Pola Penyakit Degeneratif, Tingkat Kepuasan Kesehatan dan Kualitas Hidup pada Lansia (Lanjut Usia) di Kota Medan

Jumlah penduduk usia diatas 60 tahun diperkirakan akan terus meningkat, pada tahun 2025 diperkirakan mencapai jumlah 36 juta. Peningkatan populasi lansia ini diikuti oleh peningkatan risiko untuk menderita penyakit degeneratif yang dapat mempengaruhi status kesehatan dan kualitas hidup lansia. Penelitian cross sectional study pada 100 orang lansia yang diambil dengan teknik consecutive sampling ini, untuk menilai pola penyakit degeneratif melalui pemeriksaan skrining dan menilai tingkat kepuasan serta kualitas hidup lansia berdasarkan kuesioner kualitas hidup WHO WHOQoL-BREF. Penelitian ini dilakukan di Posyandu Lansia di Kecamatan Medan Amplas. Penyakit yang dijumpai pada lansia menunjukkan lansia mengalami hipertensi sebanyak 69%, hipercholesterolemia 55%, diabetes mellitus 20%, hiperurisemia 20% dan proteinuria 13%. Di masa usia lanjut ini berbagai penyakit dapat mengenai lansia, 16% lansia mengidap paling sedikit 3 jenis penyakit, 31% lansia mengidap 2 jenis penyakit dan 33% lansia yang hanya terkena 1 jenis penyakit. Meskipun demikian, tingkat kepuasan mereka terhadap kesehatannya cukup baik, dimana hanya 21% yang menyatakan kurang puas dengan kesehatannya. Penilaian kualitas hidup secara umum, 63% lansia menyatakan kualitas hidupnya biasa-biasa saja, 28% lansia merasa kualitas hidupnya baik dan hanya 8% yang menyatakan kualitas hidupnya buruk. Umumnya lansia mengalami hipercholeterolemia dan hipertensi, dan paling sedikit rata-rata lansia mengidap 2-3 jenis penyakit degeneratif, meskipun demikian mayoritas lansia menyatakan kualitas hidupnya relatif baik. Kelompok lansia merupakan kelompok yang berisiko untuk mengalami penyakit degeneratif. Untuk itu diperlukan upaya promotif dan preventif untuk meningkatkan kesadaran lansia dalam mengantisipasi penyakit tersebut. The number of people aged over 60 years is projected to grow and estimated to reach 36 million in 2025. The increase in the elderly population is associated with the increase of risk of suffering from degenerative disease that can affect the health status and quality of life of the elderly. A cross-sectional study of 100 elderly was taken with consecutive sampling technique to assess the patterns of degenerative disease through screening examinations, the level of satisfaction, and quality of life of the elderly based on WHO WHOQoL-BREF quality of life questionnaire. This research was conducted at the Elderly Posyandu (Integrated Health Service Post) in Medan Amplas sub-district. The results showed that 69% of the elderly suffered from hypertension, 55% suffered from hyperlipidemia, 20% suffered from diabetes mellitus, 20% suffered from hyperuricemia, and 13% suffered from proteinuria. In this advanced age various diseases can affect the elderly, 16% of the elderly suffered from at least 3 types of diseases, 31% of the elderly suffered from 2 types of diseases and 33% of the elderly only suffered from one disease. Nevertheless, their levels of satisfaction with their health were quite good. 21% of the elderly were not satisfied with their health. The assessment of quality of life in general showed that 63% of the elderly stated that their quality of life was mediocre, 28% of the elderly felt that their quality of life was good and only 8% stated that their quality of life was poor. Generally, elderly suffered from hyperlipidemia and hypertension, and the elderly suffered from at least 2-3 types of degenerative joint diseases. However, the majority of elderly stated that their quality of life was relatively good. Because elderly has a high risk of degenerative diseases,it is imperative that promotive and preventive programs be established to increase the awareness of disease occurence.

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The Big-Five Personality Traits and Quality of Life in Elderly Malaysian Patients with Diabetes Mellitus: A Cross-Sectional Study

Medicine & Health ◽

10.17576/mh.2021.1601.06 ◽

2021 ◽

Vol 16 (1) ◽

pp. 50-68

Author(s):

Luke Sy-Cherng Woon ◽

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Personality Traits ◽

Big Five ◽

The Elderly ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Diabetes

While diabetes mellitus is highly prevalent in the elderly population with significant impact on quality of life (QOL), we yet to know much about how personality traits affect QOL in this patient population. A cross-sectional study was conducted at Universiti Kebangsaan Malaysia Medical Centre with the aim to determine the relationship between personality traits and QOL among the elderly (aged ≥60 years) with diabetes mellitus. Sociodemographic and clinical information were obtained. QOL was assessed using the WHO Quality of Life-BREF (WHOQOLBREF) questionnaire and personality traits were assessed using the Big Five Inventory (BFI) questionnaire. Depression and anxiety were measured with Beck Depression Inventory-II (BDI-II) and Generalized Anxiety Disorder 7-item (GAD-7) scale, respectively, and controlled for in all analyses. There were in total 170 study participants (median age=69.0 years; IQR: 65.0-73.0; 51.2% male). In stepwise linear regression models, higher conscientiousness scores (β=0.156; P=0.044) and lower neuroticism scores (β=-0.176; P=0.028) were associated with greater QOL in the physical health domain. Higher extraversion scores (β=0.209; P=0.001) and higher conscientiousness scores (β=0.248; P<0.001) were associated with greater QOL in the psychological health domain. Higher agreeableness scores (β=0.286; P<0.001) were associated with greater QOL in the social relationship domain. Finally, higher agreeableness scores (β=0.327; P<0.001) and lower neuroticism scores (β=-0.223; P=0.001) were associated with greater QOL in the environment domain. Personality traits were closely associated with all domains of QOL among elderly patients with diabetes mellitus. Premorbid personality may have important role in moderating the impact of diabetes mellitus on the lives of elderly patients.

