Social Relationship Domain Research Articles

Medication adherence and quality of life among geriatric patients: Insights from a hospital-based cross-sectional study in India.

Understanding the factors that influence medication adherence and the multidimensional aspects of quality of life in the elderly is of paramount importance in enhancing their overall well-being. Since geriatric patients usually suffer from multiple morbidities due to their declining age, the adherence towards their medications plays a very crucial role in their quality of life. This cross-sectional study explores the intricate relationship between medication adherence and quality of life among 310 elderly patients at a single medical college and hospital. Participants completed the Morisky Medication Adherence Scale (MMAS-8) to assess medication adherence and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire, which comprises four domains (physical health, psychological health, social relationships, and environment) to evaluate quality of life. Statistical analyses, including correlations, paired t-tests, ANOVA, and Backward Multiple Linear Regression, were employed to examine the relationships and differences among variables. The findings indicate varying levels of medication adherence among participants, with a significant proportion exhibiting medium adherence (47.1%) and highlighting the need for interventions to address challenges in medication adherence among the elderly population. Notably, gender emerged as a significant factor influencing quality of life, with males reporting higher satisfaction across all domains compared to females. Medication adherence exhibited a significant correlation with the social relationships domain (DOM3) of the WHOQOL-BREF, underlining the importance of adherence in fostering positive social interactions. Our study revealed a significant association between medication adherence (MMAS- 8) and the quality of life (WHOQOL-BREF) among elderly patients. We also observed noteworthy gender differences in quality-of-life perceptions. It emphasizes the need for tailored interventions that consider medication adherence issues to enhance the overall quality of life among this vulnerable population.

Nutritional Status and Quality of Life: Urban–Rural Disparities and the Impact of Obesity

The shift in dietary habits has reshaped the population’s health profile, leading to a rise in overweight individuals and a subsequent decline in health-related quality of life (HRQoL). This study evaluated the correlations between demographic, social, and health-related factors and HRQoL in rural and urban areas of Bahia, Brazil. The cross-sectional study included 124 participants aged 18–60 who underwent interviews, anthropometric measurements, and laboratory tests. The WHOQol-BREF instrument assessed the HRQoL. The results showed that rural participants had lower educational levels, income, and access to sanitation. Despite these challenges, rural residents reported better HRQoL in psychological, social relations, and health satisfaction domains, although differences diminished after age adjustment. Urban participants, who had higher rates of obesity and related metabolic risks experienced a negative correlation between BMI and HRQoL, especially in the social relationships domain. The study highlights that environmental and social factors, such as weight-related stigma and social connections, significantly influence HRQoL in urban areas, emphasizing the need for public health interventions that address both nutritional status and urban-specific challenges.

Social Support and Quality of Life in Hemodialysis Patients: A Comparative Study with Healthy Controls

Background and Objectives: Hemodialysis patients face significant physical and psychological challenges, including diminished quality of life and reduced social support. This study aimed to assess the levels of social support and quality of life in hemodialysis patients and identify the sociodemographic and dialysis-related factors influencing these outcomes. Materials and Methods: This study included 115 hemodialysis patients and 107 healthy controls. Social support was measured using the Modified Social Support Survey (MSSS) and its abbreviated version (MSSS-5). Quality of life was assessed using the WHOQOL-BREF questionnaire. Demographic variables (age, sex, education, marital status) and dialysis-related factors (session duration, Kt/V, vascular access type, and urea reduction ratio) were analyzed to determine their effects on social support and quality of life. Results: Hemodialysis patients reported significantly lower scores in the Physical Health and Psychological Health domains of the WHOQOL-BREF compared to healthy controls. Males on hemodialysis scored lower than the controls in the Physical Health, Psychological Health, and Environment domains of the WHOQOL-BREF and the Affectionate Support and Positive Social Interaction subscales of MSSS. Conversely, hemodialysis females reported higher scores for Tangible Support, Emotional/Informational Support, and Affectionate Support. Longer dialysis sessions negatively impacted the Social Relationships domain. Married hemodialysis patients had higher Emotional/Informational Support and Affectionate Support scores. Conclusions: Hemodialysis patients experience diminished physical and psychological quality of life, particularly males. Social support, especially emotional and informational support, is crucial for hemodialysis patients, with marital status playing a key role. Addressing these psychosocial factors may improve outcomes for hemodialysis patients.

