Factors Influencing Quality Of Life Research Articles

Development of questionnaire on influencing factors of quality of life in patients with sudden deafness based on Green model

Objective:To develop a questionnaire with good reliability and validity that can comprehensively evaluate the influencing factors of life quality of patients with sudden deafness. Method:Based on the Green model and literature review, group discussions, semi-structured interviews and Delphi expert inquiries, an initial questionnaire was developed. From May 2018 to April 2019, 170 patients with sudden deafness in otolaryngology head and neck surgery in 2 comprehensive tertiary level A hospitals in Shanxi Province were selected for investigation by convenient sampling method. Through the critical ratio method and correlation analysis method, the data of each item are sorted and analyzed. The structural validity of the questionnaire was tested by exploratory factor analysis. The content validity of the questionnaire was evaluated by calculating the content validity index through expert inquiry. The reliability of the questionnaire was determined by calculating Cronbach's α coefficient and retesting the questionnaire, and finally a formal questionnaire was formed. Result:The questionnaire on influencing factors of life quality for patients with sudden deafness based on Green model includes 5 dimensions and 31 items including knowledge factors, attitude factors, behavior factors, contributing factors and reinforcement factors. The results of project analysis showed that the critical ratio of each item was 8.09-44.77（P<0.05）. Except items 8, 11 and 13, the pearson correlation coefficient between the other items and the total score is>0.3. The KMO value of the questionnaire was 0.844, and the 2 value of Bartlett's spherical test was 3218, P<0.001. Using the principal component analysis method, five common factors were extracted, named as knowledge factor, attitude factor, behavior factor, contributing factor and reinforcing factor, respectively, the cumulative variance contribution rate was 60.905%. The content validity index of the questionnaire level was 0.955, the content validity index at item level is 0.786-0.981; Cronbach's α coefficient at the questionnaire level was 0.875, Cronbach's α coefficient of each dimension is 0.780-0.912; The retest reliability of the questionnaire level was 0.88, the retest reliability of each dimension is 0.810-0.913. Conclusion:The questionnaire on influencing factors of quality of life for patients with sudden deafness based on Green model has good reliability and validity, and can be used as a tool for evaluating influencing factors of quality of life for patients with sudden deafness.

Meta-analysis of factors influencing quality of life in children and adolescents with type 1 diabetes mellitus

Objective Evaluate the main factors affecting the quality of life of children and adolescents with type 1 diabetes. Methods The System retrieval from the establishment of the library to March 19, 2019 in the Chinese journal full-text database, China Biomedical Literature Database, Weipu Journal Full Text Database, Wanfang database, PubMed, Webscien database on the study of factors affecting the quality of life of children and adolescents with type 1 diabetes, using RevMan5.3 and Stata12.0 software, used the inclusion of the literature Meta analysis. Results According to the inclusion and exclusion criteria, a total of 17 documents were included, with a total sample size of 11266 cases. The combined effect of the effect sage factors of quality of life in children and adolescents with type 1 diabetes and 95% CI were gender 0.31 (0.20-0.42), age 0.22 (0.08-0.36), age of onset 0.07 (0.01 - 0.12), and whether it was an only child 0.62 (0.33 - 0.91), household annual income - 0.45 (-0.66 -- 0.24), blood sugar control 0.66 (0.50 - 0.82), number of insulin injections per day -0.22 (-0.39 --0.04), HbA1c0.39 (0.33 - 0.46). Conclusion Gender, age, age of onset, household annual income, blood sugar control, number of insulin injections per day, HbA1c were the main factors affecting the quality of life of children and adolescents with type 1 diabetes. To provide reference for hospitals, families, communities, schools to take a variety of practical measures. Key words: T1DM; Quality of life; Influence factors; Met-analysis

Longitudinal study on quality of life and its influencing factors in children with acute lymphoblastic leukemia during chemotherapy

