World Health Organization Quality Of Life Scale Research Articles

AYURVEDIC MANAGEMENT OF PROGRESSIVE SUPRANUCLEAR PALSY (PSP): A CASE REPORT

Progressive Supranuclear Palsy (PSP) is a rare neurological condition that can cause problems with balance, movement, vision, speech and swallowing. This condition could be clinically compared to Kaphavrita Vyana Vata and Asthi-Majja gata Vata in Ayurveda based on signs and symptoms. A 73-year-old male patient visited the Geriatric OPD of Panchakarma Department, Government Ayurveda College Panchakarma Hospital, Poojappura, Thiruvananthapuram, Kerala, India, with complaints of balance and mobility problems, including frequent falls, changes in behaviour like irritability, inability to control eye and upward eyelid movements along with slowness of thought and some memory problems. The patient was advised for IP admission. He was diagnosed with Progressive Supranuclear Palsy (PSP) from MRI-Brain. From an Ayurvedic perspective, this condition could be considered Kaphavrita Vyana Vata and Asthi-Majja gata Vata based on signs and symptoms. Considering all the factors, the treatment principles of Avarana Vata and Asthi-Majja gata Vata were followed in this case. The assessment criteria were based on the Progressive Supranuclear Palsy Rating Scale (PSPRS) and the WHO Quality of Life Scale (WHOQOLS). The case report shows that Ayurvedic treatment effectively reduces the signs and symptoms of Progressive Supranuclear Palsy (PSP) in the early stage. No adverse effect was found during the treatment. The assessment of the disease by the Progressive Supranuclear Palsy Rating Scale (PSPRS) showed improvement by changing the total score from 20 to 9 before and after treatment. The assessment with the World Health Organisation Quality of Life Scale (WHOQOLS) showed that the patient's quality of life improved from 45% to 64.6% before and after treatment.

A Study to Determine the Quality of Life among the Permanent Contraceptive Adopters and Non-adopters at Selected Rural Areas of Dadra and Nagar Haveli

INTRODUCTION Contraceptive information and services are fundamental to the health and human rights of all individual, prevention of unintended pregnancies helps to lower maternal ill-health and the number of pregnancy-related deaths (According to WHO). Between 2000 and 2020, the contraceptive prevalence rate (percentage of women aged 15-49 who use any contraceptive method) increased from 47.7 to 49.0% and 77.5% globally in 2022. In Dadra and Nagar Haveli and Daman and Diu, total modern methods used is 59.8%, female sterilization is 41.6% male sterilization is 0.2%, IUD usage is 2.2%, pill usage is 3.1%, condom usage is 11.7%, and injectables contraceptive usage is 0.9%. AIM The aim of the study is to determine the quality of life among the permanent contraceptive adopters and non-adopters at selected rural areas of Dadra & Nagar Haveli. METHODOLOGY Non-experimental two group comparative descriptive design with non- probability, purposive sampling technique was used to select 100 samples, who fulfilled inclusion criteria. WHO quality of life scale (BREF), that is self-administered scale was used to assess the level of quality of life. RESULT The result of the study showed that the adopters mean value was 70.3450 and the standard deviation was 8.55458, non-adopters mean value was 60.4000 and the standard deviation was 6.76406, ‘t’ value was 6.448 which was higher than the table value and ‘P’ value was 0.000. So there was a highly significant difference between the quality of life among the permanent contraceptive adopters and non-adopters. Hence research hypothesis was accepted. CONCLUSION The study proved that the quality of life among the permanent contraceptive adopters is much better than non-adopters. Hence there is a need to create awareness and provide health education on Family planning methods to the non-adopters.

Impact of a clinical care pathway developed through the action research method on the psychological well-being and quality of life in male patients with urethral stricture.