Factors associated with quality of life among newly diagnosed acute ischemic stroke patients: a community-based case-control study.

Stroke burden is expected to increase and surviving a bout of stroke may leave one with a chronic or disabling outcome decreasing significantly the quality of life of the sufferer. The study aimed to explore the association between quality of life (QoL) in stroke and non-stroke individuals in a predominantly agricultural community. A community-based case-control study was conducted among 154 cases aged 18 and 75 diagnosed with incident stroke. Controls were 554 non-stroke individuals (n = 554) recruited from a community where cases resided. Cases and controls were matched for age, gender and residential area. Using a self-reported questionnaire of the World Health Organization Quality of Life (WHOQOL-BREF), socio-demographic characteristics and lifestyle habits were measured in association with QoL. Statistical analyses included multivariable logistic regression models, adjusted odds ratio (aOR) and 95% confidence interval (CI). Significant predictors associated with low-medium QoL were having a larger waist circumference (aOR = 1.619, 95%CI [1.003-2.612]) and being a farmer (aOR = 2.976, 95%CI [1.143-7.750]) but having a current smoking habit and being male were at lesser odds with low-medium QoL (aOR = 0.381, 95%CI [0.191-0.757]) and (aOR = 0.564, 95%CI [0.323-0.985]) respectively. In all domains, women were at a higher risk of low-medium QoL while in physical health and environment domains, it was having a larger waist circumference. In both physical health and psychological domains, being married was protective to low-medium QoL so also being age 39 or younger and having a higher education in social relationship domain. Waist circumference, occupation, smoking habit and gender are associated with low-medium QoL. Addressing the influence of such factors could create an additional therapeutic line in the primary prevention of stroke in at-risk populations.

Quality of life after hospitalization for COVID-19

Objective: To analyze quality of life (QoL) and associated factors in individuals after hospitalization due to COVID-19. Method: Cross-sectional study of patients hospitalized for COVID-19. The WHOQOL-BREF instrument was used for QOL analysis. A multiple linear regression model was used to evaluate the QOL of the stakeholders. Results: The highest mean QOL was observed in the social relationships domain (14.97 ± 3.43), followed by the psychological (14.53 ± 2.07), environmental (14.20 ± 2.49) and physical domains (12.75 ± 2.10). For each additional year of age, there was an increase of 0.44 points in the physical domain, 0.06 in the social relationship domain and 0.49 in the environmental domain. Individuals earning up to 2 times the minimum wage had a reduction of 1.60 points in the environmental domain; retired or a pensioner had a reduction of 1.84 points in the physical domain score, 1.40 in the psychological domain score and 2.62 in the social domain score in the ICU had a negative impact of 1.52 points on the scores in the social relationship domain. Conclusions: After hospitalization for COVID-19, individuals presented a good perception of their QOL. Demographic, social and clinical aspects influenced the perception of QOL, which indicates the need for the adoption and implementation of public policies aimed at minimizing these differences.

Quality of life and associated factors among primary caregivers of children and adolescents with neurodevelopmental disorders attending public hospitals in Addis Ababa, Ethiopia: a cross-sectional study.

Neurodevelopmental disorders are a set of disorders that negatively affect the acquisition of skills in a variety of developmental domains, including motor function, learning, socialization, language and cognition. However, there is no information available on the standard of living of Ethiopian primary caregivers of children and adolescents with neurodevelopmental disorders. Therefore, this study aimed to assess the quality of life (QOL) and associated factors among primary caregivers of children and adolescents with neurodevelopmental disorders in Addis Ababa, Ethiopia. A cross-sectional study was conducted during 1-30 May 2022. Systematic random sampling was used to obtain 352 samples. QOL was measured using the WHO Quality of Life Brief. The gathered information was coded, entered into EpiData 4.6.0.2 and analyzed with SPSS version 26. Multiple linear regression analysis was used to identify the correlates of QOL and the strength of the correlation was measured by β coefficient with 95% CI. The mean score of the overall QOL was 62.61 with a SD of 5.17. The mean (±SD) scores for the physical health, psychological, environmental and social relationship domains of primary caregivers were 57.36±9.98, 66.98±9.39, 66.06±12.91 and 60.02±9.14, respectively. Age was significantly associated with physical domain (β=-0.25, 95% CI -0.43 to -0.07) and with environmental domain (β=-4.57, 95% CI -9.06 to -0.09). Being divorced/widowed was negatively associated with psychological health (β=-2.99, 95% CI -5.82 to -0.17) and social health (β=-0.62, 95% CI -1.33 to -0.10). The presence of medical illness was negatively associated with the physical health domain (β=-4.32, 95% CI -7.64 to -2.91) and the environmental domain (β=-3.11, 95% CI -5.71 to -0.51). Poor social support was negatively associated with psychological health (β=-3.25, 95% CI -5.89 to -0.61) and the social health domain (β=-3.39, 95% CI -11.3 to 4.6), and moderate social support (β=8.62, 95% CI 3.15 to 14.09) was positively associated with physical health. Depression (β=-6.32, 95% CI -11.96 to -0.67) and anxiety (β =-3.07, 95% CI -5.80 to -0.34) were negatively associated with physical health and the psychological health domain, respectively. The findings from this study indicate that all dimensions of QOL of primary caregivers of children and adolescents with neurodevelopmental disorders in this study setting were compromised. Being divorced or widowed, lack of formal education, age, average monthly income, poor social support, depression, anxiety and the presence of medical illness were factors associated with QOL in all domains. This requires integrating a bio-psychosocial perspective, a positive mental health strategy and pharmaceutical therapies to enhance QOL for caregivers of children and adolescents with neurodevelopmental disorders.