Objective To investigate the dynamic changes of quality of life and its influencing factors in children with acute lymphoblastic leukemia during chemotherapy. Methods A total of 134 children who were diagnosed with acute lymphoblastic leukemia were selected. The demographic questionnaire and Pediatric Quality of Life InventoryTM General Core Module were completed in children at three different time points during chemotherapy (the first month, the third month, and the sixth month of chemotherapy). Results There were significant differences in the quality of life between children with acute lymphoblastic leukemia (t=-23.117-209.225, P<0.01). Multiple factors analysis showed that the factors influencing the quality of life of children at the first month of chemotherapy were age (t=-10.413, P=0.000) , and family emotional support (t=2.231, P=0.027) ; the factors at the third month of chemotherapy included age (t=-12.439, P=0.000) , whether the child was the only child (t=2.267, P=0.025) , education level of primary caregiver (t=2.091, P=0.038) , and family emotional support (t=5.374, P=0.014) ; the factor at the sixth month of chemotherapy were age (t=-11.254, P=0.000) , and family emotional support (t=2.184, P=0.035) . Conclusions The total quality of life and the scores of all dimensions of children with acute lymphoblastic leukemia were lower and showed dynamic changes. Age and family emotional support were continuing factors influencing quality of life. Medical staff should take targeted interventions according to the characteristics of the quality of life of children at different ages, and guide and help parents and children to establish good family emotional support and improve their quality of life. Key words: Leukemia; Children; Chemotherapy; Quality of life; Longitudinal study

Factors influencing quality of life in patients with psoriasis in Korea.

Factors influencing quality of life in patients with psoriasis in Korea.

Factors influencing quality of life in elderly patients with type 2 diabetes in community

A survey on the quality of life of diabetic patients was conducted in Shanghai Changqiao community in August 2017. Total 1 002 patients with type 2 diabetes mellitus (T2DM) aged ≥60 years were randomly selected to participant in this face-to-face questionnaire survey, 967 participants completed the survey with a effective rate of 96.5%. The Anxiety Self-Rating Scale and Diabetes-Specific Quality of Life Scale (A-DQOL) were applied for evaluation. The results showed that up to 48.9% (473/967) participants had an anxiety state. Multivariate stepwise regression analysis showed that the educational level was the main influencing factor of A-DQOL (P<0.05). The educational level and fasting blood glucose were the influencing factors of satisfaction degree and impacting degree score; educational level, treatment mode and BMI were the influencing factors of grade Ⅰ anxiety; age and educational level were the influencing factors of grade Ⅱ anxiety (all P<0.05). The survey demonstrates that age, educational level, treatment, fasting blood glucose and BMI would affect the quality of life of elderly T2DM patients. Key words: Community health services; ≥60 years; Diabetes mellitus, type 2; Quality of life; Questionnaires

Research progress on current status and influencing factors of life quality among lung transplantation patients

There have been a lot of investigation and research focused on life quality of lung transplantation patients and its influencing factors abroad. The results showed that patients' life quality after lung transplantation was significantly higher than that before surgery. However, patients' life quality was lower than that of the normal population, since the improvement of life quality was influenced by complications in each system. The domestic research on lung transplantation started late, so the investigation was rare in this field. This paper reviewed the current status and influencing factors of life quality among lung transplantation patients so as to provide a reference for subsequent study and practice. Key words: Review; Lung transplantation; Quality of life; Influencing factors

Investigation on quality of life and associated factors in adult patients with acute leukemia

