Quality of Life and Self-care Activities in Diabetic Ulcer Patients, Grade 3: Gender Differences

Introduction: Diabetic foot ulcer (DFU) is a common complication of diabetes mellitus associated with increased morbidity and mortality and diminished quality of life (QoL). This study aimed to explore the effect of gender differences on QoL and adherence to self-care activities. Methods: In this cross-sectional study, we enrolled 135 male and 135 female patients with DFU. Data was collected using the Short Form Health Survey (SF-36) and a questionnaire that measured self-care activities (Diet, Exercise, Blood Examination, and Foot Check). Data analysis was performed using SPSS version 20. Results: In terms of QoL, male participants had moderate to high levels in the categories of energy/fatigue, emotional well-being, social functioning, and bodily pain, whereas they had low levels in physical functioning, physical role, and emotional role. Female patients had moderate QoL in the categories of energy/fatigue and social functioning, whereas they had low QoL in physical functioning, physical role, emotional role, emotional well-being, and bodily pain. Finally, regarding general health, male participants had moderate QoL and females had moderate to low QoL. Both males and females had low adherence to exercise and high in blood-examinations. For both genders, adherence to exercise had a statistically significant association with all sub-categories of QoL apart from those of role (physical and emotional). Conclusion: It is essential for health care professionals to provide gender-specific approaches in treatment of ulceration.

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A functional electric orthesis on the paretic leg improves quality of life of stroke patients

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2006000100005 ◽

2006 ◽

Vol 64 (1) ◽

pp. 20-23 ◽

Cited By ~ 9

Author(s):

Mara Renata Fernandes ◽

Luciane B.C. Carvalho ◽

Gilmar F. Prado

Keyword(s):

Quality Of Life ◽

Social Functioning ◽

Physical Functioning ◽

Bodily Pain ◽

Improve Quality ◽

Stroke Patients ◽

Normal Life ◽

Sf 36 ◽

Before And After

CONTEXT: Hemiparesia changes quality of life of patients with stroke making difficult a normal life. OBJECTIVE: To evaluate the effect of Functional Eletric Orthesis (FEO) applied over the paretic leg in the quality of life of stroke patients. METHOD: The quality of life of 50 stroke patients of Associacao de Assistencia a Crianca Deficiente (AACD) was evaluated with SF-36 questionnaire before and after the treatment with a FEO for rehabilitation of walking. We analyzed data according to gender and affected hemisphere. RESULTS: The average values from all domains of SF-36 improved significantly (p<0.001). Female patients improved more than male in Emotional Domain (p=0.04) and presented a trend to be better regarding Bodily Pain and Social Functioning. Patients with right hemiparesia improved more than those with left hemiparesia (p=0.02). CONCLUSION: FEO over a paretic leg is efficient to improve quality of life of stroke patients, mainly Physical Functioning.

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The Effect of Medication-related Support on the Quality of Life of Patients with Vasculitis in Relapse and Remission

The Journal of Rheumatology ◽

10.3899/jrheum.100808 ◽

2011 ◽

Vol 38 (4) ◽

pp. 709-715 ◽

Cited By ~ 5

Author(s):

DELESHA M. CARPENTER ◽

JESSICA A. KADIS ◽

ROBERT F. DEVELLIS ◽

SUSAN L. HOGAN ◽

JOANNE M. JORDAN

Keyword(s):

Quality Of Life ◽

Bodily Pain ◽

Disease Status ◽

Activity Level ◽

Analysis Of Covariance ◽

Interaction Terms ◽

Physical Role ◽

Wilks Lambda ◽

Emotional Role

Objective.Few studies have investigated whether the utility of social support for patients with a relapsing, remitting illness varies by activity level of the disease. Our goal was to determine whether disease status (relapse vs remission) moderates the effect of medication-related support from physicians and partners on the health-related quality of life (HRQOL) of patients with vasculitis.Methods.Patients with vasculitis (n = 228) completed baseline measures of disease status and medication-related support and a 3-month followup measure of HRQOL (RAND 36-item health survey 1.0). We calculated 8 HRQOL dimensions: physical functioning, physical role limitations, bodily pain, general health, vitality, social functioning, emotional role limitations, and mental health. Bonferroni-corrected t tests compared the HRQOL of patients in relapse to patients in remission, and multivariate analysis of covariance determined whether disease status moderated the effect of medication-related support from physicians and partners on patient HRQOL. Wilks’ lambda assessed whether the support-by-disease status interaction terms were significant.Results.Relapsing patients reported significantly worse quality of life compared with nonrelapsing patients for every HRQOL dimension except physical role limitations. Disease status did not moderate the effect of physician (lambda = 0.48; p = 0.86) or partner (lambda = 1.51; p = 0.16) medication-related support on HRQOL, although greater physician and partner support predicted better HRQOL for all dimensions except bodily pain and vitality.Conclusion.Vasculitis patients experience compromised HRQOL but the magnitude of the compromise is greater for patients experiencing a relapse. Medication-related support from physicians and partners is beneficial for patients’ HRQOL regardless of disease status.

