scholarly journals Depression a common condition in older hospitalized chronic patients-a transversal study

2021 ◽  
Vol 6 (9) ◽  
Keyword(s):  
Chronic Diseases ◽  
Hospitalized Patients ◽  
Common Condition ◽  
Chronic Patients ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Male Patients ◽  
Transversal Study ◽  
Rehabilitation Time

Objective: To examine the prevalence of depression among older hospitalized patients and its relation to chronic diseases. Method: A transversal study was conducted in a Regional Hospital in South Albania which included a total of 100 hospitalized chronic patients. The study lasted one month and the Patient Health Questionnaire (PHQ-9) was used for the data collection. Each participant completed a validated Albanian version of the questionnaire. Patients diagnosed with various pathologies who presented for examination but were not admitted to the hospital were excluded from the study. For the data analyses were used descriptive statistics. Results: Participants’ mean age was 55.9 ± 18.45. 46 % of patients were female and 54% were male. The results of variables assessing the depression were as follows: 24% of female patients report “Little interest or pleasure in doing things” nearly every day; 15% of female and 11% of male patients report “Feeling down, depressed, or hopeless”; 39% of female and 24% of male patients feel “tired or have little energy”. The diagnosis was significantly associated with the trend for depression, p<0.05. The most frequent diagnoses diagnosis were hypertension, diabetes, and stroke respectively 23.00%, 14.00%, and 10.00%. Conclusion: Depressive symptoms occur more commonly in older hospitalized patients with chronic diseases. They require a longer rehabilitation time, which influences the day hospital stay. For improving the quality of care and life of this patient a routine depression screening and more support from nurses are recommended.

scholarly journals Quality of care transition and its association with hospital readmission

Aquichan ◽  
2020 ◽  
Vol 19 (4) ◽  
pp. 1-11
Author(s):  
Luciana Andressa Feil Weber ◽  
Maria Alice Dias da Silva Lima ◽  
Aline Marques Acosta
Keyword(s):  
Quality Of Care ◽  
Chronic Diseases ◽  
Hospital Readmission ◽  
Care Transition ◽  
Chronic Patients ◽  
Cross Sectional ◽  
Hospital Management System ◽  
Student’S T ◽  
Inpatient Units

Objective: To evaluate the quality of care transition for patients with chronic diseases and to verify its association with hospital readmission within 30 days after discharge. Method: Cross-sectional epidemiological study of 210 patients with chronic diseases discharged from a hospital in southern Brazil. The Care Transition Measure-15 (CTM-15) instrument was used, through a telephone contact and, in order to identify readmissions within 30 days, the hospital management system was consulted. Student’s t-tests analysis of variance and nonparametric Pearson or Spearman correlation tests were performed. Results: CTM-15 score was 74.7 (± 17.1). No significant association was found between the quality of care transition and hospital readmission. 12.3 % of the patients were readmitted, and 46.2 % of these readmissions were to the emergency service. Conclusions: The quality of the care transition for chronic patients from inpatient units to home, showed a satisfactory score. However, there was no association between the quality of care transition and hospital readmission within 30 days after discharge.

scholarly journals Distribution of the initial site of infection in diabetic foot and associated initiating etiologies

2021 ◽  
Vol 8 (11) ◽  
pp. 3320
Author(s):  
Joe Mathew ◽  
Rajeev S.
Keyword(s):  
Diabetic Foot ◽  
The Other ◽  
Common Condition ◽  
Cross Sectional ◽  
Site Specific ◽  
Loss Of Life ◽  
Factors Influencing ◽  
Male Patients ◽  
Nail Infection

Background: Diabetic foot is a very common condition responsible for a major bulk of surgical admissions and out-patient visits. Lack of awareness of many factors influencing the incidence of this disease complex has led to loss of life, limb and quality of life. The site-specific incidence of initial site and initiating factor has not been studied in diabetic foot.Methods: A study has been done over a period of one and a half years which looked into the distribution of initial site of infection in diabetic foot and associated initiating etiologies. The study was cross sectional. History, general inspection of foot, dermatological, neuropathic and vascular assessments were done, in addition to making careful notes about the site and cause of infection.Results:60.7% of patients were >60 years old, 55.3% were male patients. 63.3% of patients had diabetes for more than 10 years. In 29.3% the initial site of infection was the big toe, 22% in the ball of foot, 18% in the other 4 toes together, 14.7% in the interdigital spaces, 10.7% in the heel and 5.3% in the mid foot. In most of the cases the etiology is multifactorial, trauma in 56%, musculoskeletal deformities in 47.3%, callosities in 41.3%, cracks and fissures in 16.7%, fungal infection in 7.3%, nail infection in 6%, no initiating introduction of infection identified in 10.7%.Conclusions: Awareness of and thus particular stress being place on identification of specific site and cause of infection should help in care of the foot in diabetics.

