scholarly journals Developing Domains and Items about Self-Management among Elderly People with Chronic Disease

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 54
Author(s):  
Gain Shin ◽  
Hae Yean Park
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Survey Methodology ◽  
Target Population ◽  
Local Communities ◽  
Self Management ◽  
Evidence Based ◽  
Key Factor ◽  
The Mean

Lifestyle is considered as a key factor that affects one’s health and quality of life, and it has become the focus of increasing research interest worldwide. Objectives: We aimed to determine the areas of self-management necessary as part of occupational therapy for elderly people suffering from chronic diseases living in local communities, as well as elements to be included in each area. Method: Delphi survey methodology was utilized. Participants answered three surveys, and we derived the mean, standard deviation, and content validity ratios for each domain and item. Results: We derived 13 domains and 68 items about self-management, derived the fit and importance of 1 domain and 23 items, and finally derived 12 domains and 54 items. Conclusion: The program developed using this research can become a systematic and evidence-based intervention and provide an opportunity for self-management to the target population.

scholarly journals Predictors of Diabetes Self-Management Behaviors in Type 2 Diabetes Patients

2021 ◽  
Author(s):  
Golnaz Azami ◽  
Soh Kim Lam ◽  
Sazlina Shariff-Ghazali ◽  
Salmiah Mohd Said ◽  
Sanaz Aazami ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Linear Regression Analysis ◽  
Self Management ◽  
P Value ◽  
Efficacy Expectation ◽  
The Mean ◽  
Management Behaviors

Objective: Type 2 diabetes mellitus (T2DM) is a chronic condition that requires consistent medical care to help control glycemic indices. Diabetes self-management is found to be essential for optimal glycemic control. This study aimed to investigate the predictors of diabetes self-management in adult with T2DM. Materials and Methods: A cross-sectional study was conducted. A purposive sample of 142 adults with T2DM attended an outpatient endocrine clinic in an academic hospital in Ilam, Iran was invited to participate in this study from September to October 2016. The data were collected using a combination of validated questionnaires and the blood sample. IBM SPSS software version 22 used to conduct the analysis. Hierarchical linear regression analysis with the stepwise method was used to explore the predictors of diabetes self-management.  Results: The mean age of participants was 54.2 ± (11.8) years. The mean duration of diabetes was 8.9 ± (7.4). Hierarchical linear regression analysis determined that self-management behaviors had positive relationship with efficacy expectation (B= 0.445, P-value< 0.01), quality of life (B= 0.222, P-value= 0.02), and has a negative relationship with HbA1c (B= -0.194, P-value= 0.01).  Conclusion: The result of our study indicate that better diabetes self-management behaviors can be predicted by higher efficacy expectation, the better quality of life and lower HbA1c levels. Future interventions should focus on enhancing efficacy expectation, quality of life and optimizing glycemic control to improve self-management of diabetes.

A Collaborative m-Health Platform for Evidence-Based Self-Management and Detection of Chronic Multimorbidity Development and Progression

2016 ◽  
pp. 52-71
Author(s):  
Kostas Giokas ◽  
Panagiotis Katrakazas ◽  
Dimitris Koutsouris
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Evidence Based ◽  
Age Group ◽  
Guidelines Development ◽  
Utilization Of Healthcare

The ageing process of EU population has played a key role raising the prevalence of chronic disease, with more than 80% of people in the last age group (65-74) reported to be having three or more long-term Multimorbidity or Multiple Chronic Conditions (MCCs). The main problem is that currently, clinicians have limited guidance, as well as evidence of how to approach care decisions for such patients. As a consequence, the understanding of how to best take care of patients with multimorbidity conditions, may lead to improvements in Quality of Life (QoL), utilization of healthcare, safety, morbidity and mortality. The root of this problem is not narrowly confined to guidelines development and application, but is inherent throughout the translational path from the generation of evidence to the synthesis of the evidence upon which guidelines depend.

scholarly journals The effect of self-management education through weblogs on the quality of life of diabetic patients

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Amal Mohammad Rasoul ◽  
Rostam Jalali ◽  
Alireza Abdi ◽  
Nader Salari ◽  
Mehrali Rahimi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Management Education ◽  
T Test ◽  
Self Management ◽  
Diabetic Patients ◽  
Control Groups ◽  
Patients With Diabetes ◽  
The Mean ◽  
And Control

