An Eight-Year Followup Study after Heart Transplantation: The Relevance of Psychosocial and Psychiatric Background

A heart transplantation (HT) is performed when a patient’s heart health has been severely compromised. However, the health care needs of a patient throughout the transplantation process are also significant. In order to investigate these postoperative heart transplant challenges, this study has two objectives: to find which psychosocial and psychiatric variables relate to good prognosis at the end of the followup period and to assess cognitive status and quality of life at the end of the study. Therefore, we divided the sample according to the completion success and then studied and compared the differences in participants’ personality, coping mechanisms, locus of control, clinical, and epidemiological information. Cognitive function and quality of life assessments were also undertaken for participants who completed their followup period. Higher significant differences were found in openness to experience (personality), self-perceived support (locus of control), and positive reinterpretation (coping) among those who completed the followup period. On the other hand, a higher age and current or historical psychiatric diagnoses were more prevalent in the group who did not complete the followup period. Our assessment of the participants after the followup period showed normal levels of cognitive function and quality of life.

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PERSON-CENTERED CARE RELATED TO RESOURCE USE, RESIDENT QUALITY OF LIFE, AND STAFF JOB STRAIN IN SWEDISH NURSING HOMES

Innovation in Aging ◽

10.1093/geroni/igz038.141 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S36-S36 ◽

Cited By ~ 1

Author(s):

Annica Backman ◽

Anders Sköldunger

Keyword(s):

Quality Of Life ◽

Nursing Homes ◽

Resource Use ◽

Job Strain ◽

Cognitive Status ◽

Nursing Home Care ◽

Care Utilization ◽

Care Needs ◽

The Impact

Abstract A critical challenge facing aged care systems throughout the world is to meet the complex care needs of a growing population of older persons. Although person-centred care has been advocated as the “gold standard” and a key component of high quality of care, the significance of care utilization in person-centred units as well as the impact of person-centred care on resident quality of life and staff job strain in nursing home care is yet to be explored. Thus, the aim was to explore person-centred care and its association to resource use, resident quality of life and staff job strain. The study is based on a cross-sectional national survey and data on 4831 residents and 3605 staff were collected by staff in 2014, deriving from nursing homes in 35 Swedish municipalities. In this study, descriptive statistics and regression modelling were used to explore this association. The preliminary results showed that person-centred care was positively associated to resource use (i.e care hours) and resident quality of life in Swedish nursing homes, when controlling for resident age, gender and cognitive status. Person-centred care was negatively associated to staff perception of job strain. This indicates that person-centred care provision seem to increase resource use (i.e. slightly more care hours utilized) but also beneficially impact resident quality of life as well as alleviate care burden in terms job strain among staff.

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Surgical aortic valve replacement in elderly patients: effects on physical performance, cognitive function and health-related quality of life

Aging Clinical and Experimental Research ◽

10.1007/s40520-021-01969-x ◽

2021 ◽

Author(s):

Marina De Rui ◽

Vincenzo Tarzia ◽

Mattia Mazzochin ◽

Anna Bertocco ◽

Chiara Ceolin ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Function ◽

Aortic Valve ◽

Physical Performance ◽

Positive Impact ◽

Cognitive Status ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Abstract Background Surgical aortic valve replacement (SAVR) is still the gold standard for treating aortic valve stenosis (AVS). Its effectiveness has been extensively examined in terms of perioperative mortality, but its impact on overall health has received much less attention. Aims To assess the physical performance, cognitive status, and health-related quality of life of elderly patients undergoing SAVR, in the short, medium and long term. Methods This single-center prospective study enrolled patients aged > 70 years who underwent isolated SAVR for severe AVS. Data were collected on each participant’s clinical status, physical performance, cognitive status, mood, and health-related quality of life. This multidimensional geriatric assessment was performed before surgery (T0), and again at 45 days (T1), 3 months (T2), 6 months (T3), and 12 months (T4) post-surgery. Baseline (T0) and follow-up (T2-T4) data were compared separately for patients grouped by gender using paired t-tests. Results Data from a total of 35 patients were analyzed. Compared with the baseline (T0), nutritional status worsened at T1, then gradually improved through to T4. Physical performance, mood, and health-related quality of life improved significantly after surgery. Cognitive function showed no change through to T3, but then deteriorated at T4. Conclusions Our results show that SAVR in patients over 70 years of age has a positive impact on nutrition, mood, and health-related quality of life. Cognitive function was not negatively affected in the short and medium term, although it deteriorated in the long term. SAVR also had a positive impact on the physical performance of our sample.

