Psychological Impact of Diabetic Care on Satisfaction and Quality of Life of Diabetes Patients Attending Endocrinology Clinic, LAUTECH Teaching Hospital, Osun State, Southwest, Nigeria

Aims: Diabetes mellitus (DM) is a complex, debilitating and chronic illness that presents substantial challenges to every individual living with the condition. The impact of DM reaches far beyond the physical symptoms of the disease, often the emotional distress and psychosocial impact on the quality of life (QoL) of these patients complicates the effective management of the disease. Therefore, the objective of this study was to evaluate the impact of psychological experience and satisfaction with diabetic care on quality of life of diabetes patients. Study Design: This was a descriptive research survey design carried out among diabetes patients attending endocrinology clinic of LAUTECH Teaching Hospital, Osogbo, Osun State, Southwest, Nigeria between August to December 2020. Methodology: Sample size determination was obtained using Taro Yamane’s formula and sample consisted of one hundred and ten (110) diabetic patients attending endocrinology clinic of LAUTECH Teaching Hospital, Osogbo. Samples were selected using convenience sampling method. Data were collected using modified Kessler psychological distress scale and Diabetes Quality of life Instrument and analyzed using descriptive statistics of frequencies, percentages and table. Inferential statistics of chi-square was used to test hypotheses at 0.05 level of significance. Results: The results showed that more than half of the patients had poor psychological experience 61(55.5%) with diabetic care, though majority were satisfied 66(60.0%) with diabetic care but demonstrated poor quality of life 65(59.1%). The result also showed a significant relationship between psychological experience and quality of life (x2=5.564; df=1; p-value=0.018), level of satisfaction with diabetic care and quality of life (x2=25.280; df=2; p-value=0.000), level of satisfaction with diabetic care and psychological experience of diabetes patients (x2=25.185; df=1; p-value=0.000). Conclusion: Promotion of psychological wellbeing of diabetes patients and quality outcome of diabetic care as well as patient-centered psychological care are essential by providing care that is respectful and responsive to individual patient preferences, needs and values.

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Tinnitus: The Sound of Stress?

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901814010264 ◽

2018 ◽

Vol 14 (1) ◽

pp. 264-269 ◽

Cited By ~ 2

Author(s):

Patricia Ciminelli ◽

Sergio Machado ◽

Manoela Palmeira ◽

Mauro Giovanni Carta ◽

Sarah Cristina Beirith ◽

...

Keyword(s):

Quality Of Life ◽

Progressive Increase ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Mean Values ◽

Subjective Tinnitus ◽

Stress Symptoms ◽

The Impact

Background: Emotional stress is frequently associated with otologic symptoms as tinnitus and dizziness. Stress can contribute to the beginning or worsening of tinnitus. Objective: The objective of the study is to evaluate the presence of stress symptoms in patients with chronic, subjective tinnitus, and correlate its presence to annoyance associated with tinnitus. Methods: This is a cross-sectional study. One hundred and eighty patients with chronic, subjective tinnitus were included. Patients answered the Tinnitus Handicap Inventory (THI) to evaluate the impact of tinnitus in the quality of life and answered the Lipp's inventory symptoms of stress for adults (ISSL). The data obtained was organized using Excel® 2010, mean values, linear regression and p-value were calculated. Results: Of the 180 patients included in the study, 117 (65%) had stress symptoms, 52 of the 117 (44%) were in the resistance phase and 23 of the 117 (20%) in the exhaustion phase, the remaining was in the alert phase. There was a clear progressive increase in stress as THI raised, with more impact of tinnitus in quality of life. Conclusion: The presence of stress symptoms, measured by ISSL was observed in most of our patients with chronic subjective tinnitus, specially in the resistance and exhaustion phases and it is directly associated with tinnitus annoyance.

