scholarly journals PERBEDAAN KUALITAS HIDUP BERDASARKAN SHORT FORM-36 ANTARA PENDERITA STROKE ISKEMIK SERANGAN PERTAMA DENGAN KEDUA

Author(s):  
Nazwan Hassa ◽  
Jimmy Eko Budi Hartono ◽  
Dwi Pudjonarko

  DIFFERENCES QUALITY OF LIFE BASED ON SHORT FORM–36 BETWEEN FIRST AND SECOND ATTACK ISCHEMIC STROKE PATIENTSABSTRACTIntroduction: Stroke is the biggest cause of physical disability, emotional, and social life in adults. The recurrent stroke let to decreased the quality of life.Aims: To know whether there is a difference in quality of life based on the Short Form-36 (SF-36) between first and second attack ischemic stroke patients.Methods: Observational analytic with retrospective cross sectional study in Neurology Polyclinic Dr. Kariadi Hospital, Semarang form July-September 2016. Inclusion criteria are patients with first or second attack of ischemic stroke, level education at least elementary school, age between 50-70 years old, and last attack 4 week or less before the sampling conducted. Quality of life were scored based on SF-36 between first and second attack patients. T-test and Mann- Whitney were used to analyze the data.Results: Fifty subject (25 in each group) included with mean age 57.72 (51-65) and 60.24 (51-70) years old in first attack and second attack group respectively. Older age showed lower quality of life score. The quality of life score is lower in older, stroke onset >1 year, and lower education. There was significant quality of life score difference between first and second attack group. Quality of life patients with first attack is better significantly compared to the second attack group in functional and physical domain, energy, and total score.Discussion: There is a significant difference in quality of life based on the SF-36 between first and second attack ischemic stroke patients.Keywords: Ischemic stroke, quality of  life, SF-36ABSTRAKPendahuluan: Stroke merupakan penyebab terbesar ketidakmampuan fisik, emosi, dan kehidupan sosial pada orang dewasa. Serangan stroke berulang menyebabkan peningkatan risiko penurunan kualitas hidup.Tujuan: Mengetahui perbedaan kualitas hidup pasien stroke iskemik serangan pertama dan kedua berdasarkan Short Form-36 (SF-36).Metode: Penelitian analitik observasional secara potong lintang retrospektif di Poliklinik Neurologi RSUP Dr. Kariadi, Semarang pada bulan Juli-September 2016. Kriteria inklusi adalah pasien stroke iskemik serangan pertama atau kedua, berpendidikan minimal SD atau sederajat, berusia antara 50-70 tahun, dan mengalami serangan stroke terakhir minimal 4 minggu sebelum penelitian. Dilakukan penilaian skor kualitas hidup berdasarkan SF–36 antara pasien stroke iskemik serangan pertama dengan kedua. Analisis menggunakan uji T-tes dan Mann-Whitney.Hasil: Terdapat 50 subjek yang terdiri dari masing-masing 25 subjek pada kelompok dengan stroke iskemik serangan pertama dan kelompok dengan serangan kedua dengan rerata usia 57,72 (51–65) tahun dan 60,24 (51–70) tahun. Usia yang semakin meningkat menunjukkan skor kualitas hidup semakin menurun. Skor kualitas hidup lebih rendah pada usia yang lebih tinggi, lama menderita stroke >1 tahun, dan pendidikan yang lebih rendah. Didapatkan perbedaan bermakna antara rerata skor kualitas hidup pasien stroke serangan pertama dan kedua. Kualitas hidup subjek pada serangan stroke pertama lebih baik secara bermakna dibandingkan pada kelompok serangan kedua, dalam domain fungsi dan peranan fisik, energi, serta total skor secara keseluruhan.Diskusi: Terdapat perbedaan bermakna kualitas hidup berdasarkan SF-36 antara pasien stroke iskemik serangan pertama dengan kedua.Kata kunci: SF-36, skor kualitas hidup, stroke iskemik

2011 ◽  
Vol 18 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Maíra de Menezes Franco ◽  
Flaviane de Oliveira Souza ◽  
Elaine Cristine Lemes Mateus de Vasconcelos ◽  
Maurício Mesquita Sabino de Freitas ◽  
Cristine Homsi Jorge Ferreira