Objective To investigate influencing factors of life quality of adult patients with acute leukemia (AL), and to provide a basis for the intervention of their life quality. Methods During September to December 2016, a total of 142 cases of AL adult patients admitted in Department of Hematology, West China Hospital were recruited as study subject by convenient sampling. General Data Questionnaire of AL Adult Patients which was self-designed by researchers and Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu) which was used to investigate life quality of leukemia patients were conducted among patients to understand life quality of AL adult patients and related factors. Independent sample t test and one-way ANOVA were used to compare the scores of FACT-Leu dimensions of AL adult patients with different general data. Multiple stepwise regression analysis was used to analyze the factors influencing the quality of life of AL adult patients. Informed consent was obtained from all subjects. Results ① A total of 142 sets of questionnaires were hand out and 137 sets of valid questionnaires were collected. The feedback rate of valid questionnaires was 96.47%. The median age of the 137 AL adult patients was 39 years old (15-72 years old), average age was (38.4±13.8) years old. And 56(40.9%) patients were male, 81(59.1%) patients were female. The average score of FACT-Leu of 137 AL adult patients was (107.7±28.8) scores. ② According to the survey results of General Data Questionnaire of AL Adult Patients and FACT-Leu among 137 AL adult patients, female patients′ scores of emotional well-being (EWB) dimension, Functional Assessment of Cancer Therapy-General (FACT-G) and FACT-Leu were (15.3±5.7) , (62.1±19.0) , (103.5±28.7) scores and lower than those of male patients, which were (17.3±5.0) , (69.4±18.9) , (113.8±28.2) scores, and the difference were statistically significant (t=2.145, 2.206, 2.072; P=0.034, 0.029, 0.040). Scores of physical well-being (PWB), leukemia specific dimensions, FACT-G and FACT-Leu of patients continuing to work after onset of AL were (19.8±5.3) , (47.1±10.8), (72.6±18.4), (119.6±26.5) scores, and higher than those of patients who didn′t continue to work after onset, which were (16.9±6.6), (41.6±11.9), (63.2±19.1), (104.8±28.7) scores, and the difference were statistically significant (t=2.451, 2.168, 2.301, 2.439; P=0.018, 0.032, 0.023, 0.016). Score of EWB dimension (n=74) of acute myeloid leukemia (AML) patients was (17.2±4.8) scores, and higher than that of acute lymphoblastic leukemia (ALL) patients (n=63), which was (14.8±5.9) scores, and the difference was statistically significant (t=2.587, P=0.011). Self-care ability score and PWB dimension, EWB dimension, functional well-being (FWB) dimension, leukemia specific dimension, FACT-G and FACT-Leu scores were positively correlated (r=0.539, 0.500, 0.405, 0.557, 0.495, 0.561; P=0.000, 0.000, 0.000, 0.000, 0.000, 0.000). ③ Results of multiple stepwise regression analysis of related factors affecting AL adult patients′ life quality showed that self-care ability score was the main influencing factor of scores of PWB dimension, EWB dimension, FWB dimension, leukemia specific dimension, FACT-G, FACT-Leu (t=7.567, 6.774, 5.108, 7.850, 6.769, 8.003; P=0.000, 0.000, 0.000, 0.000, 0.000, 0.000). Gender was the main influencing factor of scores of PWB dimension, EWB dimension, FWB dimension, leukemia specific dimension, FACT-G, FACT-Leu (t=-2.501, -2.896, -2.311, -2.096, -3.060, -3.007; P=0.014, 0.004, 0.022, 0.038, 0.003, 0.003). Occupational status after onset was the main influencing factor associated with AL patients′ scores of social/family well-being (SWB) dimension (t=2.070, P=0.040). And the male patients, patients continuing to work after onset and with higher self-care ability score reported better quality of life. Conclusions In order to improve the life quality of AL adult patients, nurses of Hematology Department and patients′ family should pay attention to the AL adult female patients and patients with low self-care ability score, and enhance the self-care ability assessment and exercise education, and encourage the patients to participate in light-physical work during stable stage. Key words: Leukemia; Leukemia, myeloid, acute; Precursor cell lymphoblastic leukemia-lymphoma; Quality of Life; Oncologic nursing; Questionnaires

Factors Influencing Quality of Life in Elderly according to Types of Living

Factors Influencing Quality of Life in Elderly according to Types of Living

Factors Influencing Quality of Life in the Community Dwelling Vulnerable Older women with Chronic Joint Pain

Factors Influencing Quality of Life in the Community Dwelling Vulnerable Older women with Chronic Joint Pain

Influencing factors of post-operative life quality in patients with gallstone surgery

Objective To investigate the post-operative life quality in patients with gallstone surgery, analyze the influencing factors impacted on post-operative life quality, so as to provide the post-operative health interventions on time. Methods A total of 314 patients with gallstone surgery were selected, and was used to gastrointestinal quality of life index (GIQLI) to measure the quality of life, and then we analyzed the influencing factors. Results There was different quality of life level in different ages (P<0.05); the patients with choledochoscope exploratory operation had higher quality of life than the patients with laparotomy exploration; multiple regression analysis showed that ages, operation methods, abdominal distension, defecate changes were the independent influencing factors of life quality (β=-5.366, 12.807, 6.217, 11.072; P<0.05). Conclusions After gallstone surgery, the patients have low quality of life, so corresponding measurement should take positively according to influencing factors. Key words: Gallstone; Quality of life; Influencing factor