scholarly journals Health related quality of life of chronic patients with immune system diseases: a pilot study

2012 ◽  
Vol 65 (3) ◽  
pp. 454-459 ◽  
Author(s):  
Claudia Campos Ribeiro ◽  
Augusta Silveira ◽  
Isabel Silva ◽  
Catarina Ribeiro ◽  
Juan Gestal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Immune System ◽  
Chronic Diseases ◽  
Normative Data ◽  
Bodily Pain ◽  
Health Related Quality ◽  
Chronic Patients ◽  
Related Quality ◽  
Health Related

Health related quality of life (HRQL) and survival are two important outcome measures in chronic diseases. This study aimed to compared HRQL in patients with different chronic diseases of immune system and normative data from the general Portuguese Population. It was selected 103 out-patients, by convenience, to complete SF-36v2. The lowest scores were found among measures for general health (41.0), vitality (47.5), bodily pain (51.0), mental health (56.4); women, except for role-physical, and patients with auto-immune diseases have had the worse scores on all assessed dimension of subjective health, when compared with normative data. Highest scores were obtained in the following scales: physical functioning (69.1), social functioning (66.9), role-emotional (64.9). Living with chronic immune disease have impact on HRQL and it can be expected that the Portuguese version of SF-36v2 provide valid and reliable HRQL data.

scholarly journals Web-Based Depression Screening and Psychiatric Consultation for College Students: A Feasibility and Acceptability Study

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Aya Williams ◽  
Rachel LaRocca ◽  
Trina Chang ◽  
Nhi-Ha Trinh ◽  
Maurizio Fava ◽  
...  
Keyword(s):  
College Students ◽  
Depression Screening ◽  
Psychiatric Consultation ◽  
Web Based ◽  
Online Technologies ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Low Levels ◽  
Depressed College Students

Background. A steady rise in the prevalence of depression among college students has negatively affected student quality of life. This study investigates the feasibility and acceptability of a Web-based model, including Skype, to screen and provide psychiatric consultation to depressed college students.Methods. Students completed the 9-item Patient Health Questionnaire (PHQ-9) online; those who screened positive (PHQ-9 ≥ 10) or endorsed any level of suicidal ideation were offered Web-based psychiatric consultation using Skype. After the consultation, students filled out a 7-item satisfaction questionnaire to report on the acceptability of this Web-based method.Results. A total of 972 students consented to the online depression screening and 285 screened positive. Of those, 69 students consented and 17 students successfully completed the psychiatric consultation via Skype. Thirteen (76.4%) students found the interview useful in helping them understand their depression. Fifteen (88.2%) students thought that psychologists and psychiatrists could successfully see patients via videoconferencing.Conclusions. Current online technologies can provide depression screening and psychiatric consultation to college students; those who participated reported a positive experience. Future studies will need to address the low levels of participation among college students and attract students who are underserved, as well as use a videoconferencing platform that adequately protects data confidentiality.

scholarly journals Family Doctor Contract Services and Health-Related Quality of Life Among Patients With Chronic Diseases in Rural China: What Is the Role of Socioeconomic Status?

