scholarly journals Psychological Distress and Social Integration of Elderly People With Physical Disabilities

2021 ◽  
Vol 4 (1) ◽  
pp. 32-32
Author(s):  
Mohammad Taghi Karimian ◽  
◽  
Sonja Düllmann ◽  
Wolfgang Senf ◽  
Sefik Tagay ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Social Integration ◽  
Physical Disabilities ◽  
Health Related Quality ◽  
Poor Physical Health ◽  
Related Quality ◽  
Health Related ◽  
People With Physical Disabilities

Background and Objectives: Poor physical health can affect the performance of everyday life activities and integration into society. The extent of disability or its influence on the life of an individual is related to his/her physical and social environment. This study aimed to examine the psychological existential orientation and social integration of elders with physical disabilities. Methods: Forty-six people with physical disabilities (with Mean±SD age of 73.7±10.6 years and age range of 53-93 years) were examined regarding psychological existential orientation, social integration, and health-related quality of life, using an extensive questionnaire set, including questionnaire on assistive technology, the Brief Symptom Inventory, and health-related quality of life. Results: The results showed that poor physical health can negatively impact the psyche and integration of the sample into society. Also, the subjects indicated a strong desire for more integration into society, however, they did not significantly participate in society in the last two weeks. Conclusion: Poor health and dependence on the environment in daily life can negatively influence the psychological and social situation and also limit social integration.

scholarly journals Self-reported symptoms of arm lymphedema and health-related quality of life among female breast cancer survivors

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kayo Togawa ◽  
Huiyan Ma ◽  
Ashley Wilder Smith ◽  
Marian L. Neuhouser ◽  
Stephanie M. George ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Physical Health ◽  
Analysis Of Covariance ◽  
Health Related Quality ◽  
Burning Pain ◽  
Related Quality ◽  
Health Related ◽  
Arm Lymphedema

AbstractWe examined cross-sectional associations between arm lymphedema symptoms and health-related quality of life (HRQoL) in the Health, Eating, Activity and Lifestyle (HEAL) Study. 499 women diagnosed with localized or regional breast cancer at ages 35–64 years completed a survey, on average 40 months after diagnosis, querying presence of lymphedema, nine lymphedema-related symptoms, e.g., tension, burning pain, mobility loss, and warmth/redness, and HRQoL. Analysis of covariance models were used to assess HRQoL scores in relation to presence of lymphedema and lymphedema-related symptoms. Lymphedema was self-reported by 137 women, of whom 98 were experiencing lymphedema at the time of the assessment. The most common symptoms were heaviness (52%), numbness (47%), and tightness (45%). Perceived physical health was worse for women reporting past or current lymphedema than those reporting no lymphedema (P-value < 0.0001). No difference was observed for perceived mental health (P-value = 0.31). Perceived physical health, stress, and lymphedema-specific HRQoL scores worsened as number of symptoms increased (P-values ≤ 0.01). Women reporting tension in the arm had lower physical health (P-value = 0.01), and those experiencing burning pain, tension, heaviness, or warmth/redness in the arm had lower lymphedema-specific HRQoL (P-values < 0.05). Treatment targeting specific lymphedema-related symptoms in addition to size/volume reduction may improve some aspects of HRQoL among affected women.

Acute Pancreatitis Has a Long-term Deleterious Effect on Physical Health Related Quality of Life

2017 ◽  
Vol 15 (9) ◽  
pp. 1435-1443.e2 ◽  
Author(s):  
Jorge D. Machicado ◽  
Amir Gougol ◽  
Kimberly Stello ◽  
Gong Tang ◽  
Yongseok Park ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Acute Pancreatitis ◽  
Physical Health ◽  
Deleterious Effect ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Health-related quality of life outcomes in pediatric patients with cardiac rhythm devices: a cross-sectional study with case-control comparison

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Helene Werner ◽  
Phaedra Lehmann ◽  
Alina Rüegg ◽  
Silvia Hilfiker ◽  
Karin Steinmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Pediatric Patients ◽  
Healthy Controls ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Cardiac Medication ◽  
Disease Specific

Abstract Background Little is known about health-related quality of life (HRQoL) in pediatric patients with cardiac rhythm devices. This study aims to compare self- and proxy-reported HRQoL in patients with pacemaker (PM) and implantable cardioverter-defibrillator (ICD) to that in sex- and age-matched healthy controls and to examine predictors for generic and disease-specific HRQoL. Methods The study included 72 PM and ICD patients (39% females) and 72 sex- and age-matched healthy controls from 3 to 18 years of age. HRQoL data was obtained by the PedsQL 4.0 Generic Core Scales and Pediatric Cardiac Quality of Life Inventory. Medical data was collected retrospectively from medical records. Results Patients had significantly lower self- and proxy-reported generic overall HRQoL and lower physical health than healthy controls, and ICD patients also had lower psychosocial health. On multivariate analyses, generic overall HRQoL and physical health was significantly predicted by current cardiac medication (β = −.39, p = .02 for overall HRQoL, respectively β = −.44, p = .006 for physical health). Disease-specific overall HRQoL was only marginally predicted by child age, device type, and the presence of a structural congenital heart disease (p < .10). Conclusions This study shows that PM and ICD patients have lower HRQoL than healthy controls and that patients who need cardiac medication are seen by their parents at great risk for lower generic overall HRQoL. Our study also indicates a trend towards higher risk for low disease-specific HRQoL in younger patients, ICD patients, and patients with a structural congenital heart disease. Special attention should be given to these patients as they may benefit from a timely clinical evaluation in order to provide supportive interventions.

