scholarly journals Women’s Quality of Life at 6 Weeks Postpartum: Influence of the Discomfort Present in the Puerperium

Author(s):  
Juan Martínez-Galiano ◽  
Antonio Hernández-Martínez ◽  
Julián Rodríguez-Almagro ◽  
Miguel Delgado-Rodríguez ◽  
Ana Rubio-Alvarez ◽  
...  

Background: Discomfort during the puerperium period is very frequent in the lives of women but the influence of this discomfort on the women’s quality of life has been little studied. The objective of this study is to establish the association between discomfort and frequent problems of women in the puerperium and their quality of life score. Methods: A cross-sectional study on postpartum Spanish women was performed. Women older than 18 years and who had had a live birth were included. Less than 1% of women refused to participate in the study. Data were collected on socio-demographic, obstetric and newborn variables, on maternal problems/ discomfort in the postnatal period and on parameters that are quality of life indicators. An ad hoc online questionnaire which included the SF-36 Health Survey was used. Crude mean difference (cMD) and adjusted mean difference (aMD) were calculated through multiple linear regression. Results: 2990 women participated in the study. The greater problems causing quality of life loss were depressive symptoms (aMD = −12.40, CI 95%: −10.79, −14.01), lactation problems (aMD = −4.30, CI 95%: −2.97, −5.63), problems for sexual intercourse after childbirth (aMD = −6.34, CI 95%: −5.07, −7.60) and urinary incontinence (aMD = −4.97, CI 95%: −6.30, −3.65), among others. These have been detected as risk factors that affect the quality of life of the postpartum woman. Conclusions: The discomfort and problems manifested in the 6 weeks after childbirth have an influence that deeply affects the quality of life of postpartum women.

2021 ◽  
Vol 11 (7) ◽  
pp. 672
Author(s):  
Alessandra Buja ◽  
Guendalina Graffigna ◽  
Simona F. Mafrici ◽  
Tatjana Baldovin ◽  
Carlo Pinato ◽  
...  

Ensuring multiple sclerosis (MS) patients’ adherence to therapy is often challenging, but it is crucial to their survival and health-related quality of life (HRQoL). The aim of the present study was to outline connections between adherence, physical and mental HRQoL, levels of psychological readiness to engage in a treatment, levels of social support, anthropometric, socio-demographic and clinical factors in patients suffering from MS. This cross-sectional study involved a sample of 237 Italian MS patients. A survey was conducted with a structured self-administered online questionnaire using validated measures of quality of life, adherence to therapy and anthropometric, socio-demographic, psychological and clinical variables. A path analysis was used to test the overall structure of the associations between the variables. The pathway indicates a positive association between mental health index and a stronger degree of engagement and being or having been in a long-term relationship. Physical health index was positively associated with age, having an occupation, and having a specific form of MS. Having had relapses in the previous year raised the odds of better adherence to therapy, while an increase in Body Mass Index (BMI) reduced them. Our findings could help in the management of MS patients, promoting behavioral interventions that take the psychological and socio-demographic peculiarities of each patient into account with a view to improving their adherence to therapy.


Author(s):  
Edison Vitório de Souza Júnior ◽  
Diego Pires Cruz ◽  
Cristiane dos Santos Silva ◽  
Randson Souza Rosa ◽  
Gabriele da Silva Santos ◽  
...  

ABSTRACT Objective: To analyze the association between the experiences of sexuality and quality of life in older adults. Method: Cross-sectional study developed with a total of 300 older adults living in northeastern Brazil. Data collection was carried out entirely online between August and October 2020. Participants completed the online questionnaire containing three instruments for assessing bio sociodemographic data, sexuality and quality of life. Data analysis was performed using the Mann-Whitney, Kruskal-Wallis, Spearman correlation and multivariate linear regression tests, adopting a 95% confidence interval (p < 0.05). Results: Older adults experience better affective relationships and have better quality of life in sensory abilities and intimacy. In the regression analysis, only affective relationships (β = 0.510; [95% CI: 0.340–0.682]; p < 0.001) and physical and social adversities (β = −0.180; [95% CI:−1.443–0.434]; p < 0.001) remained associated with the general quality of life of older adults. Conclusion: Health professionals must invest in training, development of individual and group educational interventions, in addition to promoting the strengthening of bonds between older adults so that they feel free and comfort in expressing their intimate needs.


