scholarly journals ASSESSMENT OF MEDICATION KNOWLEDGE, MEDICATION ADHERENCE AND HEALTH RELATED QUALITY OF LIFE (HRQoL) AMONG OUT PATIENTS IN TERTIARY CARE CARDIAC HOSPITAL

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Mohamed Thayub S ◽  
Lydia Jeris W ◽  
RajGanesh R ◽  
Jaya Shree D ◽  
Kotturathu Mammen Cherian
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Health Care Providers ◽  
Care Providers ◽  
Health Related Quality ◽  
Medication Knowledge ◽  
Related Quality ◽  
Health Related ◽  
Study Population

Background: Cardiovascular disease (CVD) is the leading cause of mortality in India. Adherence to medication has been shown to reduce mortality and rate of hospital readmissions. Medication adherence as well as patient’s medication knowledge is also an important factor in validation and management of chronic illness. HRQoL indicates patient’s perceptions of their general, physical, mental health status and describes health burden in a population. Hence the aim of this was to assess the level of medication adherence, barrier to medication compliance, association between knowledge about medication and medication adherence and health related quality of life among CVD patients. Methods: A prospective observational study was conducted for a period3 months. Interview questionnaires for socio-demographic and clinical characteristics as well as the HRQoL, medication adherence, medication knowledge were used to collect data from 211 patients from the cardiovascular unit of Frontier Lifeline Hospital. Result: Of the study population 59% were male and had a mean age of 58 years.  The majority of participants (53%) were taking more than five medications. 34% of the study population had low adherence towards medication intake. The physical component of HRQOoL revealed that 28% of the participants had low scores in physical functioning, bodily pain and general health domains. Conclusion: Medication adherence may be a surrogate marker of Health Related Quality of Life among patients and hence health care providers should identify patients with poor medication adherence and monitor their medication use. Keywords: Medication Adherence, HRQoL , Medication Knowledge , Cardiovascular Patients

How Are You Feeling? Who Wants To Know? Patients’ and Oncologists’ Preferences for Discussing Health-Related Quality-of-Life Issues

2000 ◽  
Vol 18 (18) ◽  
pp. 3295-3301 ◽  
Author(s):  
S.B. Detmar ◽  
N.K. Aaronson ◽  
L.D. V. Wever ◽  
M. Muller ◽  
J.H. Schornagel
Keyword(s):  
Quality Of Life ◽  
Health Care Providers ◽  
Physical Symptoms ◽  
Psychosocial Issues ◽  
Care Providers ◽  
Health Related Quality ◽  
Wide Range ◽  
Related Quality ◽  
Health Related

PURPOSE: This study investigated (1) the attitudes of cancer patients toward discussing health-related quality-of-life (HRQL) issues; (2) the association between such attitudes and patients’ characteristics; and (3) oncologists’ attitudes and self-reported behavior regarding these same issues. PATIENTS AND METHODS: Two hundred seventy-three patients receiving palliative chemotherapy and ten physicians were asked to complete a series of questionnaires. RESULTS: Almost all patients wanted to discuss their physical symptoms and physical functioning and were also willing to address their emotional functioning and daily activities. However, 25% of the patients were only willing to discuss these latter two issues at the initiative of their physician. Patients varied most in their willingness to discuss their family and social life, with 20% reporting no interest in discussing these issues at all. Female patients were more reluctant to discuss various HRQL issues than male patients. Older and less well-educated patients were more likely to prefer that their physician initiate discussion of HRQL issues. All physicians considered it to be primarily their task to discuss the physical aspects of their patients’ health, whereas four physicians indicated that discussion of psychosocial issues was a task to be shared with other health care providers. All physicians indicated that they generally defer to their patients in initiating discussion of psychosocial issues. CONCLUSION: Although both patients and oncologists seem willing to discuss a wide range of HRQL issues, communication regarding psychosocial issues may be hampered by competing expectations as to who should take the lead in initiating such discussions.