Anxiety, Depression, and Quality of Life in the Postnatal Period: A Cross-sectional Analysis in a Tertiary Care Setting in Khammam, Telangana, South India

Abstract Introduction: The postpartum period is a crucial phase marked by significant physical and emotional changes for women. Mental health issues, especially anxiety and depression, can profoundly affect maternal well-being and maternal–infant interactions. Despite growing recognition, comprehensive research on perinatal mental health in India is lacking. Materials and Methods: A cross-sectional study surveyed 236 postnatal women in a tertiary care center in Khammam, Telangana. Participants completed standardized questionnaires for depression (Edinburgh Postnatal Depression Scale), anxiety (Perinatal Anxiety Screening Scale), and quality of life (QOL, World Health Organization QOL-BREF). Data analysis utilized descriptive statistics and inferential tests to examine associations between variables. Results: The study revealed a significant prevalence of depression (25.42%) and anxiety (24.57%) among postnatal women, with 11% experiencing both. Demographic analysis highlighted age, residency, and education as significant factors associated with mental health outcomes. Participants without depression or anxiety generally reported a higher QOL across various domains compared to those with mental health disorders. Significant differences were observed in physical, psychological, and social relationship domains between participants with and without depression and anxiety. Conclusion: This study provides valuable insights into anxiety and depression prevalence among postnatal women and their impact on QOL. Addressing postnatal mental health is crucial for fostering positive maternal–infant relationships. Future interventions should prioritize comprehensive, culturally sensitive approaches to mental health care for postnatal women in India.

Exploring the Quality of Life of University Students in Egypt: A Cross-Sectional Survey Using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Assessment.

To comprehensively assess the quality of life (QoL) of Egyptian university students. Cross-sectional online study. Online settings of university students from August to October 2023. University students aged 18-25 from various institutions in Egypt. Physical, psychological, social, and environmental domains of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) scale. Statistical analyses were performed using SPSS version 27.0. Mann-Whitney and Kruskal-Wallis tests were used to detect significant associations while Spearman correlation was used for correlation analysis. A total of 1930 Egyptian university students were included. Students showed outperformance in the psychological health and social relationships domains, with medians of 58 ± 20.8 and 58 ± 25, respectively, compared to physical health with a median of 46 ± 17.8 and environmental health with a median score of 16.6 ± 21.9. Non-medical students reported higher QoL scores, particularly in physical, psychological, and social domains, compared to their medical counterparts (P-values <0.001, 0.007, and 0.002, respectively). No significant differences were observed between genders in any of the domains. Academic performance satisfaction significantly correlated with higher QoL scores across all domains (P < 0.001). This multi-center study sheds light on diverse aspects influencing QoL of Egyptian university students. The findings underscore the importance of addressing academic stressors, promoting health behaviors, and tailoring interventions based on students' academic backgrounds with larger and more representative samples.

