Life In Female Patients Research Articles

Evaluation of sexual functions and quality of life in female patients after hysterectomy for benign symptomatic diseases

Objective: To evaluate selected quality of life parameters among sexually active patients who underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) for benign symptomatic disease. Materials and Methods: Fifty-six TAH-BSO patients (20 menopausal + 36 premenopausalhysterectomized women) were evaluated between September 2017 and May 2018 using the FSFI, ASEX and SF-36 scores with individual interviews before and six months after TAH + BSO surgery. Results: The preoperative and postoperative period scores from three different validated questionnaires were found to be significantly different for all patients. Scores in the postoperative periods were better in all patients. Also, scores in the preoperative and postoperative periods were higher among premenopausal patients than menopausal patients. Conclusion: Our results showed that sexual function and quality of life improved in all patients who underwent TAH-BSO for benign symptomatic disease. Also, menopausal status is very important.

Evaluation of quality of life in female patients with melasma

Evaluation of quality of life in female patients with melasma

Influence of husband and wife joint education model on marriage adjustment and quality of birth and life of female patients with infertility

Objective To explore the effects of husband and wife joint education model on marriage adjustment and birth and quality of life in female patients with infertility. Methods Totally 360 sterile females who received In Vitro Fertilization-Embryo Transfer (IVF-ET) in the Fertility Dpartment of a Class Ⅲ Grade A hospital in Wenzhou were selected using convenient sampling from June to August 2018. The study subjects were randomly divided into intervention (n=180) and control (n=180) groups. The conventional nursing method was used in the control group, and the husband and wife joint education model was applied in the intervention group after the conventional nursing. On the basis of transplantation, the dyadic adjustment scale and birth and quality of life scale were used before the patients were discharged to compare the result of marriage adjustment and birth and quality of life in the two groups. Results The martial adjustment score and birth and quality of life score in the intervention group scored (114.56±20.64) and (68.05±15.18) respectively, both higher than those of the control group, and there was statistically significant difference between the two groups (P<0.05) . Conclusions Husband and wife joint education model can not only promote the intimate relationship between patients and their spouse, but also improve their quality of life, which is worth applying in the clinical care of patients with infertility. Key words: Infertility; Marriage adjustment; Quality of birth and life; Husband and wife joint education model

Kinesiophobia and related factors in systemic lupus erythematosus patients

Background/aimThis study was designed to investigate the relationship between kinesiophobia and the level of physical activity, depression, disease activity, fatigue, pain, and quality of life in female patients with systemic lupus erythematosus (SLE).Materials and methodsSeventy volunteer female patients were included in the study. Kinesiophobia, physical activity level, disease activity, fatigue, depression, pain, and quality of life were assessed using the Tampa Scale for Kinesiophobia (TSK), International Physical Activity Questionnaire- Short Form (IPAQ), Systemic Lupus Erythematosus Disease Activity Index (SLEDAI), Fatigue Severity Scale (FSS), Beck Depression Inventory (BDI), McGill Pain Questionnaire- Short Form (MPQ-SF) and Nottingham Health Profile (NHP), respectively.ResultsTwo-thirds of the patients in the study had a high degree of kinesiophobia. Although there was a significant correlation between kinesiophobia and depression and some subscales of quality of life (sleep, social isolation, emotional reactions) (P < 0.05), no significant correlation with other parameters was found.ConclusionAs a result of this study, the majority of SLE patients included in the study were identified as having high levels of kinesiophobia. Patients’ fear and avoidance reaction from movement can be influenced by psychosocial factors. Treatments focusing on kinesiophobia of SLE patients could be beneficial in increasing the success of rehabilitation.