scholarly journals Factors associated with health-related quality of life in Japanese patients with hip osteoarthritis: A cross-sectional study

2020 ◽  
Vol 27 (2) ◽  
pp. 113-118
Author(s):  
Shigeharu Tanaka ◽  
Shawn M Robbins ◽  
Yu Inoue ◽  
Ryo Tanaka
Keyword(s):  
Quality Of Life ◽  
Health Care Providers ◽  
Japanese Orthopaedic Association ◽  
Hip Osteoarthritis ◽  
Japanese Patients ◽  
Care Providers ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background/Purpose: Chronic symptoms related with hip osteoarthritis (OA) can negatively affect health-related quality of life (HRQoL). The purpose of this study was to examine factors related to a HRQoL measure that considers an Asian lifestyle in Japanese patients with hip OA. Methods: Forty-seven female subjects participated. The dependent variable was the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), which assessed HRQoL. Potential factors were measured as independent variables. After screening, potential variables were entered into a multiple regression analysis to determine which variables were related to HRQoL. Results: In the regression model, knee extension muscle strength on the unaffected side and hip flexion range of motion (ROM) on the affected side were associated with HRQoL. Higher strength and higher ROM were related to greater HRQoL. Conclusion: Results can help health-care providers develop appropriate rehabilitation programs for improving HRQoL in patients with hip OA.

scholarly journals Health-Related Quality of Life after Pediatric Liver Transplantation: A Qualitative Analysis of the Perspectives of Health Care Providers

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Mar Miserachs ◽  
David B. Nicholas ◽  
Anthony R. Otley ◽  
Vicky Lee Ng
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Liver Transplantation ◽  
Health Care Providers ◽  
Pediatric Liver Transplantation ◽  
Care Providers ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

With improved survival outcomes after pediatric liver transplantation (LT), health-related quality of life (HRQoL) is an important outcome metric. Understanding the elements contributing to HRQoL after LT in children would enable more targeted strategies towards optimizing best outcomes. This qualitative study aimed to explore health care providers (HCP) perceptions about HRQoL after pediatric LT. Thirteen experienced HCP participated in two focus group discussions. Data analysis via a thematic analysis approach revealed 4 major themes: “LT as a facilitator of better HRQoL,” “coping and adapting to LT,” “living with a transplanted liver,” and “the family context.” HCP identified elements that both enhance (improved physical health, peer relationship, and activities of daily living) and challenge (need for immunosuppression, transplant follow-up, and restrictions) the multidimensional domains of HRQoL. HCP perceived LT to be a stressful life-changing event for children and their families. Patients and their parents’ ability to cope and adjust positively to LT was perceived as a key contributor to better HRQoL. HCP perspective highlights the importance of promoting psychosocial support and a family-centered care delivery model towards the overarching goal of optimizing durable outcomes.

scholarly journals Correction to: The relationship between comorbidity medication adherence and health related quality of life among patients with cancer

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Dana Drzayich Antol ◽  
Adrianne Waldman Casebeer ◽  
Raya Khoury ◽  
Todd Michael ◽  
Andrew Renda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Health Related Quality ◽  
Patients With Cancer ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Investigating the association between medication adherence and health-related quality of life in COPD: Methodological challenges when using a proxy measure of adherence

2016 ◽  
Vol 110 ◽  
pp. 34-45 ◽  
Author(s):  
Melinde R.S. Boland ◽  
Job F.M. van Boven ◽  
Annemarije L. Kruis ◽  
Niels H. Chavannes ◽  
Thys van der Molen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Health Related Quality ◽  
Methodological Challenges ◽  
Related Quality ◽  
Proxy Measure ◽  
Health Related

scholarly journals The effect of self-management on the health-related quality of life in hypertensive patients in Xiamen, China

