Moderate Level Of Quality Of Life Research Articles

Quality of Life in Patients Undergoing Percutaneous Coronary Intervention.

Percutaneous coronary intervention (PCI) is a non-surgical invasive procedure to treat coronary artery occlusion. The quality of life (QoL) is a way to measure the impact of illness and additionally its treatments to traditional measures of clinical outcomes. The aim of the present study was to explore the levels of QoL pre-PCI, 6 and 12 months after PCI, as well as the factors associated with the QoL pre-PCI. In the present study, 100 patients undergoing PCI were enrolled. Data were collected through the completion of the SF-36 Health Survey (SF-36), which included participants' characteristics. The statistical significance level was p < 0.05. Patients had moderate levels of QoL at baseline, with a median general health score of 45 (IQR: 30-65). A gradual statistically significant increase in scores was observed in all subcategories of the patients' QoL at 6 and 12 months after PCI (p < 0.001). A greater increase in scores was observed in physical functioning, physical role, emotional role and social functionality. In terms of the pre-PCI phase, it was found that physical functionality was statistically significantly associated with educational level (p = 0.005), occupation (p = 0.026) and whether the patients had children (p = 0.041). The physical and emotional role was significantly associated with gender (p = 0.046 and p = 0.040) and educational level (p = 0.030 and p = 0.001). Energy-fatigue was significantly associated with gender (p = 0.001), age (p = 0.028), marital status (p = 0.001), educational level (p = 0.001), whether the patients had children (p= 0.012) and other diseases (p = 0.001). Emotional well-being was significantly associated with family history of coronary artery disease (p = 0.011) and the frequency of physical exercise (p = 0.001). Social functioning was significantly associated with gender (p = 0.033), marital status (p = 0.034) and educational level (p = 0.002). Pain was not found to be significantly associated with patients' demographics. General health was significantly associated with gender (p = 0.003), age (p = 0.043), educational level (p = 0.001), other diseases (p = 0.005) and the frequency of physical exercise (p = 0.001). Information about the QoL of PCI and its determinants is important to define an effective and comprehensive care plan.

A systematic review of the nursing students' quality of life and related factors during the COVID-19 pandemic

The goal of the current systematic review was to learn more about nursing students' quality of life (QoL) and associated determinants during the COVID-19 pandemic. Systematic search was done from the earliest date to August 27, 2022 using keywords extracted from Medical Subject Headings including "Quality of life", "Nursing students", and "COVID-19" in international electronic databases including Scopus, PubMed, and Web of Science. Iranian databases such as Iranmedex were also searched. Utilizing the cross-sectional study appraisal tool (AXIS tool), the quality of the studies included in this review was assessed. This systematic review comprised eight cross-sectional studies with a combined total of 5,939 nursing students. The findings of the eight research that made up this systematic review revealed that nursing students had a moderate level of QoL during the COVID-19 pandemic. Overall, the findings of the research included in this study were conflicting, which may be related to the impact of factors such as age, gender, anxiety, residential area, presence of COVID-19 cases near their residence, the care of COVID-19 patients, nursing-related experience, coping behavior, the feeling of loneliness, general point average, program classification, source of knowledge, trust in the government’s handling of the pandemic, years in nursing school, subjective happiness, resilience, anxiety, depression, academic stress, the problem with internet use. Therefore, managers and policymakers in the field of nursing should plan and implement appropriate measures to moderate the negative influencing factors on the QoL among nursing students, taking into account the importance of the QoL of nursing students as people present in the health care service system and their presence at the patient's bedside.

Quality of Life in Elderlies: A Cross-sectional and Field-based Study in Iran

Background: Quality of life (QOL) in the elderly has not been investigated as much as their life expectancy. Objectives: The present study aimed to evaluate the elders’ QOL. Methods: In this study, 386 elders were selected using the multistage cluster random sampling method. The Leiden-Padua (LIEPAD) questionnaire, consisting of the core components (CCQOL) and moderators (MQOL) of QOL, was used and analyzed with SPSS software. Results: The interviewees’ mean age was 68.12 ± 6.24 years. The QOL score was 83.67 ± 13.75 (out of 127), consisting of 27 (6.9%) elders with low, 316 (81.8%) elders with moderate, and 43 (11%) elders with high levels of QOL. The CCQOL and MQOL scores were 70.68 ± 9.42 (out of 93), and 20.94 ± 2.30 (out of 34), respectively. According to the multivariate analysis, sleep disorders (B = -0.15), osteoporosis (B = -0.14), female gender (B = -0.13), and not being the source of family income (B = -0.13) were inversely correlated with QOL. In contrast, sleep disorders, facing violence, female gender, migraine, psychological diseases, and not being the source of family income were inversely correlated with CCQOL. Sexual problems, facing violence, no supplementary insurance coverage, inability to walk, and migraine had inverse correlations with MQOL. Conclusions: Seven out of ten elders had a moderate level of QOL, while elderly females and elders with chronic diseases or those who were not the source of family income had lower levels of QOL. Accordingly, the elders’ QOL can be improved by integrating the elders’ care programs in the health centers.