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THE IMPACT OF MEDICATION ADHERENCE ON HEALTH-RELATED QUALITY OF LIFE OF DIABETIC PATIENTS IN THE KINGDOM OF SAUDI ARABIA: FINDINGS FROM A CROSS-SECTIONAL STUDY

Periódico Tchê Química ◽

10.52571/ptq.v17.n34.2020.891_p34_pgs_867_873.pdf ◽

2020 ◽

Vol 17 (34) ◽

pp. 867-873

Author(s):

Dhfer ALSHAYBAN ◽

Royes JOSEPH

Keyword(s):

Quality Of Life ◽

Medication Adherence ◽

Cross Sectional Study ◽

P Value ◽

Diabetic Patients ◽

Health State ◽

Cross Sectional ◽

Related Quality ◽

The Impact

Diabetes is a common chronic disease that is considered as one of the fastest-growing health problems in the world. Adherence to medications could be an important factor in reducing these complications and improving the quality of life. The purpose of this research was to assess the impact of treatment adherence on health-related quality of life in patients with type 2 diabetes. A multicenter cross-sectional study was carried out among 368 diabetes patients. General Medication Adherence Scale was used to assess the adherence level and EuroQol-5D to assess the quality of life. The results show that 19%, 21%, and 23% of patients had maintained low medication adherence due to patient’s intentional or unintentional behavior due to additional diseases or pills burden and due to financial constraints, respectively. Overall, 43% (n=162) participants had maintained high medication adherence, and 37% (n=138) had maintained low medication adherence to antidiabetic drugs. Nearly one-third (31%) of patients with high overall adherence had perfect health state in comparison with 4% among patients with low adherence. Further, the lower proportion (21%) of patients with high overall adherence had perfect health state in comparison with that among patients with low adherence (34%). In addition to the overall adherence, the association was statistically significant for the domains related to non-adherence due to the patient’s intentional or unintentional behavior (p-value 0.001) and non-adherence due to additional diseases or pills burden (p-value 0.001) after taking into account of socio-demographic and clinical characteristics. In conclusion, the findings suggest that the policymakers should establish an intervention to improve adherence to diabetic treatment, and thus improve the quality of life for the type 2 diabetic patients.

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Impact of musculoskeletal disorders on quality of life of patients visiting tertiary care hospital.

Journal of the Pakistan Medical Association ◽

10.47391/jpma.328 ◽

2021 ◽

pp. 1-11

Author(s):

Shah Khalid ◽

Sayed Zulfiqar Ali Shah ◽

Abid Ali Khalil ◽

Ihsan Ullah

Keyword(s):

Quality Of Life ◽

Health Status ◽

Musculoskeletal Disorders ◽

Teaching Hospital ◽

Adhesive Capsulitis ◽

Care Hospital ◽

Cross Sectional ◽

Quality Of Life Scale ◽

The Impact

Abstract Objective: To determine the impact of musculoskeletal disorders on quality of life of patients visiting Khyber Teaching Hospital, Peshawar. Method and Material: A cross sectional survey conducted in Khyber Teaching Hospital, Peshawar from September 2018 to March 2019 using a validated EQ-5D quality of life scale. The survey questionnaire was attended by 377 respondents having variety of musculoskeletal disorders (MSDs). EQ-5D can be effectively used for assessing the quality of life and health status using the VAS pain scale. Results: There were total 377 respondents. Mean age of the participants was 35.9 ± 12.5 years. Out of 377 participants, 204 (54.1%) were male, while 173 (45.9%) were female. Muscular weakness was the most commonly encountered problem (40.6%), followed by muscle stiffness (13.0%) and adhesive capsulitis (10.3%). The remaining respondents were having different kinds of MSDs. Patients with MSDs were having significantly moderately low score on EQ-5D. Conclusion: The finding of this study suggests that MSDs have negative impact on quality of life and health status of the sufferers. Individuals having any sort of MSDs should seek proper care in order to improve their quality of life, health status and work performance. Key words: Musculoskeletal Diseases, Health, Quality of Life, visual analog scales, Cross Sectional Studies. Continuou....