Abstract Background Self-management education of diabetes which is one of the most important noncommunicable diseases worldwide involves facilitating knowledge, skills, and ability required for self-care in these patients. Concerning the progressive growth of use of Internet for educating patients and absence of different studies about education through use of weblogs in patients with diabetes in Iran, the present study was conducted with the aim of determining the effect of self-management education through weblogs on the quality of life of affect the patients. Methods This study was performed as intervention on patients referring to diabetes clinic of Talghani hospital in Kermanshah in winter 2018 and spring 2019. The samples consisted of 98 patients with diabetes chosen through available sampling and randomly assigned into study and control groups. For data collection, diabetes quality of life (DQOL) short form clinical questionnaire, Persian version, was used. The intervention involved training self-management conducted through 60 sessions via a designed weblog. The obtained information was introduced into SPSS 21, and analyzed through Mann-Whitney, t-test, and paired t-test. Results According to the results of this study, the mean age of the examined patients was 32.1 ± 4.9 years, where the major participants were male (n = 52 in the test group, 52.5%). The results showed that after the intervention, the test and control groups were different in terms of anthropometric variables and metabolic indicators; the mean waist circumference in the test and control groups was 98.6 ± 9.8 and 101.5 ± 7.8, respectively; the mean FBS following the intervention in the test and control groups was 131.08 ± 16.04 and 238.2 ± 40, respectively; and the mean BMI postintervention in the test and control groups was obtained as 27.3 ± 3.4 and 30.1 ± 3.8 respectively, where these differences were significant according to independent t-test (p < 0.05). The mean score of quality of life postintervention in the test and control groups was obtained as 56.1 and 49.9 respectively; according to Mann-Whitney test, the difference between the two groups was significant (p < 0.05). Conclusion The results of the present study revealed the positive effect of weblog based self-management on the quality of life of patients with diabetes following the intervention. Further, reduced levels of FBS, BMI, as well as systolic and diastolic blood pressure were also observed, which could be due to increased awareness of patients about their abilities, its risks, as well as the ways to control and treat it.

scholarly journals Muscle Mass and Quality of Life of Elderly People in Panti Tresna Werdha in Bandung

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Lambok K. K. Stein ◽  
Siska Wiramihardja ◽  
Iceu D. Kulsum
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Muscle Mass ◽  
The Elderly ◽  
Mean Value ◽  
Physical Domain ◽  
Average Value ◽  
The Mean ◽  
Study Participants

The proportion of elderly continues to increase from year to year due to theincrease of life expectancy. Elderly will experience degenerative process related tomuscle mass. This can disrupt the quality of life. The aim of this study was to determinethe muscle mass and quality of life (QoL) in the elderly. This study used cross sectionalapproach with the number of subjects as many as 32 elderly residents of Tresna Werdhain Bandung. The tool used to measure muscle mass is BIA Tanita SC-240 while theinstrument used in measuring quality of life is the WHOQL-BREF questionnaire. Theresult showed that the mean value of muscle mass per unit body surface area was 22.86±2.20 kg/m 2 . The highest average value of QoL is the physical domain (59.15±8,06%)while the lowest is the environmental domain (42.97±11.11%). The conclusion of thisstudy is muscle mass possessed by elderly study participants is good. The QoL isclassified as moderate.Keywords: elderly people, muscle mass, quality of life,  WHOQL-BREF questionnaire

scholarly journals A comparative study of quality of life among elderly people living in old age homes and in the community

2019 ◽  
Vol 6 (8) ◽  
pp. 3588
Author(s):  
Prakash R. Kengnal ◽  
Asha Bullappa ◽  
Ashok Kumar M. S.
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Rural Area ◽  
Old Age ◽  
Environmental Domain ◽  
The Mean ◽  
Social Domains ◽  
Study Participants ◽  
Old Age Homes

Background: The ageing process is not determined truly by genes and personal characteristics but mainly by his adjustment with the environment he lives. Ageing of a person depends on many factors which influence the course of life like physiological, social, psychological, economic, environmental and cultural factors which in turn affect the quality of life (QoL). Given these findings, quality of life is influenced by the place where a person lives. The objective of the study was to assess and compare the quality of life of elderly living in old age homes and community.Methods: This was a cross sectional, questionnaire based study done on elderly people (>60 years) living in old age home, urban and rural area. The study was carried out for a period of 3 months from April to June 2016 after taking consent from the study participants. WHOQoL-BREF questionnaire was used to assess the quality of life.Results: Elderly females were more than elderly males in rural and old age home. The study participants of all the three places were concentrated in the age group 65-70 years old. The mean scores of physical, psychological and social domains were high in urban elderly people. Most of the study population was illiterate in urban and rural area but in old age home most of them were educated. There was significant difference between the mean scores for psychological and environmental domain (p=0.048 and 0.001 respectively).Conclusions: Participants living in the urban area had higher mean scores in the physical, psychological and social domains as compared to rural area and old age home. The mean score of environmental domain was high in rural area as compared to urban and old age home.

scholarly journals Does self-management education for elderly people with chronic diseases improve their quality of life?