Sexual quality of life in female patients with acne

ABSTRACTAcne is a common skin disease which can have a negative psychosocial impact on quality of life. Sexual health is an important part of overall health and little is known about the effects of acne on individual sexuality. We aimed to assess the sexual quality of life and general quality of life in female patients with acne and compare to those without acne. Sixty female participants with acne and age-matched 40 female controls were enrolled in the study and asked to complete the Sexual Quality of Life-Female Questionnaire and the Short Form-36 Health Survey. Acne severity was evaluated objectively by the Global Acne Grading System and subjectively by the Visual Analogue Scale. Participants reported a significantly worse sexual quality of life and had significantly decreased scores on the quality of life scales of Bodily Pain, General Perception of Health and the Physical Component Summary when compared to controls. Neither the sexual quality of life nor the quality of life was correlated with objective and subjective acne severity and duration of acne. Acne can negatively affect sexual quality of life in female patients as well as differentdimensions of quality of life. The sexual quality of life should be considered while evaluating acne in women irrespective of its severity.

Depression and its Association with Quality of Life in Female Patients at Different Hormonal Phases of Life - A Cross Sectional Study in Western U.P.

Depression and its Association with Quality of Life in Female Patients at Different Hormonal Phases of Life - A Cross Sectional Study in Western U.P.

Effect of problem solving therapy on improving negative emotion and quality of life in female patients with urinary incontinence

目的 观察问题解决疗法应用于改善女性尿失禁患者负面情绪及生活质量的效果。 方法 选取诸暨市妇幼保健院2016年1月至2017年6月以心理干预为主的患者43例为对照组；另选择诸暨市妇幼保健院2017年7月至2018年6月实施问题解决疗法的患者43例为观察组。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评价患者护理前后抑郁、焦虑症状，采用汉化版简明生活质量评价量表评价其生活质量。采用改良版创伤后成长量表评价两组患者社会问题解决能力。 结果 观察组干预后SDS、SAS评分分别为(42.11±2.25)分、(36.81±2.34)分，较干预前明显下降(t＝20.913、25.122，P＝0.000、0.000)；对照组干预后SDS、SAS评分分别为(47.93±3.11)分、(42.41±3.01)分，较干预前明显下降(t＝10.616、14.376，P＝0.000、0.000)；干预后两组比较(t＝9.942、9.631，P＝0.000、0.000)。观察组干预后生理功能、社会功能、情感功能、生理职能、躯体功能、精力、一般状况及精神健康评分分别为(74.92±8.61)分、(61.49±6.88)分、(65.17±7.88)分、(55.76±6.83)分、(68.42±8.76)分、(55.76±6.45)、(16.41±4.16)分、(72.46±11.72)分，明显高于对照组的(57.81±7.02)分、(47.82±5.78)分、(51.73±6.63)分、(42.69±5.58)分、(52.89±7.14)分、(43.58±5.39)、(57.46±4.93)分、(12.94±8.53)分(t＝10.099、9.975、8.558、9.717、9.011、9.501、41.729、26.925，均P<0.05)。两组患者干预后人际关系、新可能性、个人力量、精神改变及欣赏生活评分较干预前明显提高，观察组各项指标评分升高程度较对照组显著(t＝2.173、2.244、2.767、9.678、4.612，均P<0.05)。 结论 女性尿失禁实施问题解决疗法可稳定患者情绪，提高其社会问题解决能力，更好的改善其生活质量。

Impact of mastectomy on quality of life in female patients with breast cancer in the Gaza Strip: a cross-sectional study