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The Impact of acne on the quality of life of the patients attending dermatology outpatient department at Nobel Medical College Teaching Hospital

Journal of Nobel Medical College ◽

10.3126/jonmc.v7i1.20847 ◽

2018 ◽

Vol 7 (1) ◽

pp. 45-49

Author(s):

Manish Pradhan ◽

Chandra Bhal Jha ◽

Dipa Rai

Keyword(s):

Quality Of Life ◽

Teaching Hospital ◽

College Teaching ◽

Health Related Quality ◽

Cross Sectional ◽

Medical College ◽

Related Quality ◽

Health Related ◽

The Impact

Background: Acne is a very common distressing skin condition that affects multiple aspects of quality of life of an individual. It has been illustrated that acne have tremendous effect on an individual’s self-image and impacts his or her quality of life. The extent of burden of the disease experienced by the patients seems to be underestimated by the whole medical fraternity. The aim of the study is to determine the health related quality of life impairment in acne patients using CADI and to identify various variables that increase the patients’ susceptibility for quality of life impairment. Subjects and Methods: This is a hospital based, cross sectional study conducted in the Department of Dermatology, Nobel Medical College Teaching Hospital from Jan 2017 to December 2017.A total of 202 acne patients were evaluated with CADI. Clinical characteristics were recorded after history and clinical examination. Results: Out of total 202 patients enrolled, 56.4% of patient scored a CADI score of (5-9) indicating moderate quality of life impairment and 15.3% of patient scored a CADI score of 10 or more indicating severe quality of life impairment. The mean CADI score was 6.82 ± 2.75. There was positive correlation between the CADI score and impact on quality of life with grade of acne, which was statistically significant (p<0.001). Conclusion: Acne is a common skin disease with tremendous adverse effect on the patient’s health related quality of life. Patients are affected both physically and mentally with this condition. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 45-49

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Quality of life in epilepsy

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170024 ◽

2017 ◽

Vol 5 (2) ◽

pp. 452 ◽

Cited By ~ 1

Author(s):

Prem Singh ◽

Achyut Kumar Pandey

Keyword(s):

Quality Of Life ◽

Pearson Correlation ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Lower Education Level ◽

One Year ◽

Patients With Epilepsy ◽

The Impact

Background: The quality of life (QOL) evaluation is a relatively new measure to evaluate the outcome of epilepsy. Many factors influence the quality of life of people with epilepsy, including seizure severity, stigma, fear, and the presence of cognitive or psychiatric problems. QOL is influenced by biological factors as well as cultural, social and religious beliefs and values. This study was planned to find out the impact of epilepsy on quality of life of epileptic patients.Methods: The study was conducted in the epilepsy clinic of department of neurology at a tertiary care hospital over a period of one year.101 patients were included after fulfilling the inclusion criteria. All the patients seeking treatment in the OPD were screened, assessed and then all procedures were fully explained to them. History regarding name, age sex, socio-demographic profile and detailed history regarding seizure disorder was taken from both the patient and the reliable informant. Bengali version of QOLIE-9 was used to assess the quality of life.Results: One hundred and one patients with epilepsy consisting of 70 men (69.3%) and 31 women (30.7%) were included. Their ages ranged from 15 to 52, the mean age being 26.17 (SD = 7.84). Out of the 101 patients, 65 patients (64.4%) were suffering from partial epilepsies and 36 patients (35.6%) were suffering from generalized epilepsies. Mean QOLIE-9 total scores were 16.66, 19.74, 20.13 and 24.00 in married, widows, unmarried and separated individuals respectively. The differences in the means were statistically significant on ANOVA (p value 0.002). Mean QOLIE-9 total scores were 27.75, 19.64, 19.65, 18.14 and 18.00 in primary, secondary, higher secondary, graduate and postgraduate individuals respectively. The differences were highly significant statistically on ANOVA (p value<0.001). Frequency of seizures per month was positively correlated with QOLIE-9 total scores (Pearson Correlation 0.622) and was highly statistically significant (p value<0.001).Conclusions: Frequent seizures, lower education level and single status are associated with lower quality of life in persons with epilepsy.