2018 ◽  
Vol 3 (6) ◽  
Author(s):  
Samira Mohajer ◽  
Ahmad Ghasemi ◽  
Hossein Karimi Moonaghi ◽  
Seyed Reza Mazlom
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Elderly People ◽  
Management Education ◽  
Self Management

scholarly journals Quality of life of elderly people living with family and in old age home in Morang District, Nepal

BIBECHANA ◽  
2018 ◽  
Vol 16 ◽  
pp. 221-227
Author(s):  
Menuka Shrestha ◽  
Heera KC ◽  
Prem Bhattarai ◽  
Anjali Mishra ◽  
Surya B. Parajuli
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Old Age ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Ageing Society ◽  
The Family ◽  
The Mean ◽  
Elderly Living

Introduction: Nepal like many other developing countries in the world is witnessing the rapid ageing of population. Quality of life (QOL) of elderly people is becoming even more relevant towards an ageing society. In Nepal, less is known regarding special needs and quality of life of elderly people either in familial situations or in old age residences. Objectives: The present study was undertaken to assess and compare the quality of life of elderly living with the family and in old age home. Methodology: A Cross sectional descriptive study was conducted from October 2016 to April 2017 among elderly population aged 60 years and above. A total of 50 elderly people were enrolled from old age home (OAH) using total enumeration sampling technique and equal number of sample was selected from the family setting. QOL of elderly was assessed using WHOQOL-BRIEF questionnaire after taking informed consent from the participants. Data was analyzed using SPSS. Results: The mean scores of QOL domains were better among the age group 60-70 years, males, married, literates and who had children. The mean scores of QOL in physical, psychological and environmental domains were better in elderly living with the family than living in OAH. Low scores were found on social domain among elderly compared to other domain irrespective of their residence. Conclusion: QOL score among elderly is average, while social relationship domain of QOL scores was found to be low. Social activities should be expanded for these residents in order to promote social health. The QOL which each individual possesses is very important in all aspects be it physical, psychological, social & environmental. Furthermore, programs that help elderly people live in their own homes and social environments should be promoted.BIBECHANA 16 (2019) 221-227

scholarly journals Development and evaluation of an eHealth self-management intervention for patients with chronic kidney disease in China: protocol for a mixed-method hybrid type 2 trial

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongxia Shen ◽  
Rianne van der Kleij ◽  
Paul J. M. van der Boog ◽  
Xiaoyue Song ◽  
Wenjiao Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mixed Method ◽  
Self Management ◽  
Evidence Based ◽  
Management Intervention ◽  
Management Interventions ◽  
Improve Health Status ◽  
Improve Health

Abstract Background Chronic kidney disease (CKD) is a significant public health concern. In patients with CKD, interventions that support disease self-management have shown to improve health status and quality of life. At the moment, the use of electronic health (eHealth) technology in self-management interventions is becoming more and more popular. Evidence suggests that eHealth-based self-management interventions can improve health-related outcomes of patients with CKD. However, knowledge of the implementation and effectiveness of such interventions in general, and in China in specific, is still limited. This study protocol aims to develop and tailor the evidence-based Dutch ‘Medical Dashboard’ eHealth self-management intervention for patients suffering from CKD in China and evaluate its implementation process and effectiveness. Methods To develop and tailor a Medical Dashboard intervention for the Chinese context, we will use an Intervention Mapping (IM) approach. A literature review and mixed-method study will first be conducted to examine the needs, beliefs, perceptions of patients with CKD and care providers towards disease (self-management) and eHealth (self-management) interventions (IM step 1). Based on the results of step 1, we will specify outcomes, performance objectives, and determinants, select theory-based methods and practical strategies. Knowledge obtained from prior results and insights from stakeholders will be combined to tailor the core interventions components of the ‘Medical Dashboard’ self-management intervention to the Chinese context (IM step 2–5). Then, an intervention and implementation plan will be developed. Finally, a 9-month hybrid type 2 trial design will be employed to investigate the effectiveness of the intervention using a cluster randomized controlled trial with two parallel arms, and the implementation integrity (fidelity) and determinants of implementation (IM step 6). Discussion Our study will result in the delivery of a culturally tailored, standardized eHealth self-management intervention for patients with CKD in China, which has the potential to optimize patients’ self-management skills and improve health status and quality of life. Moreover, it will inform future research on the tailoring and translation of evidence-based eHealth self-management interventions in various contexts. Trial registration Clinicaltrials.gov NCT04212923; Registered December 30, 2019.