Trata-se de um ensaio clínico prospectivo comparativo que objetivou comparar os efeitos do tratamento com eletroestimulação transvaginal (ET) e do nervo tibial (ENT) sobre a qualidade de vida (QV) e queixas de perda urinária em mulheres com bexiga hiperativa. Participaram 42 pacientes com bexiga hiperativa ou incontinência urinária (IU) mista e foram divididas para tratamento com ET ou ENT. A QV foi avaliada pelo questionário de QV genérico, o Medical Outcomes Study Short Form 36 (SF-36) e um questionário específico para IU, o Incontinence Quality of Life Instrument (I-QOL). Os relatos de perdas urinárias e incômodos ocasionados foram avaliados, respectivamente, por meio do diário miccional de 24 horas e Escala Visual Analógica (EVA). O tratamento foi realizado uma vez por semana, totalizando doze semanas. O grupo da ENT teve melhora significativa em três domínios do I-QOL, na EVA, que avaliou o grau de incômodo causado pela IU e em quatro aspectos do diário miccional. No grupo de ET houve melhora significativa de dois domínios do SF-36, três domínios do I-QOL, na EVA e em quatro aspectos do diário. Houve melhora da QV em ambos os grupos, assim como uma diminuição das queixas de perda urinária, entretanto, o grupo que recebeu ET obteve melhora nos escores em dois domínios do questionário de QV genérico após o tratamento, que teve limitação por aspectos físicos e limitação por aspectos emocionais. O que não ocorreu com o grupo de ENT.


2020 ◽  
Vol 10 (6) ◽  
pp. 1429-1435
Author(s):  
Ji-Yeon Lee ◽  
Seung-Hui Baek ◽  
Yoon-Mi Lee ◽  
Ji-Hyung Cho ◽  
Jun-Chul Kim ◽  
...  

This study aims to examine the effect of a 12-week intradialytic exercise program on patients’ blood indices, physical performance, and quality of life. Forty-six outpatients who were diagnosed with end-stage renal failure by a nephrologist and received hemodialysis therapy for six months or longer were recruited. The data were analyzed using SPSS and Kruskal-Wallis test was employed to analyze the continuous variables. Among blood indices, Hematocrit decreased significantly after aerobic and complex exercise; hemoglobin dropped only after complex exercise; P and Ca×P increased for a considerable amount only after complex exercise, but the postexamination results show no significant difference. As for physical performance, sit-to-stand (STS)-5 decreased with resistance and complex exercise (p < .01), while there was a significant increase in STS-30 after aerobic, resistance, and complex exercise (p < .01). 6-minute walk test (MWT) grew significantly in all groups (p < .01), but alongside gait speed, and grip strength, it diminished significantly in the non-exercise group (p< .05). When it comes to SF-36, there was a significant rise in the physical component score (PCS) (p< .01) with resistance and complex exercise. In the meantime, mental component summary (MCS) went up significantly after all types of exercises (p < .01). In contrast, Beck depression inventory (BDI) showed a significant decline only with complex exercise (p < .01). To sum up, this study suggests intradialytic complex exercise appears to be effective in enhancing Short Form (SF)-36 and BDI as well as physical performance, which is why we recommend this type of complex exercise program for hemodialysis patients.


2018 ◽  
Vol 1 (3) ◽  
pp. 177-181
Author(s):  
Agus Triyono ◽  
Widhi Astana ◽  
Fajar Novianto

Diabetes mellitus (DM) merupakan penyakit degenerative dengan murbiditas dan mortalitas yang terus meningkat. Herbal medicine telah banyak digunakan untuk mengontrol kadar glukosa darah (KGD) pasien DM. Penelitian ini bertujuan untuk menganalisis efek penggunaan ramuan jamu hiperglikemia terhadap kualitas hidup atau quality of life (QoL) pasien DM. Penelitian ini merupakan studi kohort dengan menggunakan kuesioner Short Form-36 (SF-36) sebagai alat pengukuran kualitas hidup 40 subjek penelitian dengan KGD sewaktu 200 – 300 mg/dl. Pasien diberi ramuan jamu temulawak ,kunyit, dan meniran tiga kali sehari selama 56 hari. Kualitas hidup subjek diukur pada hari ke 0, 28, dan 56. Pengaruh penggunaan jamu terhadap QoL dianalisis menggunakan uji t berpasangan.Sebanyak 58% dari subjek penelitian adalah perempuan. Hasil penelitian membuktikan terdapat perbedaan yang signifikan antara QoL sebelum dan setelah pemberian jamu selama 56 hari, (p=<0,05). Ramuan jamu batang brotowali, herba sambiloto, rimpang temulawak, rimpang kunyit, dan herba meniran dapat meningkatkan QoL pasien DM.   Diabetes mellitus (DM) is a degenerative disease with increased morbidity and mortality. Herbal medicine has been widely used to control blood glucose levels in DM patients. This study aimed to analyze the effect of consumehyperglycemic jamu formula on quality of life (QoL) in DM patients. This study was a cohort study using a Short Form-36 (SF-36) questionnaire as a quality of life measurement tool of 40 subjects with blood gluces levels at 200 - 300 mg / dl. The patient received a jamu fomula of ginger, turmeric, and meniran three times a day for 56 days. The quality of life of the subjects was measured on days 0, 28 and 56. The effect of the admintration of jamu on QoL was analyzed using paired t test. A total of 58% of the research subjects were women.  The results showed that there were significant differences of QoL before and after administration of jamu for 56 days (p = <0.05). Jamu formlua of brotowali stems, bitter herbs, curcuma rhizomes, turmeric rhizomes, and meniran herbs can increase the QoL of DM patients


