scholarly journals Quality of life and Associated Factors among Children aged 5 to 18 years with Diabetes Mellitus at St. Francis Hospital Nsambya and Mulago National Referral Hospital

2019 ◽  
Vol 4 (6) ◽  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Logistic Regression ◽  
Associated Factors ◽  
P Value ◽  
Factors Associated ◽  
Mulago National Referral Hospital ◽  
Biological Parents ◽  
National Referral Hospital

Background: This study aimed to determine the quality of life and describe associated factors among children aged 5-18 years with diabetes Mellitus at St. Francis Hospital Nsambya and Mulago National Referral Hospital. Methods: An explanatory sequential study design was used between November 2018 and March 2019. Univariate analysis together with bivariate logistic regression analysis was used to determine quality of life and identify association between the quality of life at a p-value ˂ 0.05 respectively. Factors found to have a p-value ˂ 0.25 were included in the Multivariate logistic regression. A backward method was then applied to determine the best model that predicts quality of life among children. Data was analysed using STATA version 14. Data on the perception of quality of life of children with diabetes mellitus from the perspective of the children, caregivers and health workers was used to obtain qualitative results. Results: 115 children were recruited from the paediatric diabetic clinics. A low quality of life with a mean score of 77 ±15.58 was reported with a mean age of 13 ± 3.9. Factors associated with quality of life included: age groups of 8-12 and 13-18 years, primary education, secondary education, tertiary education, a single parent, living with relatives and primary care giver being a relative other than the biological parents. Conclusion: A sub-optimal quality of life was observed among children with type 1 diabetes mellitus. The factors associated with good quality of life included; age between 5- 7 years, a child living with biological parents, a child being in primary school and higher parental level of education. Recommendation: Community health education and sensitization should be more focused towards the adolescent patients, single mothers, guardians and benefactors of children with diabetes mellitus. There is greater need for healthcare support in schools to mitigate the stigma experienced by these children.

scholarly journals Social Isolation and Associated Factors in Chinese Adults With Epilepsy: A Cross-Sectional Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhong ◽  
Hanyu Zhang ◽  
Qingling Chen ◽  
Xin Guo ◽  
Yujian Han ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
Social Isolation ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Final Analysis ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Factors Associated

Objective: We aimed to determine the prevalence of social isolation and associated factors among adults with epilepsy in northeast China.Methods: A cohort of consecutive patients with epilepsy (PWE) from the First Hospital of Jilin University (Changchun, China) was recruited. Demographic and clinical data for each patient were collected during a face-to-face interview. Social isolation was measured using the Berkman-Syme Social Network Index (SNI), and the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) and Quality of Life in Epilepsy Inventory (QOLIE-31) were also administered. Multivariate logistic regression analyses were used to determine the factors associated with social isolation in PWE.Results: A total of 165 patients were included in the final analysis. The mean SNI score was 2.56 (SD: 1.19), and 35 patients (21.2%) were socially isolated. In multivariate logistic regression analysis, higher depressive symptom levels (OR = 1.15, 95% CI: 1.003–1.318, P = 0.045) and poorer quality of life (OR = 0.967, 95% CI: 0.935–0.999, P = 0.047) emerged as independent factors associated with social isolation in PWE.Conclusion: Social isolation is common and occurs in approximately one-fifth of PWE. Social isolation is significantly associated with depressive symptoms and poor quality of life in PWE. Patients need to be encouraged to actively integrate with others and reduce social isolation, which may help improve their quality of life.

Factors Associated with Quality of Life among Diabetes Mellitus Patients in Prolanis

2018 ◽  
Vol 05 (04) ◽  
pp. 1-6
Author(s):  
Rapitos Sidiq ◽  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Sector ◽  
Public Health Problem ◽  
Secondary Data ◽  
P Value ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Associated

Background: Diabetes mellitus is a major public health problem is approaching epidemic proportions in the world today, including Indonesia. Various types of government programs in the health sector were launched to overcome them, one of which was prolanis aimed at improving the quality of life of patients. Objectives: The objective of the study was to determine the factors associated with quality of life among diabetes mellitus patients in prolanis. Methods: This is a analytical study with a cross sectional study design. The data was collected on May 20 to June 3, 2018 by interviewing using the WHOQOL-BREF questionnaire and secondary data observation conducted on 52 respondents. Multivariate analysis using logistic regression. Results: The results showed that the patients activeness factor in prolanis was related to their quality of life among diabetes mellitus patients with p-value 0.003 <0.05, with the highest OR Exp (B) value of 0.863 and 95% CI = 0.782-0.9953. Conclusions: It was concluded that the patients activeness factor in prolanis was related to their quality of life among diabetes mellitus patients in Lambaro Meurasi General Clinic of Ingin Jaya District, Aceh Besar, Aceh Province.