The Influence of Cultural Heritage Status on the Quality of Life of Slum Settlement Community

Surabaya is a fast-growing city facing challenges in infrastructure development, posing a threat to cultural heritage and historic areas. The Kalimas area has been abandoned, negatively impacting the environment. Cultural heritage is valuable as it instills pride, holds significance in civilization, and can improve the quality of life (QOL). The World Health Organization (WHO) defines the quality of life as an individual's perception of differences in life based on culture and the surrounding environment. This study aims to determine the impact of physical conditions in slum settlements on the QOL of the community and identify the slum settlement variables that can improve residents' QOL. The study uses a quantitative approach with analytical techniques such as literature review and multiple linear regression to analyze land characteristics, socio-economic factors, and physical characteristics. QOL is measured using the WHOQOL questionnaire. The data collection methods include secondary data from the Department of Housing, Settlement Areas and Land, and Bappedalitbang of Surabaya City, as well as primary data from observations, questionnaires, and interviews with the research sample. The results indicate that slum settlement variables significantly affect four domains of QOL: physical health, psychology, environment, and social relationships. However, physical characteristics partially do not affect the psychological, environmental, and social relationship domains.

Efficacy of Teleconsultation Versus Usual Care in Improving Quality of Life Among Geriatric Patients Aged 60 and Above: A Randomized Controlled Trial.

Introduction The geriatric population, aged 60 years and older, is rapidly growing worldwide. This demographic shift has led to a higher prevalence of chronic diseases, comorbidities, and functional impairments, placing immense pressure on healthcare systems. Teleconsultation, which uses telecommunication technologies to deliver healthcare services remotely, offers a potential solution. This study aimed to assess the efficacy of teleconsultation versus usual care in improving the quality of life among the geriatric population aged 60 years and older. Methods A parallel, randomized controlled trial with a 1:1 allocation ratio was conducted. Eligible participants, aged 60 and above, were recruited at the triage emergency department (ED) following a baseline eligibility assessment. Inclusion criteria included the ability to communicate in English or Hindi, possession of International Organization for Standardization (ISO-certified) instruments for self-monitoring, and willingness to comply with study procedures and provide written consent. Participants were randomly assigned to experimental and control arms using a computer-generated sequence, with allocation concealment achieved through sequentially numbered opaque sealed envelopes (SNOSEs), which were opened in front of participants after obtaining baseline data. A total of 2,000 participants (1,000 per arm) were enrolled and randomly assigned to either the teleconsultation or usual care group. Results In the teleconsultation group (n=1,000), 36.5% of participants (365) were female and 63.5% of participants (635) were male. Similarly, in the usual care group (n=1,000), 37.1% of participants (371) were female and 62.9% of participants (629) were male. The teleconsultation group significantly outperformed the usual care group in several domains pre-intervention, with higher mean scores in the physical health domain (11.16 vs. 10.96, P = 0.009), psychological domain (11.74 vs. 11.62, P = 0.020), and environment domain (12.44 vs. 12.26, P = 0.0001). No significant difference was observed in the social relationships domain (P = 0.452). The teleconsultation group significantly outperformed the usual care group in all domains post-intervention, with higher mean scores in the physical health domain (14.49 vs. 12.74), psychological domain (13.75 vs. 12.35), social relationships domain (14.05 vs. 12.90), and environment domain (13.91 vs. 12.94) (P < 0.001 for all). Conclusion These findings suggest that teleconsultation significantly improves the quality of life for elderly patients by providing a more accessible and convenient means of healthcare delivery and addressing the physical, emotional, and social challenges associated with chronic illnesses.

Quality of Life after Cataract Surgery.

Background: The impact of medical intervention on a patient's quality of life (QoL) is more and more important. Treatment success is defined not only in terms of the success of the procedure performed but also with regard to its impact on different areas of the patient's life. The aim of the study was to assess the QoL of patients after cataract surgery and identify factors that affect it. Methods: Between January and March 2018, a survey was carried out among 100 patients who had undergone cataract surgery with intraocular lens implantation at the 'Spektrum' Clinical Ophthalmology Centre in Wrocław. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire and Illness Acceptance Scale (AIS) were used. Results: Most respondents (67%) rated their overall health as very good. The median score on the AIS was 34 (31.5-39), indicating a high level of illness acceptance. There was no statistically significant relationship (p > 0.05) between sex and QoL nor between the level of illness acceptance and QoL. We found no statistically significant relationships between place of residence and QoL (p > 0.05) nor between place of residence and AIS. Conclusions: The respondents reported the highest QoL scores for the environment domain and the lowest QoL scores for the social relationships domain. QoL had a positive impact on illness acceptance among the study patients. Younger patients (aged 50 or under) reported significantly higher scores for all the domains of QoL. Being employed was found to be associated with better QoL and greater illness acceptance.