The objective of this study is to examine the development of a clinical care pathway utilizing an action research methodology for male patients with urethral stricture, and to assess the psychological and quality of life outcomes following the implementation of this pathway. Ninety patients diagnosed with urethral stricture, admitted to our hospital between May 2021 and May 2022, were selected as the study cohort. Employing a random number method, these patients were allocated into an observation group and a control group, each comprising 45 individuals. The control cohort employs standard care protocols for individuals with urethral stenosis, while the experimental group employs an action research methodology to develop a clinical care pathway specific to the management of patients with urethral stenosis, with an intervention cycle of 3 months. The investigation evaluated the impact of the intervention by scrutinizing pre- and post-intervention data through the utilization of the WHO Quality of Life Scale (WHOQOL-BREF), in addition to the Anxiety Rating Scale and the Depression Rating Scale. Prior to the intervention, no significant differences were observed in WHOQOL-BREF scores across dimensions, as well as anxiety and depression scores between the 2 groups (P > .05). Subsequent to the intervention, the patients in the observation group exhibited significantly higher scores across all WHOQOL-BREF dimensions and total scores compared to the control group, with statistical significance (P < .05). Moreover, anxiety and depression scores in the observation group were markedly lower than those in the control group, demonstrating statistical significance (P < .05). The implementation of a clinical nursing pathway rooted in action research methodology proves to be an effective strategy for enhancing clinical nursing practices, elevating patient quality of life, and diminishing the prevalence of anxiety and depression.

Artículo traducido] Uso de rellenos faciales en la práctica clínica: nivel de satisfacción del paciente y visión general de las complicaciones clínicas comunes

BackgroundPatient esthetic satisfaction following facial fillers is an essential topic that should be studied as the number of individuals seeking treatment increases. The face is an essential component of the human body that is frequently associated with beauty, youthfulness, and health. Individuals may seek facial augmentation with fillers for a variety of reasons, such as congenital, acquired by means of aging or disease, or current aesthetic trends. ObjectiveThe aim is to assess patient's aesthetic satisfaction and description of common clinical complications in relation to the facial filler injections. MethodA cross sectional survey using a questionnaire derived from the global aesthetic improvement scale and WHO quality of life scale, convenience sampling was used to recruit patients attending cosmetic clinics, descriptive analysis and Chi-square methods were used to analyze the data. ResultsIn the study, 500 female participants, with an average age of 28.48 years, were included. Over 90% reported improvement after filler treatment, ranging from improved to very much improved. A statistically significant correlation was observed between patient satisfaction and the number of filler treatments and the anatomical injection site. However, no statistically significant correlation was found when considering age groups. Local side effects, such as swelling and redness at the injection site, were common but generally mild and of short duration. ConclusionAlthough the satisfaction level is currently high, practitioners in the field need to pay more attention to this important outcome, since understanding the patient's motivation and expectation before proceeding with the procedure is very important and can contribute significantly in determining patient satisfaction with the result.

Impact of congenital heart disease on personality disorders in adulthood.

Adults with congenital heart disease (ACHD) constitute an ever-growing patient population characterized by high risks for cardiovascular- and mental disorders. Personality disorders (PDs) are associated with adverse physical and mental health. Studies assessing PD prevalence in ACHD are lacking. PD point prevalence was assessed in 210 ACHD by Structured Clinical Interview for Axis-II Personality Disorders (SCID-II) and compared to meta-analytical data from the general population. Depression and anxiety were measured by self-report (Hospital Anxiety and Depression Scale, HADS) and clinician-rating (Montgomery-Åsberg depression rating scale, MADRS). Childhood maltreatment was assessed with the Childhood Trauma Questionnaire and quality-of-life (QOL) with the World Health Organization QOL Scale. PD prevalence was markedly higher in ACHD compared to general population (28.1% vs. 7.7%). Particularly borderline (4.8% vs. 0.9%) and cluster C (i.e. anxious or fearful; 17.1% vs. 3.0%) PDs were overrepresented. PD diagnosis was associated with a surgery age ≤12 years (χ²(1)=7.861, φ=.195, p=.005) and higher childhood trauma levels (U=2583.5, Z=-3.585, p<.001). ACHD with PD reported higher anxiety (HADS-A: U=2116.0, Z=-5.723, p<.001) and depression (HADS-D: U=2254.5, Z=-5.392, p<.001; MADRS: U=2645.0, Z=-4.554, p<.001) levels and lower QOL (U=2538.5, Z=-4.723, p<.001). PDs, particularly borderline- and cluster C, are significantly more frequent in ACHD compared to general population and associated with depression, anxiety and decreased QOL. Data from the general population suggest an association with adverse cardiometabolic and mental health. To ensure guideline-based treatment, clinicians should be aware of the increased PD risk in ACHD.

