WHOQOL-BREF Questionnaire Research Articles

Visual Impairment in Hemodialyzed Patients-An IVIS Study.

Background and Objectives: The growing and aging population of hemodialysis patients has become increasingly disabled, with more complex comorbidities, and are older upon initiating dialysis. Visual impairment can adversely affect their quality of life and life satisfaction. Treatment evaluation should not only consider remission of the disease, but also the improvement of quality of life and life satisfaction. This is a single-center cross-sectional study. It was designed to evaluate visual impairment in hemodialyzed patients, its correlation with quality of life and life satisfaction, and its relationship to clinical outcomes in hemodialyzed patients. Materials and Methods: Seventy patients with chronic kidney disease undergoing hemodialysis and aged 18 years or older were recruited from a single Dialysis Unit. The Impact of Visual Impairment Scale (IVIS), WHOQOL-BREF, and Cantril Ladder questionnaires were utilized to assess both sociodemographic and clinical variables. Results: It was found that, among all assessed variables (i.e., sex, marital status, level of education, months on hemodialysis, history of kidney transplantation, Kt/V, URR, and UF), only age and central venous catheter placement were positively correlated with IVIS scores, while arteriovenous fistula and willingness to become a kidney transplant recipient were negatively correlated. Furthermore, a comparison between patients with moderate and severe visual impairment yielded supplemental data indicating that individuals whose dialysis access was through a dialysis catheter and those ineligible or unwilling to undergo transplantation suffered more often from severe visual impairment. This finding may be attributed to age. Conclusions: Older patients were predominantly observed to experience visual impairment. Patients intending to receive a kidney transplant and whose dialysis access was through an arteriovenous fistula were less prone to visual impairment, compared to those who may be ineligible or unwilling to receive transplantation and those with hemodialysis catheters. This phenomenon can be attributed to age-related distinctions in patients' suitability for specific dialysis access and transplantation. Those reporting visual impairment gave lower ratings in all four domains of their quality of life (comprising physical health, psychological health, social relationships, and environment) and in both present and anticipated five-year life satisfaction. More severe visual impairment was related to an additional reduction in physical health, social relationship, and environment domains, and in life satisfaction.

Prevalence of Dysmenorrhea and Its Effects on Quality Of Life among Student Nurses

OBJECTIVES The objective of this study was to determine the prevalence of dysmenorrhea and its effects on quality of life of nursing students at a nursing school. METHODOLOGY A descriptive cross-sectional survey was carried out at one nursing school in Peshawar, Pakistan. A sum of 179 student nurses participated in this research. Censes method was used following the inclusion and exclusion criteria. Approval for conducting this study was obtained from Ethics Review Board of Khyber Medical University. Data was collected by pre tested validated questionnaire WHOQOL BREF scale. SPSS version 22 was used to analyze the data. RESULTS The participants average age was 25.58 years. The majority (60.3%) of the participants reported having Dysmenorrhea. A great portion (63.5%) of respondents reported Dysmenorrhea in age group 18-25 years. 63.4% Participants reported Dysmenorrhea among unmarried participants. Participants with Dysmenorrhea had scores in the Generic BSN, PRN, and MSN education categories of 78(64.5%), 21(48.8%), and 9(60%) respectively. There was no correlation between dysmenorrhea and QOL (p-value =.377). CONCLUSION Dysmenorrhea is quite prevalent among nursing students, along with severe lower abdomen pain, however there is no correlation between dysmenorrhea and Quality of Life.

Detection of Insomnia and Its Relationship with Cognitive Impairment, Depression, and Quality of Life in Older Community-Dwelling Mexicans.

Sleep disturbances are one of the most frequent health problems in old age, among which insomnia stands out. It is characterized by difficulty falling asleep, staying asleep, frequent awakenings, or waking up too early and not having restful sleep, which may be a risk factor for cognitive impairment and depression, affecting functionality and quality of life. Insomnia is a very complex multifactorial problem that requires a multi- and interdisciplinary approach. However, it is frequently not diagnosed in older community-dwelling people, increasing the risk of psychological, cognitive, and quality of life alterations. The aim was to detect insomnia and its relationship with cognitive impairment, depression, and quality of life in older community-dwelling Mexicans. An analytical cross-sectional study was carried out in 107 older adults from Mexico City. The following screening instruments were applied: Athens Insomnia Scale, Mini-Mental State Examination, Geriatric Depression Scale, WHO Quality of Life Questionnaire WHOQoL-Bref, Pittsburgh Sleep Quality Inventory. The frequency of insomnia detected was 57% and its relationship with cognitive impairment, depression, and low quality of life was 31% (OR = 2.5, 95% CI, 1.1-6.6. p < 0.05), 41% (OR = 7.3, 95% CI, 2.3-22.9, p < 0.001), and 59% (OR = 2.5, 95% CI, 1.1-5.4, p < 0.05), respectively. Our findings suggest that insomnia is a frequent clinical disorder that is not diagnosed and a significant risk factor for cognitive decline, depression, and poor quality of life.