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The influence of caregivers’ burden on the quality of life for caregivers of older adults with chronic illness in Nigeria

International Psychogeriatrics ◽

10.1017/s1041610216002295 ◽

2017 ◽

Vol 29 (7) ◽

pp. 1085-1093 ◽

Cited By ~ 2

Author(s):

Joel Olayiwola Faronbi ◽

Adenike Ayobola Olaogun

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Chronic Illness ◽

Social Functioning ◽

Physical Functioning ◽

General Health ◽

Well Being ◽

Role Limitation ◽

The Impact

ABSTRACTBackground:This study investigated the impact of caregivers’ burden on health-related quality of life (HRQoL) among the caregivers of older adults, and tested the predictive effect of burden and socio-demographic factors on HRQoL.Methods:The study employed a cross-sectional design. Three hundred and twenty-five caregivers of older adults with chronic illness were purposively selected. Data were collected using the Zarit Burden Interview and Short Form (SF-36) Health Survey. Data were analyzed descriptively and inferentially.Results:Findings revealed that 59.1% of caregivers experienced severe burden. In measuring the HQRoL, respondents performed poorly in seven domains: Role limitation due to emotional problems (19.69 ± 9.46), Energy/fatigue (43.47 ± 16.46), Emotional well-being, (45.83 ± 13.93), Social functioning (49.09 ± 18.46), Role limitation due to physical function (43.33 ± 10.15), Physical functioning (43.6 ± 18.73), and General health (37.31 ± 12.09). Respondents, however, showed a higher score in the pain domain (56.77 ± 35.79). Furthermore, findings revealed a positive correlation between caregivers’ burden and General health (r = 0.342), Emotional well-being (r = 0.222), and Physical functioning (r = 0.083). Similarly, there is a negative correlation between caregivers’ burden and Social functioning (r = –0.618), Role limitation due to physical activities (r = 0.459), Role limitation due to emotional well-being (r = –0.530), and Energy/fatigue domains (r = –0.509). In addition, burden of caregiving (β=–3.142119, p = 0.000) and age (β=0.612752, p = 0.011) are predictors of the quality of life of caregivers.Discussion:This study concluded that there is a high prevalence of caregivers’ burden resulting in poor HQRoL. In addition, burden and age are predictors of the quality of life of caregivers.

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Abstract 224: Gender Differences in Quality of Life and Psychological Responses among Implantable Cardioverter-Defibrillator Patients in Japanese Population

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.5.suppl_1.a224 ◽

2012 ◽

Vol 5 (suppl_1) ◽

Author(s):

Anita Rahmawati ◽

Hiroyuki Sawatari ◽

Miyuki Tsuchihashi-Makaya ◽

Yuko Ohtsuka ◽

Mami Miyazono ◽

...

Keyword(s):

