scholarly journals ПОКАЗНИКИ ЯКОСТІ ЖИТТЯ ОСІБ, ЩО ДОГЛЯДАЮТЬ ЗА ПАЦІЄНТАМИ З ДЕМЕНЦІЄЮ

2021 ◽  
Vol 25 (5-6) ◽  
pp. 16-19
Author(s):  
О.В. Орлова ◽  
Л.В. Животовська ◽  
Д.І. Бойко ◽  
Л.А. Боднар

Dementia is associated with decreased memory, impaired thinking, behavior and ability to perform daily functions. This condition mainly affects the elderly and is one of the main causes of disability. Dementia affects not only patients, their families and caregivers, but society as a whole. The number of people with dementia is on the rise worldwide, and prognosis generally indicates a significant increase in overall prevalence associated with population aging. A large number of patients with dementia are at home, where their family members perform the function of caring for them. With the progression of the disease, patients lose the ability to care for themselves on their own, so the question of outside care arises for their relatives. The aim of this study is to analyze the quality of life indicators in persons performing the function of caring for patients with dementia. It has been found that almost 80% of patients with dementia are cared for by their relatives. Caregivers are at risk of depression, anxiety and psychological stress. In this study, the authors identified factors influencing the mental health of caregivers, among which the degree of dementia and the patient's ability to perform daily activities were significant. In caregivers with a low level of mental tension, manifestations of social maladaptation were less common. Depending on the level of psychological stress, individuals with a high level of tension had lower indicators of quality of life on the scales "physical functioning" (p=0.003), "role functioning due to physical condition" (p<0.001), "social functioning" (p=0.04), "role functioning due to emotional state" (p=0.003), "mental health" (p=0,004). For this category of people, it is recommended to use counseling, psycho-educational activities aimed at understanding the improvement of quality of life.

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zeng-Rong Luo ◽  
Dong-Shan Liao ◽  
Liang-Wan Chen

Abstract Background To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into young group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI). The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results One hundred seventy-five patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the young (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0 ± 11.5 and 56.9 ± 10.8 years, respectively (P = 0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P = 0.04), however, the mental health was not significantly worse (P = 0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P = 0.15, BDI-II P = 0.06). Total physical health scores in the young SD group did not show significant better than elderly SD group (P = 0.24), however, total mental health scores showed significantly worse (P = 0.04), depressive symptoms scores were significantly higher (QIDS-SR P = 0.03, BDI-II P = 0.04). Conclusion The postoperative AAD SD prevalence of elderly is higher than that of young, and the total physical health of SD patients is poorer than those without SD patients. The young SD patients did not show a significant higher physical health scores than the elderly SD patients, instead, the young SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the young postoperative SD patients mainly affected by psychological factors.


Author(s):  
Chia-Jung Lee ◽  
Yen Hsu

This study explored the technology learning model of the elderly in a senior learning center under the impact of the COVID-19 pandemic. Many senior learning centers were closed during the pandemic, and many of them adopted the mode of online education. However, problems such as decreased motivation and a lack of peer interaction still exist. To solve these problems, this study used the easy-to-implement calligraphy AR approach and E-book approach to conduct a quasi-experiment on the elderly of a calligraphy course offered by a senior learning center. The results show a higher learning motivation among the elderly who use calligraphy AR. The learning effectiveness and technology acceptance of the elderly in the E-book learning group were higher than those in the calligraphy AR group. The elderly mentioned that the E-book learning approach is more user-friendly. In general, in the face of the COVID-19 pandemic affecting the suspension of classes in senior centers, education through the development of technology has stimulated the growth of education in advanced learning centers. Through this kind of scientific and technological learning method, it will bring a whole new experience to the elderly. It can improve the stress relief methods, mental health, and quality of life of the elderly during the COVID-19 emergency shutdown, and provide a novel calligraphy technique learning experience for the elderly. Therefore, we believe that the calligraphy AR learning approach and the calligraphy E-book learning approach are practical and may promote quality of life and mental health of the elderly during the emergency closures due to COVID-19, providing elderly attendees with a novel calligraphy technology learning experience.


2021 ◽  
Vol 12 ◽  
pp. 204062232110243
Author(s):  
Federica Guerra ◽  
Jessica Ranieri ◽  
Domenico Passafiume ◽  
Diana Lupi ◽  
Daniela Maccarone ◽  
...  