Medication Adherence and its Association with Socioeconomic Factors and Quality of Life in Patients with Rheumatoid Arthritis

Abstract Background: Medication adherence to prescribed medications in chronic diseases like rheumatoid arthritis (RA) is influenced by social and economic factors, health-care team/system factors, characteristic of the disease, disease therapies, and physician-related and patient-related factors. Socioeconomic factors of the patients play a major role in adherence to long-term therapies. In view of lack of consistent findings and limited studies, this study aimed to study the socioeconomic factors and quality of life (QOL) and their association with medication adherence in RA. Materials and Methods: This is a prospective observational study carried out in a tertiary care hospital from February 2021 to June 2021. The Compliance-Questionnaire-Rheumatology 19 was used to assess adherence with scores ≥80% considered adherent and others nonadherent. QOL was assessed by the WHOQOL-BREF Questionnaire, and socioeconomic factors were determined using the Modified Kuppuswamy’s Socioeconomic Status scale 2020. Results: Of the 135 patients (108 females and 27 males) in the study, adherence was observed only in 19.3% (26) and the remaining 80.7% (109) were nonadherent. There was a significant difference (P = 0.013) in the number of medications used among both the groups. Among the socioeconomic factors, though there is difference in occupation of both the groups, it was found be not significant (P = 0.058). There was no association of adherence with any of the four domains of QOL. Conclusion: There was no association of medication adherence with socioeconomic factors and QOL in RA.

Latihan Autogenik Meningkatkan Kualitas Hidup Klien Hipertensi

The quality of life of people with hypertension is influenced by a sense of comfort that arises from the symptoms of the disease. Autogenic exercise is a nursing intervention that is often used for hypertensive patients. Autogenic training is a type of psychophysiological psychotherapy that provides self-sourced suggestions of calm. This research aims to determine the effect of autogenic training on the quality of life of hypertensive patients. This research with a quasi-experimental design with control group with pretest and posttest types. The sample size in this study was 30 hypertension clients in each intervention and control group. The intervention provided was 5 sessions of Autogenic Training with an internalization period of 1 month of independent practice. Data collection using the WHOQOL-BREF questionnaire to measure the quality of life of hypertension patients. Statistical test results obtained a significant change in the quality of life with p-value=0,001 (p&lt;0.005). The results showed a significant effect on the quality of life of the respondents after carrying out the autogenic exercise intervention. The results of the study are expected to be applied as an alternative to caring in improving the quality of life of hypertensive patients in the community.

Trends in Health Communication: Social Media Needs and Quality of Life among Older Adults in Malaysia.

While social media continues to dominate, social media platforms have become powerful health communication tools for older users. However, fulfilling their social media needs can be both detrimental and beneficial to their quality of life (QoL). This study assessed social media needs as they relate to QoL among older adults in Malaysia. We conducted a cross-sectional study and adopted convenience sampling to recruit participants. The participants were required to self-report their sociodemographic profile, social media use and needs, and QoL. Social media use and needs were assessed using the Social Networking Sites Uses and Needs (SNSUN) scale, and QoL was assessed using the WHOQOL-BREF questionnaire. Multiple linear regression was performed to identify the predictors of QoL. The findings revealed that the fulfilment of social integrative needs was the strongest predictor of higher QoL in all domains. However, those using social media for their affective needs demonstrated lower psychological health quality. Fulfilling social integrative needs is the key to improving the QoL among older adults. The continuous development of age-friendly applications is essential to keep up with constantly changing social media trends and bridge the gap of social media inequalities. More importantly, it would enable older adults to utilize social media to its fullest potential and enjoy a higher QoL through accessible health communication tools.