Investigation and influencing factors of life quality of patients with colostomy at early different stages

Objective To explore the change and influencing factors of life quality of patients with colostomy at early different stages.Methods Sixty rectum cancer patients with Miles colostomy from December 2009 to October 2010 were chosen.The life quality of patients were surveyed by European organization for research and treatment of cancer (EORTC QLQ-C30) at the time of discharge,the first and third month after the discharge,and the data were analyzed by multivariate analysis.Results The total scores of life quality were respectively (6.68 ± 1.490),(9.12 ± 1.474),(10.80 ± 1.695) at the time of discharge,the first and third month after the discharge,and the difference was statistically significant (F =106.100,P ＜ 0.01).The differences were found in the scores of the function scale,symptom scale and symptom subscale at three stages,and the differences were statistically significant (F =90.941,7.612,3.619,respectively; P ＜ 0.05).The symptom and mild symptom were aggravated at the time of discharge and the first month after the discharge,and were recovery on the third month after the discharge.Multiple regression analysis of quality of life showed that the main influencing factors on the life quality of patients were age and education at the time of discharge,and were education,stoma nurses,defecation,treatment and complication on the first month after the discharge,and were age,income,medical insurance,stoma nurses,treatment and complication on the third month after the discharge.Conclusions This study provides scientific evidence for nurses to seek the targeted and timely intervention programs and improve the life quality of patients with colostomy to the utmost extent. Key words: Colostomy; Quality of life; Influencing factors; Early

The status of quality of life in schizophrenics with Yao or Han nationality at convalescence

Objective To explore the status of quality of life in schizophrenics with Yao or Han nationality at convalescence who were living in Yuebei district,and to provide support for improvement of their quality of life.Methods 30 hospitalized schizophrenics with Yao nationality at convalescence were enrolled into a study group,while 30 patients with Han nationality at convalescence were included in a control group.Qualities of life was assessed by using the WHO Quality of Life Scale (WHOQOL).The factors which were likely to influence quality of life were analyzed.Results The study group had significantly lower scores of the WHOQOL in physical health,psychological health,social function,and total assessment than the control group did (P＜ 0.01).Conclusions The quality of life is significantly lower in the schizophrenics with Yao nationality than in those with Han nationality.The main factors influencing quality of life in schizophrenics with Yao nationality are economic status,living environment,medical service,and social and familial support system. Key words: Convalescence; Schizophrenics; Yao nationality; Han nationality; Quality of life

Factors Influencing Quality of Life of Elders in Urban Regions

Abstract The purpose of this study is to investigate the Expected factors on the quality of life and its degree of elders in urban regions. Survey was conducted among 300 elders age of over 65, who attended four schools for elders at Busan metropolitan city in the month of October 2 to October 25, 2012 and data were collected 245 samples. Data analysed by using correlation analysis and multi-regression analysis to recognize the degree of the quality of life of elders and the result showed the expected factors on the quality of life and its major were as follows:First, average score of the quality of life of urban elders was 3.17 (5 scores of scale) and it indicated the medium result; Second, between sub-areas of the quality of life of subjects, significant positive relation was shown among every area excluding depression area;Third, the factors mostly influencing on the quality of life are mental health, social relation, and physical relation in order and it showed a significant level (p<0.001). The study revealed the symptoms of depression which reltaed to mental health, it indicated as a major factor to the quality of life, this study suggest there is requirement of nursing intervention and the application of health program to reduce the depression.