scholarly journals The paradox of aging and health-related quality of life in Asian Chinese: results from the Healthy Aging Longitudinal Study in Taiwan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Han-Yun Tseng ◽  
Corinna Löckenhoff ◽  
Chun-Yi Lee ◽  
Shu-Han Yu ◽  
I-Chien Wu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Healthy Aging ◽  
Mental Function ◽  
Health Related Quality ◽  
Objective Health ◽  
Related Quality ◽  
Health Related ◽  
Age Patterns

Abstract Background Declines in health, physical, cognitive, and mental function with age suggest a lower level of health-related quality of life (HRQoL) in late life; however, previous studies found that the associations were weak and varied, depending on the study designs and cohort characteristics. Methods The present study examined the paradox of aging in an East Asian context by regressing the age patterns of objective health indicators (physical, cognitive, and mental function), and subjective HRQoL (12-item Short Form, SF-12), on the independent and interactive effects of age and physical function in a cohort study of 5022 community-dwelling adults aged 55 and older in Taiwan. Results Age patterns differed across measures. The SF-12 mental health score (MCS) showed a slight positive association with age and this effect remained stable after controlling for various age-related covariates. The SF-12 physical health score (PCS), in turn, was negatively associated with age. Age differences in PCS were fully explained by age decrements in objective physical health. However, consistent with the so-called paradox of aging, the association between objective and subjective physical health weakened with age. Conclusion These findings add to prior evidence indicating that — in spite of objective health decrements — subjective HRQoL is maintained in later life among Asian Chinese. Also, these paradoxical patterns appear to vary for mental and physical components of HRQoL, and future research is needed to explore the underlying mechanism. Trial registration Healthy Aging Longitudinal Study in Taiwan (HALST) is retrospectively registered at ClinicalTrials.gov on January 24, 2016 with trial registration number NCT02677831.

scholarly journals Comparing Differences Between College Students’ Health Perceptions and Health Behaviors

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1341-1341
Author(s):  
Kayla Parsons ◽  
Leigh Neptune ◽  
Onycha Carlson ◽  
Elizabeth Matthews ◽  
Jade McNamara
Keyword(s):  
Quality Of Life ◽  
College Students ◽  
Physical Health ◽  
Online Survey ◽  
Vegetable Intake ◽  
Health Related Quality ◽  
Convenience Sample ◽  
Related Quality ◽  
Health Related

Abstract Objectives The objective of this research was to compare health behavior differences between young adults who perceive their health as excellent or good and those who perceive their health as fair or poor. Methods A cross-sectional, convenience sample of college students was used for the study. Students were recruited via campus email and were asked to complete an online survey consisting of the Center for Disease Control's Health Related Quality of Life (HRQOL) modules, self-reported height and weight which was used to calculate body mass index (BMI), and a food frequency questionnaire to assess fruit and vegetable intake. Independent t-tests were used to assess differences between groups. Results Participants (N = 797) were 20 ± 1.4 years old, the majority were female (65.5%), and white (92.3%). The results showed that students who reported their health as “excellent, very good, or good” (n = 616) versus those that reported their health as “fair or poor” (n = 181) consumed more servings of fruit per day (0.84 ± 0.7 vs. 0.56 ± 0.5, P &lt; 0.001), more servings of vegetables per day (1.6 ± 1.2 vs. 1.3 ± 1.2, P &lt; 0.001) and had a lower BMI (24.2 ± 4.1 vs. 26.1 ± 5.3, P &lt; 0.001). They also had significantly better HRQOL, with reporting more days/month when they were in good physical health (3.9 ± 5.1 vs. 8.2 ± 8.4, P &lt; 0.001), less days/month feeling depressed (6.7 ± 7.7 vs. 15.1 ± 10.4, P &lt; 0.001), more days/month when they were happy/full of energy (12.7 ± 8.3 vs. 6.4 ± 6.1, P &lt; 0.001), and less days/month when they did not get enough sleep (13.0 ± 9.0 vs. 17.8 ± 9.6, P &lt; 0.001), respectively. Conclusions This data shows that students who perceived their general health to be excellent, very good, or good, reported healthier behaviors compared to students who perceived their health to be fair or poor. This research provides justification that college aimed health and wellness initiatives should focus on both mental and physical health of college students in order to shape positive behaviors that impact overall health-related quality of life. Funding Sources Bushway Research Fund, University of Maine.

scholarly journals Impact of duration and treatment of arterial hypertension on health-related quality of life