Assessment of the quality of life of patients with chronic kidney disease: a prospective observational crosssectional cohort study

Chronic kidney disease (CKD) is defined as changes in glomerular filtration rate and/or the presence of parenchymal damage, which are maintained for at least three months. When in advanced stages of evolution, renal replacement therapies are necessary, and the most widespread is hemodialysis, indispensable for the stability of the patient. However, such a therapeutic measure has a great influence on the patient's quality of life, interfering with their habits, as well as their physical conditions and social and occupational functioning. Thus, when evaluating the quality of care provided to 204 participants with CKD attending the nephrology and hemodialysis clinic, aimed at recognizing the quality of life, through the validated WHOQOL-BREF questionnaire, a causal relationship between the data obtained from each domain addressed in the questionnaire (physical, environmental, psychological and social relationships) and their quality of life profile. Those younger, males, with higher socioeconomic and educational levels, showed a significant increase in their quality of life. In addition, among the analyzed domains, the physical one, which deals with conditions such as pain, sleep quality, and physical and psychological capacity to perform functions showed to have the greatest impact, unfavorably. The opposite was observed in the environmental domain, which stood out positively among the others, allowing us to conclude that even though the participants had ideal conditions to carry out the procedure, the effects generated by this in the body, contribute to the reduction of significantly on the quality of life.

Physiotherapy versus pain medication for managing chronic cervical radiculopathy: protocol for a multi-arm parallel-group randomized clinical trial

Background: Cervical radiculopathy (CR) is one of the prevalent causes of neck pain and disability. Physiotherapy and pain medications are the common nonoperative management, and in physiotherapy, there are many concepts of assessment and management. This study aims to determine the comparative effectiveness of three specialized physiotherapy approaches or only pain medications for managing CR cases. Methods: A prospective, assessor, and participant-blind, four-arm randomized control trial (RCT) has been planned to conduct on 160 patients with chronic cervical radiculopathy in 4 specialized centers of Dhaka city recruited between July and December 2022. Four groups (n=40) will be treated through structural diagnosis and management concept (SDM), regional approaches (RA), McKenzie mechanical diagnosis and therapy (MDT) concept prescribed by advanced practice physiotherapist (APP), or pain medications prescribed by the specialist physician for 4 weeks. The outcome will be evaluated in baseline, intermediate test (14 days), and post-treatment (28 days) through Brief Pain Inventory (BPI) for pain, Goniometer reading for cervical range of motion (ROM), and Neck disability index (NDI) as the primary outcome. The secondary outcome will be quality of life measured at baseline and post-treatment by the WHO quality of life questionnaire WHOQOL-BREF. Discussion: The study will compare the efficacy of the three physiotherapy approaches with pain medications when treating chronic cervical radiculopathy. The findings will provide evidence when demining the best conservative management approach for CR. Clinical Trial Registry India: CTRI/2022/03/040922 (08/03/2022)

Quality of life and mental health of volunteers during COVID-19 pandemic: a cross-sectional survey in Serbia.

There is a paucity of information on the COVID-19 pandemic's impact on young volunteers. Therefore, the aim of this survey was to examine the QoL and mental health of young volunteers of the Novi Sad Voluntary Service during the COVID-19 pandemic. This cross-sectional prospective study included 255 members of the Novi Sad Voluntary Service, Serbia. The survey instrument probed into the respondents' demographic characteristics and was followed by the anonymous WHOQOL-BREF questionnaire that measured their quality of life during the COVID-19 pandemic and DASS-21 scale. All statistical analyses were carried out using IBM SPSS Statistics for Windows, vers. 24.0. The study sample consisted of 255 young volunteers (71.4% females, 28.6% males), 62.0% of whom were aged 18-25 years, and 52.2% were students. Lower Physical Capacity scores could be predicted by female gender (p < 0.01) and COVID-19 infection among friends (p < 0.05). Male gender (p < 0.05) and being employed (p < 0.05) predicted greater QoL in the Psychological domain. The only predictor of a lower QoL in the Social Relationships domain was the internet as the main COVID-19-related information source (p < 0.05). On the other hand, being female (p < 0.05) and having COVID-19-positive household members (p = 0.01) predicted lower environment domain scores. For the lower overall DASS-21 score, having COVID-19-positive household members was the only significant predictor (p < 0.01). Mental health support should pursue strategies to improve all domains of QoL, especially for vulnerable sub-groups of the population, such as young females and the unemployed. Bearing in mind the importance of public engagement and community support in pandemic circumstances, as well as generally in public health, these results are relevant for interventions far beyond the current pandemic.