BackgroundFor patients with breast cancer, the quality of care following mastectomy should be designed with long-term goals to ensure the physical and psychosocial wellbeing of survivors. This study explores the impact of mastectomy on the quality of life of breast cancer survivors in the Gaza Strip. MethodsThis cross-sectional study involved the only two oncology centres of the Gaza Strip. In total, 173 patients who had undergone mastectomy were chosen using convenience sampling. Upon their arrival at the oncology centres (a minimum of 3 months after mastectomy), the patients completed face-to-face questionnaires made up of five sections: sociodemographic data, physical, psychological, and social wellbeing, and family dynamics. Data were collected from August, 2015, to September, 2016. SPSS software (version 21) was used for data analysis. Ethics approval was obtained from the Palestinian Ministry of Health. FindingsThe mean age at data collection was 51·0 (SD 10·0) years. In total, 73·0% (126 of 173) had low educational achievements (below secondary level), 91·0% (157) were unemployed, and 20·8% (36) had a first-degree relative with breast cancer. Two-thirds (133) had undergone radical mastectomy, and 17·0% (29) had breast-conserving surgery. Evaluation of the negative impacts of mastectomy showed that psychological wellbeing was the most affected domain (66·4%; 115), followed by physical wellbeing (52·2%; 90), social wellbeing (44·2%; 77), and family dynamics (49·2%; 85). Following mastectomy, 57·2% (99), 48·6% (84), and 42·8% (74) of patients experienced fatigue, early menopausal symptoms, and sleep disturbances, respectively. Feeling worried was the most common psychological complaint (52·6%; 91). Furthermore, 55·5% of patients (96) experienced financial impacts (eg, some mentioned that treatment expenses were drawn from very basic living and household funds), and 59·0% (102) had decreased day-to-day activity (physical activity for the household that would usually be carried out on a regular basis, such as chores). Interestingly, 95·4% (165) were worried about divorce owing to their surgery. InterpretationThe fear of divorce found in this study demonstrates the insecurity of women in society in Gaza. However, this study could not validate the reality of such fears (for example, determine the proportion of women who get divorced following mastectomy). Involving the patient's family in the treatment process is important to promote social wellbeing. Improving holistic medical care for survivors of breast cancer in the Gaza Strip is essential. FundingNone.

親水性コーティング付コンパクト型自己導尿カテーテルの尿路感染症・QOL への効果：ランダム化比較試験

親水性コーティング付コンパクト型自己導尿カテーテルの尿路感染症・QOL への効果：ランダム化比較試験

Evaluation of body image, sexual dysfunctions and quality of life in female patients with generalized anxiety disorder

Abstract Objective: This study aimed to compare the patients with GAD in terms of SD, body perception and quality of life with healthy controls. Methods: The study included 41 female patients and 40 healthy female individuals with an aged between 18-50 years, regular sexual life and married. The Arizona Sexual Experiences Scale(ASEX), Short Form 36(SF-36), Body Cathexis Scale(BCS) and Beck Anxiety Inventory were used in the subjects. Patients with chronic illness, comorbid psychiatric, endocrine, alcohol or substance use disorder, drug use that could impair sexual function, pregnant, lactation, were not included in the study. Results: In ASEX, high scores were found in 44% of GAD patients and 17.5% of the control group in terms of SD. Sexual desire, arousal, lubrication, and orgasm scores of ASEX correlated with the body dissatisfaction in GAD patients. Physical function, general health status, mental health scores of SF-36 were found lower in the GAD group. Discussion: As a result of these findings, it can be suggested that sexual function, body image and quality of life are negatively affected in GAD patients and that deterioration of them should be questioned as well as symptomatic relief in patients’ follow-up and treatment.

Impact of a female specific APAP device on quality of life in female patients

Impact of a female specific APAP device on quality of life in female patients

The effect of two kinds of nursing intervention of Chinese and western medicine on female patients with bladder hyperactivity disorder

Objective To explore the effect of two kinds of nursing intervention in Chinese and western medicine on female patients with bladder hyperactivity disorder. Methods A total of 100 patients of female overactive bladder(the deficiency of kidney) admitted to this hospital from January to August 2017 were selected as the research objects.They were divided into the experimental group and the control group, 50 cases of each group.The experimental group was given traditional Chinese medicine nursing intervention, and the control group was given western medicine intervention(behavior therapy). The overactive bladder symptom score(OABSS)was used to evaluate the patients' symptom relief before and after intervention.The questionary score of life quality with urinary incontinence(I-QOL) was used to evaluate life qualify of the patients. Results Before the intervention, there was no statistically significant difference between the two groups in terms of bladder hyperactivity scale and quality of life questionnaire(P>0.05). After the intervention, symptom scores decreased and quality of life improved in both groups, with statistically significant differences(P<0.05). Conclusion TCM nursing intervention can significantly improve the symptoms and quality of life of female patients with bladder hyperactivity disorder. Key words: Traditional Chinese medicine; Nursing intervention; Overactive bladder

Urinary incontinence due to lumbar spinal stenosis causing disability and lowering quality of life.