scholarly journals Impact of oral health on quality of life among the elderly population of Joaçaba, Santa Catarina, Brazil

2004 ◽  
Vol 18 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Maria Gabriela Haye Biazevic ◽  
Edgard Michel-Crosato ◽  
Fabíola Iagher ◽  
Cleiton Eduardo Pooter ◽  
Silvia Letícia Correa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Elderly People ◽  
Elderly Population ◽  
The Elderly ◽  
World Health ◽  
Systematic Sampling ◽  
The Mean ◽  
The Impact

The objective of this study was to investigate the impact of oral health conditions on the quality of life of elderly people in Joaçaba - SC, in Southern Brazil. A survey based on systematic sampling of clusters was carried out with 183 elderly people that belong to old age groups. The survey was conducted in order to assess the oral conditions of the participants (use of and need for prosthesis) based on the criteria from the World Health Organization publication "Oral Health Surveys, Basic Methods", 4th edition. The oral health impact profile (OHIP) was used to evaluate the impact of oral condition in the quality of life. ABIPEME (Brazilian Association of Market Research Institutes) criterion was used, together with the level of education and the number of people in the household to determine social inequalities. The participants were mostly women (82%) and the OHIP mean was 10.35. No correlation was observed between the OHIP level and formal education or between OHIP and number of residents per household. There was a correlation of 0.240 (p = 0.001) between ABIPEME and OHIP. The OHIP mean for those not using maxillary prosthesis was 12.48 and the mean for those using it was 9.81 (p = 0.399). The mean OHIP for those in need of maxillary prosthesis for those who did not need it was 13.00 and 8.88, respectively (p = 0.014). The same trend was found for the use and need for mandibular prosthesis. The conclusion was that the need for maxillary and mandibular prosthesis impacted the quality of life among the elderly population of Joaçaba.

scholarly journals The Effect of Using Peer on Self-Care, Quality of Life, and Adherence in Elderly People with Coronary Artery Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mojtaba Roshandel ◽  
Mahnaz Rakhshan ◽  
Majid Najafi Kalyani
Keyword(s):  
Quality Of Life ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Elderly People ◽  
Self Care ◽  
Significant Difference ◽  
The Mean ◽  
Artery Disease ◽  
And Control

Introduction. Coronary artery disease is one of the most common diseases and the cause of death among elderly people. Due to the chronic nature of this disease, regular follow-up, lifestyle changes, and adherence to recommendations can reduce the complications and improve the quality of life among elderly individuals. Given the importance of using educational methods that are based on the patient’s age and disease stage, the present study aimed to investigate the effect of using a peer group on self-care, adherence, and quality of life in elderly people. Method. This single-blind clinical trial was conducted on 30 old patients with coronary artery disease aged 60 years in Shiraz from March to June 2021. The patients were selected using simple random sampling and were then randomly assigned to the peer education and control groups (15 participants in each group) via permuted block randomization. The patients in the peer education group received the necessary education about medications, lifestyle, daily activities, self-care, and adherence through three educational clips by educated peer. The patients in the control group received routine education using two clips by the ward nurses. The levels of self-care, adherence, and quality of life were assessed in the intervention and control groups before and one month after the intervention. Data analysis was performed by SPSS 20 software using an independent t-test, paired sample t-test, and chi-square test. P < 0.05 was considered statistically significant. Findings. The results showed no statistically significant difference between the two groups with respect to the mean scores of self-care and quality of life before the intervention ( P > 0.05 ). Following the educational intervention, however, a statistically significant difference was found between the two groups concerning the mean scores of self-care and adherence ( P < 0.05 ). Moreover, the mean differences between the two groups regarding the three variables were statistically significant before and after the intervention ( P < 0.05 ). Conclusion. Education based on multimedia clips by peer was effective in increasing the mean scores of self-care, adherence, and quality of life among the elderly people with coronary artery disease. Given the low cost, high effectiveness, and decrease in the nurses’ workload, this method is recommended to be used alongside other methods in order to educate elderly individuals suffering from coronary artery disease.

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