Якість життя та психоемоційний стан вагітних із вірусним гепатитом В

Purpose - to assess the quality of life (QoL) and psycho-emotional state of pregnant women with hepatitis B virus (HBV). Materials and methods. 86 pregnant women with HBV were examined, who were divided into two subgroups: HBV1 - 38 women with obstetric and perinatal complications, HBV2 - 48 pregnant women without significant gestational complications. The QoL was assessed using the WHOQOL-BREF and CLDQ questionnaires and the level of anxiety and depression according to the HADS scale. Results. According to the WHOQOL-BREF questionnaire, the quality of life of HBV1 patients was significantly reduced in all domains except for D4 Environment. These women experience the greatest decline in QoL in the field of physical health (the estimate is 40% lower). For domains D2 Mental health and D3 Social relations, there was a decrease in the score by 23.6 and 28.7%, respectively. According to the CLDQ questionnaire of quality of life in chronic liver diseases, a significant difference between groups of pregnant women was established in 2 of 6 domains: AS abdominal symptoms 4.18±0.33 versus 5.19±0.24 points in the HBV2 group (p&lt;0.05), WO Anxiety 3.41±0.21 vs. 4.35±0.36 points, respectively (p&lt;0.05). According to the HADS Hospital Anxiety and Depression Scale, women in the HBV1 group are significantly more likely to be diagnosed with anxiety (60.5%), in particular, clinically pronounced anxiety in 15.8%. Almost half (44.8%) of the patients had depression, in 5.3% it was clinically pronounced. Conclusions. The results obtained confirm the role of psychological changes and a decrease in the QoL in the occurrence of obstetric and perinatal complications in HBV and indicate the need for their assessment, correction, and the possibility of using them as criteria for predicting complications and assessing the quality of treatment. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the author.

Physical Activity, Public Policy, Health Promotion, Sociability and Leisure: A Study on Gymnastics Groups in a Brazilian City Hall.

The present study analyzed a gymnastics program offered by the Department of Sports and Leisure at a Brazilian city hall, representing an example of an effective and consolidated public policy. The objective of this study was to understand the reasons for enrollment/joining (adhesion) and permanence (adherence) among female students in gymnastics groups in order to understand why this public policy has been taking place uninterruptedly for over thirty years and to characterize the quality of life of female gymnastics students. This is a case study that used mixed methods. As a quantitative method, the Portuguese version of the World Health Organization Quality of Life-Abbreviated Version (WHOQOL-bref) questionnaire was used. As a qualitative method, the focus group technique was used. Thus, 239 women aged between thirty-five and seventy-four years old, who were students of the gymnastics program, participated in this research by answering the WHOQOL-bref questionnaire. Two classes were selected using the socioeconomic criterion of social classes in inverse situations to carry out one focus group session; then, twenty students belonging to the two classes were randomly selected. It was verified that the public policy studied has led to an improvement in the quality of life of the students, with the benefits extending beyond physical health, and that in both groups adhesion occurred mainly due to the indication of students who already practiced, or due to medical indications. It was also found that, in both groups, the main reason for long-term adherence was the understanding of the gymnastics class as a space for sociability and a moment of leisure. Physical activity is an important health promotion strategy. In addition to its biological benefits, which are necessary for the prevention of chronic non-communicable diseases, it also improves health and quality of life through social and psychological benefits, characterizing it as an effective health care strategy from a biopsychosocial perspective.

Quality of life, voiding & sexual dysfunction following robot-assisted vesicovaginal fistula repair: a tertiary care centre experience.

Robot-assisted VVF (RA-VVF) repair has the advantage of small cystotomy, precise dissection and minimal surrounding tissue trauma. Translation of this to better functional outcomes is not studied so far. This study aims to evaluate the quality of life, voiding, and sexual dysfunction following robot-assisted VVF repair. Women with successful RA-VVF repair were screened using UDI-6, IIQ-7, FSFI, and WHOQOL-BREF questionnaires. The preoperative assessment was done in the prospective cohort only. Of the 75 women who underwent RA-VVF repair, 47 were enrolled, 33 in retrospective, and 14 in a prospective cohort. Overall, 28 (60%) women had urinary complaints with a median UDI-6 total score of 4 (0-100) and IIQ-7 score(0-23) in 5 (10%) women. However, UDS (15 women) showed no DO with cystometric capacity (352 ± 98.12) ml and normal compliance in 14 (93%) women. Mean BOOI and DCI were 11.90 ± 7.01 and 44.25 ± 8.60 respectively, with PdetQmax ranging from 17 to 44. None had difficulty in voiding (Qmax 13.85 ± 4.90). Twenty (43%) women were sexually active, and 2 had sexual dysfunction (FSFI score < 26.55). Quality of life was "good" to "very good" in all domains (score > 90) except for the social domain. The prospective cohort showed significant improvement in UDI-6 score (p < 0.05), IIQ-7 score (p < 0.05), and quality of life (p < 0.05) postoperatively. RA-VVF repair results in minimal voiding dysfunction and significant improvement in overall quality of life. For sexual dysfunction assessment, a longer follow-up is required.