Assessment of Quality of Life of Doctors during Corona Pandemic in a Tertiary Hospital in Dhaka City

Background: Corona pandemic is an event where there is a rupture of the normal life pattern. The healthcare professionals specially doctors had faced an unknown potential threat to life that made them work in an intense and fearful situation. So, their quality of life (QOL) was affected in that pandemic. Objectives: To assess the physical health, psychological, social relationship, and environmental domains of quality of life of doctors during COVID-19 pandemic in a tertiary level hospital. Methods: It was a cross sectional study that included 100 doctors who were working during corona pandemic in BSMMU. Then they were interviewed with a semi-structured socio-demographic questionnaire. Quality of life was assessed by validated Bengali version of World Health Organization quality of life scale brief (WHOQOL-BREF). Data analysis was performed by statistical package for social science (SPSS), version-20. Results: Among the four domains, the environmental domain had the lowest score followed by physical health and psychological health domain and the social relationship domain showed a relatively higher score. Besides, environmental health scores of female doctors were significantly higher than those of male doctors. Perceptions of quality of life were significantly poor among doctors who were in current economic struggle (p=0.034) or in fear of future economic struggle (p=0.009). Score of environmental health domain were significantly low among doctors who were in current economic struggle (p=0.0137) as well as in fear of future economic struggle (p=0.015). Conclusion: All domains of quality of life were impaired in doctors during COVID-19 pandemic situation. Among the four domains of WHOQOL-BREF scale, environmental domain was mostly affected. Environmental health of male doctors was worse than female doctors during COVID-19 pandemic. Current as well as fear of future economic struggle in COVID-19 pandemic detrimentally affected perception of quality of life among responded doctors. These also caused poor environmental health among doctors in COVID-19 pandemic. J Com Med Col Teachers Asso Jan 2024; 28(1): 09-13

REAL ESTATE, PHOTOGRAPHY, AND CAPITALIST ABSTRACTION. ON EDGAR MARTINS’ THIS IS NOT A HOUSE, DANIEL SHEA’S 43-35 10TH STREET, AND LEWIS BUSH’S METROPOLE

The paper analyses three photographic bodies of work — Edgar Martins’ This Is Not a House, Daniel Shea’s 43-35 10th Street, and Lewis Bush’s Metropole — looking at various aspects of the real estate market: real estate collapse and the 2008 financial crisis in the USA, as well as real estate boom and gentrification in New York City and London. The case studies depict the real estate industry as an example of how invisible and abstract market processes shape visible and concrete domains of everyday life, such as, income inequalities, social relationships, or public space aesthetics. The artists in question use photography as a tool to deconstruct the abstractions of neoliberal capitalism through an attempt to visualise the invisible. By examining the three case studies in the light of economic theory on the real estate market, the paper defines links between neoliberal capitalism and the medium of photography using the idea of abstraction, and shows how photography is used to dissect the complexity of economic processes taking place within the realm of neoliberal capitalism.

Sense of Coherence: A Predictor of Quality of Life in Caregivers of Cancer Patients

Background: The caregivers of cancer patients go through numerous changes in their lives, caused by the complexity of cancer care, which then influence their quality of life (QoL). In this context, the sense of coherence (SoC) has been introduced as individuals' capacity to adapt to complex situations. Objectives: This study aimed at examining the relationship between QoL and SoC among the caregivers of cancer patients. Methods: This descriptive correlational study was performed on the caregivers of cancer patients referred to a teaching hospital in Tehran, Iran. In total, 200 eligible caregivers, selected by purposive and convenience sampling from September to December 2022, completed the research instrument comprised of a researcher-made demographic-clinical information form, the SoC Scale (13-item), and WHOQoL-BREF. The data were analyzed by the SPSS 20 software. To investigate the relationship between caregivers’ SoC and QoL, first, the correlation was determined, and afterward, the significant variables were analyzed, using multiple linear regression. Results: The overall mean score of QoL among the caregivers was 52.12 ± 14.45. In this way, the highest and lowest values were associated with the domains of physical health and social relationships, receiving the mean scores of 55.19 ± 11.46 and 38.40 ± 10.08, respectively. The overall mean score of SoC was also equal to 49.71 ± 9.34. As well, the results of the study demonstrated a significant positive correlation between SoC and QoL (r = 0.585, P &lt; 0.001) as well as its 3 domains. Considering the demographic and clinical factors, the regression outcomes revealed that SoC was a predictor of QoL in the caregivers of cancer patients (P &lt; 0.001, Β = 0.65). Among the demographic factors, a significant correlation was accordingly observed between age, marital status, income level, employment status, and QoL and some of its domains (P &lt; 0.05). Conclusions: It was argued that SoC could be a positive predictor and a protective factor for QoL among the caregivers of cancer patients. In this vein, it was recommended to give a boost to the SoC dimensions during oncology and palliative care via an interdisciplinary approach and a variety of interventions. Upon developing QoL in the caregivers, QoL among the cancer patients could be then promoted.