Author(s):  
Nisreen Al Awaji ◽  
Monira Aldhahi ◽  
Shahnaz Akil ◽  
Salwa Awad ◽  
Eman Mortada

Substantial changes in life dynamics resulting from the outbreak of the coronavirus disease 2019 (COVID-19) could have an impact on the quality of life (QoL) of mothers of children with and without disabilities. This study compared the quality of life (QoL) of mothers of children with disabilities (MCD) to the QoL of mothers of children without disabilities (CON) in Saudi Arabia during COVID-19 lockdown. It explored mothers’ concerns and the type of support they need during the quarantine. A comparative cross-sectional study was conducted during the lockdown. An online questionnaire was distributed to mothers raising children with and without disabilities in Saudi Arabia. A total of 340 mothers participated in the study by completing the survey: 93 MCD and 247 CON. The QoL of MCD and CON was assessed using the WHOQOL-BREF questionnaire. Furthermore, detailed information was provided by the mothers regarding their needs and concerns during the lockdown. The results of the study revealed that the overall QoL was significantly higher in the CON group, compared to the MCD group, during the COVID-19 lockdown. The social well-being and environmental well-being reported by MCD were significantly lower on the total scale of the WHOQOL-BREF than those reported by the CON group. The comparison between the two groups revealed significant differences in the support required by mothers during the COVID-19 pandemic: a higher percentage of MCD needed emotional and psychological support, especially from family members. The major concerns reported by MCD were the deterioration of their children’s medical conditions and the lack of medical supplies during the lockdown.


2011 ◽  
Vol 29 (6) ◽  
pp. 639-645 ◽  
Author(s):  
Deborah Tomlinson ◽  
Pamela S. Hinds ◽  
Ute Bartels ◽  
Eleanor Hendershot ◽  
Lillian Sung

Purpose To compare quality of life of children with cancer with no reasonable chance of cure reported by parents 6 months or fewer versus more than 6 months before death. Patients and Methods This cross-sectional study included children between the ages of 2 and 18 years with cancer and no reasonable chance of cure at The Hospital for Sick Children, Toronto, Ontario, Canada. Parents reported quality of life on behalf of their children. Outcomes were the PedsQL 4.0 Generic Core Scales, Acute Cancer Module, and Multidimensional Fatigue Scale. Results Seventy-three parents of children participated. Compared with children who survived more than 6 months (n = 43), those who died at 6 months or fewer (n = 30) had significantly worse physical health (mean difference, 15.9; 95% CI, 1.8 to 30.0; P = .028), more pain and hurt (mean difference, 15.5; 95% CI, 0.9 to 30.0; P = .037), and worse general fatigue (mean difference, 15.8; 95% CI, 2.4 to 29.1; P = .021) and sleep/rest fatigue (mean difference, 16.0; 95% CI, 3.5 to 28.5; P = .013). Among the entire cohort, those with leukemia/lymphoma had worse physical and psychosocial quality of life compared with those with solid or brain tumors. Recent stem-cell transplantation was associated with worse psychosocial health. Conclusion Parents of children with cancer reported worse physical health, pain, and fatigue proximal to death. Those with leukemia/lymphoma were at higher risk for impaired quality of life. This knowledge can help in the design of targeted interventions to improve quality of life for children dying as a result of cancer.


Spiritual intelligence is a set of abilities to take advantage of religious resources that can predict a person's quality of life and adjustment. The aim of this study was to investigate the relationship between spiritual intelligence and quality of life in nurses of Birjand teaching hospitals in a descriptive-analytical and cross-sectional study. Data were collected by using the Spiritual Intelligence Questionnaires (SISRI-24) and Quality of Life (SF36) and analyzed using the correlation and t-tests. In this study, 187 subjects were included in the study, of which 42.2% were male and 58.8% were female. The average score of spiritual intelligence of the subjects was 48, which is lower than average. Based on the results of correlation coefficient test, there was a significant relationship between spiritual intelligence and emotional health (r=0.77) and the individual's general health score (r=0.20). Based on the results, the spiritual intelligence score of the subjects was moderate and low. On the other hand, spiritual intelligence predicted some areas of quality of life in nurses, Therefore, the implementation of programs aimed at increasing the spiritual intelligence of individuals can increase the quality of life of nurses.