Self Management Menentukan Kualitas Hidup Pasien Diabetes Mellitus

2019 ◽  
Vol 4 (2) ◽  
pp. 402
Author(s):  
Iskim Luthfa ◽  
Nurul Fadhilah
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Correlation Study ◽  
Self Management ◽  
Rank Test ◽  
P Value ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Consecutive Sampling

<p><em>People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus.</em></p><p> </p><p><em>Penderita </em><em>Diabetes mellitus </em><em>beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bert</em><em>ujuan </em><em>untuk</em><em> menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. </em><em>Jenis p</em><em>enelitian ini </em><em>adalah</em><em> deskriptif korelasi</em><em> dengan desain cross sectional</em><em>. Teknik pengambilan sampel menggunakan non probability </em><em>sampling </em><em>dengan pendeka</em><em>t</em><em>an consecutive sampling</em><em>.</em><em> </em><em>J</em><em>umlah </em><em>sampel sebanyak</em><em> </em><em>118 responden.</em><em> </em><em>Instrumen </em><em>penelitian </em><em>untuk mengukur self management </em><em>menggunakan</em><em> </em><em>diabetes self management questionnaire</em><em> (DSMQ), </em><em>dan instrumen untuk mengukur kualitas hidup menggunakan </em><em>quality of life </em><em>WHOQOL-BREEF.</em><em> Analisis data menggunakan spearman rank dan didapatkan hasil nilai </em><em>p value 0,000</em><em> dan r 0,394.Terdapat </em><em>hubungan </em><em>antara </em><em>self management</em><em> dengan kualitas hidup pasien diabetes mellitus</em><em> dengan arah korelasi positif.</em></p>

scholarly journals Relationship Between Family Support and Self Care Agency with the Quality of Living Type II Diabetes Patients

2019 ◽  
Vol 3 (1) ◽  
pp. 22-32
Author(s):  
Ferawati ◽  
Mei Fitria Kurniati
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Family Support ◽  
Type Ii Diabetes ◽  
Self Care ◽  
P Value ◽  
Diabetic Patients ◽  
Type Ii ◽  
Care Agency

Background: Diabetes Mellitus is a chronic disease characterized by high blood sugar level and is caused by an increase in glucose levels due to a progressive decrease in insulin secretion caused by insulin resistance. The ability of diabetic patients to do appropriate and succesful self-care habits is closely related to morbidity and mortality and significantly affect productivity and quality of life. Purpose: The purpose of this study is to determie the correlation between family support and self care agency with quality of life of diabetes mellitus patient type II.Method: This study uses analitycal methods, namely research that explores how and why health phenomena occur with a cross-sectional approach.Result: The results of the Spearman-Rho test that the P-value in te sig (2-tailed) column 0.123 is more than the level of significance α 0,05 ( 0,000 < 0,05 ) so it can be concluded that H0 is accepted and H1 is rejected.Conclusion: There is no relationship between self care agency and the quality of life of people with type II diabetes mellitus in prolanic patients

Identifying patients at risk for nonroutine discharge after surgery for cervical myelopathy: an analysis from the Quality Outcomes Database

2021 ◽  
pp. 1-9
Author(s):  
Praveen V. Mummaneni ◽  
Mohamad Bydon ◽  
John J. Knightly ◽  
Mohammed Ali Alvi ◽  
Yagiz U. Yolcu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Logistic Regression ◽  
African American ◽  
Cervical Myelopathy ◽  
Demographic Characteristics ◽  
Quality Outcomes ◽  
Factors Associated ◽  
Multivariable Logistic Regression ◽  
Predictor Importance