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The Relation of Allergic Rhinitis Classification with IL-5 on The Aller-gic Rhinitis

Sumatera Medical Journal ◽

10.32734/sumej.v2i3.1261 ◽

2019 ◽

Vol 2 (3) ◽

pp. 123-127

Author(s):

Ismayani

Keyword(s):

Quality Of Life ◽

Clinical Symptoms ◽

Mean Value ◽

P Value ◽

Significant Relation ◽

Cross Sectional ◽

The Mean ◽

The Impact

IL-5 is an important role cytokine on the RA. IL-5 has an important role on eosinophils. ARIA-WHO made classification of RA based on how long the clinical symptoms and the impact on quality of life. The aim of this study was to know the classification of RA with IL-5 on RA study. This study used a cross-sectional method with 39 samples. The examination of IL-5 used ELISA. The highest classification of RA was medium-severe persistent of 43.58% with the mean value IL-5 was 56.25 pg/ml. Based on the test of Kruskal Wallis, it was obtained p-value = 0.664. Conclusion: There was no significant relation between classification RA and IL-5.

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AB0336 IMPACT OF SUBJECTIVE INTOLERANCE TO METHOTREXATE ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATOID ARTHRITIS: SIDE EFFECTS AND AVOIDANCE COPING STRATEGIES THROUGH SELF-ADMINISTRATION IN THE EVENING OR DURING THE WEEKEND

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.4242 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 1466.1-1467

Author(s):

G. Cavalli ◽

M. Biggioggero ◽

A. Cariddi ◽

G. De Luca ◽

E. Agape ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Side Effects ◽

Social Participation ◽

Disease Duration ◽

P Value ◽

Self Administration ◽

Cross Sectional ◽

The Impact

Background:Methotrexate (MTX) represents theanchor drugfor the treatment of rheumatoid arthritis (RA), as well as other rheumatological diseases such as psoriatic arthritis (PsA) and spondyloarthritides (SpA). Despite consolidated clinical efficacy, the use of MTX suffers from relevant limitations. Common issues include subjective intolerance, nausea, malaise, and fatigue, which negatively impact on quality of life and work/social participation.Objectives:In this study, we evaluated the frequency with which patients on MTX therapy opt for self-administration over the weekend or in the evening hours, in order to minimize interference with daily activities, work productivity, and social participation.Methods:A cross-sectional, prospective study was performed in two tertiary referral Rheumatology clinics, which included consecutive patients with RA, PsA, or SpA on MTX therapy. Enrolled patients had not previously received instructions by their healthcare provider as to when during the week or day MTX ought to be administered, and were free to choose or change the weekday and time for self-administration. Data on the route and timing of MTX self-administration was collected using dedicated questionnaires, which included queries on the dose and route of administration, day of the week and time of self-administration, reasons for the patient’s choice, use of folic acid supplementation, and concomitant therapies. Statistical analyses were conducted using a chi-square test; a p-value <0.05 was considered significant.Results:A total of 275 consecutive patients treated with MTX were included, mostly with RA (86%). Patients had an average age of 59.8 years (SD 14.0) and an average disease duration of 134.5 months (SD 127.3). The average MTX dose was 15 mg/wk (SD 4.4); MTX was administered subcutaneously in 68.2% of cases, orally in 17.8%, and intramuscularly in 5%. Regarding the timing of MTX self-administration, 157 patients (57.1%) took MTX in the evening and 119 patients (44.3%) took it during the weekend; even among patients taking MTX in the evening, weekend administration was preferred (93/157, 59.2%, p <0.001). The most frequent reasons leading to MTX self-administration during the evening or weekend were gastrointestinal side effects/nausea (85% of cases), fatigue (63%), interference with work activities (36%) and interference with social activities (29%). Patients who opted for MTX self-administration in the evening or over the weekend were significantly younger (p <0.001), with no significant gender differences or disease duration.Conclusion:The majority of patients with inflammatory arthritis opt for self-administration of MTX in the evening (absolute majority) or during the weekend (relative majority). This choice is dictated by the need to avoid side effects and detrimental repercussions on the individual’s social or working life. The adoption of these strategies for minimizing the adverse effects of MTX is more frequent among younger patients, and provides an indirect, yet powerful indicator of the impact of MTX therapy on patients’ quality of life.Disclosure of Interests:Giulio Cavalli Consultant of: SOBI, Pfizer, Sanofi, Novartis, Paid instructor for: SOBI, Novartis, Speakers bureau: SOBI, Novartis, Martina Biggioggero: None declared, adriana cariddi: None declared, Giacomo De Luca Speakers bureau: SOBI, Novartis, Celgene, Pfizer, MSD, Elena Agape: None declared, nicola boffini: None declared, Elena Baldissera Speakers bureau: Novartis, Pfizer, Roche, Alpha Sigma, Sanofi, Lorenzo Dagna: None declared, Ennio Giulio Favalli Consultant of: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie, Speakers bureau: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie

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The Impact of Hearing Aids on Quality of Life of Hearing Impaired Individuals

Pakistan BioMedical Journal ◽

10.52229/pbmj.v3i2.13 ◽

2021 ◽

Vol 3 (2) ◽

Author(s):

Fatima Zafar ◽

Hafiz Muhammad Usama Basheer ◽

Amber Hassan ◽

Wajeeha Zaib ◽

Tehmeena Waheed

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Hearing Aids ◽

Hearing Aid ◽

Residual Activity ◽

Hearing Impaired ◽

P Value ◽

Daily Routine ◽

The Impact

The regular use of hearing aids (more than 8 hours a day) benefits people in hearing for bettercommunication than those who are less-likely to use hearing aids Objective: The objective of thestudy was to assess the impact of hearing aids on the quality of life of hearing impaired individualsMethods: In this cross-sectional study total 50 participants were recruited by convenient samplingtechnique from Lahore, Pakistan. 50 patients who were diagnosed with hearing loss and wererecommended with hearing aids of both genders were included in the study. The International OutcomeInventory for Hearing Aids (IOI-HA), questionnaire was used for data collection. Data were analyzedthrough Statistical Package for Social Sciences (SPSS) version 23.0 Results: In this research 50hearing impaired individuals who were hearing aid users, participated. The mean age of participants was64.10+15.88 years. Among which 25 (50%) were males and 25(50%) were females. The average time ofhearing aid use was 3.88 hours, majority of patients responded that hearing aid helped quite a lot in thedaily routine (mean score of IOI-HA, 3.62), have moderate difficulty in residual activity (mean score of IOIHA,3.26), moderately satisfied with their hearing aid (mean score of IOI-HA, 3.28), moderately affect theparticipation restriction (mean score of IOI-HA, 3.20), impact of their hearing loss bothered moderately(mean score of IOI-HA, 3.14) and quality of life (QOL) was very much better (3.90). There was insignificantassociation between the QOL of males and females (p-value>0.05) Conclusions: It was concluded fromthe study that the hearing aids have a greater impact on the quality of life and socio-economic aspectsof hearing impaired individuals. Hearing loss is such a problem, which separates certain community ofhearing impaired individuals from the normal population. Individuals with hearing impairment not onlyhave to face personal communication problems but also it affects their health, independency and qualityof life in their daily routine.