Logistic regression analysis of risk factors for hematoma after autologous arteriovenous fistula in hemodialysis patients.

To determine the risk factors and nursing countermeasures for post-operative hematoma in hemodialysis patients with autogenous arteriovenous fistula by logistic regression analysis. A retrospective analysis of 240 chronic hemodialysis patients admitted to our hospital from January 2019 to October 2022 was performed. Physical and vascular examinations of the patients were performed by surgeons. Continuous care measures were implemented for all patients. The patient serum creatinine (Scr) and blood urea nitrogen (BUN) were measured on the day of inclusion and after the implementation of care measures. Self-management scales were used to analyze patients' self-management. Fatigue symptoms were assessed using the Fatigue Scale 14. The WHO Quality of Life Scale (WHOQOL-BREF score) was used to assess patients' quality of life. Self-Rating Depression Scale and Self-Rating Anxiety Scale (SAS) were used to assess negative affect. Treatment compliance was assessed according to 3 levels: complete compliance, compliance, and noncompliance. In all, 240 patients underwent 240 initial and 48 repeat procedures; 18 of the 240 patients experienced fistula failure, with an overall success rate of 92.5% (222/240). There were no significant differences in renal function, self-management, General Self-Efficacy Scale, fatigue symptom scores, and WHOQOL-BREF scores between the postoperative hematoma group and no-hematoma group before the continuous care. After continuous care, renal function, self-management, General Self-Efficacy Scale, fatigue symptom scores, and WHOQOL-BREF scores were better in the postoperative no-hematoma group than in the hematoma group, and the difference was statistically significant (P < .05). Logistic regression analysis of risk factors for postoperative hematoma showed that elevated Scr and BUN levels, decreased self-management and SAS scores and poor treatment compliance were independent risk factors for postoperative hematoma in hemodialysis patients with autologous arteriovenous fistulas (P < .05). Elevated Scr levels, elevated BUN levels, decreased self-management scores, decreased SAS scores, and poor treatment compliance were independent risk factors for postoperative hematoma in hemodialysis patients with autogenous arteriovenous fistulas. By providing continuous care to hemodialysis patients based on timing theory, the negative emotions can be alleviated and the self-efficacy, quality of life, and treatment compliance of the patients can be improved.

Effect of academic stress, educational environment on academic performance & quality of life of medical & dental students; gauging the understanding of health care professionals on factors affecting stress: A mixed method study.

Throughout their academic careers, medical and dental students face challenges that cause varying levels of stress, affecting their academic performance and quality of life (QoL). Our study aims to ascertain the effect of academic stress and the educational environment on the QoL and academic performance of medical and dental students, encompassing the perspectives of both students and healthcare professionals. A mixed-method research was conducted from February to May 2022, comprising students from a medical and dental college in Pakistan. During Phase 1, the students participated in the cross-sectional survey and completed the WHO Quality of Life Scale (WHOQOL-BREF), Academic Stress Scale, and Dundee Ready Educational Environment Measure (DREEM) Inventory questionnaires. Academic performance was evaluated through last year's annual assessment results of the students. During Phase 2 of the study, interviews with healthcare professionals who had experience as the students' counsellors were conducted. The mean age of the sample (n = 440) was 22.24 ±1.4 years. The Cronbach Alpha reliability of the DREEM inventory was 0.877, that of the Academic Stress Scale was 0.939 and the WHOQOL scale was 0.895. More than half of the students (n = 230, 52.3%) reported better QoL and the majority perceived a positive educational environment (n = 323, 73.4%) and higher academic stress (n = 225, 51.1%). Males had significantly more academic stress (p<0.05). Those who perceived a positive educational environment and better QoL had better academic performance (p<0.05). Academic performance was positively and significantly correlated with QoL and academic stress (p = 0.000). In qualitative analysis, 112 codes were generated which converged into 5 themes: challenging educational environment, psychological need and support, individual differences, relationship and family life, and adjustment issues. Medical and dental students encounter a myriad of challenges, along with significant academic stress, which detrimentally affects their academic performance, despite perceiving a positive educational environment. Conversely, a better QoL is associated with improved academic performance.