Medicina ◽  
2009 ◽  
Vol 45 (5) ◽  
pp. 405 ◽  
Author(s):  
Vilma Raškelienė ◽  
Marija Babarskienė ◽  
Jūratė Macijauskienė ◽  
Arvydas Šeškevičius
Keyword(s):  
Quality Of Life ◽  
Arterial Hypertension ◽  
Physical Health ◽  
Physical Functioning ◽  
Health Related Quality ◽  
General Evaluation ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Arterial hypertension (AH) is one of the most important risk factors for development of ischemic heart disease; thus, control of AH and effective treatment are of great importance. Since arterial hypertension is commonly referred as asymptomatic condition, the question whether hypertensive condition is associated with the change of well-being and health-related quality of life is still debatable. The aim of the study. To evaluate the impact of duration and treatment of AH on health-related quality of life. Material and methods. The contingent of the study consisted of patients who arrived for a cardiologist’s consultation at the Clinic of Cardiology, Hospital of Kaunas University of Medicine. The patients were randomly selected for the study. The inclusion criteria were as follows: diagnosed arterial hypertension, diabetes mellitus, and the metabolic syndrome. Diagnosed ischemic heart disease (chronic and acute coronary syndromes and their complications) and severe concomitant diseases were exclusion criteria. A total of 101 patients (19 males and 82 females) met the inclusion criteria and consented to participate in the study. Their mean age was 58.03±5.63 years. The patients’ quality of life was evaluated using the Medical Outcomes Study short form 36-item questionnaire (SF-36 questionnaire), which comprises 36 questions grouped into eight domains. The questionnaire was filled in by the subjects independently. Other methods applied to the study were inquiry (for the evaluation of risk factors, lifestyle, and medical history), analysis of medical documents (cholesterol levels and glycemia in blood), and objective examination (height, weight, waist circumference, and arterial blood pressure). Results. The subjects with AH showed lower values compared to normotensive patients in the following domains: physical functioning (P=0.014), role limitations due to physical health (P=0.012), energy/vitality (P=0.016), and general health evaluation (P=0.023). We have not determined the differences in quality of life of the patients whose AH was regulated if compared to those patients without AH. The patients whose treatment of AH was not effective reported lower quality of life in the following SF-36 domains: physical functioning (P=0.003), role limitations due to physical health (P=0.003), general evaluation of health (P=0.017), energy/vitality (P=0.008), and emotional status (P=0.015), if compared to the patients without AH. Conclusions. Patients with AH reported lower quality of life in the following domains: physical functioning, role limitations due to physical health, energy/vitality, and general evaluation of health. Compared to patients without AH, the quality of life of the patients who had the effective treatment did not differ, whereas patients with ineffective treatment had the lower quality of life. Functioning is more statistically significantly limited due to physical health in patients with AH.

scholarly journals Neighborhood Socioeconomic Status and Trajectories of Physical Health-Related Quality of Life Among Stroke Survivors

Stroke ◽  
2019 ◽  
Vol 50 (11) ◽  
pp. 3191-3197 ◽  
Author(s):  
Erica Twardzik ◽  
Philippa Clarke ◽  
Michael R. Elliott ◽  
William E. Haley ◽  
Suzanne Judd ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Socioeconomic Status ◽  
Physical Health ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
Neighborhood Socioeconomic Status ◽  
Related Quality ◽  
Health Related ◽  
Over Time

Background and Purpose— Stroke is the leading cause of serious, long-term disability in the United States, and the number of stroke survivors is projected to rise. Physical functioning status may be compromised in survivors living in low socioeconomic status environments in comparison to higher socioeconomic status environments. Higher socioeconomic status environments may include benefits in the built environment such as sidewalks, accessible transit, or low traffic volume. Investigation is needed to understand the effects of the socioenvironmental context on trajectories of stroke survivors’ physical health-related quality of life (PH-QOL) over time. Methods— Participants from the REGARDS (REasons for Geographic and Racial Differences in Stroke) study enrolled in the ancillary Caring for Adults Recovering from the Effects of Stroke project completed the SF-12 around 6 to 12, 18, 27, and 36 months poststroke. Measures of area-level income, wealth, education, and employment at the census tract level were combined to represent participants’ neighborhood socioeconomic status. Linear mixed models were used to predict trajectories of PH-QOL over time, controlling for individual characteristics. Results— The average trajectory of PH-QOL was flat over time. However, women and younger stroke survivors had better trajectories over time than men and older stroke survivors. Higher neighborhood socioeconomic status was significantly associated with better PH-QOL across all time points (β=1.73; 95% CI, 0.17–3.30), after controlling for demographic variables and severity of stroke. Conclusions— Our findings demonstrate that neighborhood socioeconomic status, sex, and age are associated with the poststroke recovery process. The results of this study suggest the importance of evaluating the environment surrounding stroke survivors when they return to their home communities. Future research should identify specific features of the environment within different socioeconomic status neighborhoods to better understand how they contribute to PH-QOL among stroke survivors.

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