Sleep Duration, Insomnia, and Associated Factors Among Ukrainians 1 Year After Russia's Full-Scale Invasion.

We aimed to investigate the prevalence of sleep disturbances and associated factors among Ukrainians 1 year after Russia's full-scale invasion. Quota sampling was used to collect online survey data from 2364 adults living in Ukraine aged 18 to 79 years from April 5, 2023, to May 15, 2023. Short sleep duration was defined as sleep duration ≤6 hours and long sleep duration as ≥9 hours. Insomnia was assessed by the Insomnia Symptom Questionnaire. The prevalences of short sleep duration, long sleep duration, and insomnia were 39.4%, 6.9%, and 38.5%, respectively. Short sleep duration and insomnia were both more likely in females (short sleep duration: adjusted odds ratio [aOR] = 1.44; insomnia: aOR = 2.17), individuals with depression (short sleep duration: aOR = 1.61; insomnia: aOR = 7.76), affected by the 2014 Russian invasion (short sleep duration: aOR = 1.37; insomnia: aOR = 1.78), and with more trauma events (short sleep duration: quartile 3 [Q3] versus Q1: aOR = 1.88; Q4 versus Q1: aOR = 1.83; insomnia: Q3 versus Q1: aOR = 2.14; Q4 versus Q1: aOR = 2.32). Insomnia was more likely in Ukrainians with posttraumatic stress disorder (aOR = 2.95), anxiety (aOR = 4.57), and loneliness (aOR = 1.67). Essential public service was associated with short sleep duration (aOR = 1.64). Short sleep duration and insomnia were associated with lower quality of life in physical, psychological, and environmental domains. Insomnia was associated with the social relationships domain. Sleep health among Ukrainian adults 1 year into the war is concerning, with more than one-third reporting inadequate sleep or insomnia. More studies are needed on impacts and interventions for sleep health during and after the war.

Evaluation of the quality of life among transgender men before and after gender reassignment surgery: a survey from Iran

BackgroundGender dysphoria, characterized by a misalignment between one’s gender identity and assigned sex, propels individuals towards medical interventions like gender reassignment surgery (GRS) to harmonize their bodies with their gender. This process aims to enhance overall quality of life (QoL), functioning, and body image. Recognizing the importance of cultivating a positive body image for transgender individuals navigating societal norms, this narrative highlights the ongoing debate surrounding QoL post-GRS. In response, our study is outlined, aiming to scrutinize QoL and self-image among transgender men post-GRS, offering valuable insights into societal perceptions and psychological well-being in this context.MethodThis cross-sectional survey focused on transgender men aged 15 to 35 who underwent gender reassignment surgery (GRS) in 2018–2022 in Shiraz, Iran. Participants, after passing psychiatric evaluations, completed World Health Organization Quality of Life (WHOQOL-100) questionnaires pre- and at least one-year post-surgery. The scores of the Brief-WHOQOL questionnaire were evaluated in four domains of physical health, psychological health, social relationships, and environmental health.ResultsA total of 60 individual who underwent GRS completed our questionnaire. The average age of the patients was 24.1 ± 3.8 years. Following GRS, the most increase was observed in the psychological factor (by 25.6%). The increase in score was statistically significant in all subgroups (P < 0.001) after operation. Urban living location had a significant association with higher increase in physical health (P < 0.010), psychological health (P = 0.005), and environmental health (P = 0.012) after GRS. In regards to physical health, the low socioeconomic group had a significantly less physical score improvement in QoL compared to the moderate group (P = 0.024) following GRS. In regards to environmental health, the high socioeconomic groups had significantly higher improvement in QoL compared to the low (P = 0.006) and moderate (P < 0.001) group after operation.ConclusionThe results demonstrate that GRS brings about improvements across all aspects of QoL. However, this enhancement is less pronounced among patients hailing from low socioeconomic backgrounds and rural areas.