2013 ◽  
Author(s):  
Αθανασία Παπαθανασίου

Σκοπός της έρευναςΗ εκτίμηση της ποιότητας ζωής των ασθενών με ΣΔ στην ΠρωτοβάθμιαΦροντίδα Υγείας στην Ελλάδα και η συγκριτική της μελέτη με την ποιότητα ζωήςτων ασθενών ενός εξειδικευμένου διαβητολογικού κέντρου.Πληθυσμός μελέτηςΗ μελέτη εφαρμόσθηκε στους ασθενείς του Κέντρο Υγείας Στυλίδας στονομό Φθιώτιδας και στους ασθενείς του διαβητολογικού κέντρου στο ΤζάνειοΝοσοκομείο του Πειραιά.Στη μελέτη περιλαμβάνονται ασθενείς με σακχαρώδη διαβήτη τύπου 2που παρακολοθούνται τακτικά στα παραπάνω κέντρα. Οι 818 πρώτοι ασθενείςπου πληρούσαν τα παραπάνω κριτήρια και προσήλθαν στα παραπάνω κέντρα από τον Δεκέμβριο του 2006 αποτελούν τον πληθυσμό της μελέτης.ΜέθοδοιΜετά από μία συστηματική αναζήτηση στη διεθνή και ελληνικήβιβλιογραφία για τον εντοπισμό εργαλείων που εκτιμούν τη σχετιζόμενη με τοσακχαρώδη διαβήτη ποιότητα ζωής στην Ελλάδα και τη διαπίστωση της έλλειψηςμιας ειδικής κλίμακας στη χώρα μας, η κλίμακα PAID μεταφράστηκε καισταθμίστηκε σύμφωνα με τις αρχές του Medical Outcomes Trust Bulletin 1997.Στη μελέτη χρησιμοποιήθηκαν οι εξής κλίμακες: Short Form- 36 version 2(SF-36 v2), Problem Areas In Diabetes (PAID) Scale και Diabetes TreatmentSatisfaction Questionnaire status version(DTSQ-s).Για την καταχώρηση και ανάλυση των δεδομένων δημιουργήθηκε έναηλεκτρονικό σύστημα καταχώρησης ασθενών χρησιμοποιώντας FileMaker Pro από τον Δεκέμβριο του 2006 αποτελούν τον πληθυσμό της μελέτης.ΜέθοδοιΜετά από μία συστηματική αναζήτηση στη διεθνή και ελληνικήβιβλιογραφία για τον εντοπισμό εργαλείων που εκτιμούν τη σχετιζόμενη με τοσακχαρώδη διαβήτη ποιότητα ζωής στην Ελλάδα και τη διαπίστωση της έλλειψηςμιας ειδικής κλίμακας στη χώρα μας, η κλίμακα PAID μεταφράστηκε καισταθμίστηκε σύμφωνα με τις αρχές του Medical Outcomes Trust Bulletin 1997.Στη μελέτη χρησιμοποιήθηκαν οι εξής κλίμακες: Short Form- 36 version 2(SF-36 v2), Problem Areas In Diabetes (PAID) Scale και Diabetes TreatmentSatisfaction Questionnaire status version(DTSQ-s).Για την καταχώρηση και ανάλυση των δεδομένων δημιουργήθηκε έναηλεκτρονικό σύστημα καταχώρησης ασθενών χρησιμοποιώντας FileMaker Pro κέντρου υγείας Στυλίδας και 39.67 (±16.29) για τους ασθενείς του ΤζάνειουΝοσοκομείου του Πειραιά. Σχετικά με τα αποτελέσματα της κλίμακας DTSQ-s, τοτελικό αποτέλεσμα ήταν 26.81 (±8.2) για τους ασθενείς του κέντρου υγείαςΣτυλίδας και 22.13 (±8.9) για τους ασθενείς του Τζάνειου Νοσοκομείου τουΠειραιά (p< 0.0001).ΣυμπεράσματαΈνα σημαντικό αποτέλεσμα της μελέτης είναι η μετάφραση και στάθμιση στηνελληνική γλώσσα της κλίμακας Problem Areas In Diabetes (PAID) Scale, ενόςσημαντικού και πολυχρησιμοποιημένου στις διεθνείς μελέτες εργαλείου, πουαξιολογεί τις συναισθηματικές και διαπροσωπικές δυσκολίες των ασθενών μεΣΔ, που σχετίζονται με τη δίαιτα ή τη σχέση του με το γιατρό. Από τον πληθυσμό της μελέτης προέκυψε ότι οι ασθενείς πουπαρακολουθούνται στο διαβητολογικό τακτικό ιατρείο του Τζάνειου ΝοσοκομείουΠειραιά (αστικός πληθυσμός) είχαν συστηματικά χαμηλότερα αποτελέσματα σε όλες τις υποκατηγορίες της κλίμακας Short Form-36 version 2 (MCS και PCSscores) καθώς και στις κλίμακες PAID και DTSQ σε σχέση με τον πληθυσμό τουΚέντρου Υγείας Στυλίδας (αγροτικός πληθυσμός).Τα ευρήματα αυτής της μελέτης θα μπορούσαν να αξιοποιηθούν στηνπρακτική διαχείριση των ασθενών με σακχαρώδη διαβήτη, αλλά και στοναποτελεσματικό σχεδιασμό των προσφερόμενων υπηρεσιών υγείας.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ning Gao ◽  
Kun Fu ◽  
Jinghua Cai ◽  
Hao Chen ◽  
Wei He