Quality of life of older adults and associated factors in Ghanaian urban slums: a cross-sectional study

ObjectiveThis study provides insight into the quality of life (QoL) of older adults living in urban slums in Ghana.DesignThe study employed a community-based, cross-sectional design to assess QoL among older...

Acceptance of disability, coping style, perceived social support and quality of life among patients with chronic lymphedema: a cross-sectional study.

To examine acceptance of disability, coping style, perceived social support, and quality of life and to explore the relationships between acceptance of disability, coping style, perceived social support, and quality of life among Chinese patients with chronic lymphedema. Chronic lymphedema patients were recruited from five tertiary hospitals between May and July 2020 in China. Recruited patients were assessed for quality of life (QOL), acceptance of disability (AOD), coping styles, perceived social support (PSS), and sociodemographic and disease-related factors. Multivariate linear regression models were conducted to examine the multivariate effect of AOD, coping style, PSS, and sociodemographic and disease-related factors on QOL. A total of 163 chronic lymphedema patients were recruited. The mean score of QOL was 2.23 (SD = 0.68). AOD, number of symptoms, acceptance-resignation, avoidance, degree of pain, PSS, and educational level were found to be significant predictors of QOL. Chinese patients with chronic lymphedema had moderate levels of QOL. The QOL and specific domains of patients were affected by different factors. Special attention and targeted interventions should be given to improve patients' QOL.

Prevalence of Dysmenorrea and its Effect on Student’s Quality of Life

Background: Dysmenorrhea is the leading cause of gynecological morbidity in women of reproductive age and it was found to have significant effect on day-to-day activities. Present study aimed to assess prevalence of dysmenorrea and its effect on Student’s Quality of Life at Faculty of Nursing Beni-Sueff University. Subjects and Methods: This study was exploratory descriptive, A convenient sample was selected from 516female students at faculty of Nursing Beni-suef University Data collection tools:1) Socio-demographic Questionnaire 2) verbal multidimensional scoring system 3) Pediatric quality of life Generic Core Scales. The results of the study revealed that the majority of the studied students suffered from dysmenorrheal in different grads, most of them experienced grade 1, more than one third experienced grade 2 and eighty percent of them experienced grade 3. Forty had moderate level of quality of life in physical health while more than one third experienced low level in psychological health, less than half experienced low level in social health and more than half experienced low level in academic performance and there was highly statistical significant correlation between dysmenorrheal and quality of life. The study concluded that the majority of the studied students suffered from dysmenorrheal & it had negative effect on quality of life, leading to absenteeism, reduced physical activity, loss of concentration, and poor social relationship. So study recommended to conduct better quality population-based longitudinal studies on the natural history of dysmenorrhea and on the effect of its risk factors across the reproductive life course.

Assessment of quality of life among the health workers of primary health centers managed by a nongovernment organization in Karnataka, India: A case study

BACKGROUND: Quality of life (QOL) is the general well-being as experienced and perceived by individuals and communities. Measuring QOL has a number of implications in a wide variety of contexts including healthcare. Studies have shown that World Health Organization (WHO) QOL-BREF is a quick and an effective tool (as the WHO QOL-100) in capturing the results with respect to key four domains. Healthcare services, in general, are human intensive in terms of emergencies, emotionality, and relationships which could affect grass root health worker's QOL negatively, especially in challenging working environments.OBJECTIVES: To evaluate the QOL among health workers of primary health centers (PHCs) managed by public private partnership in Karnataka State.MATERIALS AND METHODS: An exploratory study was carried out by applying WHO QOL-BREF to 70 health workers from 24 PHCs in 21 Districts of Karnataka and the results were analyzed. Pearson's correlation was conducted to assess the agreement level; paired t-test and ANOVA to compare differences between the domains.RESULTS: Analysis of domain-specific results and gender differences showed that women were more satisfied with physical health domain and men more satisfied with psychological health domain. The least satisfaction was seen in their opportunity for leisure activities and the highest satisfaction was with their ability to perform daily living activities.CONCLUSIONS: The study indicated moderate levels of QOL among the respondents. WHO QOL-BREF is a useful measure to assess, monitor and improve employees' QOL.