Survey on influence of the long term indwelling PICC on the quality of life of cancer chemotherapy patients

Objective To investigate the influencing factors of life quality of long term indwelling PICC catheters for cancer chemotherapy patients and propose targeted intervention proposal.Methods Used selfdesigned questionnaire and the method of face-to-face interviews to investigated 180 cancer chemotherapy patients with PICC catheters more than one month.Results The influencing factors on the quality of life of long term indwelling PICC catheters for cancer chemotherapy patients were living environment (10.49 ± 2.75),sleep situation (10.99 ± 3.28),community service conditions (11.33 ± 1.17),convenience of life (12.75 ± 4.31)and emotional state (20.73 ± 5.13).Univariate analysis showed that educational level and age were also the influencing factors for the patients (F =4.090,4.286,respectively; P ＜ 0.05).Conclusions Long term indwelling PICC catheters are less affected the quality of life of cancer chemotherapy patients.The impact of age are different from the level of education.So,the health care workers should make targeted intervention measures of different patients. Key words: Quality of Life; PICC; Long term in dwelling; Education degree; Age

Which Factors Influence Quality of Life of Type 1 Diabetic Patients with End-Stage Renal Disease Subjected to Kidney or Simultaneous Pancreas-Kidney Transplantation?

Introduction: The aim of kidney transplantation (KTx) or simultaneous pancreas-kidney transplantation (SPK) in type 1 diabetic patients with end stage renal disease (ESRD) is not only to improve general state of health and prolong long term survival of the recipient but also improve his quality of life (QOL). The aim of the study was to analyse factors that influence QOL of type 1 diabetic patients with ESDR subjected to KTx or SPK in long term follow up after transplantation. Methods: 49 recipients were involved into the analysis. 27 patients were subjected to KTx and 22 - to SPK in transplant centres in Katowice and Wrocław from 1998 to 2009. QOL was measured using Polish version of Kidney Disease and Quality of Life Short FormTM. Among clinical parameters recipient age, duration of diabetes and duration of dialysis treatment at the time of transplantation, time after transplantation, as well as exogenous insulin independence, creatinine concentration, BMI and vision impairment at the time of observation were considered. Results: Recipients age at the time of transplantation co-related with sexual function (r=-0,57), sleep (r=-0,33), physical functioning (r=-0,40), role physical (r=0,39) and SF-12 Physical Health Composite (r=-0,45). Diabetes duration at the time of transplantation co-related with symptom/problem list (r=0,35), quality of social interaction (r=-0,29), sleep (r=-0,35) and energy/fatigue (r=-0,34). Exogenous insulin independence at the time of observation co-related with effect of kidney disease (r=-0,55), overall health (r=0,46), physical functioning (r=0,45), role physical (r=-0,29), general health (r=0,36), role emotional (r=-0, 36) and SF-12 Mental Health Composite (r=0,38). Creatinine concentration at the time of observation co-related with symptom/problem list (r=0,32) and sexual function (r=-0,56). BMI at the time of observation co-related with physical functioning (r=-0,41), role emotional (r=0,46), energy/fatigue (r=-0,34) and SF-12 Mental Health Composite (r=-0,38). Conclusion: Recipient age and duration of diabetes at the time of transplantation, as well as exogenous insulin independence and BMI at the time of observation are the most important factors that influence QOL of type 1 diabetic patients with ESRD subjected to KTx or SPK in long term follow up.

Analysis of the influencing factors of life quality in patients undergoing maintaining hemodialysis