2021 ◽  
Author(s):  
Zhixian Li ◽  
Jie Li ◽  
Peipei Fu ◽  
Yan Chen ◽  
Zhengyue Jing ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Low Income ◽  
Rural China ◽  
Family Doctor ◽  
Chronic Patients ◽  
Family Doctors ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

Abstract PurposeThe relationship between family doctor contract services (FDCS) and health-related quality of life (HRQOL) among patients with chronic diseases in rural China was unknown. This study aims to explore the relationship between status of signing on FDCS and HRQOL among patients with chronic diseases and examine whether there are differences in the relationship between different socioeconomic status (SES).MethodsA total of 1,210 respondents were included in this study. HRQOL was measured by EQ-5D-3L. The contracting status was divided into uncontracted and contracted. Tobit regression and Logistic regression were employed to explore the association between contracting status and HRQOL. The interaction terms were included to explore the differences in the association among different SES status.ResultsContracting with family doctors was associated with HRQOL (coefficient = 0.042; 95%CI 0.008 to 0.075). The association was different among different socioeconomic levels that the contracting status was only associated with HRQOL in low-income (P < 0.01) and highly educated patients (P < 0.05). Compared with uncontracted patients, contracted patients reported higher ED-5D-3L utility value in the low-income group (coefficient = 0.116; 95%CI 0.039 to 0.194) and high educational attainment (coefficient = 0.236; 95%CI 0.095 to 0.377).ConclusionsThis study found a significant association between FDCS and HRQOL among chronic patients in rural Shandong, China. This relationship varied by income levels and educational attainment. The government should take efforts to formulate a variety of measures to encourage chronic patients to contract with family doctors, with special attention to people with low SES.

scholarly journals Family doctor contract services and health-related quality of life among patients with chronic diseases in rural China: what is the role of socioeconomic status?

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Zhixian Li ◽  
Jie Li ◽  
Peipei Fu ◽  
Yan Chen ◽  
Zhengyue Jing ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Rural China ◽  
Family Doctor ◽  
Health Related Quality ◽  
Chronic Patients ◽  
Family Doctors ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

Abstract Purpose Few studies explored the relationship between the family doctor contract services (FDCS) and health-related quality of life (HRQOL) among patients with chronic diseases in rural China. This study aims to explore the relationship between the status of signing on FDCS and HRQOL among patients with chronic diseases and examine whether there are differences in the relationship between different socioeconomic status (SES). Methods A total of 1,210 respondents were included in this study. HRQOL was measured by EQ-5D-3L. The contracting status was divided into uncontracted and contracted. Tobit regression and Logistic regression were employed to explore the association between contracting status and HRQOL. The interaction terms were included to explore the differences in the association among different SES. Results Contracting with family doctors was associated with HRQOL (coefficient = 0.042; 95%CI 0.008 to 0.075). The association was different among different socioeconomic levels that the contracting status was only associated with HRQOL in sub-high-income (P < 0.01) and highly educated patients (P < 0.05). Compared with uncontracted patients, contracted patients reported higher ED-5D-3L utility value in the sub-high-income group (coefficient = 0.078; 95%CI 0.017 to 0.140) and high educational attainment (coefficient = 0.266; 95%CI 0.119 to 0.413). Conclusions This study found a significant association between FDCS and HRQOL among chronic patients in rural Shandong, China. This relationship varied by income levels and educational attainment. The government should take efforts to formulate a variety of measures to encourage chronic patients to contract with family doctors, with special attention to people with low SES.

scholarly journals Quality of life and depressive symptoms among Peruvian university students during the COVID-19 pandemic

2020 ◽  
Author(s):  
Joel Figueroa-Quiñones ◽  
Miguel Ipanaqué-Zapata ◽  
Daniel Machay-Pak ◽  
Juan Rodríguez-Ruiz
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
University Students ◽  
Family Member ◽  
Chronic Diseases ◽  
Depressive Symptomatology ◽  
Multi Centre Study ◽  
Patient Health ◽  
Anxiety Depression