Health-related quality of life and associated factors among patients with schizophrenia at comprehensive specialised hospitals in the Northwest Ethiopia: a multicentre cross-sectional study

ObjectivesThe aim of this study was to assess the health-related quality of life (HRQoL) and associated factors among patients with schizophrenia at comprehensive specialised hospitals in Northwest Ethiopia.Design and settingA...

A randomized controlled trial on the effectiveness of the abridged illness management and recovery program for people with schizophrenia spectrum disorders.

This study aimed to investigate the effectiveness of an abridged version of the Illness Management and Recovery Programme (AIMR) that was modified and developed in Hong Kong through a mult-centre randomized controlled trial for patients with schizophrenia spectrum disorders. This study was implemented in 10 occupational therapy departments, psychiatric day hospitals of 7 Hospital Authority clusters in Hong Kong. A total of 211 patients with schizophrenia or schizoaffective disorder was recruited and randomized into either the experimental or the control condition. In the control group, the subjects went through conventional occupational therapy programmes. In the experimental group, the subjects went through an additional 10-session programme of AIMR. were measured at baseline, completion of the AIMR, and 3-month after the AIMR programme. Measures include the expanded version of the Brief Psychiatric Rating Scale (BPRS-E), the client version of the Illness Management and Recovery Scale (IMRS), the Snyder Hope Scale, the Social and Occupational and Occupational Functioning Assessment Scale (SOFAS), the WHO Quality of Life Scale (WHOQOL-BREF), and the Chinese Version of the Short Warwick-Edinburgh Mental Well-Being Scale (C-SWEMWBS). Both the experimental and control cohorts had comparable clinical and socio-demographic characteristics except years of education and duration of illness. These two variables were entered as covariates in the linear mixed model which showed that the experimental group had significantly higher improvement than the control group in terms of illness management (F = 4.82; p = .03; Cohen's d = .45), functional (F = 10.65; p = .001; Cohen's d = .58), and hope (F = 5.52; p = .02; Cohen's d = .08) measures after the completion of treatment. The results supported the effectiveness of the AIMR programm which would be important in the recovery oriented practices in psychiatry.

The Use of Facial Fillers in Clinical Practice: The Level of Patient Satisfaction and an Overview of Common Clinical Complications

BackgroundPatient esthetic satisfaction following facial fillers is an essential topic that should be studied as the number of individuals seeking treatment increases. The face is an essential component of the human body that is frequently associated with beauty, youthfulness, and health. Individuals may seek facial augmentation with fillers for a variety of reasons, such as congenital, acquired by means of aging or disease, or current aesthetic trends. ObjectiveThe aim is to assess patient's aesthetic satisfaction and description of common clinical complications in relation to the facial filler injections. MethodA cross sectional survey using a questionnaire derived from the global aesthetic improvement scale and WHO quality of life scale, convenience sampling was used to recruit patients attending cosmetic clinics, descriptive analysis and Chi-square methods were used to analyze the data. ResultsIn the study, 500 female participants, with an average age of 28.48 years, were included. Over 90% reported improvement after filler treatment, ranging from improved to very much improved. A statistically significant correlation was observed between patient satisfaction and the number of filler treatments and the anatomical injection site. However, no statistically significant correlation was found when considering age groups. Local side effects, such as swelling and redness at the injection site, were common but generally mild and of short duration. ConclusionAlthough the satisfaction level is currently high, practitioners in the field need to pay more attention to this important outcome, since understanding the patient's motivation and expectation before proceeding with the procedure is very important and can contribute significantly in determining patient satisfaction with the result.