Background and aims: The increase in innovative and personalized medicine solutions in kidney surgery can improve patients’ chances of survival; however, during the transplantation process, patients are exposed to many psychological challenges. This study aimed to evaluate the role and impact of personality dimensions on the behaviour of waiting-list patients towards the post-surgery adaptation process. Method: The participants were 113 out-patients aged 18–70 years (mean age 54.7 years, SD ± 9.9) who had received a kidney transplant at least 3 years prior to the study. Results: The results of the study revealed that personality dimensions can predict mental health-related quality of life after kidney transplantation; in particular, the dimensions play an important role in patients’ behavioural ability to manage their quality of life both during end-stage renal disease and after kidney transplantation. Psychological distress and anxiety were associated with a low level of the conscientiousness dimension, while a high level of the openness dimension was associated with a high level of psychological distress and stress. In addition, body self-perception was associated with personality dimensions. Conclusion: Personality dimensions were found to predict behavioural reactions when emotional traits and body self-perception for each patient were combined; clinical psychologists could apply personalized intervention by modeling the treatments step by step and mitigating the negative effects of the whole kidney transplantation disease, thus helping the individual to adapt to a new life.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Matej Stuhec ◽  
Nika Bratović ◽  
Aleš Mrhar

AbstractMental health problems (MHPs) are very common in the elderly and can have an important influence on their quality of life (QoL). There is almost no data on the impact of clinical pharmacists’ (CPs) interventions on the QoL including elderly patients and MHPs. The main aim of this study was to determinate the impact of (CP’s) interventions on the QoL and quality of pharmacotherapy. A prospective non-randomized pre-post study was designed which included residents of a nursing home aged 65 age or more with at least one MHP. Each patient also filled out the EQ-5D questionnaire. The medical review MR included drug-related problems (DRPs) and potentially drug-drug interactions (pDDIs), as well as potentially inappropriate medications (PIMs). After 2 months, the participants were interviewed again. The mean number of medications before the intervention was 12,2 ± 3,1 per patient and decreased to 10,3 ± 3,0 medications per patient (p < 0,05) (n = 24). The total number of PIMs and pDDIs was also reduced and QoL was also significantly higher (p < 0,05). A collaborative care approach with a CP led to a decrease of DRPs, pDDIs, PIMs, the total number of medications and to an improvement in the patients’ QoL.


2015 ◽  
Vol 67 (1) ◽  
pp. 29-39
Author(s):  
Agnieszka Kozerska

From the perspective of adult education, the engagement of older people in developing relationships with other people is related to their learning and creating their identities. The research conducted in the areas of various countries shows a relationship between a social participation of seniors and their well-being. Moreover, participation in rich social networks, composed of many people, coincides with a high quality of life. The article focuses on senior citizens functioning in restricted networks (less numerous social networks, consisting of several people).The study is to serve three purposes: firstly, to identify determinants of a subjective assessment of own life of senior citizens living in restricted networks; secondly, to analyse a relationship between seniors’ subjective, general assessment of life and their opinion on what determines a successful and happy life; thirdly, to analyse the relationship between seniors’ subjective, general assessment of life and the ways they handle problematic situations. The analysis has been conducted on the basis of the data collected in 2013, available to the general public on www.diagnoza.com. The data was collected within the Social Diagnosis (Diagnoza społeczna) project. The objective of the Social Diagnosis is an investigation of the conditions and quality of life in Poland. It is based on panel research. A questionnaire has been used as a research tool. The article presents information regarding 5623 individuals, aged 60+functioning in restricted social networks in Poland. The Mann-Whitney U test and the two proportions test helped to analyse the differences between variable distributions. The results show that a poor social life of the elderly does not have to be linked with a feeling of loneliness. The group of individuals with a high level of general satisfaction is more satisfied with a relationship with the family (especially children) than the group with a low level of life satisfaction. The analysis confirms that good relationships with family and friends are an important predictor of life satisfaction of the elderly. Health is considered to be a condition of a successful life by seniors with a high level of life satisfaction, as well as relationships with close family members: with children and a spouse. This group of respondents shows more confidence in other people, by whom they feel loved and confided in. In difficult situations people with a high level of life satisfaction turn to others for help, but they also act themselves. Seniors with a low level of satisfaction differ from the previous group in these terms. These are people who do not feel confided in by others and they also hardly ever turn to others for help. In difficult situations they are more often passive. In conclusion, the author highlights the significance of informal learning occurring in families to enhance older people’s quality of life. It is important, especially in case of poorly educated persons with low incomes who often function in small social networks. Key words: informal learning in the family, life satisfaction of older adults, social participation of seniors.


