scholarly journals Hubungan Faktor Fisik, Penyakit Komorbid, dan Faktor Psikis Terhadap Kualitas Hidup Lansia dengan Osteoartritis

2021 ◽  
Vol 8 (2) ◽  
pp. 154-159
Author(s):  
Nur Laelatul Rasyidin ◽  
Hari Peni Julianti ◽  
Dwi Ngestiningsih ◽  
Yosef Purwoko

ABSTRAK   LATAR BELAKANG: Osteoartritis merupakan penyebab disabilitas keempat di dunia pada tahun 2020. Pembatasan aktifitas fisik yang terjadi pada lansia dengan osteoartritis dapat mempengaruhi aspek sosial-ekonomi lansia sehingga menyebabkan penurunan health-related quality of  life (HRQoL). Selain osteoartritis studi terbaru menunjukkan adanya hubungan antara riwayat hipertensi, diabetes, dan dukungan keluarga terhadap kualitas hidup lansia. TUJUAN: Menganalisis hubungan faktor fisik,  penyakit komorbid, dan faktor psikis terhadap kualitas hidup lansia dengan osteoartritis lutut. METODE: Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross sectional. Sampel adalah penderita OA lutut yang menjalani terapi di Rumah Sakit William Booth Semarang dan Rumah Sakit Nasional Diponegoro yang memenuhi kriteria inklusi penelitian. Subjek penelitian sebanyak 61 responden dipilih melalui consecutive sampling. Uji analisis dilakukan dengan metode Chi-square dan regresi logistik dengan nilai p dianggap bermakna apabila p<0.05. Instrumen yang digunakan pada penelitian ini adalah kuesioner karaktersitik demografi, VAS, family APGAR, dan OPQOL-35. HASIL: Terdapat hubungan yang signifikan pada penilaian tingkat nyeri dan fungsi keluarga terhadap kualitas hidup lansia dengan OA lutut (p=0.003 dan p=0,042). Penilaian faktor fisik lainnya yang terdiri atas jenis kelamin (p=0.637), lama sakit (p=0.2), dan derajat radiologi (p=0.532) serta faktor komorbid yang terdiri atas hipertensi (p=0.37) dan diabetes (p=0.663) menujukkan hubungan yang yang tidak signifikan terhadap kualitas hidup lansia dengan OA lutut. Faktor dominan yang memengaruhi kualitas hidup lansia dengan OA lutut adalah tingkat nyeri (p=0.022) dengan nilai OR= 14.1. SIMPULAN: Faktor yang memengaruhi kualitas hidup lansia dengan OA lutut adalah tingkat nyeri dan fungsi keluarga.   Kunci: OA lutut, Kualitas Hidup, Lansia

2021 ◽  
Vol 9 (3) ◽  
pp. 1595-1601
Author(s):  
Qudrat Ullah ◽  
Asad Ullah ◽  
Younas Khan ◽  
Farooq Ahmad Khan ◽  
Sajid Ali

Purpose of the study: This study was conducted with the sole aim to assess the prevalence of stigma in patients with Hepatitis C and to assess the association between them through the quantitative measure, i.e. chi-square test. Methodology: A cross-sectional-based study was designed from 361 sampled respondents (Hepatitis C patients) in 3 teaching hospitals in Peshawar-Pakistan. Data was collected on a three-level Likert Scale interview schedule covering both the study variables. A conceptual framework comprised of the dependent variable health-related quality of life among HCV patients was cross-tabulated and indexed with the independent variable social stigma disease carry through the application of chi-square test statistics. Principal Findings: The association of Health-Related Quality of Life was found significant with perceiving shaking hands with HCV patients as a cause of the disease (P=0.018), people hesitate in embracing HCV patients (P=0.000), people were uncomfortable while sitting beside HCV patients (P=0.001), family members are reluctant in carrying out HCV test for other family members (P=0.028), patients were given due attention at family (0.007), patients shared their problem with others without any fear (P=0.014), patients telling people about their disease (P=0.000), patients blamed themselves for disease (p=0.009) and patients participated in social activities (P=0.000). Applications of this study: Raising awareness, through reliable sources, among masses, especially with relation to symptoms and causes of HCV, to reduce the reluctance of people in contacting HCV patients and training families of HCV patients to adopt the allowable social interaction with HCV patients were some of the recommendations in light of the study. Novelty/Originality of this study: This cross-sectional study is designed to assess the prevalence of stigma in patients with Hepatitis C and to assess the association between them through the quantitative measure, i.e. chi-square test. This research has come under the domain of medical sociology, social psychology, along with diagnosing the hidden dilemma, which exists since its existence.


2020 ◽  
Author(s):  
Shaojie Li ◽  
Yongtian Yin ◽  
Lijun Chen ◽  
Guanghui Cui ◽  
Jiaqin Li ◽  
...  

