this study was to determine whether Classification of Diverticular Disease enables an exact stratification of different types of diverticular disease in terms of course and treatment. Methods This was a prospective, bicentric observational trial. Patients aged ≥ 18 years with diverticular disease were prospectively included. The primary endpoint was the rate of recurrence within 2 year follow-up. Secondary outcome measures were Gastrointestinal Quality of Life Index, Quality of life measured by SF-36, frequency of gastrointestinal complaints, and postoperative complications. Results A total of 172 patients were included. After conservative management, 40% of patients required surgery for recurrence in type 1b vs. 80% in type 2a/b (p = 0.04). Sixty percent of patients with type 2a (micro-abscess) were in need of surgery for recurrence vs. 100% of patients with type 2b (macro-abscess) (p = 0.11). Patients with type 2a reached 123 ± 15 points in the Gastrointestinal Quality of Life Index compared with 111 ± 14 in type 2b (p = 0.05) and higher scores in the “Mental Component Summary” scale of SF-36 (52 ± 10 vs. 43 ± 13; p = 0.04). Patients with recurrent diverticulitis without complications (type 3b) had less often painful constipation (30% vs. 73%; p = 0.006) when they were operated compared with conservative treatment. Conclusion Differentiation into type 2a and 2b based on abscess size seems reasonable as patients with type 2b required surgery while patients with type 2a may be treated conservatively. Sigmoid colectomy in patients with type 3b seems to have gastrointestinal complaints during long-term follow-up. Trial registration https://www.drks.de ID: DRKS00005576


2018 ◽  
Vol 56 (212) ◽  
pp. 763-765
Author(s):  
Rupak Bishwokarma Ghimire

Introduction: Androgenetic alopecia, also known as as male pattern baldness, affects up to 50% of men and 10% females worldwide. Patients with baldness seem to have a great impact on quality of life including their self-esteem, confidence, relationship as well as work. Methods: This is a cross-sectional descriptive study on dermatology quality of life index in patients with androgenetic alopecia who came for hair transplantation surgery at Aavaran Skin Clinic Pvt Ltd, Battisputali, Kathmandu between 15th July 2017 to 15th February 2018. Ethical clearance was taken from ERB of Nepal Health Reasearch Council Reg No 113/2017. All cases enrolled for transplant surgery during the study period and meeting the inclusive criteria were included. Results: A total of 120 patients participated in the study. Age of the patients ranged from 19 to 49, mean age being 31.87±6.8. Maximum number of patients was in age group 25 to 34. Mean dermatology quality of life index score was 2.79. Maximum score was 14 & minimum score was 0. Maximum effect was seen in question number 2 of self-consciousness, which had impact on 58 (48.33%) patients at some level. Minimum impact on quality of life was seen in sexual activity where only 4 (3.33%) of patients were affected. Conclusions: Androgenetic alopecia had a small effect on quality of life of our patients, but for some it had a great psychological impact not only with their personal feelings but also with the social response towards their problems.


Author(s):  
Kosar Hedayat ◽  
Mojgan Karbakhsh ◽  
Maryam Ghiasi ◽  
Azadeh Goodarzi ◽  
Yousef Fakour ◽  
...  

2021 ◽  
Vol 13 (2) ◽  
pp. 5-11
Author(s):  
Eliana R. Meza-Miranda ◽  
◽  
Jazmín Giménez ◽  

Studies have shown that the performance of scheduled physical activity is positively related to a higher quality of life related to health. The objective of this study was to evaluate the level of physical activity according to the quality of life in the adult population of Paraguay in the period from November to December 2020. A descriptive, analytical cross-sectional design study, which included 211 adults of both sexes. Sociodemographic data such as age, sex and origin were collected, as well as data on physical activity (IPAQ/METS questionnaire) and quality of life (EuroQol-5D questionnaire). The predominant sex was female (89%), 53.5% resided in Gran Asunción and the average age was 34.6±10.6. The level of physical activity was mostly moderate (36.5%). The quality of life index was 0.67±0.15 and the perception of health was 79.12±18.35. Within the dimensions of quality of life, it was observed that 23% had moderate pain or discomfort and that 33% had moderate depression or anxiety. Significant differences were found between the level of physical activity and the quality of life index and the perception of health. The level of physical activity is a determinant of health-related quality of life, the greater the intensity of physical activity, the better the quality and perception of health indices in adults.


2008 ◽  
Vol 16 (6) ◽  
pp. 1025-1031 ◽  
Author(s):  
António José Pereira dos Santos Almeida ◽  
Vitor Manuel Costa Pereira Rodrigues

This is a descriptive cross-sectional study. The sample consisted of 93 aged people, divided among four institutions in the municipality of Lamego (Portugal). The purpose of this study was to investigate the quality of life of the sample and the factors affecting it, and identify the degree of dependence in basic daily living activities. The data was collected using the following: i) a bio-relational questionnaire, ii) a quality of life evaluation scale, and iii) the Katz Index. In terms of the quality of life of the institutionalized aged people, 51.6% include themselves in the group with quality of life, and it was observed there was a positive correlation between the Katz index and the quality of life index in the institutionalized aged people. There were no differences in the quality of life index regarding gender, marital status, degree of education, and the presence of pain in the institutionalized aged people.


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