A feasibility evaluation of a peer support intervention for social participation in China

PurposeThis study aims to report on the feasibility, acceptability and outcomes of a peer support program designed to promote social participation for adults with serious mental illness (SMI) in China.Design/methodology/approachThe authors used a community-based participatory research approach to adapt and test a six-month, culturally responsive peer program with 68 participants. Peer supporters were trained and supervised in Guangzhou, China. Peer workers were hired via a competitive process and completed both classroom and field training. Study participants were offered individual and group socialization activities. Participants completed measures on recovery, quality of life, functioning and symptoms at three time points (pre-, post- and follow-up).FindingsNearly 90% of participants expressed satisfaction with their peer supporters and the frequency of services. Findings showed a significant increasing trend for the social relationships domain of quality of life from baseline to follow-up. Female participants reported significantly increased recovery from pre to post and increased psychological quality of life pre-follow-up as compared to their male counterparts. Supervision logs documented positive gains from participants such as increased help-seeking, improved social skills, enhanced emotion regulation and self-confidence and established routine, alongside challenges like inconsistent engagement, low service incentives and an overreliance on social workers. Peer supporters also reported concerns about their own lack of skills and in navigating relationships between participants and their family members.Originality/valuePeer interventions have been well studied in Western countries but underexplored in China. This research addresses this gap by presenting a peer program aimed at enhancing the social participation of Chinese with SMI.

Quality of life and work-life balance among Nurse Educators in the Schools of Nursing in Sri Lanka

Objective: The study aimed to assess the quality of life and work-life balance (WLB) among Nurse Educators in the Schools of Nursing in Sri Lanka. Material and Methods: A descriptive cross-sectional study was conducted among 257 Nurse educators in all schools of Nursing in Sri Lanka. Data were collected by using validated and pretested self-administered questionnaires which include Socio-demographic details, a validated quality of life questionnaire (WHO QOL – BREF), and a Work Life Balance assessment scale. Data were analyzed using descriptive and inferential statistics. Results: The overall mean perceived QOL and health of the participants were 3.82 (±0.66) and 3.82 (±0.69) respectively. Participants obtained a high score for the social relationship domain (98.83/100) and a low score for the environmental domain (19.96/100) of the QOL. Findings of the work=life balance revealed an overall mean of 2.87 (SD=1.5) which indicates neither agree nor disagree with work-life interference with personal life and an overall mean of 2.53 (SD=0.96) which indicates neither agree nor disagree with personal life interference with work (PLIW). Conclusions: Nurse educators perceive a moderate level of personal life interference with work, but overall, they acknowledge work/personal life enhancement. These results highlight the complex and multifaceted nature of work-life balance among nurse educators.

Factors associated with symptoms of depression and anxiety in health professionals in high-complexity services

The aim of this study was to estimate the prevalence of anxiety and depression symptoms in health professionals in high-complexity services and the associated factors. Epidemiological, cross-sectional, analytical study. The Beck Anxiety and Depression Inventories and a questionnaire with sociodemographic and occupational aspects, health conditions, lifestyle and quality of life were used. A total of 490 professionals participated. The prevalence of anxiety and depression symptoms was 26.5% and 19.8%, respectively. The prevalence of anxious symptoms was lower among nurses and physicians, was higher among female professionals, who used sleep medications, with altered fasting blood glucose levels, with a good and regular/need to improve lifestyle, and with scores below average in the social relationships domain. The prevalence of depression symptoms was higher in females, who took time off work due to stress, depression, or anxiety, had a good and regular/need to improve lifestyle, and had below-average scores in the psychological and environmental domains. The outcomes investigated were associated with the following variables: gender, professional category, use of sleep medication, fasting glucose, stress leave, depression or anxiety, lifestyle, and quality of life.

Impact of defocus incorporated multiple segments (DIMS) spectacle lenses for myopia control on quality of life of the children: a qualitative study

ObjectiveTo assess the impact of DIMS (defocus incorporated multiple segments) spectacle lenses on the quality of life of children using it.MethodsSeparate in-depth interviews were conducted with children using DIMS as...