To determine the influencing factors and life quality of patients undergoing maintaining hemodialysis (MHD). One hundred and two MHD patients in hemodialysis center were enrolled, and a questionnaire investigation using KDQOL-SF(TM) 1.3 was employed. This questionnaire was disease-specific for chronic kidney disease. The object was to evaluate the quality of life, in relation with the patients' kidney disease and dialysis (KDTA) and the patients' general health (SF-36), and to analyze the influencing factors. Among the influencing factors revealed in questionnaire investigation, the items such as encouragement from medical staff, social support, symptoms, cognitive function, quality of social relationship and satisfaction degree of patients won higher scores, while the items such as sex function, difficulties in daily activity due to kidney disease, expectation of general health and self-evaluation of health won lower scores. Among the influencing factors, the scores of physical functions and body pain were much lower in female than male patients (63.52±17.96 vs. 71.65±18.66, 64.33±21.23 vs. 76.58±19.20, both P<0.05). Patients of age>60 won higher scores than patients of age≤40 and 40-60 in respect to work condition and sex function (61.98±13.63 vs. 52.27±7.54 and 55.23±19.97, 68.33±4.04 vs. 5.45±9.34 and 15.81±26.92, all P<0.05); patients of 60 years old or older won higher scores in respect of satisfaction degree of patients but lower scores in respect of physical functions. Among primary diseases, only patients with diabetes won much encouragement from medical staff (93.57±11.29). Patients whose serum albumin was lower than 3.5 g/L won much lower scores than those with serum albumin higher than 3.5 g/L in respect of scoring of KDTA, influence to daily life due to kidney disease, cognitive function, physical functions, expectation of general health, and scores obtained previously (53.62±8.87 vs. 61.26±9.42, 44.58±12.52 vs. 57.47±17.15, 65.56±20.60 vs. 78.18±15.73, 54.38±19.73 vs. 68.87±17.57, 31.11±10.23 vs. 41.19±66.27, 44.44±27.06 vs. 68.57±26.94, all P<0.05). Patients who had undergone hemodialysis for longer than 6 years won higher scores in respect to symptoms, body pain, vigour and expectation of general health (86.92±6.67, 85.08±57.34, 78.40±13.04, 53.33±24.22, respectively), while patients who had hemodialysis for as long as 3 to 6 years won highest scores in respect to social support (94.23±10.96, all P<0.05). The level of hemoglobin and urea clearance index showed no obvious influence to MHD patients' daily life. MHD patients have poor self-confidence and they usually lose self-confidence. Nutritional status greatly influences patients' daily life. So it is important to improve the quality of daily life in MHD patients, especially in respect of nutritional support, and this aspect should form our focus of medical support.

A survey of life quality of old people of the community in Urumqi city

Objective To study the life quality and its influencing factors of old people of the community in Urumqi, and to the effective measures to improve their life quality. Methods The life quality for 1 151 old people of the community in Urumqi was investigated by MOS SF -36 questionnaire and the main influencing factors were analyzed. Results 66. 30% old people of community have chronic diseases, The average score of life quality of the old people was 113.46±15.34, And keeping high, moderate and low llfe quality was 37. 62%, 57. 69%, 4. 70%, respectively. The main influencing factors of life quality of old people are age, education level, marital status, health status and economic income. Conclusion The llfe quality of these old people are high. It is suggested that health policy for the old people should be formulated to modify the affecting factors of life quality, and to develop the action in community, so as to improve life quality of the old people from general health. Key words: Old people; Life quality; Influencing factor

Effect of individualized nursing intervention on life quality of patients with rheumatoid arthritis

Objective To explore the influence of individualized nursing intervention on life quality of patients with rheumatoid arthritis. Methods 60 patients were divided into the intervention group and the control group with 30 cases in each group. The intervention group adopted individualized nursing projects according to the influencing factors of life quality based on routine nursing. The control group received routine nursing only. The life quality of the two groups was appraised by inventory before and after intervention. Results The status such as physiological function, mental function, social function and self-recognized health in the intervention group was greatly ameliorated and was statistically different from that in the control group(P＜0.05).Conclusion Individualized nursing intervention could dramatically improve the life quality of patients with rheumatoid arthritis Key words: Rheumatoid arthritis; Life quality; Nursing

Quality of life five years after myocardial infarction.

In 539 patients 5 years after myocardial infarction (MI), quality of life and factors influencing life quality were studied. All patients originally participated in an early intervention trial with metoprolol. A cardiac follow-up questionnaire and the Nottingham Health Profile were answered by 82%. In the former, information about subjective symptoms, smoking, work and current medication was obtained; the latter described health-related quality of life in terms of energy, sleep, emotions, mobility, pain and social isolation. The rate of and the reasons for rehospitalization were registered in the patients' records. The MI patients reported a comparatively high quality of life. Compared with 'normal' population, a decrease was noted in energy, sleep and mobility, and in sex life, hobby-activity and holiday activity. A nonparametric multivariate analysis disclosed that dyspnoea, angina pectoris and anxiety were closely associated with decreased quality of life. In conclusion, 5 years after MI most patients seemed well-adjusted. Impaired quality of life was reported by patients suffering from angina pectoris, dyspnoea and emotional distress. No relationship was found between health-related quality of life and the beta blocker, metoprolol, which was the most frequently used drug.