Relationship Between Coping Strategies and Quality of Life with Mediating Role of Depression and Stigmatization among Patients with Opioid Use Disorder (OUD) With Relapse Condition

The current study aims to investigate the relationship between coping strategies and quality of life (QOL) with the mediating role of depression and stigma among patients with opioid use disorder (OUD). In this correlational study, a total sample of 357 participants was taken from different hospitals and rehabilitation centers. The patients (20 to 65 years) who have a history of relapse at least once a time were included. with relapse condition. Demographic form, Patient Health Questionnaire-9 (PHQ-9), Brief Coping Inventory (BCI), WHO-Quality of Life Scale (WHO-QLS), and Perceived Stigma Scale were used. All the data were scrutinized, and the final data was assessed using SPSS version-26. The findings showed that the direct effect of coping strategies was a significant negative predictor of depression and stigma among patients with opioid use disorder-relapse conditions. Depression and stigma were found to be significant negative predictors of quality of life. Furthermore, the findings reveal that depression and stigma play significant mediating between coping and quality of life among patients with opioid use disorder-relapse condition. It is concluded that coping is a significant predictor of QOL and depression and stigma play significant mediating roles in the increase and decrease of the QOL among patients with OUD.

Chronic Low Back Pain: Prevalence, Impact on Quality of Life, and Predictors of Future Disability.

In primary healthcare settings, chronic low back pain (cLBP) is a widespread health issue with a great global impact. A cross-sectional analytical study was performed on 918 adults attending primary healthcare settings in Makkah, Saudi Arabia, to estimate the cLBP prevalence, its effect on health-related quality of life (QOL), and predictors of subsequent disability. The visual analog scale of pain(VAS), World Health Organization Quality of Life Scale (WHO-QOL), and Oswestry low back pain disability index (ODI) were used to assess back pain severity, impact on QOL, and physical disability, respectively. The prevalence of cLBP among adults attending primary care settings in Makkah City was 25.9%, and 88.6% of them had a limited range of motion of the spine. About 58.1% had abnormal radiological findings detected by MRI. Based on the VAS scale, most patients (83.8%) had mild pain. The median (IQR) QOL score was 70 (60-80). Minimal and moderate disability scores were prevalent among 16.2% and 65.7% of patients, respectively. Disability scores were independently predicted by a lower QOL score (beta = -0.39, 95%CI = -0.49 to -0.29, p < 0.001) and higher VAS scores (beta = 0.47, 95%CI = 0.38-0.56, p < 0.001). Furthermore, disability was independently associated with having post-void residual volume (PVRV) (beta = 5.84, 95%CI = 1.97-9.72, p = 0.004) and abnormal X-ray findings (beta = 7.10, 95%CI = 1.77-12.4, p = 0.010). cLBP is common among adults attending primary care settings in Makkah City; it is associated with moderate disability and lower health-related QOL.

Psychiatric Morbidities and Their Impact on Quality of Life in Patients With Psoriasis.

Background Psychiatric morbidities, which are commonly seen in psoriasis patients, are often missed or ignored leading to poor quality of life. A lack of communication between psychiatrists and dermatologists leads to ignorance of psychiatric morbidities in psoriasis patients, which can eventually take a severe form. Therefore, both groups must collaborate to provide high-quality patient care. As there is a dearth of such studies in the North-Eastern part of India, this study aimed to highlight the above-mentioned problem. Aim The aim of this study was to study psychiatric morbidities in patients with psoriasis and to compare quality of life in psoriasis patients with and without psychiatric morbidities. Methods This study was a hospital-based cross-sectional study conducted in the Dermatology Department, Assam Medical College and Hospital, Dibrugarh, Assam, India from July 2020 to July 2021. Ninety patients with psoriasis were included in the study and the diagnosis was confirmed by a consultant dermatologist, then the Mini International Neuro-psychiatric Interview Scale (M.I.N.I.; version 5.0) scale was applied to screen psychiatric morbidities. The diagnoses were confirmed using ICD-10 followed by dividing psoriasis patients into two groups, i.e. with and without psychiatric morbidities. After that the World Health Organization Quality of Life (WHOQOL) scale was applied to both groups and the domains of quality of life were compared. Results Our results showed that 61.1% of psoriatic patients had psychiatric morbidities, which is abnormally high compared to other dermatological disorders. The psychological domain of quality of lifewas the most affected (WHOQOL scale scoring of 38.12±6.67 vs. 48.76±6.21) in both groups of patients (i.e., with and without psychiatric morbidities), and the environmental domain was the least affected (56.67±10.65 vs. 64.67±8.18). Every domain of quality of life had a lower score in patients with psoriasis with psychiatric morbidities as compared to those without (p<0.05). Conclusion Our results of 61.1% psychiatric morbidities in psoriasis patients emphasize the need for psychiatric evaluation in every psoriasis patient. The timely intervention of psychiatric morbidity in psoriasis patients withcollaboration of psychiatrists and dermatologists will surely improve the patient's condition to some extent and, thus, their quality of life.

