scholarly journals Health Related Quality of Life of Pregnant Women Attending Antenatal Clinic of a Tertiary Level Hospital

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Anisha Deuja ◽  
Radha Paudel

Background: Pregnancy is a normal process in the female life cycle. The complexity of the changes caused by pregnancy restricted to not only the physical problems, but also psychological and social problems and impact on health related quality of life (HRQOL). The objectives of the study were to assess the HRQOL and find out the associations of HRQOL with socio-demographic and obstetric factors of pregnant women. Methods: A descriptive cross-sectional study design was used among 106 pregnant women. Non-probability purposive sampling technique was used. Data were collected using semi-structured interview schedule that were analyzed by using descriptive statistical methods such as frequency, percentage, mean, standard deviation and inferential statistics as chi-square test. Findings: The study showed that respondent’s level of QoL was highest on psychological domain (96.2%) and the lowest level (14.2%) was found in Physical domain. There was significant association of physical domain in Quality of Life with the age (p=0.003) while type of family, parity, mode of delivery and duration of pregnancy were not associated with physical, psychological and social domain at 0.005 level of significance. Conclusions: Based on the findings, this study concludes that the quality of life of pregnant women in general tends to be good. The physical domain is most affected rather than psychological and social domain. Level of QoL of the pregnant women in Physical domain is seems to be associated with age. Initiation of the especial counseling on the institution that address to physical domain must be to promote the quality of life in all domain of the pregnant women. Keywords: Pregnant women; Health-related quality of life; Antenatal clinic

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.


2021 ◽  
Author(s):  
Aman Dule ◽  
Mohammedamin Hajure ◽  
Mustefa Mohammedhussein ◽  
Zakir Abdu

2018 ◽  
Vol 08 (04) ◽  
pp. 007-010
Author(s):  
G Shiny Chrism Queen Nesan ◽  
Rashmi Kundapur

Abstract Introduction : Stroke is a leading cause of death and acquired human disability in India. One dimension that is rarely measured, is health-related quality of life (HRQOL) which aims to assess the impact of disease from the perspective of the patient. Objectives : To study the health-related quality of life among stroke patients within 3 months of stroke. Materials & Methods : A hospital based study conducted on 20 stroke patients from the registry. The patients with fresh stroke attack and those who were attending the follow up within the first 3 months of the attack were enrolled in the study. Basic demographic data and the data of stroke outcomes were taken. HRQOL was evaluated using the Indian version of the Medical Outcomes Study 36 item Short-Form Health Survey (SF-36). Frequency and percentages were calculated. Results: It was seen that majority (55%) of patients expressed a fair physical domain post stroke. About 40% were of opinion that their physical domain was poor and the rest said that it was good (5%). Assessing the psychological domain, majority of the patients said it was poor. Of the 20 patients, 15 (75%) of them were scaled to have poor social domain and the rest (25%) said it was fair. About half (50%) of the patients showed that they had poor environmental domain. About 15% of them said that it was good. Majority (60%) of the patients had poor general health status.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Thy Thy Vanem ◽  
Svend Rand-Hendriksen ◽  
Cathrine Brunborg ◽  
Odd Ragnar Geiran ◽  
Cecilie Røe

Abstract Background Marfan syndrome, a rare hereditary connective tissue disorder caused by mutations in fibrillin-1, can affect many organ systems, especially the cardiovascular system. Previous research has paid less attention to health-related quality of life and prospective studies on this topic are needed. The aim of this study was to assess changes in health-related quality of life after 10 years in a Norwegian Marfan syndrome cohort. Methods Forty-seven Marfan syndrome patients ≥ 18 years were investigated for all organ manifestations in the 1996 Ghent nosology and completed the self-reported questionnaire, Short-Form-36 Health Survey, at baseline in 2003–2004 and at follow-up in 2014–2015. Paired sample t tests were performed to compare means and multiple regression analyses were performed with age, sex, new cardiovascular and new non-cardiovascular pathology as predictors. Results At 10-year follow-up: a significant decline was found in the physical domain. The mental domain was unchanged. Older age predicted a larger decline in physical health-related quality of life. None of the chosen Marfan-related variables predicted changes in any of the subscales of the Short-Form 36 Health Survey or in the physical or the mental domain. Conclusion Knowledge of decline in the physical domain, not related to organ affections, may be important in the follow-up of Marfan syndrome patients.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Omid Fakheran ◽  
Mahmoud Keyvanara ◽  
Zahra Saied-Moallemi ◽  
Abbasali Khademi

Abstract Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three major themes and six sub-themes capturing the impacts of pregnancy on women’s OHRQoL were identified. They covered all areas of life, including daily life, psychological well-being, social life, physical impact, and also barriers to utilization of dental care services. Some new domains such as “dentists’ refusal to treat pregnant women”, “negative feelings about pregnancy” and “concerns about fetal health” were found as important factors which could influence the OHRQoL during pregnancy. Conclusion The findings help to better understand the oral health issues impacting women during pregnancy and to achieve person-centered care and improved oral health outcomes in pregnant women. The conceptual framework created based on the results of this study may help health care workers and policy makers for improving the health of pregnant women.


Odontology ◽  
2018 ◽  
Vol 107 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Yolanda Martínez-Beneyto ◽  
Javier Montero-Martin ◽  
Francisco Garcia-Navas ◽  
Ascension Vicente-Hernandez ◽  
Antonio Jose Ortiz-Ruiz ◽  
...  

2019 ◽  
Vol 21 (5) ◽  
pp. 544-551
Author(s):  
Mitchell R. Knisely ◽  
Yvette P. Conley ◽  
Eva Szigethy

Background:Crohn’s disease (CD) is an inflammatory condition that has deleterious effects on patients’ health-related quality of life (HRQoL). Demographic, clinical, and psychosocial factors contribute to variability in HRQoL; however, the influence of genetic variations related to altered inflammatory responses in individuals with CD is unknown. This exploratory study compared HRQoL scores across genotypes of functional genetic polymorphisms in cytokine candidate genes among individuals with CD.Method:This study used data and blood samples collected in a parent study in 39 patients with CD aged 15−30 years. Participant reports of HRQoL were collected using the Shortened Inflammatory Bowel Disease Questionnaire (SIBDQ). Genetic data were collected for 18 functional polymorphisms in eight cytokine candidate genes. SIBDQ scores were compared among genotypes using one-way, between-subjects analysis of variance.Results:SIBDQ scores differed across genotypes as follows: for IL-1R2 rs4141134 scores differed for total SIBDQ ( p = .004) and systemic ( p = .011), emotion ( p = .038), and social domains ( p = .025); for IL-10 rs1878672, scores differed for total SIBDQ ( p = .031) and social domain ( p = .008); for NFKB2 rs1056890, scores differed for social domain ( p = .041); for TNF-α rs1800629, scores differed for total SIBDQ ( p = .001) and bowel ( p = .026), systemic ( p = .014), and social domains ( p = .045).Conclusions:Findings on differences in SIBDQ scores across functional genetic polymorphisms in cytokine genes suggest potential mechanisms that contribute to variability in HRQoL in adolescents and young adults with CD.


2020 ◽  
Vol 70 (4) ◽  
pp. 287-295 ◽  
Author(s):  
Rafaela Aparecida Caracho ◽  
Gerson Aparecido Foratori‐Junior ◽  
Nathalia dos Santos Fusco ◽  
Bruno Gualtieri Jesuino ◽  
Alana Luiza Trenhago Missio ◽  
...  

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