Psychometric properties of the WHOQOL-BREF in citizens from a disadvantaged neighborhood in Southern Sweden.

Citizens living in disadvantaged neighborhoods experience poorer health than the majority, and this inequality is a public health problem even in a welfare state such as Sweden. Numerous initiatives aimed at improving health and quality of life in these populations are being implemented and evaluated. Given that these populations are predominantly multicultural and multilingual, an instrument such as the WHOQOL-BREF, which is cross-culturally validated and available in multiple languages, may be appropriate. However, this cannot be ascertained since the psychometric properties of WHOQOL-BREF have never been assessed in the Swedish context. Thus, the current study aimed at assessing the psychometric properties of the WHOQOL-BREF questionnaire in citizens from a disadvantaged neighborhood in Southern Sweden. The respondents in this study were 103 citizens who participated in the health promotional activities of a Health promotional program and also responded to the 26-item, WHOQOL-BREF questionnaire as a part of an evaluation to assess the impact of the activities on the health-related quality of life of citizens. A Rasch model using WINSTEP 4.5.1 was used to assess the psychometric properties in this study. Five of the 26 items, including pain and discomfort, dependence on medical substances, physical environment, social support, and negative feelings did not display acceptable goodness-of-fit to the Rasch model. On removing these items, the 21-item WHOQOL-BREF scale had an improved internal scale validity and person-separation reliability than the original 26-item version for this group of citizens from the neighborhood. When assessing the individual domains, three of the five items that were misfits on analyzing the full model also showed misfits in relation to two respective domains. When these items were removed, the internal scale validity of the domains also improved. WHOQOL-BREF seemed to be psychometrically inadequate when used in the original form due to internal scale validity problems, while the modified 21-item scale seemed better at measuring the health-related quality of life of citizens living in socially disadvantaged neighborhoods in Sweden. Omission of items shall be done but with caution. Alternatively, future studies may also consider rephrasing the items with misfits and further testing the instrument with larger samples exploring the associations between subsamples and specific item misfit responses.

PD03-08 SURGICAL AND FUNCTIONAL OUTCOMES OF BILATERAL SYNCHRONOUS ADRENALECTOMY FOR FUNCTIONAL TUMORS: A COHORT STUDY

You have accessJournal of UrologyCME1 Apr 2023PD03-08 SURGICAL AND FUNCTIONAL OUTCOMES OF BILATERAL SYNCHRONOUS ADRENALECTOMY FOR FUNCTIONAL TUMORS: A COHORT STUDY Keshav Agarwal, Rashmi Ramachandran, Nikhil Tandon, and Rajeev Kumar Keshav AgarwalKeshav Agarwal More articles by this author , Rashmi RamachandranRashmi Ramachandran More articles by this author , Nikhil TandonNikhil Tandon More articles by this author , and Rajeev KumarRajeev Kumar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003220.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Bilateral synchronous adrenalectomy has the potential for significant surgical and functional morbidity. We reviewed our 15-year experience with bilateral synchronous adrenalectomy to assess safety, surgical outcomes, morbidity and impact on health-related quality of life. METHODS: In an IRB approved study, we reviewed our prospective database of patients who underwent bilateral synchronous adrenalectomy for functional tumours between April 2008 and August 2022. Demographic profile, metabolic and radiological parameters, operative details and complications were recorded. Follow-up was obtained either in-person or telephonically and analysed for resolution of symptoms, quality of life using the WHO-QoL BREF questionnaire and complications of chronic steroid intake. RESULTS: During the study period, 337 adrenalectomies were performed which were bilateral in 51 patients, 48 undergoing both surgeries synchronously. 33 of these 48 patients had bilateral pheochromocytomas and 15 had Cushing’s syndrome. Among patients with Cushing’s syndrome, three had life-threatening symptoms requiring urgent bilateral surgery. Clinical details are given in Table 1. 40 patients had transperitoneal laparoscopic surgery and 8 underwent open surgery (Table 2). There were two intraoperative and 7 post-operative complications. 43 patients were available for follow-up. All had resolution of symptoms, BMI changes, and only two patients continued to receive one antihypertensive medication. Episodes of steroid deficiency occurred in 7 patients while steroid excess occurred in 3 patients. Quality of life was satisfactory in all patients in all domains. CONCLUSIONS: Bilateral synchronous adrenalectomy is safe and feasible in patients with functional adrenal tumors. It leads to symptom resolution with amelioration of hypertension and BMI changes with satisfactory overall quality of life. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e77 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Keshav Agarwal More articles by this author Rashmi Ramachandran More articles by this author Nikhil Tandon More articles by this author Rajeev Kumar More articles by this author Expand All Advertisement PDF downloadLoading ...

