scholarly journals Effect of intervention management care program on improving quality of life outcome among mastectomy women with diabetic: A comparative study

2019 ◽  
Vol 9 (9) ◽  
pp. 36
Author(s):  
Maha Moussa Mohamed Moussa ◽  
Fatma Zaki Mohamed Farahat ◽  
Nor El-Hoda Mohamed El-Sayed El-Shabory

Objective: This study aimed to evaluate the effect of intervention management care program on improving quality of life outcome among mastectomy women with diabetic.Subjects and Methods: Design: A quasi-experimental deign was used. Setting: It was selected from two settings Port Said oncology outpatient clinic and Damietta oncology outpatient clinic. Sampling: A purposive sample of mastectomy diagnosed with diabetic. The total sample was 50 women. They were 20 women from Port Said and 30 mastectomy women from Damietta Tools: The study data were collected by using three tools: The first tool-A women Structure interviewing questionnaire Sheet-its consisted of three parts: part one, demographic characteristics; part two, past and present medical history, complications related to diabetes and cancer and obstetrics characteristics; part three, knowledge about diabetes and mastectomy. The second tool-self-reported practices. The third tool-quality of life scale.Results: The study sample age ranged between 35 to more than 60 years with a mean of (50.3 ±8.6 and 48.3 ± 9.4) respectively in Damietta and Port-Said. There was statistically significant positive but strong correlate on among the three variables the strongest being between total scores knowledge and practices (r = 0.466) and strongest between knowledge and quality of life (r = 0.367) especially psychological aspects.Conclusions: The present study concluded that there is a marked gap between knowledge, practice and quality of life among the mastectomy women with diabetic before implement the program. There was an improvement in mastectomy women of all groups' knowledge and practice after the program. Also there were positive changes in quality of life in psychological, spiritual, emotional and social aspects. Furthermore, there were improvement in knowledge practice and positive change in quality of life after the implementation of the program of Damietta group more than port Said group.

2021 ◽  
Vol 11 (2) ◽  
pp. 86-93
Author(s):  
Jasna Veljkovic ◽  
◽  
Dragomir Davidovic ◽  
Ivana Leposavic ◽  
Maja Davidovic ◽  
...  

The aim of this a quasi-experimental study is to test the changes in the Quality of Life of chronic mental disorders (schizophrenia) treated with psychodrama. Total sample consisted of 60 subjects, aged 21-38. From these, 30 subjects were in the experimental group, while 30 subjects were in the control group. All subjects were previously psychologically tested, as well as basic demographic data has been taken. The instrument we used was Life Quality Scale in Schizophrenia (21 items form). Qualitative and quantitative analysis of the obtained data indicates a statistically significant improvement of social and communicative abilities of participants of experimental groups, better impulse control and activation in the work area. The disadvantage of this research is: the small sample. Future examination is needed, as well as a more advanced data processing methodology.


2020 ◽  
Author(s):  
Shima Sadat Aghahosseini ◽  
Nahid Dehghan Nayeri ◽  
Mohsen Nasiri Tosi

Quality of life of patients in need of liver transplantation is impaired due to many reasons, and this affects the pre and post outcomes and complications of transplantation. Therefore, the aim of this study was to evaluate the effect of a care program on the quality of life of patients awaiting liver transplantation. This quasi-experimental study was conducted in 2017 on 117 patients awaiting liver transplantation in Imam Khomeini Hospital of Tehran. Based on entry criteria, the samples were selected purposefully, and their quality of life was evaluated. Then, a care program in 6 one-hour-long sessions for 2 months was implemented for them. This program was according to patients' needs, including disease and transplant process education with using multiple educational methods. The data collection tool was a quality of life questionnaire (1999), which was completed before and six weeks after the intervention. The results showed that the overall quality of life and its entire aspects improved after the implementation of care program in patients waiting for liver transplantation, and the most change was related to the aspect of systemic (P<0.01). Also, the demographic variables had no significant relationship with the aspects of quality of life. The results of this study indicated a positive effect of the care program on improving the quality of life of patients awaiting liver transplantation. Eliminating the problems of these patients requires the attention and support of planners and the cooperation of managers in order to develop care programs that can be used by healthcare professionals, especially nurses.


2019 ◽  
Vol 6 (3) ◽  
pp. 396-400
Author(s):  
Rysida Ma’rifaul Khoirot ◽  
Kusnanto Kusnanto ◽  
Suprajitno Suprajitno

Introduction : A large number of patients with chronic kidney disease suffer from uremic pruritus, which adversely affects the quality of life and comfort of patients with a potential psychological, functional and social impact, which results in increased morbidity. The purpose of this study was to determine the effect of the administration of turmeric essential oil aromatherapy which was applied topically pruritus, comfort and quality of life of CKD patients.Methods : This study used a quasi-experimental design with 2 groups (intervention and control), conducted in CKD patients receiving hemodialysis therapy. A total sample of 72 respondents with the division of each group of 36 people. The intervention was carried out independently by the patient for 2 weeks. Measurement using 5-D pruritus scale questionnaire.Results : This study showed a decrease in pruritus scale in 51 respondents (70.8%) after 2 weeks of therapy. Independent t statistical test obtained a significance value of 0.046 (p <0.05).Conclusion: Topical aromatherapy of turmeric oil affects pruritus scale on patients with chronic kidney disease who experience uremic pruritus.