AbstractThis study has analyzed 41 patients with mandibular ameloblastoma who underwent a partial mandibulectomy and reconstruction by folding the free fibular flap. In the preoperative and postoperative (6 months and 24 months after surgery), the Quality of Life (QOL) of these patients was assessed by using the University of Washington Quality of Life Questionnaire (UW-QOL) and the medical outcome study short form-36 (SF-36) questionnaires. SPSS 20.0 statistical software was used to conduct statistical analysis on the base data of the two groups of patients. Independent sample t test was conducted for sf-36 and UW-QOL scores at two time points in each group. The SF-36 survey showed that body pain (54.54 ± 8.10), general health (55.27 ± 7.54), and health changes (58.29 ± 9.60) decreased significantly at 6 months after surgery, but the mean score at 24 months after surgery all exceeded the preoperational level. At 24 months after the surgery, the vitality (80.41 ± 3.74), social function (81.61 ± 4.07), emotional role (82.39 ± 4.07), psychological health (81.66 ± 4.37) and total score (704.00 ± 31.53) all returned to the preoperative level, which was statistically significant compared with 6 months after surgery. However, there was no significant difference compared with the preoperative level. The UW-QOL survey showed that chewing (56.68 ± 7.23), speech (54.54 ± 7.7) and taste (62.29 ± 10.15) have significantly changed at 6 months after the surgery, and the difference was statistically significant at 24 months after surgery. Saliva generation decreased slightly (80.76 ± 3.35) at 6 months after surgery, but quickly returned to the preoperative level (81.59 ± 4.06). The total score of the patients almost recovered to the preoperative level at 24 months after surgery. The folded the fibular flap can not only repair the defects of soft tissue and bone tissue, but also restore the height of the alveolar ridge to, avoid the imbalance of crown and root ratio after implantation and reduce the occurrence of peri-implant inflammation, so that a true functional reconstruction can be realized.


2019 ◽  
Vol 29 (6) ◽  
pp. 950-954 ◽  
Author(s):  
Hilson Tay ◽  
Phillip S Naimo ◽  
Li Huang ◽  
Tyson A Fricke ◽  
Johann Brink ◽  
...  

OBJECTIVES To date, few studies have assessed the quality of life following congenital cardiac surgery. In this study, we aimed at determining the quality of life after truncus arteriosus (TA) repair using the Short Form 36 questionnaire in adult survivors. METHODS Seventy-three patients (age >18 years) who underwent TA repair at the Royal Children’s Hospital, Australia were identified for the study. Of these, 42 patients (58%, 42/73) participated in the study and completed the Short Form 36 questionnaire. The results of the 8 domains and the derived health state summary score (Short Form Six Dimension, SF-6D) were compared with age-matched Australian population controls, and with patients who underwent the arterial switch operation (ASO). RESULTS Compared with the age-matched Australian population, 18- to 24-year-old TA patients (31%, 13/42) had lower scores in 6 of 8 domains; 25- to 34-year-old TA patients (36%, 15/42) scored lower in 5 of 8 domains; and 35- to 44-year-old TA patients (33%, 14/42) scored lower in 4 of 8 domains. SF-6D scores were not significantly different between TA patients and the age-matched Australian population. Compared with patients who underwent ASO, 18-to 24-year-old TA patients scored lower in 3 of 8 domains; and 25- to 34-year-old TA patients scored lower in 2 of 8 domains. There was no significant difference in SF-6D scores between TA and patients who underwent the ASO. CONCLUSIONS Adult survivors of TA have similar quality of life compared with age-matched Australian controls measured by SF-6D. Despite a higher reoperation rate in TA patients, they have similar quality of life compared with ASO patients.