2019 ◽  
Vol 8 (3) ◽  
pp. 324 ◽  
Author(s):  
Juan Martínez-Galiano ◽  
Antonio Hernández-Martínez ◽  
Julián Rodríguez-Almagro ◽  
Miguel Delgado-Rodríguez

The World Health Organization (WHO) considers quality of life a fundamental indicator. The effect of birth on women’s long-term quality of life (QoL) has barely been studied. The purpose of this study was to determine the factors related with the pregnancy, delivery and puerperium, and assess women’s QoL after giving birth. A cross-sectional study with Spanish puerperal women was carried out; it collected data on socio-demographic variables, obstetric variables, newborn data, and several quality of life parameters. An ad hoc online questionnaire, including SF-36 (validated instrument to measure QoL), was used. Crude mean differences (MD) and adjusted mean differences (aMD) were estimated by multiple linear regression. A total of 2990 women participated whose overall QoL lowered with time until three years postpartum (p = 0.045). Caesarean section (aMD = −3.61, 95% confidence interval (CI): −5.07, −2.15), mother admitted to ICU (aMD = −4.81, 95% CI: −9.56, −2.68), newborn hospitalized (aMD = −2.10, 95% CI: −4.31, −0.13) or third/fourth degree perineal tears (aMD = −6.87 95%CI: −9.93, −3.82) were detected as risk factors that affect negatively and significantly on postpartum QoL scores. Women’s postpartum QoL worsens with time. Some determining factors negatively influence postpartum QoL: Caesarean section, a mother´s admission to an intensive care unit (ICU) or a premature newborn.


2016 ◽  
Vol 36 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Ju Hee Kim ◽  
Hye Sook Shin ◽  
Eun Kyoung Yun

Purpose: This study was conducted to examine the level of infertility stress, marital adjustment, depression, and quality of life in infertile couples and assess the actor and partner effects in these areas using the actor–partner interdependence model. Design: Cross-sectional study. Method: Participants were 121 infertile couples. After pilot study, data were collected from November 2012 to March 2013 using the following questionnaires: the Fertility Quality of Life, Fertility Problem Inventory, Revised Dyadic Adjustment Scale, and Beck Depression Inventory. Findings: There was a gender difference in infertility stress, depression, and quality of life. Infertility stress had actor and partner effects on the quality of life. Marital adjustment had an actor effect on the quality of life for the wives. Depression had actor and partner effects on quality of life for the wives, but only an actor effect for the husbands. Conclusion: This study found that there were actor and partner effects of infertility stress, marital adjustment, and depression on the quality of life in infertile couples. These findings may help nurses be aware of such effects and can be used as a baseline data in the development of nursing interventions for infertile couples.


Background: Restless leg syndrome (RLS) is an undiagnosed sensorimotor disorder that is accompanied by an unpleasant sensation in the lower limbs which cause an urge to move the leg for temporary relaxation. It causes symptoms such as insomnia, concentration and mood disturbance which affect the quality of life, job and academic performance. Objective: This study was proposed to find out the prevalence of RLS among healthcare undergraduate students with its primary complications. Method: This was a cross-sectional study, conducted in Healthcare Institutes of Karachi in July-19 to October-19. A questionnaire was given to 337 students, which was designed to diagnose RLS on the basis of criteria set by “International Restless Leg Syndrome Study Group”. The inclusion criteria were students aged between 18-25 years. Students having any neurological problem, hypertension, diabetes, pregnancy, musculoskeletal deformity or recent traumatic injuries were excluded from this study. Data were analyzed by SPSS version 22. Results: The median (IQR) age of students was 21 (20-22) years. Out of these 337 students 40(11.9%) were males and 297(88.1%) were females. Restless Leg syndrome was diagnosed in 120(35.6%) students in which 110(91.7%) were females and 10(8.3%) males. 116(34.4%) students experienced leg cramps, while RLS positive students 116(96.7%) did not seek any consultation to health care professional. Conclusion: This study concluded that there was a high prevalence of RLS among healthcare students yet remains undiagnosed. There should be more awareness programs regarding RLS to prevent its symptoms and to improve the quality of life.