Lumbar spinal stenosis may lead to urinary inconsistence and can have a negative impact on the quality of life. The aim of the study was to assess the incidence of urinary incontinence and quality of life in female patients with spinal canal stenosis comparing to control group. The study population consisted of 50 women diagnosed with severe lumbar spinal canal stenosis. Their mean age was 55.32 ± 12.97 years. The clinical control group consisted of 30 women who did not suffer from any spine disorders. Their mean age was 54.87 ± 12.01 years. There was no difference between both groups regarding age, weight, BMI and number of parity. The women diagnosed with clinical and radiographic symptoms of spinal canal stenosis filled out an anonymous questionnaire, ODI, ICIQ-UI-SF, and ICIQ-LUTSqol questionnaires. We found urinary incontinence in 56% of women with lumbar spinal canal stenosis and in 43% of clinical control group. We also found a statistically significant correlation between duration of lumbar stenotic symptoms, the SLR sign, number of deliveries and the intensity of urinary incontinence. Urinary incontinence in women with lumbar spinal canal stenosis is significantly different from the control group. Leakage of urine happened more frequently, the amount of urine leaked was greater, and the general impact on everyday life is harsher, as compared to the clinical control group.

Urinary Incontinence and Quality of Life in Female Patients with Obesity.

To analyze the prevalence of urinary incontinence (UI) in female patients with an indication for bariatric surgery, to investigate the potential risk factors and the impact on quality of life. A cross-sectional study with female patients with obesity. The evaluation consisted of a structured interview, a specific study form and quality of life questionnaires. The Poisson regression was performed to identify independent risk factors related to UI. A total of 221 patients were enrolled; 118 of the study participants (53.4%) reported UI episodes. Mixed UI (MUI), stress UI (SUI) only, and urgency UI (UUI) only were reported by 52.5% (62), 33.9% (40) , and 13.5% (16) of these patients respectively. The prevalence of UI was increased by 47% among the women who had given birth vaginally and by 34% of the women who had entered menopause. Vaginal delivery and menopause were identified as independent risk factors related to UI. The mean International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) score was 9.36 ± 4.9. The severity of symptoms was considered moderate in 53.3% (63) of the patients with UI. Urinary incontinence impacts quality of life negatively, and the prevalence of UI is high among obese patients. In the present study, vaginal delivery and menopause were independently associated with UI.

Impact of menopause on quality of life: A cross sectional study in menopausal females in the north of Jordan

Aims: Menopause can severely effects the somatic, urogenital and psychological aspects of life, our aim is to find out the Health Related Quality of Life in female patients with menopause in a tertiary care hospital. Methods: A cross-sectional, observational study was conducted in the Gynecology out-patient department. All female patients with menopause attending the Gynecology OPD of tertiary care hospital for various complaints were included in the study. After obtaining written informed consent, demographics, relevant medical and surgical history was noted and they were then administered validated questionnaire ‘Health related Quality of Life Questionnaire: Menopause Rating Scale’ (HRQoL). Results: The overall population sample size was 409. The mean age of menopause was 48.91± 4.76 years. Hot flushes and sweating (somatic symptom) were the commonest symptom (86.31%), followed by anxiety (psychological symptom) in 76.53%. Maximum score was attributed to psychological symptoms, while urogenital domain had the minimum score. The association between the duration of menopause (early versus late post-menopause) and severity of symptom complex was found to be significant in psychological symptoms only. Frequency of psychological symptoms decreased as the duration since onset of menopause increased. Occurrence of somatic and urogenital symptoms is not significantly associated with duration of menopause. Conclusion: Menopausal symptoms commonly affect a large number of early and late post-menopausal women and adversely affect health related quality of life. Menopausal symptoms are common in postmenopausal women and except psychological symptoms there is minimal difference in the frequency and severity of other symptoms with duration.