2021 ◽  
Author(s):  
Elizabeth Weinstein ◽  
Matthew Kemmann ◽  
Sara L. Douglas ◽  
Barbara Daly ◽  
Nathan Levitan

Abstract Purpose: This article reports findings from a demonstration project funded by the Center for Medicare and Medicaid Innovation (CMMI). The purpose of the project was to test a supportive care program to achieve the “triple aim” of improving quality of care of patients, enhance patient experience, and reduce costs in patients with advanced cancer. Methods: The project was conducted between February 2015 and February 2018, enrolling adult, Medicare or Medicaid beneficiaries with advanced or progressed solid tumor malignancy. A comparative longitudinal comparison of the program with both a concurrent control and an historic control was used to evaluate outcomes. The intervention included routine electronic biopsychosocial screening, early access to specialty palliative care, and nurse care coordination. Quality of life, aggressiveness of care, and health care utilization were measured.Results: 1340 people were enrolled, with 71% of the total sample being Caucasian; 41.4% had Stage IV cancer, and 20% utilized Medicaid only. Significant differences in the enrolled patients and the comparison group were controlled for through statistical analysis. There were significantly fewer ED visits, unplanned admissions and fewer total hospitalization days. Almost all measures reflected a lower aggressiveness of care for enrolled patients. Of patients who died, a significantly greater portion of enrolled patients were enrolled in hospice prior to death. Quality of life had a marked improvement for enrolled patients. Average cost per member per month was not less in the enrolled group.Conclusion: This pragmatic demonstration project provided valuable insights which can position organizations for successful integration of supportive care under value-based reimbursement.


2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Aris Fitriyani ◽  
H Hartati ◽  
H Handoyo

Scoliosis is a disorder of the spine in the form of abnormal lateral curvature, it can occur in one or more vertebral regions. Approximately, 4% of all aged 10-14 years experience scoliosis. Therefore, it is necessary to act to reduce the degree of scoliosis therapy. This study aimed to determine the influence of the Swiss Ball Exercise (SBE) to decrease the degree of light idiopathic scoliosis and the quality of life as well as everyday comfort in aged 6-25 years.Type of quasi-experimental research or quasy experiment with pre-experimental design pre post test one group design is equipped with in-depth interviews at 3 participants. The total sample of 24 respondents gets Swiss ball exercise. This research was conducted at RSOP in 2014. The analysis used was Wilcoxon test.The results of the study 37.3% aged 19-25 years and 91.7% were female. The degree of scoliosis before SBE 91.7% had 21-40 degrees. After SBE for  3 months did not occur difference in the degree of scoliosis but there were improvements in the quality and comfort of the everyday that is not rigid, reduced pain, feeling stronger / not easy to accomplish, and more healthy so be able to do daily activities well and tolerance due to the pull curvature of the spine.It can be concluded that SBE is effective for improvement of quality of life and everyday comfort at moderate scoliosis and reduce the degree of scoliosis <21, a mild degree. Keywords: Swiss ball exercise, Degree of Scoliosis


Author(s):  
Elizabeth Weinstein ◽  
Matthew Kemmann ◽  
Sara L. Douglas ◽  
Barbara Daly ◽  
Nathan Levitan

Abstract Purpose This article reports findings from a demonstration project funded by the Center for Medicare and Medicaid Innovation (CMMI). The purpose of the project was to test a supportive care program on the outcomes of quality of care and quality of life, and costs in patients with advanced cancer. Methods The project was conducted between February 2015 and February 2018, enrolling adult, Medicare or Medicaid beneficiaries with advanced or progressed solid tumor malignancy. A comparative longitudinal comparison of the program with both a concurrent control and an historic control was used to evaluate outcomes. The intervention included routine electronic biopsychosocial screening, early access to specialty palliative care, and nurse care coordination. Quality of life, aggressiveness of care, and healthcare utilization were measured. Results A total of 1340 people were enrolled, with 71% of the total sample being Caucasian; 41.4% had stage IV cancer, and 20% utilized Medicaid only. Significant differences in the enrolled patients and the comparison group were controlled for through statistical analysis. There were significantly fewer ED visits, unplanned admissions, and fewer total hospitalization days in the intervention group. In the last 30 days of life, hospital and ICU admissions were less and a greater proportion of patients were enrolled in hospice in the intervention group. Quality of life had a marked improvement for enrolled patients. Average cost per member per month was not less in the enrolled group. Conclusion This pragmatic demonstration project confirmed the clinical benefits of an integration of supportive care for patients with advanced cancer, although no reduction in costs was found.


2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly


2021 ◽  
pp. 026921632199472
Author(s):  
Natalia Salamanca-Balen ◽  
Thomas V Merluzzi ◽  
Man Chen

Background: The concept of hope is an important theme in chronic illness and palliative care and has been associated with increased psycho-spiritual well-being and quality of life. Psycho-spiritual interventions have been described in this population, but no systematic review of hope-enhancing interventions or hopelessness-reducing interventions has been conducted for persons with palliative care diseases. Aim: To describe and assess the effectiveness of interventions in palliative care that measure hope and/or hopelessness as an outcome. Design: This systematic review and meta-analysis was pre-registered (Prospero ID: CRD42019119956). Data sources: Electronic databases, journals, and references were searched. We used the Cochrane criteria to assess the risk of bias within studies. Results: Thirty-five studies (24 randomized controlled trials, 5 quasi-experimental, 6 pre-post studies) involving a total of 3296 palliative care patients were included. Compared with usual/standard cancer care alone, interventions significantly increased hope levels at a medium effect size ( g = 0.61, 95% confidence interval (CI) = 0.28–0.93) but did not significantly reduce hopelessness ( g = −0.08, 95% CI = −0.18 to 0.02). It was found that interventions significantly increase spirituality ( g = 0.70, 95% CI = 0.02–1.37) and decrease depression ( g = −0.29, 95% CI = −0.51 to −0.07), but had no significant effect over anxiety, quality of life, and symptom burden. Overall, quality of evidence across the included studies was rated as low. Conclusions: Evidence suggests that interventions can be effective in increasing hope in palliative care patients.


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