2020 ◽  
Vol 20 (1) ◽  
pp. 30-49
Author(s):  
E. A. Kechyna ◽  
L. V. Filinskaya

The demographic aging of population typical for many countries requires much more financial and material resources to meet the needs of the post-working-age population. For the Republic of Belarus, the problem of population aging is highly relevant for the share of the elderly grows annually. The article focuses on the social-demographic characteristics and quality of life of the older generation in Belarus. The article is based on the data of the National Statistical Committee of the Republic of Belarus and the results of the sociological research “Belarus: Family, Stability of Family Relations, and Birth Rate in the Changing Social-Economic Conditions” conducted within the international research program “Generation and Gender”. The authors present a sociological-statistical approach to the analysis of the key characteristics of the elderly’s life in contemporary Belarus, which combines the information resources of sociology and statistics. The authors consider the general statistical data on the population aging and the elderly’s features and the sociological indicators revealing the perception of life at the older age. The assessment of the older generation’s life is presented as a set of indicators of the quality of life, which includes both objective statistical data and estimates of the older people’s satisfaction with various aspects of their life. For the first time in Belarus the quality of life of the 60-69- and 70-79-year-old cohorts is studied not only through statistical data but also taking into account their own assessments of various aspects of their lives, which allows to identify the most relevant issues for the social programs aimed at meeting the needs of the older generation.


2020 ◽  
Vol 16 (2) ◽  
pp. 16-22
Author(s):  
O.A. Alifer

Relevance. Hypertension is one of the most common chronic diseases, for which currently the goal of therapy is not so much recovery as improving circulatory function with a satisfactory quality of life. Objective: to determine the impact of different degrees of hypertension on quality of life in female and male patients. Materials and methods. 126 patients with arterial hypertension underwent examination, including 86 women (68%), 40 men (32%) aged 40 to 81 years (mean age 61.9 ± 0.3 years). Arterial hypertension of I degree had 19 people (15.1%), II degree - 65 patients (51.6%), III degree - 42 people (33.3%). The control group consisted of 43 healthy individuals who did not differ from the main group in terms of demographics. Surveys of patients to assess the quality of life conducted with the questionnaire SF-36 (Short Form-36) at each follow-up. Quality of life indicators has value in points. Results. The analysis of quality of life indicators in the group of healthy people found that the level of quality of life in men is much higher than in healthy women: "physical pain", "role functioning" - P1-P2> 0.5; "Physical functioning" - P1-P2 <0.001; "Physical health" - P1-P2> 0.5, except for the scale "general health" - P1-P2 <0.05 (77.2 ± 3.02 vs. 63.75 ± 2.81). The comparison of the quality of life of patients with hypertension of I degree and patients with arterial hypertension of III degrees found reliable differences on the scales "Vitality" (P1-P3 <0.001), and "Social functioning" (P1-P3 <0.5). In patients with II and III degrees of arterial hypertension indicators of quality of life were low in themselves and differed on a scale "role functioning" of the questionnaire: "Vital force" (P2-P3> 0,5); "Role functioning" (P2-P3 <0.5); "Mental health" (P2-P3> 0.5). Patients with hypertension of the I degree in comparison with arterial hypertension of the II degree had reliably higher indicators of quality of life on scales "vital force" (80,0 ± 3,93 points) and "role functioning" (77,1 ± 4,04 points) ), but reduced indicators of "social functioning" and "mental health" (48.7 ± 7.35 and 47.41 ± 2.39 points, respectively). Patients with hypertension of I degree and III degree showed reliable differences on the scales "vital force" (P1-P3 <0.001) and "social functioning" (P1-P3 <0.5); and patients with hypertension of II and III degrees showed a significant decrease in all indicators of quality of life, especially on the scales "social functioning" and "mental health" (up to 31.5 ± 5.19 and up to 40.31 ± 2.23 points, respectively). Patients with hypertension of I degree had a decrease in general health (87.1 ± 3.16), physical function (82.6 ± 2.86), and physical pain (87.1 ± 3.16). Patients with II degree of hypertension had a significant reduction in role functioning (32.4 ± 5.19), physical pain, and general health (36.0 ± 6.12 and 42.26 ± 2.68 points, respectively). Conclusions. Hypertension significantly affects the quality of life. The state of health of patients with hypertension significantly limited their physical activity.


Author(s):  
K. V. Duve

The analysis of data from a number of scientific sources shows that even those patients, with favorable outcomes after suffering from aneurysmal subarachnoid hemorrhage (aSAH), may often experience a decline in quality of life (QoL), both at the physical and psychosocial levels. The influence of functional dependence on the patient’s quality of life remains controversial, because among the number of patients, who save the ability of self-care, there exists a part of those, who are not able to return to their previous lifestyle, kind of activity, they have difficulties in their relationships and emotional disorders. The aim of study was to assess the quality of life of patients in recovery and residual periods of aSAH. Material and methods. We examined 114 patients (64.91 % - males, 35.09 % - females). The patients’ quality of life was studied by using the questionnaire SF-36. The control group consisted of 20 healthy participants, matched by age and gender. Results. The significant decrease in QoL of patients was observed in all scales, with the exception of physical functioning, vital activity and social functioning. It should be noted, that "mental health" scale rates correlated with the level of anxiety (r = -0,55) and depression (r = -0,61). In the different age groups, the QoL indicators were almost identical, with the exception of "physical functioning" component, because older patients received a lower score for this scale (p<0.01). Patients with a moderate level of disability were observed with a decline in all QoL categories of the scale SF-36. Patients, who were totally independent, had also a significant decline in all QoL scale components, with the exception of physical functioning. Conclusions. We found the decrease in QoL of patients in recovery and residual periods of aSAH, which does not depend on one’s level of functional dependence. The influence of anxiety (r = -0,55) and depression (r = -0,61) on the subscale "mental health" was established.