OBJECTIVE Optimizing patient discharge after surgery has been shown to impact patient recovery and hospital/physician workflow and to reduce healthcare costs. In the current study, the authors sought to identify risk factors for nonroutine discharge after surgery for cervical myelopathy by using a national spine registry. METHODS The Quality Outcomes Database cervical module was queried for patients who had undergone surgery for cervical myelopathy between 2016 and 2018. Nonroutine discharge was defined as discharge to postacute care (rehabilitation), nonacute care, or another acute care hospital. A multivariable logistic regression predictive model was created using an array of demographic, clinical, operative, and patient-reported outcome characteristics. RESULTS Of the 1114 patients identified, 11.2% (n = 125) had a nonroutine discharge. On univariate analysis, patients with a nonroutine discharge were more likely to be older (age ≥ 65 years, 70.4% vs 35.8%, p < 0.001), African American (24.8% vs 13.9%, p = 0.007), and on Medicare (75.2% vs 35.1%, p < 0.001). Among the patients younger than 65 years of age, those who had a nonroutine discharge were more likely to be unemployed (70.3% vs 36.9%, p < 0.001). Overall, patients with a nonroutine discharge were more likely to present with a motor deficit (73.6% vs 58.7%, p = 0.001) and more likely to have nonindependent ambulation (50.4% vs 14.0%, p < 0.001) at presentation. On multivariable logistic regression, factors associated with higher odds of a nonroutine discharge included African American race (vs White, OR 2.76, 95% CI 1.38–5.51, p = 0.004), Medicare coverage (vs private insurance, OR 2.14, 95% CI 1.00–4.65, p = 0.04), nonindependent ambulation at presentation (OR 2.17, 95% CI 1.17–4.02, p = 0.01), baseline modified Japanese Orthopaedic Association severe myelopathy score (0–11 vs moderate 12–14, OR 2, 95% CI 1.07–3.73, p = 0.01), and posterior surgical approach (OR 11.6, 95% CI 2.12–48, p = 0.004). Factors associated with lower odds of a nonroutine discharge included fewer operated levels (1 vs 2–3 levels, OR 0.3, 95% CI 0.1–0.96, p = 0.009) and a higher quality of life at baseline (EQ-5D score, OR 0.43, 95% CI 0.25–0.73, p = 0.001). On predictor importance analysis, baseline quality of life (EQ-5D score) was identified as the most important predictor (Wald χ2 = 9.8, p = 0.001) of a nonroutine discharge; however, after grouping variables into distinct categories, socioeconomic and demographic characteristics (age, race, gender, insurance status, employment status) were identified as the most significant drivers of nonroutine discharge (28.4% of total predictor importance). CONCLUSIONS The study results indicate that socioeconomic and demographic characteristics including age, race, gender, insurance, and employment may be the most significant drivers of a nonroutine discharge after surgery for cervical myelopathy.

scholarly journals Double incontinence: associated factors and impact on the quality of life of women attended at a health referral service

2019 ◽  
Vol 22 (6) ◽  
Author(s):  
Daniel Carvalho Ribeiro ◽  
Júlia Raquel Nunes Souza ◽  
Ricardo Antônio Zatti ◽  
Thaís Ribeiro Dini ◽  
José Rodrigo de Moraes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Health ◽  
Associated Factors ◽  
Health Perception ◽  
General Health Perception ◽  
Public Healthcare ◽  
P Value ◽  
Older Individuals ◽  
Double Incontinence

Abstract Objective: To evaluate the prevalence, associated factors, and impact on quality of life of double incontinence in a group of women with urinary incontinence. Method: A cross-sectional study was performed, including female patients with urinary or double incontinence (urinary and fecal incontinence) treated at a tertiary hospital from the public healthcare system. Information about sociodemographic and clinical characteristics was collected, and quality of life was assessed using validated questionnaires. The Mann-Whitney, Chi-square, and Fisher tests were used to evaluate the association between the variables and the types of dysfunction (urinary or double incontinence) and a worse general health perception. Results: Of 227 incontinent women included in the study, 120 (52,9%) were older individuals. The prevalence of double incontinence was 14.1% (32 patients). Double incontinence was associated with a higher number of comorbidities (p-value=0.04), polypharmacy (p-value=0.04), and rectocele (p-valor=0.02). Higher BMI (p-value=0.02) and number of comorbidities (p-value=0.05), but not double incontinence (p-value=0.36), were associated with low general health perception scores. Conclusion: the prevalence of double incontinence was different from other studies conducted in similar scenarios. The group of women included in the study presented low general health perception scores, but this was not associated with the presence of double incontinence. A higher number of comorbidities was associated with both double incontinence and a lower general health perception.