2020 ◽  
Author(s):  
Yanbing Zeng ◽  
Chenxi Lin ◽  
Fan Chen ◽  
Ya Fang
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Self Management ◽  
Average Score ◽  
Health Related Quality ◽  
Hypertensive Patients ◽  
Treatment Groups ◽  
Related Quality ◽  
Health Related

Abstract Background: A low HRQOL can be a risk factor for future cardiovascular events in patients with hypertension. Therefore, HRQOL should receive attention and be improved in the treatment of hypertension. The purpose of this study was to investigate if the association between treatment groups and Health-Related Quality of Life (HRQOL) of hypertension mediated by self-management, and to determine which factors of hypertension self-management influenced HRQOL. Methods: Hypertensive patients were selected by multi-stage stratified samping from “1+1+N” Physicians intervention (PI) group and the conventional management (CM) group in 5 communities of Xiamen, China. Patients were cross-sectionally assessed by validated self-reports using self-management Behavior Rating Scale and Quality of Life Instruments for Hypertension. A structural equation modeling (SEM) and a path analytic model were used to assess if the association between treatment groups and HRQOL was mediated by self-management. Results: A total of 1207 patients were included, of whom 48.55% were in the PI group. The average score of the HRQOL scale was 86.68, and the average score of the PI group was higher than the CM group (87.35 vs 86.04, respectively). Similar findings were observed for the self-management scale, in which the average score of the PI group was higher than the CM group (76.32 vs 72.00, respectively). Patients in the PI group had higher levels of self-management compared to the CM group except for management of emotion. SEM showed that the association between treatment groups and HRQOL was significantly mediated by self-management (a*b, 95% confidence intervals CI: 0.02,0.07) and that the single mediator (self-management) model explained 76.67% of the intervention effect. In the multivariable mediation model, the association between treatment groups and HRQOL was significantly mediated by management of medication adherence, sport and diet.Conclusions: The findings presented good evidence supporting that treatment groups are linked to HRQOL of hypertension via self-management. Specifically, management of medication adherence, sport, diet, and emotion are important for improving HRQOL.

Survey of quality of life of rheumatoid arthritis patients admitted to rehabilitation centres in Hungary

2013 ◽  
Vol 154 (35) ◽  
pp. 1381-1388 ◽  
Author(s):  
Julianna Rozália Sallai ◽  
Aniella Hunka ◽  
Gábor Héjj ◽  
István †Ratkó ◽  
Judit Ortutay ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Social Status ◽  
Short Form ◽  
Care Providers ◽  
Health Related Quality ◽  
Related Information ◽  
Related Quality ◽  
Health Related

Introduction: There are limited data about the quality of life of rheumatoid arthritis patients admitted to rehabilitation centres in Hungary. Aim: The aim of the authors was to assess demographic data, social status, health related quality of life, and needs for assistance and disease-related information of 239 rheumatoid arthritis patients (169 women and 7 men) admitted to four rehabilitation centres in Hungary. Method: For the assessment of demographic, social and other data the authors developed questionnaires. The health related quality of life was evaluated using the validated Short Form 36 questionnaire. Results: The authors found that rheumatoid arthritis patients require in-patient rehabilitation relatively early in their disease course. 80.4% of the patients were over 50 years of age, and their social status was low as compared to the average of the Hungarian population. The health related quality of life of patients was significantly lower than that of the average population, but it was similar to the quality of life of patients with osteoarthritis, osteoporosis and low back pain. Among domains of the quality of life, the scores for physical function and pain were the lowest. The most common accompanying diseases included hypertension and osteoporosis. In case of knee and hip surgeries, postoperative rehabilitation was performed in due time. Patients were not satisfied with disease-related information and education given by health care providers. Conclusions: There is poor quality of life of rheumatoid arthritis patients admitted to rehabilitation centres in Hungary. More efforts should be done to provide disease-related information and education for patients. Orv. Hetil., 2013, 154, 1381–1388.

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