scholarly journals Análise da qualidade de vida de idosos portadores de diabetes mellitus atendidos na atenção primária à saúde / Analysis of the quality of life of elderly people with diabetes mellitus even in primary health care

2020 ◽  
Vol 3 (5) ◽  
pp. 12719-12735
Author(s):  
Ana Luiza Costa de Queiroz ◽  
Raquel Sales da Silva ◽  
Yuri Santos Rodrigues ◽  
Milena Araújo Lima ◽  
Rafaela Pessoa Santana
Author(s):  
Manal Badrasawi ◽  
May Hamdan ◽  
Mohammad Al Tamimi

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p <  0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.


2015 ◽  
Vol 4 (3/4) ◽  
pp. 146-149
Author(s):  
Dênya Alves Dos Santos ◽  
Ana Carolina Lyra De Albuquerque

Resumo: Objetivou-se identificar que serviços as Unidades Básicas de Saúde da Família ofereciam aos idosos e qual o perfil dos profissionais em Campina Grande-PB, tendo como método de coleta a entrevista. Obtivemos um perfil sociodemográfico dos profissionais de acordo com o gênero: 88% feminino, 12% masculino; como estratégia mais utilizada por esses profissionais, observou-se a utilização de ações em grupo em 76% da amostra, porém, a caderneta do idoso era utilizada em apenas 12% dos casos. Entende-se que a criação de programas voltados à terceira idade auxilia no processo de envelhecimento, pois oferece uma melhor qualidade de vida aos pacientes.Descritores: Idoso, Atenção Primária à Saúde, Envelhecimento.Actions and services offered to elderly people attended by primary attention Campina Grande-PBAbstract: This study aimed to identify what services the family health basic units offered to the aged and which the profile of professionals in Campina Grande-PB, having as method of collecting the interview. Have a demographic profile of professionals according to the genre: 88% female, 12% male; like most strategy used by these professionals, the use of group actions in 76% of the sample, however, the aged Carnet was used in only 12% of cases. Understood that the creation of programs for seniors helps in the aging process, because it provides a better quality of life for patients.Descriptors: Aged, Primary Health Care, Aging .Acciones y servicios ofrecidos a las personas mayores por la atención primaria de salud en la ciudad de Campina Grande-PBResumen: El objetivo de la investigatión es identificar qué servicios de la salud de la familia en atención primaria ofrecidas a los ancianos y que el perfil de los profesionales en Campina Grande-PB, teniendo como un método de recogida de la entrevista. Tenemos un perfil demográfico de los profesionales según el género: femenino de 88%, 12% hombres; como la estrategia más utilizada por estos profesionales, el uso de las acciones de grupo en el 76% de la muestra, sin embargo, el cuaderno de anciano fue usado en sólo el 12% de los casos. Se entiende que la creación de programas para personas mayores ayuda en el proceso de envejecimiento, porque proporciona una mejor calidad de vida para los pacientes.Descriptores: Anciano, Atención Primaria de Salud, Envejecimiento.


Author(s):  
Isabel Gálvez Galán ◽  
Macarena Celina Cáceres León ◽  
Jorge Guerrero-Martín ◽  
Casimiro Fermín López Jurado ◽  
Noelia Durán-Gómez

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0238137
Author(s):  
Ruth Tsigebrhan ◽  
Abebaw Fekadu ◽  
Girmay Medhin ◽  
Charles R. Newton ◽  
Martin J. Prince ◽  
...  

Background Evidence from high-income countries demonstrates that co-morbid mental disorders in people with epilepsy adversely affect clinical and social outcomes. However, evidence from low-income countries is lacking. The objective of this study was to measure the association between co-morbid mental disorders and quality of life and functioning in people with epilepsy. Methods A facility-based, community ascertained cross-sectional survey was carried out in selected districts of the Gurage Zone, Southern Ethiopia. Participants were identified in the community and referred to primary health care (PHC) clinics. Those diagnosed by PHC workers were recruited. Co-morbid mental disorders were measured using a standardised, semi-structured clinical interview administered by mental health professionals. The main outcome, quality of life, was measured using the Quality of Life in Epilepsy questionnaire (QOLIE-10p). The secondary outcome, functional disability, was assessed using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-2). Results The prevalence of comorbid mental disorders was 13.9%. Comorbid mental disorders were associated with poorer quality of life (Adjusted (Adj.) β -13.27; 95% CI -23.28 to-3.26) and greater disability (multiplier of WHODAS-2 score 1.62; 95% CI 1.05, 2.50) after adjusting for hypothesised confounding factors. Low or very low relative wealth (Adj. β = -12.57, 95% CI -19.94 to-5.20), higher seizure frequency (Adj.β coef. = -1.92, 95% CI -2.83 to -1.02), and poor to intermediate social support (Adj. β coef. = -9.66, 95% CI -16.51 to -2.81) were associated independently with decreased quality of life. Higher seizure frequency (multiplier of WHODAS-2 score 1.11; 95% CI 1.04, 1.19) was associated independently with functional disability. Conclusion Co-morbid mental disorders were associated with poorer quality of life and impairment, independent of level of seizure control. Integrated and comprehensive psychosocial care is required for better health and social outcomes of people with epilepsy.


2015 ◽  
Vol 20 (4) ◽  
pp. 1285-1293 ◽  
Author(s):  
Carolina Costa Valcanti Avelino ◽  
Sueli Leiko Takamatsu Goyatá ◽  
Denismar Alves Nogueira ◽  
Ludmila Barbosa Bandeira Rodrigues ◽  
Sarah Maria Souza Siqueira

The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.


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