Quality Of Life ◽

Gender Differences ◽

Physical Functioning ◽

Japanese Population ◽

Bodily Pain ◽

Cardioverter Defibrillator ◽

Role Physical ◽

Health Related Qol ◽

Health Related

BACKGROUND: Implantable cardioverter-defibrillator (ICD) has improved prognosis of patients with fatal arrhythmias and ICD implantation has increased. However, there have been known ICD-related psychological problems and impaired quality of life (QOL). There are still limited studies about gender differences in the response to ICD therapy in Japanese population. This paper compared female and male ICD patients on health-related QOL and psychological factors. The aim of the current study were to examine whether women are at a greater risk of poorer QOL and psychological disturbance. METHODS: We studied consecutive ICD patients (n=179, males: 145, females: 34, mean age: 61±16) with Short Form-8 Health Survey (SF-8), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and Impact of Event Scale-Revised (IESR). One-way multivariate analysis of variance (MANOVA) was performed to examine the relationship between gender and health-related QOL and psychological factors. RESULTS: Women were younger (53.5±19.3 vs 62.2±14.5, P < 0.05) and less likely to be smoker compared to men (8.8% vs 45.5%, P < 0.001). Women were less likely to have ischemic heart disease (17.6% vs 37.2%, P< 0.05). Majority of patients (62%) had a secondary indication for ICD. MANOVA showed women to have impaired QOL on role physical functioning (P <0.05) and bodily pain (P < 0.05) subscales of the SF-8. When adjusting for older age, female gender was associated with impaired QOL on the physical functioning, role physical functioning, bodily pain, and social functioning subscales. Ischemic etiology was not associated with any of the quality of life subscales. Overall of QOL, women have worse physical component summary (PCS) score (44.3±8.8 vs 48.7±9, P <0.05), but no significant differences in mental component summary (MCS) score. Women have greater BDI score than men (9.3±9.2 vs 5.8±7.4, P <0.05). There were no differences in anxiety-state and anxiety-trait between women and men, as well as IESR score. CONCLUSION: In Japanese population, women and men did not differ on mean QOL score, except for women reporting poorer quality of life on two subscales, role physical functioning and bodily pain. In terms of QOL thoroughly, PCS was worse in women than men. There was high tendency of depression in women than men. These gender difference were similar to that of foreign country. Based on the finding in gender differences, it can be consideration to manage those potential decline of quality of life and psychological problems in ICD patients.

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Health-related Quality of Life and Insulin Resistance: a Longitudinal Study

10.21203/rs.3.rs-651299/v1 ◽

2021 ◽

Author(s):

Kazukauskiene Nijole ◽

Podlipskyte Aurelija ◽

Varoneckas Giedrius ◽

Mickuviene Narseta

Keyword(s):

Quality Of Life ◽

Insulin Resistance ◽

Social Functioning ◽

Physical Functioning ◽

General Health ◽

Health Related Quality ◽

Emotional Role ◽

Related Quality ◽

Health Related

Abstract The aim of the study was to investigate insulin resistance (IR) in association with health-related quality of life (HRQoL) among citizens of Palanga in a ten years follow-up. A randomized epidemiological study was performed out for 835 subjects. All study participants were evaluated according to for socio-demographic characteristics, behavioral factors, HRQoL and self-perceived health using questionnaires. Fasting blood samples were draw from all participants and biochemical tests were performed for the glucose, insulin. IR was evaluated by the homeostasis model assessment of IR (HOMA-IR). In subjects with IR, after adjusting with various factors, logistic regression analysis showed, that within 10 years, a significantly higher chance of deteriorating HRQoL in the areas of: physical functioning (odss ratio [OR] = 1.15, p < 0.001), emotional role limitations (OR = 1.07, p = 0.034), social functioning (OR = 1.26, p = 0.004), pain (OR = 1.09, p = 0.005) and general health perception (OR = 1.07, p = 0.022). People with IR have a worse HRQoL and as they age, they are significantly more likely to have a deterioration in their HRQoL compared to people without IR in the areas of physical functioning, emotional role limitations, social functioning, pain and general health perception.

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Correlations between initial human-beta-defensin-1 level and quality of life of patients during anti-tuberculosis therapy

Infusion & Chemotherapy ◽

10.32902/2663-0338-2021-2.1-27 ◽

2021 ◽

pp. 32-32

Author(s):

O.S. Shevchenko ◽

O.O. Pohorielova

Keyword(s):

Quality Of Life ◽

Pulmonary Tuberculosis ◽

Physical Functioning ◽

Initial Level ◽

Bodily Pain ◽

Role Functioning ◽

Emotional Role ◽

Treatment Onset ◽

Tuberculosis Therapy

Background. The quality of life of patients with tuberculosis is an important component of the treatment effectiveness. Objective. To find the correlations between initial human-beta-defensin-1 (HBD-1) level and quality of life of patients during anti-tuberculosis therapy. Materials and methods. 100 patients with pulmonary tuberculosis were included in the study. The patients were diagnosed, treated and monitored according to current state protocols and World Health Organization guidelines. Additionally, the level if HBD-1 was measured in blood plasma by ELISA at the treatment onset. The patients were interviewed using SF-25 scale at the treatment inset, after 30 days and after 60 days. The parameters of physical functioning, role-physical functioning, bodily pain, general health, vitality, social functioning, emotional-role functioning, and mental health were assessed. Results. We found correlations between the initial level of HBD-1 and quality of life parameters: physical functioning (-0.43), role-physical functioning (-0.34), bodily pain (-0.23), general health (-0.42), social functioning (-0.42), emotional-role functioning (-0.36); p<0.05. The obtained negative correlations indicate that a high initial level of HBD-1 is a predictor of lower quality of life during treatment. Conclusions. An increase in the level of HBD-1 at the treatment onset can be considered a predictor of a decrease in the quality of life during treatment in patients with pulmonary tuberculosis.