2020 ◽  
Vol 7 (2) ◽  
pp. 97
Author(s):  
Lailatuz Zalia Ifianti ◽  
Rita Hadi Widyastuti

Diabetes melitus adalah gangguan metabolik yang ditandai dengan kenaikan kadar glukosa dalam darah dan dapat menyebabkan  berbagai macam komplikasi sehingga mempengaruhi kualitas hidup lansia. Harapan akan membawa kepada keoptimisan dan meningkatkan kualitas hidup lansia dengan penyakit kronis. Sementara penelitian mengenai dampak harapan masih sangat kurang. Penelitian ini bertujuan untuk mendeskripsikan derajat harapan pada lansia dengan diabetes melitus tipe 2.Penelitian ini menggunakan desain penelitian kuantitatif survei, responden terdiri dari 127 lansia yang menderita DM tipe 2 yang diambil dengan teknik total sampling setelah memenuhi kriteria inklusi. Kuesioner HHI (Herth Hope Index) digunakan untuk mengetahui gambaran harapan. Uji validitas dan reliabilitas telah dilakukan dan hasilnya valid serta reliabel.  Hasil penelitian ini menunjukkan bahwa karakteristik responden adalah didominasi usia 60-74 tahun, sebagian besar berjenis kelamin wanita, tingkat pendidikan didominasi oleh pendidikan SD-SMP, sebagian besar menikah, Suku Jawa, menderita DM < 5 tahun dan tidak mengalami komplikasi. Derajat harapan menunjukkan bahwa responden mempunyai harapan yang tinggi dengan nilai mean sebesar 37.41. Sebagian besar responden merasa hidupnya memiliki nilai dan berharga.Masyarakat dan petugas kesehatan harus membantu lansia mempertahankan derajat harapan yang sudah tinggi dengan menyediakan dukungan sosial dan membantu lansia mencari jalan keluar ketika menghadapi masalah tentang kesehatan dan yang lainnya. Kata Kunci: diabetes mellitus; harapan; lansiaHOPE IN ELDERLY WITH DIABETES MELITUS TYPE 2Diabetes mellitus is a metabolic disorder that signed with the increase of glucose level in blood and can make various complication which influences the elderly’s quality of life. Hope will bring the optimism and increased the  quality of life on elderly with chronic diseases. However, research supporting this effect is lacking. This study was aimed to find out the description of the hope level among elderly with diabetes mellitus type 2. This study was quantitative descriptive with 127 elderly diabetic patients taken by using total sampling technique by fulfilling the inclusion criteria. Herth Hope Index (HHI) questionnaire was used. The validity and reliability was confirmed. The results of this research show that the age of respondent was dominated with 60-74 years old, mostly consist of female. The education level was mostly elementary school, mostly have been married and from Javanese family, suffered from DM for about 5 years and mostly didn’t have complications. For the hope level, the respondent mostly  is in high level with mean score is 37.41. The respondent feel that their life is worth and precious. Based on the results of this research, the society and health center member should help the elderly to maintenance their level of hope by give the support system to the elderly and facilitate the elderly to solve their problem about health or another. Keywords: diabetes mellitus; elderly; hope  


2020 ◽  
Author(s):  
Zeng-Rong Luo ◽  
Dong-Shan Liao ◽  
Liang-Wan Chen

Abstract Background: To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods: From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into youth group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI) . The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results: 175 patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the youth (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0±11.5 and 56.9±10.8 years, respectively (P=0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P=0.04), however, the mental health was not significantly worse (P=0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P=0.15, BDI-Ⅱ P=0.06) . Total physical health in the youth SD group did not show significant better (P = 0.24), however, total mental health showed significantly worse (P=0.04), depressive symptoms scores were significantly higher (QIDS-SR P=0.03, BDI-Ⅱ P=0.04). Conclusion: The postoperative AAD SD prevalence of elderly is higher than that of youth, and the total physical health of SD patients is poorer than those without SD patients. The youth SD patients did not show a significant higher scores than the elderly SD patients, instead, the youth SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the youth postoperative SD patients mainly affected by psychological factors.


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