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Thyroid status and functional and cognitive status at baseline and survival after 3 years of follow-up: the OCTABAIX study

Acta Endocrinologica ◽

10.1530/eje-13-0722 ◽

2014 ◽

Vol 170 (1) ◽

pp. 69-75 ◽

Cited By ~ 15

Author(s):

Francesc Formiga ◽

Assumpta Ferrer ◽

Gloria Padros ◽

Anna Contra ◽

Xavier Corbella ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Function ◽

Subclinical Hypothyroidism ◽

Oldest Old ◽

Cognitive Status ◽

Elderly Subjects ◽

Thyroid Disorders ◽

Thyroid Status

ObjectiveSubclinical thyroid disorders are common in older individuals. Health risks associated with subclinical hypothyroidism in older adults are unclear. The aim of the study is to evaluate whether thyroid status in elderly subjects correlates with physical and cognitive function at baseline and with 3-year mortality.DesignA population-based, prospective cohort of the OCTABAIX study (307 inhabitants aged 85 years at baseline).MethodsChronic drug prescription, functional status (Barthel and Lawton indices) and cognitive status according to the Spanish version of the Mini-Mental State Examination were recorded. Quality of life was assessed using the visual analogue scale of the quality of life test. Concentrations of TSH and thyroxine were measured. Participants were classified in accordance with clinical categories of thyroid function.ResultsTwenty (6.5%) individuals had subclinical hypothyroidism and five (1.6%) had subclinical hyperthyroidism. Compared with euthyroid subjects (n=280; 91.8%), subclinical hypo- and hyperthyroidism subjects were not significantly associated with poor physical or cognitive function at baseline. Fifty-one (15.1%) subjects died during the 36 months of follow-up. TSH values and subclinical hypo- and hyperthyroidism were not associated with an increased overall mortality risk (hazard ratio (HR) 1.086, 95% CI 0.987–1.196 and HR 0.905, 95% CI 0.902–1.053 respectively).ConclusionsThis study does not support the association of TSH or thyroid disorders with physical or cognitive function at baseline or with 3-year mortality in the oldest old subjects.

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757 Different patterns of disability, cognitive function and quality of life in 1065 elderly heart failure patients treated or not with betablockers: the BRING-UP2 study

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(03)90494-2 ◽

2003 ◽

Vol 2 (1) ◽

pp. 163

Author(s):

D DELSINDACO ◽

G PULIGNANO ◽

L TAVAZZI ◽

M MARINI ◽

L GONZINI ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Cognitive Function ◽

Heart Failure Patients

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37 Sustained quality of life improvement at one year follow-up in patients with ischemic heart failure listed for heart transplantation submitted to endocardial injection of bone marrow cells

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(04)90018-5 ◽

2004 ◽

Vol 3 (1) ◽

pp. 6-7

Author(s):

H DOHMANN

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Bone Marrow ◽

Heart Transplantation ◽

Bone Marrow Cells ◽

Ischemic Heart Failure ◽

Life Improvement ◽

One Year

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The effect of locus of control and stress on quality of life among college teachers

PsycEXTRA Dataset ◽

10.1037/e627722013-384 ◽

2013 ◽

Author(s):

Bharat A. Naik

Keyword(s):

Quality Of Life ◽

Locus Of Control ◽

College Teachers

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Critical issues of the biopsychosocial treatment of Parkinson’s disease

Orvosi Hetilap ◽

10.1556/oh.2015.30109 ◽

2015 ◽

Vol 156 (12) ◽

pp. 472-478 ◽

Cited By ~ 1

Author(s):

Péter Kincses ◽

Norbert Kovács ◽

Kázmér Karádi ◽

János Kállai

Keyword(s):

Quality Of Life ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Psychological Health ◽

Interdisciplinary Approach ◽

Cognitive Status ◽

Psychological Burden ◽

Her Family ◽

Critical Issues

This paper is a summary report on the basic questions of the biopsychosocial approach to Parkinson’s disease. It deals with cognitive, affective and psychological health issues which significantly influence the outcome of the physical rehabilitation. In spite of the unchanged cognitive status, the psychological burden of the changes in the quality of life, the obstruction, the change in the affective tone, and the shrinking ability to fulfil social roles decrease the patient’s quality of life. An interdisciplinary approach is best suited for mitigating these effects. Not only the patient but also his/her family and environment is seriously affected by the disease and its consequences. Treatment and rehabilitation options for increasing or maintaining the quality of life of the affected patients are diverse, and significantly depend on the features of the health care system. The authors believe that the following review emphasizing health psychological principles may contribute to the work of professionals working in clinical and rehabilitational fields and through them may increase the quality of life of patients and their family. Orv. Hetil., 2015, 156(12), 472–478.

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