scholarly journals DIABETES MELLITUS PATIENTS

2015 ◽  
Vol 22 (11) ◽  
pp. 1409-1414
Author(s):  
Mehmood Hussain ◽  
Syed Ahsan Ali ◽  
Syed Imran Hassan ◽  
Nazia Yazdanie ◽  
Mohammad Yawar Khan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Marked Improvement ◽  
Sampling Technique ◽  
P Value ◽  
Probability Level ◽  
Male And Female ◽  
Dental Hospital ◽  
Age Range

Objectives: To observe Quality of Life (QoL) in diabetes mellitus patientsafter fabrication of immediate dentures. Setting: Department of Prosthodontics in HamdardUniversity Dental Hospital, Karachi. Period: Two years from October 2011 to September 2013.Methodology: Thirty patients with established diagnoses of diabetes mellitus reported. In thisstudy by purposive non-probability sampling technique. In this study patients were selected,male and female patients were 24 and 6 respectively with the age range of 22- 74 years. Aftergetting consent Questions mention in OHIP-14 were asked from the patients on 1st visit and2 months later after fabrication of immediate denture to assess the QoL of in these patients.Data was obtained after using SPSS-version 19. For analysis Wilcoxon Signed Ranks Testwas applied to get results. Probability level of P< 0.05 was considered statistically significant.Results: There was marked improvement in different domains of QoL in diabetes mellituspatients after fabrication of immediate dentures, most of the patients were pleased with theirprosthesis. Three patients had complained of pain on buccal side which was corrected bytrimming the overextended flange of their denture. All patients had improvement in phonetics(P value 0.01), better choice of food (P value 0.00), eating ability (P value 0.01), decreaseembarrassment (P value 0.08) and self-assurance (P value 0.025). However, effect of immediatedenture on variable like tension was not advantageous having P-value of 0.157. Conclusion: Byfabrication of immediate dentures to diabetes mellitus patients, QoL can be markedly improvedin such patients.

scholarly journals The Relationship Between Family Support and Quality of Life Improvement of Patients with Diabetes Mellitus in Semarang

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 327
Author(s):  
Iskim Luthfa ◽  
Moch Aspihan ◽  
Muhammad Rifqi Lathif
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Workers ◽  
Sampling Technique ◽  
Rank Test ◽  
P Value ◽  
The Family ◽  
Spearman Test ◽  
The Relationship

Introduction: Diabetes mellitus (DM) is known as the silent killer, where sufferers often do not realize its signs and symptoms and are frequently diagnosed during another health complication. To maintain quality of life, the family is required to provide support, therefore, this study aims to determine the relationship between family and the patient through observational analytic research.Methods: 120 people with DM make up the research sample using an accidental sampling technique, and data analysis was carried out using the Spearman rank test. The results found that 62 respondents (51.7%) agreed to their families providing good support, and 102 (85%) were satisfied with their quality of life.Results: The Spearman test resulted in a P value of 0,000 and R of 0.334. This means the higher the support provided by the family, the greater the increase in quality of life.Conclusion: The suggestions proposed from this study is for health workers to advocate and encourage family in the planning management of DM sufferers in order to improve their quality of life.

scholarly journals HUBUNGAN ANTARA SELF EFFICACY DENGAN QUALITY OF LIFE PADA PASIEN DIABETES MELLITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS KEBONSARI SURABAYA

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Nety Mawarda Hatmanti
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Self Efficacy ◽  
Diabetes Mellitus Type 2 ◽  
Metabolic Diseases ◽  
Diabetes Mellitus Type ◽  
P Value ◽  
Cross Sectional

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes Mellitus type 2 is a significant problem in the global health. This research was purposed to find out the correlation between self-efficacy and quality of life of the patients with Diabetes Mellitus type 2. The design of this research was cross sectional, in which 16 patients visiting the polyclinic of Puskesmas Gayungan Surabaya were chosen as the samples. The result of research using Spearman rho test showed that there was a significant correlation between self-efficacy and quality of life proved by the p value = 0.016 < 0.05. The conclusion of this research found a positive intermediate correlation between selfefficacy and quality of life so that nurses are required to ask the family to increase the patients’ self-efficacy. 

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