AbstractObjectivesCharacterize the quality of life and depressive symptoms of university students in Peru during the COVID-19 pandemic and to determine the associated factors.MethodsMulti-centre study in 1634 university students recruited by convenience sampling. Quality of life (QoL) was assessed with the European Quality of Life-5 Dimensions at three levels (EQ-5D-3L) and depressive symptoms with the Patient Health Questionarie-9 (PHQ-9). To evaluate factors associated with QoL and depressive symptoms, linear and adjusted regressions were used, with robust variance reporting coefficients (β).ResultsThe percentage of participants most affected by QoL dimension was: anxiety/depression (47.2%) and pain/discomfort (35.6%). Regarding the Visual Analog Scale (EQ-VAS) of QoL, the score was 76.0 + 25.6. Those who had family economic decline during quarantine (β=-3.4, IC95%=-6.5 to −0.3) or family with chronic diseases (β=-3.7, IC95%=-6.1 to −1.4) presented significantly lower scores in their QoL. Regarding depressive symptomatology, the university students reported a moderate to severe level (28.9%). A higher risk of depressive symptoms was found in residents of Ayacucho (β=0.8, IC95%=0.1 to 1.5), those who were released from quarantine (β=0.7, IC95%=0.2 to 1.2) and those who had a family member with chronic disease (β=1.5, IC95%=1.0 to 2.1).ConclusionsAlmost half and one third of participants reported anxiety/depression, and pain/discomfort in their QoL respectively. Nearly a third presented moderate and severe depressive symptoms. The deterioration of QoL was worse in those who had a decrease in income and a family member with chronic illness. The presence of depressive symptoms was found in students in Ayacucho, those who left home during quarantine and those who had a family member with chronic diseases.

589 Quality of heart failure diagnosis in hospitalized patients

2003 ◽  
Vol 2 (1) ◽  
pp. 128-129
Author(s):  
P SARMENTO ◽  
C FONSECA ◽  
F MARQUES ◽  
J NUNES ◽  
F CEIA
Keyword(s):  
Heart Failure ◽  
Hospitalized Patients ◽  
Failure Diagnosis ◽  
Heart Failure Diagnosis

Psychisches Befinden, Beschwerden und Belastungen: Ergebnisse einer repräsentativen Studie

2011 ◽  
Vol 59 (2) ◽  
pp. 155-165 ◽  
Author(s):  
Sören Schmidt ◽  
Franz Petermann ◽  
Manfred E. Beutel ◽  
Elmar Brähler
Keyword(s):  
Personal Relationships ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Klinische Praxis ◽  
Psychisches Befinden ◽  
Patient Health

Zusammenfassung. Die Erfassung von Beschwerden und der Befindlichkeit sind wesentlicher Teil eines klinisch-diagnostischen Prozesses. Da Angststörungen und Depressionen in hohem Maße mit verschiedenen psychischen und körperlichen Belastung einhergehen, wurden in dieser Studie primär die prädiktiven Eigenschaften der Beschwerden-Liste (B-LR) und der Befindlichkeits-Skala (Bf-SR) in revidierter Form mittels Regressionsanalysen (linear und hierarchisch) an einer Stichprobe von N = 2504 untersucht. Als abhängiges Kriterium galt die Ausprägung von Angst- und Depressionssymptomen, ermittelt über das Kurzscreening Patient-Health-Questionnaire-4 (PHQ-4). Da vermutet wurde, dass entsprechende Symptome auch einen Einfluss auf die Qualität sozialer Beziehungen des Betroffenen haben und die globale Lebenszufriedenheit beeinflussen, wurden zudem das Quality of Personal Relationships Inventory (QRI) sowie der Fragebogen zur Lebenszufriedenheit (FLZM) eingesetzt. Sowohl B-LR als auch Bf-SR verfügten über alle Altersgruppen und geschlechtsinvariant über hohe prädiktive Eigenschaften. Die Qualität sozialer Beziehung (QRI) eignet sich nicht zur Vorhersage von Angst und Depressionen. Globale Lebenszufriedenheit nimmt in der Altersgruppe 14–74 gegenläufig zum Anstieg von Angst- und Depressionssymptomen signifikant ab, in der Altersgruppe der ⩾ 75-jährigen Männern leistet diese jedoch keinen signifikanten Beitrag zur Varianzaufklärung. Bei den Frauen dieser Altersgruppe geht eine Erhöhung der Lebenszufriedenheit mit der Zunahme von Angst- und Depressionssymptomen einher. Die Ergebnisse lassen den Schluss zu, dass der Einsatz von B-LR und Bf-SR eine gute Informations- und Handlungsbasis für Forschung und klinische Praxis darstellen. Die unterschiedlichen Tendenzen innerhalb der Analysen zwischen Männern und Frauen weisen auf geschlechtsspezifische Verarbeitungsmechanismen hin. In höherem Alter sollte die Ausprägung von Beschwerden Indikator für die Ermittlung weiterer Ressourcen darstellen, um einen positiven Einfluss auf die Lebenszufriedenheit auszuüben.

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