Evaluation of the occurrence of sexual dysfunction and general quality of life in female patients with psoriasis

Background: Psoriasis has a significant impact on quality of life (QoL). Sexual life can also be affected, with sexual dysfunction being reported by 25-70% of patients.Objectives: To determine the occurrence of sexual dysfunction and evaluate QoL in women with psoriasis.Methods: This case-control study included women aged 18-69 years. The validated Brazilian Portuguese versions of the Female Sexual Function Index (FSFI) and of the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) were administered to all participants to assess sexual function and QoL, respectively. Patients with psoriasis underwent clinical evaluation for the presence of comorbidities, especially psoriatic arthritis and other rheumatic manifestations. Location of lesions and the extent of skin involvement were also assessed.Results: The sample consisted of 150 women, 75 with diagnosis of psoriasis and 75 healthy controls. Prevalence of sexual dysfunction was high in women with psoriasis (58.6% of the sample). Prevalence was statistically higher in women with psoriasis than in controls (P = 0.014). The SF-36 domain scores were also lower in women with psoriasis, with role limitations due to physical health, limitations due to emotional problems, and mental health being the most affected domains.Study limitations: Sample size was calculated to evaluate the association between the occurrence of sexual dysfunction and psoriasis, but it did not include the determination of the possible causes of this dysfunction.Conclusions: QoL and sexual function were altered in women with psoriasis and should be taken into consideration when assessing disease severity.

Assessment of Quality of Life in Female Patients with Breast Cancer

Breast cancer is an oncological disease which affects to a large group of women. Despite being more aware of the disease now-a-days than it was in the past, a lot of women still die from the disease. The aim of the survey was to assess the quality of life among women suffering from breast cancer. To achieve this aim, a survey based on the EORTC QLQ-C30 questionnaire and the QLQ-BR23 module, which measured respondents´ physical, psychological and social functions, were used. Female breast cancer patients from the “Tur?ianske Venuše “Citizens Association and those attending the “Ligaprotirakovine” Cancer Centre in Martin were included in the study. Elderly female patients average in their sixties, mostly with cancer in remission were involved. According to our findings, most of the female patients have had some difficulty doing physical activities and taking long strolls. Sleep problems and pain are also making the quality of their life worse. Lot of them have been getting a pain in their swollen arm and oversensitive breast. Most of the female patients reached an average QL2 score, which means an average quality of life. There were only two female patients with a QL2 score of 0, which means a very bad quality of life. However, three female patients had a QL2 score of 100, which means a very good quality of life. Based on our results, the quality of life for most of our female patients was average despite having some problems.Dhaka Univ. J. Pharm. Sci. 16(1): 29-36, 2017 (June)

Quality of Life in Women with Stage 1 Stress Urinary Incontinence after Application of Conservative Treatment-A Randomized Trial.

Stress urinary incontinence (SUI) influences quality of life in female patients. In this study, we used ICIQ LUTS QoL (The International Consultation Incontinence Questionnaire Lower Urinary Tract Symptoms quality of life) to determine the quality of life (QoL) in various domains in patients with stage 1 SUI. The study included 140 perimenopausal women subjected to urodynamic tests at the Department of Gynaecology, Endocrinology and Gynaecologic Oncology, Pomeranian Medical University, Police (Poland) in 2013–2015. The study subjects were divided into two groups, A and B. Each patient completed two questionnaires, an original survey developed by the authors and the validated ICIQ LUTS QoL. Two exercise programs, each lasting for 3 months and consisting of 4 weekly sessions, were recommended to the study subjects. The program for Group A included exercises for pelvic floor muscles (PFM) with simultaneous tension of the transverse abdominal muscle (TrA), and the program for Group B, PFM exercises without TrA tension. After completing the exercise programs, patients with stage 1 SUI, both from Group A and from Group B, showed a significant improvement in most QoL domains measured with ICIQ LUTS QoL. However, more beneficial effects of the training were observed in the group subjected to PFM exercises with TrA tension.