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PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.2.10 ◽

2019 ◽

pp. 55-62

Author(s):

Vuong Diem Khanh Doan ◽

Ngoc Minh Chau Ho ◽

Thi Van Ngo ◽

Thi Bao Nga Phan ◽

Thi Hong Phan Nguyen

Keyword(s):

Quality Of Life ◽

The Elderly ◽

Total Sample ◽

Cross Sectional Study ◽

Physical Activities ◽

Social Activities ◽

Sectional Study ◽

Cross Sectional ◽

Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

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Association Between Sleep Quality and Health-related Quality of Life in Indian Type 2 Diabetes Mellitus Outpatients: Evidence from a Cross-sectional Study

Metabolism ◽

10.1016/j.metabol.2020.154575 ◽

2021 ◽

Vol 116 ◽

pp. 154575

Author(s):

Md Azharuddin ◽

Prem Kapur ◽

Manju Sharma

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Cross Sectional Study ◽

Health Related Quality ◽

Sectional Study ◽

Cross Sectional ◽

Related Quality ◽

Health Related

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Quality of life among adult patients living with diabetes in Rwanda: a cross-sectional study in outpatient clinics

BMJ Open ◽

10.1136/bmjopen-2020-043997 ◽

2021 ◽

Vol 11 (2) ◽

pp. e043997

Author(s):

Charilaos Lygidakis ◽

Jean Paul Uwizihiwe ◽

Michela Bia ◽

Francois Uwinkindi ◽

Per Kallestrup ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Cross Sectional Study ◽

Diabetes Control ◽

Outpatient Clinics ◽

Secondary Outcome ◽

Sectional Study ◽

Cross Sectional ◽

Social Burden

ObjectivesTo report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.DesignCross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.SettingOutpatient clinics for non-communicable diseases of nine hospitals across Rwanda.ParticipantsBetween January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were those aged 21–80 years and with a diagnosis of diabetes mellitus for at least 6 months. Illiterate patients, those with severe hearing or visual impairments, those with severe mental health conditions, terminally ill, and those pregnant or in the postpartum period were excludedPrimary and secondary outcome measuresDisease-specific quality of life was measured with the Kinyarwanda version of the Diabetes-39 (D-39) questionnaire. A glycated haemoglobin (HbA1c) test was performed on all patients. Sociodemographic and clinical data were collected, including medical history, disease-related complications and comorbidities.ResultsThe worst affected dimensions of the D-39 were ‘anxiety and worry’ (mean=51.63, SD=25.51), ‘sexual functioning’ (mean=44.58, SD=37.02), and ‘energy and mobility’ (mean=42.71, SD=20.69). Duration of the disease and HbA1c values were not correlated with any of the D-39 dimensions. A moderating effect was identified between use of insulin and achieving a target HbA1c of 7% in the ‘diabetes control’ scale. The most frequent comorbidity was hypertension (49.0% of participants), which had a greater negative effect on the ‘diabetes control’ and ‘social burden’ scales in women. Higher education was a predictor of less impact on the ‘social burden’ and ‘energy and mobility’ scales.ConclusionsSeveral variables were identified as predictors for the five dimensions of quality of life that were studied, providing opportunities for tailored preventive programmes. Further prospective studies are needed to determine causal relationships.Trial registration numberNCT03376607.

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Analysis of quality of life among asthmatic individuals with obesity and its relationship with pulmonary function: cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2016.0342250217 ◽

2017 ◽

Vol 135 (4) ◽

pp. 332-338 ◽

Cited By ~ 4

Author(s):

Letícia Baltieri ◽

Luiz Claudio Martins ◽

Everton Cazzo ◽

Débora Aparecida Oliveira Modena ◽

Renata Cristina Gobato ◽

...

Keyword(s):

Quality Of Life ◽

Pulmonary Function ◽

Cross Sectional Study ◽

University Hospital ◽

Morbidly Obese ◽

Life Questionnaire ◽

Sectional Study ◽

Anthropometric Data ◽

Cross Sectional

ABSTRACT CONTEXT AND OBJECTIVE: The combined effect of obesity and asthma may lead to significant impairment of quality of life (QOL). The aim here was to evaluate the prevalence of asthma among obese individuals, characterize the severity of impairment of quality of life and measure its relationship with pulmonary function. DESIGN AND SETTING: Observational cross-sectional study in public university hospital. METHODS: Morbidly obese individuals (body mass index > 40 kg/m2) seen in a bariatric surgery outpatient clinic and diagnosed with asthma, were included. Anthropometric data were collected, the Standardized Asthma Quality of Life Questionnaire (AQLQ(S)) was applied and spirometry was performed. The subjects were divided into two groups based on the median of the score in the questionnaire (worse < 4 and better > 4) and were compared regarding anthropometric data and pulmonary function. RESULTS: Among the 4791 individuals evaluated, 219 were asthmatic; the prevalence of asthma was 4.57%. Of these, 91 individuals were called to start multidisciplinary follow-up during the study period, of whom 82 answered the questionnaire. The median score in the AQLQ(S) was 3.96 points and, thus, the individuals were classified as having moderate impairment of their overall QOL. When divided according to better or worse QOL, there was a statistically difference in forced expiratory flow (FEF) 25-75%, with higher values in the better QOL group. CONCLUSION: The prevalence of asthma was 4.57% and QOL was impaired among the asthmatic obese individuals. The worst QOL domain related to environmental stimuli and the best QOL domain to limitations of the activities. Worse QOL was correlated with poorer values for FEF 25-75%.

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