2021 ◽  
Author(s):  
Etedal Ahmed A. Ibrahim ◽  
Lina Hussain Mustafa Ali ◽  
Khabab Abbasher Hussien Mohamed Ahmed ◽  
Mohammed Eltahier Abdalla Omer

Abstract Introduction:This is the first study done in the national center for neurological sciences, Khartoum state to assess the quality of life above hundred Sudanese epileptic patients, in the period from September to December 2020.Methodology: This is a descriptive cross sectional study, data was collected using interviewing questionnaire and this questionnaire was modified from SF-36 model.Results: Most of the patients are from the urban area (60.2%), housewives are most of them, most of the patients were single and from low socioeconomic status, the history of the disease was less than three years for most of the cases covered in this study, most type is generalized tonic clonic epilepsy, normal EEG finding in 75.7% and normal MRI brain in 78.6%, most of patients mentioned they have no attack in last month. Regarding mental health 47.6% feel sometimes depression, 75.7% associated with memory problems. Regarding physical health 51.5% feel energetic all of the time, 9.7% always associated with sleep disturbance, most of patients are not driving, neither having hobbies for leisure time. 63.1% don’t have any health problem, 32% feel stigma if attack happen in public. Commonest medication prescribed was carbamazepine and 73.8% are fully complaints with medication. 95.1% are not worried about long term medication use.Conclusion: lower level of education and manual labor associated with poor quality of life, epilepsy had bad impact on social life, there is global decrease in cognitive function, most of the patients don`t worry about side effects and duration of the medication usage


Author(s):  
Hira Ashfaq

Introduction: In today’s world of science and medicine, assessing ones’ quality of life has become a norm. It provides baseline information for future planning in order to elevate quality of life of individuals and communities. Aims & Objectives: To assess the quality of life of infertile women and identify factors influencing it. Place and duration of study: Data was collected from Lahore General Hospital and Services Institute of Medical Sciences, Lahore during 2019. Material & Methods: A cross-sectional study was conducted on 260 married, infertile females attending infertility clinics of two tertiary care hospitals of Lahore. 36-items FertiQoL, an Urdu validated version was used to assess the quality of life of females with infertility. It had six subscales and three total scores. Data was analyzed through SPSS version 22. Results: Mean age of females was found to be 30+5.23 years and 85.8% were not working women. Average duration of infertility was 6.7 years. 61.5% of females presented with primary infertility. 70.4% reported positive attitude of their husband towards this infertility while 56.2% of the participants reported positive attitude of their in-laws as well. 30.8% of the females rated their health as poor. 31.2% reported to be dissatisfied with their overall quality of life. In FertiQoL, ‘Emotional’ subscale showed mean 67±14 SD, ‘Mind-body’ subscale mean 69±14 SD, ‘Relational’ subscale mean 55±14.7 SD, ‘Social’ subscale mean 66.2±14.5 SD, ‘Treatment Environment’ mean 70±17.5 SD and ‘treatment tolerability’ showed mean of 73±17.2 SD. ‘Total scaled core score’ showed mean of 64.5±12 SD, ‘total scaled treatment score’ mean of 69.3±14 SD and ‘total scored FertiQoL score’ showed mean of 66±12 SD. Significant association between family income and mind body subscale; duration of marriage and treatment tolerability; time till infertility diagnosis and treatment environment was found. While overall FertiQoL score and Family Income was found to be significantly associated. Conclusion: Overall quality of life of infertile females is not compromised as was thought of except for its association with family income. Sub scales of mind-body, treatment tolerability and treatment environment were found to be associated with family income, duration of marriage and time till infertility diagnosis respectively. Recognition of factors associated with poor quality of life will help in planning strategies to overcome them during infertility treatment.


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