MP63-05 NOVEL URODYNAMIC FINDINGS IN FEMALE PATIENTS WITH URGENCY URINARY INCONTINENCE

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Incontinence: Evaluation (Urodynamic Testing)1 Apr 2017MP63-05 NOVEL URODYNAMIC FINDINGS IN FEMALE PATIENTS WITH URGENCY URINARY INCONTINENCE Liang Dong, Jiayi Li, Jianwei Lv, Jing Leng, Wei Xue, and Yiran Huang Liang DongLiang Dong More articles by this author , Jiayi LiJiayi Li More articles by this author , Jianwei LvJianwei Lv More articles by this author , Jing LengJing Leng More articles by this author , Wei XueWei Xue More articles by this author , and Yiran HuangYiran Huang More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1957AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The purpose of this study is to analyze the urodynamic features of female patients with urge urinary incontinence (UUI). The study tries to classify female UUI types according to their urodynamic features, so as to improve the level of personalized clinical diagnosis and treatment for female UUI. METHODS A retrospective urodynamic study was performed among 102 female patients diagnosed with UUI who presented to our center between June 2015 and June 2016. All recruited patients were required to complete several examinations besides history taking, including urine analysis, ultrasound of KUB, and PVR. After that, 44 patients with urinary tract infection (UTI), cancer, stone disease, neurogenic bladder or different kinds of cystitis were excluded. The remained 58 patients were evaluated by UDS, collecting data of bladder compliance, detrusor involuntary contraction and urethra response in storage phase. The study focused on whether there were detrusor overactivity and coexsisted urethral pressures changes in storage phase. RESULTS The mean age of the studied patients was 63 years (SD 10.1). All patients had normal bladder compliance in storage phase. No obvious abnormal in voiding phase were found except for 2 cases failing to induce automatic micturition. According to whether there was involuntary detrusor contraction or not in storage phase, patients were divided into two types. No involuntary detrusor contractions were demonstrated in 22 patients (37.9%), though having a strong micturition desire during UDS. Involuntary detrusor contractions were demonstrated in 36 patients(62.1%)which could be further divided into two types. Among 36 patients, simultaneous decrease of urethra pressure was demonstrated in 19 patients(32.8%)while 17 others did not(29.3%). CONCLUSIONS UUI often pose a negative impact on the quality of life in female patients. UDS is an excellent choice to show the pathophysiological changes of lower urinary tract in female patients with UUI. This study shows that UUI in female patients could be classified into three different types based on UDS. Type I: involuntary detrusor contractions with simultaneous decrease of urethra pressure; type II: involuntary detrusor contractions without simultaneous decrease of urethra pressure; type III: no involuntary detrusor contractions, neither simultaneous decrease of urethra pressure. These three different types of UUI shows there could be a potential difference with the underlying mechanisms, which may benefit the development of personalized treatment for UUI. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e837 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Liang Dong More articles by this author Jiayi Li More articles by this author Jianwei Lv More articles by this author Jing Leng More articles by this author Wei Xue More articles by this author Yiran Huang More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Investigating sexual problems, psychological distress and quality of life in female patients with Takotsubo cardiomyopathy: A prospective case-control study.

Takotsubo cardiomyopathy (TSCM) has detrimental effects on both physical and psychological health of sufferers. However, little is known whether TSCM also affects sexual functioning in female patients. The aim of this study was to investigate psychological distress (depression and anxiety), health-related quality of life, and sexual functioning in women with TSCM and compare them with women with acute myocardial infarction and with healthy controls. A three group prospective case-control design was used. Female patients with TSCM or acute myocardial infarction, as well as healthy controls (94 in each group), were recruited across eight Iranian university hospitals. Data were collected at baseline and after six and 18 months using the Hospital Anxiety and Depression Scale, the Short Form-12, the Female Sexual Function Index and the Female Sexual Distress Scale. Multilevel logistic regression was conducted. The TSCM group showed worst sexual functioning and the highest level of anxiety and depression at baseline ( p<0.01) compared with the two other groups. The TSCM and AMI groups showed comparable health-related quality of life at baseline, which was lower in both groups compared with the healthy controls ( p<0.01). Overall, depression, anxiety and health-related quality of life showed a significant change over time, especially in the TSCM group, with health-related quality of life decreasing, while anxiety and depression were increasing. Compared with the acute myocardial infarction and healthy control groups, the TSCM group showed a higher prevalence of sexual problems (odds ratios = 3.10 and 2.28, respectively) across time. Moreover, sexual functioning was found to be a mediator between anxiety and health-related quality of life in the TSCM group. Depression, anxiety, health-related quality of life, and sexual dysfunction tend to increase over time in female patients with TSCM; thus, healthcare providers should pay attention to these problems and provide appropriate treatment where necessary.