2016 ◽  
Vol 15 (4) ◽  
Author(s):  
Jeanette Janaina Jaber Lucato

Introdução: As disfunções causadas pela sepse são responsáveis pela alta mortalidade e por longos períodos de hospitalização. A análise da qualidade de vida vem sendo usada como medida relevante em pacientes sobreviventes à sepse, sepse grave e choque séptico. Objetivo: Verificar se existe na literatura um perfil ou padrão na Qualidade de Vida (QV) de pacientes sobreviventes a essa condição, delineado pela aplicação das escalas Short Form-36 (SF-36) e European Quality of Life-5 Dimensions (EQ-5D). Método: Revisão integrativa da literatura para avaliar a QV de pacientes sobreviventes a essa condição, do período 2003 até 2013. Resultados: A maioria dos estudos encontrou diminuição nas pontuações ou surgimentos de maiores problemas após a alta hospitalar, comparados com os pacientes que não desenvolveram sepse ou com a população em geral, e aumento da mortalidade ao longo do tempo. Conclusão: Não há um consenso entre as escalas aplicadas. Mais estudos que apliquem algum tipo de escala e/ou questionário de mensuração nesses pacientes são necessários.Palavras-chave: qualidade de vida, sepse, escala de avaliação.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1458.2-1458
Author(s):  
A. Lammert ◽  
S. Lezhenina ◽  
N. Shuvalova ◽  
N. Andreeva ◽  
E. Guryanova

Background:This paper is an assessment of quality-of-life for patients living with osteoporosis. It employs special questionnaires and scales to allow for more detailed observation of the patient both during initial treatment and in dynamics. This allows us to establish the effectiveness of the therapy, to assess the need to correct the treatment and rehabilitation program, and to compare the effectiveness of various treatment methods and determine disease prognosis.Objectives:to assess quality-of-life in patients with osteoporosis for further development of treatment and rehabilitation programs.Methods:To assess the quality-of-life in patients with osteoporosis, HRQOL and SF-36 scale were used. The study was conducted from January to December 2019, at the Republican Clinical Hospital of the Chuvash Republic. The study involved 70 patients (n = 70) with a diagnosis of osteoporosis with a pathological fracture. Of the 70 patients included in the study, 35 women aged 67 ± 1.2 years and 35 men aged 60 ± 1.2 years. The results were statistically processed using MS Office Excel programs.Results:According to the analysis carried out by the HRQOL method, more than half of the patients (52.13%) experienced daily back pain, which worsens their mood and well-being. When assessing the degree of pain, almost half of the patients (48.73%) rated their pain by VAS as moderate. Moreover, most of the respondents experienced a “significant” (46.51%) or “moderate” (34.29%) decrease in social activity due to pain syndrome associated with osteoporosis. In connection with this, 44.51% rated their satisfaction with their lives as “average degree of satisfaction”.When analyzing the quality-of-life indicators according to the SF-36 scales, we determined that the mental component of health predominates for women (The Short Form-36: MH=68,6±3,45 (Men: MH=48,5±2,85)). In men, high quantitative values of the scales “physical” and “role physical functioning” (The Short Form-36: PF=62,5±3,33; RP=58,4±3,81) indicate a more pronounced nature of changes in somatic status, which has a significant impact on the quality-of-life. The intensity of pain was perceived to be higher by men (The Short Form-36: BP=75,6±4,06) than by women (The Short Form-36: BP=35,7±1,86). This confirms that osteoporosis and its complications negatively affect the human psyche and can significantly worsen the quality-of-life.Conclusion:Analysis of quality-of-life indicators using the SF-36, HRQOL method contributes to a more correct choice of effective strategy for specialized medical care and rehabilitation for patients with osteoporosis. This choice should be developed individually, taking into account the age, gender characteristics, the severity of structural and functional disorders and the psychological state of the patient. It must also take into account the presence and severity of concomitant diseases, which will require additional research and discussion at different levels of the organization of medical care.Disclosure of Interests:None declared


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