The Mediating Role of Parenting Self-Efficacy on Parenting Stress and Quality of Life in Parents of Young Children With Developmental Delay

Previous studies indicate that parents of developmentally delayed children have higher parenting stress (PS) and lower quality of life (QoL) than parents of healthy children. Parenting self-efficacy (PSE) may mediate the effects of PS on the QoL of parents. The present study explores the mediating role of PSE between PS and the QoL of parents of developmentally delayed children and compares the differences in several variables between fathers and mothers. A cross-sectional research design was used to study a sample of 70 parent dyads. Instruments used were the Basic Information Form, Parenting Stress Index Short Form (PSI-SF), Parenting Self-efficacy Scale (PSE Scale), and World Health Organization Quality of Life-BREF Taiwan version (WHOQOL-BREF). (1) Participants had a moderate level of QoL, PS, and PSE. (2) The PS of participants was significantly and negatively correlated with both QoL and PSE while their PSE was significantly and positively correlated with QoL. (3) The PSE of the fathers completely mediated the effects of PS on their QoL (p < .001), accounting for 62.2% of observed variation, while the PSE of the mothers partially mediated the effects of PS on their QoL (p < .05), accounting for 59.5% of observed variation. PSE was identified as the mediator between PS and QoL in both fathers and mothers. The PSE of the fathers completely mediated the effect of PS on QoL, while the PSE of the mothers partially mediated the effect of PS on QoL. Further research that explores the factors that affect the QoL of parents and then uses the results to develop interventions to enhance the PSE of parents, especially fathers, is recommended.

An Evaluation of Psychosocial Rehabilitation Facilities for Homeless Mentally Ill in India

Homelessness due to chronic mental illness has become amajor burden for most of the resource poor countries. TheKerala State in India has witnessed the efforts from thefaith based organizations and religiously oriented familiesin the care and rehabilitation of the homeless mentally ill.This paper explores the processes used by these facilitiesfor the care and rehabilitation of homeless mentally ill.Data were collected from the chief functionary ofrehabilitation facilities, persons with mental illnessresiding in the rehabilitation centers, and volunteer careproviders using interview schedules for the study ofrehabilitation processes and profile of chief functionaryand care providers. Otehre tools were, WHO QoL tomeasure the quality of life and level of functioning scaleand Global Assessment of Functioning Scale formeasuring the functioning. The care providers’orientation to mental illness was assessed usingOrientation to Mental Illness Scale (Prabhu, 1983). 65% ofthe centers displayed above average patient care serviceswhereas 25% had poor overall quality of patient careservices. The residents showed moderate level of qualityof life in the area of physical health, psychological health,social relationships and high level of quality of life in the domain of environment. The research has also identifiedseveral gaps in functioning of the facilities.

Changes in quality of life and its related factors in liver cancer patients receiving stereotactic radiation therapy

Due to the increasing use of stereotactic radiotherapy (SRT) in treating advanced liver cancer patients, the purpose of this longitudinal study was to explore the changes and factors related to quality of life (QOL) in patients receiving SRT treatment. Liver cancer patients receiving SRT in northern Taiwan were recruited. The patients were followed up during the baseline pre-SRT and the first 6 weeks of SRT (T0 to T6) in assessing functional status and symptom severity, while depression, selected laboratory data, and QOL were assessed every 3 weeks (T0, T3, and T6). Generalized estimating equations (GEE) analysis was used to explore the significant factors related to the change in QOL. Ninety-nine patients with advanced liver cancer completed seven interviews. The results showed that QOL during SRT was moderate and relatively stable. Performance functional status, depression, the level of albumin, and overall symptom severity were significantly associated with changes in QOL. A further analysis of the relationships between individual symptom severity and QOL revealed that fatigue, lack of appetite, pain, and nausea were the symptoms most affecting QOL across the 6 weeks of SRT. Liver cancer patients had stable and moderate levels of QOL during SRT. Factors related to QOL across the 6 weeks were multi-dimensional. Both overall symptom severity and selected individual symptoms were important to patients' QOL. These factors should all be carefully assessed and clinically treated to enhance liver cancer patients' QOL during SRT.

Symptoms, Self-Care, and Quality of Life of Chinese American Patients With Cancer

To explore the cancer symptom experience, self-care strategies, and quality of life (QOL) among Chinese Americans during outpatient chemotherapy. Descriptive, exploratory cohort study. An outpatient infusion unit at a public urban county medical center. 25 Chinese-speaking patients with cancer completed the study. Participants were first-generation immigrants with low levels of acculturation; 88% could not read English; 64% had an annual household income of less than $20,000. Participants completed a basic demographics data sheet, the Suinn-Lew Acculturation Scale, the Memorial Symptom Assessment Scale and Self-Care Diary weekly for three weeks, and the Multidimensional QOL Scale-Cancer and Short-Form 36 Health Survey at the start and end of one chemotherapy cycle. Study instruments were translated into Chinese. Symptoms, self-care, QOL, and acculturation. Participants reported experiencing about 14 symptoms weekly. Lack of energy, hair loss, dry mouth, sleep difficulty, and loss of appetite were reported most frequently. On average, about two self-care strategies per symptom were reported and were low to moderate in effectiveness. About 20% of the sample listed Chinese medicine as part of their self-care strategies. A moderate level of QOL was reported. Using translated standardized questionnaires can be a feasible method of data collection in studies with non-English-speaking patients. However, having well-trained, bilingual data collectors is important. More attention to long-term cancer self-management in minority patients with cancer is needed. Further research is needed with larger samples, more efficient community-based recruitment strategies, and the development and testing of culturally sensitive interventions.