Quality of life and its associated factors among home-dwelling older people residing in the District of Colombo, Sri Lanka: a community-based cross-sectional study

IntroductionThis community-based cross-sectional study explored the factors affecting overall and domain-specific (physical health, psychological health, social relationships and environmental) quality of life (QOL) of home-dwelling older residents of the District...

A Study on Assessment of Prescription Pattern and Quality of Life in Hypertensive Patients in a Tertiary Care Hospital

Abstract: Aim: The study aims to assess the prescription pattern and quality of life in hypertensive patients in a tertiary care hospital. Materials and Methods: A prospective observational study of a six- month duration was conducted. All the data were documented and analyzed based on a standard protocol and entered into Microsoft Excel. Quality of life was collected using World Health Organization Quality of Life (WHOOQL)-BREF Questionnaire. The statistical analysis was done by IBM Statistical Package for the Social Sciences (SPSS) Statistics Version 28.0.0.0. Results: A total of 174 hypertensive patients consisting of 111 males and 63 females of age group 32-88 years were included in the study. The study showed Hypertension (HTN) was commonly affected in males. It was further clarified that Stage 2 HTN was the most prevalent one. The patients have been prescribed a total of 9 categories of anti-hypertensives in which the most commonly prescribed anti-hypertensives were diuretics (66.06%) and the least prescribed were alpha (α)- blockers (1.74%) and central sympatholytic (1.74%). Quality of Life (QOL) of hypertensive patients was carried out using the WHOQOL-BREF questionnaires. The comparison shows that a high mean score is seen in the psychological domain and a low mean score is seen in the social health domain. Conclusion: The study provides an overall layout regarding the prescription pattern and QOL in hypertensive patients. The patients were administered a total of 9 categories of anti- hypertensives. From the study, it was concluded that diuretics were the most prescribed anti- hypertensive drug. The average QOL in hypertensive patients were observed more in the psychological health domain (46.19). Keywords: Hypertension, Quality of life, Prescription pattern, WHOQOL questionnaires, IBM SPSS software.

Association between proximity to COVID-19 and the quality of life of healthcare workers.

The coronavirus disease 2019 (COVID-19) affects almost all countries in the world and it impacts every aspect of people's life-physically, mentally, and socio-economically. There are several research studies examining the impact of this pandemic on health, however, very few studies examining the impact of this pandemic on quality of life. This study aimed to investigate the association between proximity to the COVID-19 and quality of life of healthcare workers and identify factors influencing quality of life. A cross-sectional study was conducted among hospital staff in a tertiary hospital in Singapore. Data on demographic, medical history, lifestyle factors, psychosocial factors, and quality of life were collected using online self-administered questionnaire. Quality of life (QoL) was measured by the WHOQOL-BREF questionnaire. Robust linear regression was used to determine factors associated with quality of life. A total of 1911 participants were included in the analysis. The average age of participants was 38.25 (SD = 11.28) years old. 26.90% of participants had been quarantined, hospitalised, being suspected or diagnosed of having COVID-19 infection and they were found to have the lowest levels of QoL across all four domains (physical, psychological, social, and environmental domains). Participants who were singles or nurses, worked in shifts or worked longer hours, had chronic diseases were likely to have lower QoL scores compared to participants in other categories. Healthy lifestyle, social connectivity, resilience, social and workplace support were associated with higher QoL scores. In planning of measures which aim to improve QoL of healthcare workers, priority should be given to individuals who have been quarantined, hospitalised, being suspected, or diagnosed of having COVID-19 infection. In addition to the proximity of the COVID, lifestyle and psychosocial factors contribute to QoL of healthcare workers. Hence, multifaceted interventions are needed to improve QoL of healthcare workers.