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Health-related quality of life and insulin resistance over a 10-year follow-up

Scientific Reports ◽

10.1038/s41598-021-03791-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Nijole Kazukauskiene ◽

Aurelija Podlipskyte ◽

Giedrius Varoneckas ◽

Narseta Mickuviene

Keyword(s):

Quality Of Life ◽

Insulin Resistance ◽

Social Functioning ◽

Physical Functioning ◽

Health Related Quality ◽

Emotional Role ◽

Related Quality ◽

Health Related

AbstractThe aim of the study was to investigate the association between insulin resistance (IR) and health-related quality of life (HRQoL) among citizens of Palanga in a 10-year follow-up. A randomized epidemiological study was performed with 835 subjects. The following data were examined using questionnaires: sociodemographic characteristics, behavioural factors, HRQoL and self-perceived health. Fasting blood samples were drawn from all participants, and biochemical tests were performed for glucose and insulin. IR was evaluated by the homeostasis model assessment of IR (HOMA-IR). In subjects with IR, after adjusting for various factors, logistic regression analysis showed that within 10 years, there was a significantly higher chance of deteriorating HRQoL in the areas of physical functioning (odds ratio [OR] = 1.15, p < 0.001), emotional role limitations (OR = 1.07, p = 0.034), social functioning (OR = 1.26, p = 0.004), pain (OR = 1.09, p = 0.005) and general health perception (OR = 1.07, p = 0.022). People with IR have a worse HRQoL, and as they age, they are significantly more likely to have a deterioration in their HRQoL than people without IR in the areas of physical functioning, emotional role limitations, social functioning, pain and general health perception.

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Impact of urate-lowering therapy on quality of life indicators in patients with gout

Modern Rheumatology Journal ◽

10.14412/1996-7012-2021-3-62-68 ◽

2021 ◽

Vol 15 (3) ◽

pp. 62-68

Author(s):

M. N. Chikina ◽

O. V. Zhelyabina ◽

M. S. Eliseev

Keyword(s):

Quality Of Life ◽

Physical Functioning ◽

Bodily Pain ◽

Well Being ◽

Dose Titration ◽

Role Physical ◽

Lowering Therapy ◽

General Physical

Gout can have a significant impact on the quality of life (QoL) of patients.Objective: to assess the dynamics of QoL indicators and the possibility of achieving the target level of uric acid (UA) in patients with gout on febuxostat therapy, with ineffectiveness and / or contraindications to the allopurinol administration.Patients and methods. The prospective, single-center study included 80 patients with gout. The follow-up period was at least 6 months of allopurinol or febuxostat (Azurix®) therapy in doses required to achieve the target UA level. When urate-lowering therapy was initiated, allopurinol 100 mg per day was prescribed, followed by dose titration (up to maximum of 900 mg per day) until the target UA level was reached (<360 μmol/L). Patients with ineffectiveness of allopurinol and / or adverse reactions (ADRs) were transferred to febuxostat 80–120 mg per day. To prevent arthritis attacks, all patients received low doses of non-steroidal anti-inflammatory drugs or colchicine 0.5 mg per day or glucocorticoids 7,5 mg per day (in prednisolone equivqlent). At the first and last visits, patients on febuxostat completed the SF-36 questionnaire.Results and discussion. After 6 months of follow-up, 70 (88%) patients received urate-lowering therapy, of whom 51 (73%) reached the target UA level. Allopurinol dosage titration required 26 patients, of whom 14 (54%) achieved the treatment goal. Due to the ineffectiveness of allopurinol, 32 patients were switched to febuxostat, which allowed to achieve normouricemia in 69% of cases. Fifteen (68%) of 22 patients who were initiated with febuxostat due to ADRs to allopurinol also achieved the target UA level. Patients who received febuxostat and reached the target UA level improved QoL indicators: role-physical functioning, bodily pain, general health, vitality and general physical well-being (p<0.05 in all cases). Patients who did not reach the target UA level on febuxostat therapy improved such indicators as physical functioning, role-physical functioning, and bodily pain (p<0.05 in all cases). High compliance was observed in 63% of patients, treated with febuxostat and in 36% of patients, treated with allopurinol.Conclusion. In patients with ineffectiveness or intolerance to allopurinol, in 69% of cases febuxostat allows to achieve the target UA level and improving QoL and complience.