BACKGROUND Older adults’ health literacy levels are crucial to improving health outcomes and health-related quality of life (HRQoL). However, the impact of eHealth literacy on HRQoL in older adults is unclear. OBJECTIVE The aim of this study was to examine the association between eHealth literacy and HRQoL of older adults and provide reference for the development of network intervention measures related to the health quality of life of the older adults. METHODS An anonymous cross-sectional survey was conducted among 1,201 adults aged 60 or older from Jinan, China. The eHealth Literacy Scale and Short-Form Health Survey (SF-12) were used to measure eHealth literacy and HRQoL. We used linear regression to test the adjusted association between eHealth literacy and HRQoL. RESULTS Most participants (88.9%) had inadequate eHealth literacy. Lower eHealth literacy was related to older age ( F=12.618, P<.001), female gender( t=3.303, P<.01), living in rural areas( F=11.356, P<.001), having less education( F=59.084, P<.001), being unmarried, divorced or widowed( t=4.416, P<.001), having a lower family income( F=38.017, P<.001), living with others(χ2=4.319, P<.05), and not having health insurance( F=12.713, P<.001). There were significant differences across physical functioning( t=-4.862, P<.001), role- physical( t=-2.485, P<.05), bodily pain( t=-3.470, P<.01), general health( t=-4.449, P<.001), vitality( t=-3.498, P<.001), role-emotional( t=-2.654, P<.01), mental health( t=-4.150, P<.001), physical component summary( t=-6.350, P<.001) and mental component summary( t=-4.483, P<.001) between adequate eHealth literacy and inadequate eHealth literacy. After controlling for age, gender, and other covariates, adequate eHealth literacy was positively related to physical component summary ( beta=7.6, P<.001) and mental component summary(beta=4.6, P=.001). CONCLUSIONS This study showed that Chinese older adults with higher eHealth literacy were more likely to contribute to higher HRQoL. Thus, Older adults’ eHealth literacy levels need to be taken into account when formulating health education and promotion programs for older adults, especially when the expected outcome is to improve HRQoL.


2020 ◽  
Author(s):  
Yaqun Huang ◽  
Sha Yan ◽  
Hongfu Xie ◽  
Ben Wang ◽  
Zhixiang Zhao ◽  
...  

BACKGROUND Rosacea is a chronic inflammatory dermatosis with facial skin involved, leading to physical and emotional problems, which greatly affected quality of life (QoL) of patients. Dermatology Life Quality Index (DLQI) and willingness to pay (WTP) are well-established instruments assessing the health-related quality of life (HRQoL), while very few studies have been focused on this topic about rosacea in China. OBJECTIVE To investigate HRQoL in Chinese rosacea patients assessed by DLQI and WTP and investigate potential predictors for patients with HRQoL severely affected. METHODS This cross-sectional study was conducted on 973 patients with rosacea. Sociodemographic data, clinical features and DLQI were collected, and WTP was assessed by three standardized items. Multivariable logistic analysis was performed to investigate independent factors influencing QoL. RESULTS 921 questionnaires were accomplished by participants. The mean DLQI score was 11.6 (median 11). Patients were willing to pay an average of $1050.2 or € 896.2 (median $431.4 or € 368.1) for complete cure. 33.3% would like to pay more than 20% of their monthly income to achieve sustainable control. There were positive correlations between WTP with DLQI (P < .05). DLQI could be independently impacted by age (21-30 and 31-40, OR = 3.242 and 3.617, respectively), the occupational requirement of appearance (high, OR = 4.410), disease duration (< 2 years, OR = 1.582), oedema (OR = 1.844) and severity of flushing, burning, stinging and pruritus (severe, OR = 2.003, 1.981, 2.491, 2.249, respectively). There were no significant associations between WTP and most of the clinical factors. CONCLUSIONS The QoL was negatively affected and should not be ignored among rosacea patients in China. Patients aged 21-40y, having occupational requirement of appearance, with the disease duration less than 2 years, and suffering severe flushing and related symptoms were more likely to have severe or very severe limitation of QoL.


Author(s):  
Thomas Grochtdreis ◽  
Hans-Helmut König ◽  
Judith Dams

Global migration towards and within Europe remains high, shaping the structure of populations. Approximately 24% of the total German population had a migration background in 2017. The aim of the study was to analyze the association between migration background and health-related quality of life (HrQoL) in Germany. The analyses were based on 2014 and 2016 data of the German Socio-Economic Panel. Differences in sociodemographic characteristics between migrant and non-migrant samples were equal by employment of the entropy balancing weights. HrQoL was measured using the physical (PCS) and mental (MCS) component summary scores of the SF-12v2. Associations between PCS and MCS scores and migration background were examined using Student’s t-test. The mean PCS and MCS scores of persons with migration background (n = 8533) were 51.5 and 50.9, respectively. Persons with direct migration background had a lower PCS score (−0.55, p < 0.001) and a higher MCS score (+1.08, p < 0.001) than persons without migration background. Persons with direct migration background differed with respect to both physical and mental HrQoL from persons without migration background in the German population. Differences in HrQoL for persons with indirect migration background had p = 0.305 and p = 0.072, respectively. Causalities behind the association between direct migration background and HrQoL are to be determined.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.


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