Quality of life and its determinants among ambulatory diabetic patients attending NCD prevention clinic: A cross sectional study from Eastern India

IntroductionIndia is experiencing an upward spiral in diabetic population. With the impact of diabetes on physical, social, psychological components of individual's life, a holistic view in terms of Quality of Life (QoL) is being increasingly recognized as an essential component of diabetes care and management. The objective of this study was to evaluate the QoL in ambulatory diabetic patients and factors affecting it in a tertiary care medical institution in eastern India. Material and methodsIn this cross-sectional study, 103 adult diabetic ambulatory patients were recruited by systematic random sampling from a Non-Communicable Disease (NCD) Clinic of a tertiary care hospital of Eastern India. The QoL of patients were accessed by the validated Odia version of WHO-QoL BREF questionnaire. Bivariate analysis was performed to compare the effect of sociodemographic and clinical parameters on QoL scores. ResultsThe maximum domain wise score was in social (65.98 ± 13.89) followed by environmental (61.73 ± 16.27) domain. Overall, 64% of the respondents perceived as their QoL as good. Males, urban residents, persons aged less than 60 years and overweight individuals reported a better QoL than their counterparts. Gender and residence were found to be significantly associated with QoL, across domains. ConclusionsQoL assessment is pivotal as an outcome measure in diabetes care and management. Policy makers ought to consider quality adjusted life years while evaluating health outcomes in patients of chronic diseases like diabetes.

Impact of COVID19 pandemic on patients with rare diseases in Spain, with a special focus on inherited metabolic diseases

IntroductionThe Covid-19 pandemic soon became an international health emergency raising concern about its impact not only on physical health but also on quality of life and mental health. Rare diseases are chronically debilitating conditions with challenging patient care needs. We aimed to assess the quality of life and mental health of patients with rare diseases in Spain, with a special focus on inherited metabolic disorders (IMD). MethodsA prospective case-control study was designed, comparing 459 patients suffering from a rare disease (including 53 patients with IMD) and 446 healthy controls. Quality of life (QoL) and mental health were assessed using validated scales according to age: KINDL-R and the Pediatric Symptom Checklist (PSC) for children and the WhoQoL-Bref questionnaire, GAD and PHQ-9 in adults. ResultsFirst, children and adults (but not adolescents) with IMD showed greater psychological effects than controls (p = 0.022, p = 0.026 respectively). Second, when comparing QoL, only adult patients with IMD showed worse score than controls (66/100 vs 74,6/100 respectively, p = 0.017). Finally, IMD had better quality of life than other rare neurological and genetic diseases (p = 0.008) or other rare diseases (p < 0.001 respectively) but similar alteration of the mental status. ConclusionsOur data show that the pandemic had a negative impact on mental health that is more evident in the group of patients with IMD. Young age would behave as a protective factor on the perception of QoL. Furthermore, patients with IMD show a better QoL than other rare diseases.

Calgary Family Intervention Model Approach to Improve Quality of Life for Diabetes Mellitus Patients

Calgary Family Intervention Model (CFIM) is a nursing care model that is dominated by the family and integrated with the nursing paradigm that focuses on families. A case study was conducted to determine the intervention to improve the quality of life for the patient with diabetes mellitus. Nursing care was carried out using the Calgary Family Intervention Model approach with the author for three days and continued by the family for two weeks. With data collection techniques include interviews, observation, physical examination, and documentation. The tools used in this case study are a set of physical examination tools, blood sugar check tools, a nursing kit, and the WHOQOL-BREF questionnaire. The results showed that Mr. J’s family had problems in the dimensions of physical and psychological health, with the established nursing diagnosis being a poor quality of life. In family members who experience diabetes mellitus with quality of life problems there are positive changes to the family and in handling, nutrition, exercise, foot care, and stress management for the patient. It can be seen from the results questionnaire which showed an improvement in scores than before, especially in the dimensions of physical and psychological health.&#x0D; Keywords: Calgary, diabetes mellitus, family, nursing, quality of life