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The Effect of Hallux Valgus Surgery on Quality of Life

Journal of the American Podiatric Medical Association ◽

10.7547/19-001 ◽

2020 ◽

Vol 110 (5) ◽

Author(s):

Murat Koken ◽

Berk Guclu

Keyword(s):

Quality Of Life ◽

Hallux Valgus ◽

Physical Functioning ◽

General Health ◽

Bodily Pain ◽

Well Being ◽

Duration Of Symptoms ◽

Sf 36 ◽

The Mean

Background Health-related quality of life (QOL) is defined as a patient's subjective perception of his or her own health. Insufficient data exist on QOL of patients who undergo a hallux valgus (HV) operation. We used a 36-item short form survey (SF-36) to measure QOL of such patients. Our aim was to evaluate the effect of HV on QOL and to identify QOL determinants. Methods Fifty patients who underwent surgery for HV between 2015 and 2017 were included in the study. The SF-36 questionnaire was applied to the patients before and after surgery. Patients' medical records were examined to identify possible factors affecting QOL such as age, gender, body mass index, duration of symptoms, or smoking. Results The mean age of the patients was 55.6 ± 3.8 years, and 42 of the 50 patients were women. The mean duration of disease was 12 ± 3.7 years. The surgery improved QOL scores for general health, emotional well-being, role limitations due to personal or emotional problems, physical functioning and bodily pain. However, the changes in scores for vitality and social functioning were not statistically significant. Lower postoperative QOL scores for emotional well-being and bodily pain were significantly associated with age and duration of the symptoms. Compared to the mean QOL of healthy adult Turkish population, all scores in subdimensions were lower. Conclusions This study shows that HV in adults has a negative impact on general health, bodily pain, physical functioning, physical and emotional well-being rather than social well-being and vitality.

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Relationship between aspects of health status and quality of life among widow elderly women

Indian Journal of Health and Wellbeing ◽

10.15614/ijhw.v11i01.26 ◽

2020 ◽

Vol 11 (01) ◽

Author(s):

Reena . ◽

Bimla Dhanda

Keyword(s):

Quality Of Life ◽

Health Status ◽

Physical Functioning ◽

General Health ◽

Elderly Women ◽

Role Functioning ◽

Physical Role ◽

Body Pain ◽

Emotional Role

The study was conducted in five cultural zones of Haryana state. For the rural sample 400 widow elderly women of age group 60-75 years were selected. Quality of life scale developed by World Health Organization (1997) was accessed to quality of life of widow elderly women. The questionnaire short form-36 health survey by Mchorney (1993) was used to assess the health status of widow elderly women. Clearly shows that relationship between aspects of perceived health status and quality of life among widow elderly women. Physical aspects of quality of life was positively significantly correlated with vitality (r =0.13**, p 0.01), body pain (r =0.39**, p 0.01), physical role functioning (r= 0.23**, p 0.01) , mental health ((r =0.10*, p 0.01) negatively significantly correlated with general health perception (r = -0.17**, p 0.01) and emotional role functioning (r = - 0.28**, p 0.01). Psychological aspects of quality of life was positively significantly correlated with physical functioning (r =0.13**, p 0.01) and body pain (r =0.10*, p 0.05). Another aspects social relationship of quality of life was negatively significantly correlated with physical functioning (r = -0.18**, p 0.01), body pain (r = -0.12**, p 0.01) and social role functioning (r = -0.11**, p 0.01), Physical role functioning, Emotional role function was negatively correlated with (r = 0.28**, p 0.01). Further aspects of environment was positively significantly correlated with vitality (r = 0.09*, p 0.05), Physical Functioning (r = 0.46**, p 0.01), body pain (r = 0.14**, p 0.01), General health perception (r = 0.30**, p 0.01) and physical role functioning (r = - 0.09*, p 0.05).

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