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QUALITY OF LIFE OF ADULT PATIENTS WITH DETRUSOR SPHINCTER DYSSYNERGIAAND HYPOCONTRACTILE BLADDER USING SELF INTERMITTENT CATHETERIZATION: 14 FRENCH VERSUS 12 FRENCH CATHETER

10.36106/ijsr/5202389 ◽

2021 ◽

pp. 65-66

Author(s):

Krishnendu Maiti ◽

Kundan Kumar ◽

Dilip Kumar Pal

Keyword(s):

Quality Of Life ◽

Social Relationships ◽

Treatment Compliance ◽

P Value ◽

Detrusor Sphincter Dyssynergia ◽

Psychological Domain ◽

The Mean ◽

Bladder Detrusor ◽

The Impact

OBJECTIVE: To compare the impact of catheter size 14 French vs 12 French on quality of life of patients using Clean intermittent selfcatheterization. SUBJECTInclusion criteria patients using CISC for neurogenic (DSD) bladder, hypo contractile bladder. Exclusion criteria patient with urethral stricture, history of urethral, bladder, or prostate surgery, pediatric patients. METHODS: It was a comparative, observational, study which comprised of total 40 patients diagnosed with neurogenic bladder (detrusor sphincter dyssynergia), hypo contractile bladder, out of which 20 patients were given 12french catheter and 20 patients were given 14 French catheters as per coin randomization method. The patients were assessed for quality of life by using WHO QoL-BREF. T- test was utilised to compare the mean. p<o.05 was taken to be statistically signicant. RESULTS: In physical domain the mean score was higher in patients using 12 French catheter (56.01) compared with patients using 14 French catheter (55.1) but difference was statistically insignicant with p-value (0.688). In Psychological domain the mean score was higher in patients using 12 French catheters (63.90) compared with patients using 14 French catheters (63.30) with p-value (0.793). In Social relationships domain the mean score was higher in patients using 14 French catheters (62.20) compared with patients using 12 French catheters (61.55) but difference was statistically insignicant with p-value (0.855). similarly in the social relationships domain the mean score was higher in patients using 14 French catheter (58.65) compared with patients using 12 French catheter (58.53) with p-value 0.935. CONCLUSION: Higher score in physical and psychological domain implies less pain, greater treatment compliance and improving the patient's QoL, but higher score observed in physical and psychological domain was statistically insignicant. Based on above study we concluded that there was no signicant difference in quality of life of patients using 12 French or 14 French for CISC.

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Impact of malocclusion severity on the quality of life of non-white adolescents

Ciência & Saúde Coletiva ◽

10.1590/1413-812320212611.3.27502019 ◽

2021 ◽

Vol 26 (suppl 3) ◽

pp. 5233-5240

Author(s):

Juliana Andrade de Lacerda ◽

Técia Mendes Daltro Borges ◽

Marcelo de Castro Meneguim ◽

Mario Vedovello Filho ◽

Milton Santamaria Júnior ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Health Impact ◽

Cross Sectional Study ◽

P Value ◽

White Adolescents ◽

Cross Sectional ◽

Deep Bite ◽

The Impact

Abstract The aim of this study was to evaluate the impact of malocclusion severity on the oral health-related quality of life (OHRQoL) of non-white adolescents. A cross-sectional study was conducted with 585 non-white Brazilian adolescents (12-15 years). The Dental Aesthetic Index (DAI) was used for the clinical assessment of malocclusion and Oral Health Impact Profile (OHIP-14) on OHRQoL. Deep bite and transverse occlusal relationships were assessed in association with the DAI. The adolescents with DAI 3 and 4 were distributed into 4 groups: G1 - individuals without transverse occlusal relationships or deep bite; G2 - individuals with only posterior crossbite; G3 - individuals with only deep bite; and G4 - individuals with Brodie bite. The backward stepwise procedure was used to select variables on each level, eliminating variables with a p≤0.20. From the logistic regression analyses, the adjusted odds ratios were estimated with the respective 95% confidence intervals. The adolescents with severe malocclusion divided into the G2, G3 and G4 showed p-value of 0.0501, 0.1475, and 0.5407, respectively, but did not remain in the final model. Malocclusion severity had no impact on the OHRQoL of non-white adolescents.

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