Patient Satisfaction after Lip Enhancement Procedure by Facial Fillers in Sulaimani City

Objective: The aim of this paper is to assess the level of patient satisfaction after receiving lip filler injections. It also attempts toinvestigate the association between the satisfaction level and various factors such as number of filler treatments, amount of fillerinjected and site of injection, among female patients in Sulaimani.Methods: A cross-sectional survey that used a questionnaire derived from the Global Aesthetic Improvement Scale, WHO quality oflife scale and convenience sampling were used to recruit patients attending cosmetic clinics to the study. Besides, descriptive analysisand chi-square methods were used to analyze the data.Results: 300 female patients participated in the study, with a mean age of 28.48 years. About 90% of the participants reportedimprovement after filler treatment, ranging from “improved” to “very much improved”. A statistically significant association was foundbetween patient satisfaction and number of filler treatments. Local side effects such as swelling and redness at the site of injection were common but they were mostly mild and did not last for an extended period.Conclusions: Although the satisfaction level is currently high, practitioners in the field need to pay more attention to this importantoutcome, since understanding the patients’ motivation and expectations before proceeding with the procedure is very important andcan contribute significantly to increasing patient satisfaction with the results.

Multi-dimensional influence of pediatric epilepsy on children and their families: A cross-sectional study

ObjectiveIn this study, we aimed to evaluate the effects of pediatric epilepsy on family burden, parental anxiety, depression states, and quality of life of both parents and children. MethodsThe study was undertaken between March and December 2021 using an online questionnaire that included the Family Burden Scale of Disease, the 7-item Generalized Anxiety Disorder scale, the 9-item Patient Health Questionnaire, the WHO Quality of Life Scale (WHOQOL-BREF), and the PedsQL 4.0 Generic Core Scales (parent-proxy report). ResultsA total of 288 parents of children aged 2–18 years were included. Overall, 94.8% of the participating families experienced high levels of disease burden, 67.0% of parents suffered from anxiety states, 57.0% suffered from depression states, and 56.2% of children with epilepsy suffered from comorbid neuropsychiatric symptoms. The mean WHOQOL-BREF score for parental quality of life was 53.7 ± 12.8, while the median PedsQL score for children's quality of life was 65.4 (49.6–81.7). Parental depression states contributed the most to family burden and parental quality of life, whereas comorbidities of epilepsy contributed the most to children's quality of life. Seizure frequency significantly influenced parental anxiety states, and family burden was the most significant predictor of parental depression states. ConclusionHeavy disease burden, anxiety states, and depression states are prevalent in families with children suffering from epilepsy, and most have a poor quality of life. There is a need for greater focus on the quality of life of this patient population and their caregivers, as well as increased resources to help combat anxiety, depression, and poor quality of life.

The Impact of Marital Instability and Psychological Distress on Quality of Life among Married Women, Pakistan

The impact of marital instability and psychological distress on quality of life extends beyond the emotional realm. They can also affect other domains, such as physical health, social relationships, and overall life satisfaction. The motive of the study was to examine the effect of marital instability and psychological distress on quality of life among early and late married women in Pakistan. A cross-sectional research design was adopted. A purposive sampling design using a cross-sectional design was employed. A sample of 200 women, containing 100 early married women and 100 late married women, was taken from different divisions of Southern Punjab, Pakistan. A survey consisting of three key questionnaires, namely the Kessler Psychological Distress Scale (K10), the WHO-Quality of Life Scale (BREF), and the Marital Instability Index (MII), was used for data collection. The findings evinced that marital instability has a positive and significant relationship with psychological distress among women with early and late marriages. Moreover, a higher level of marital instability and psychological distress with a low quality of life was found among early or late married women. Comparatively, women with early marriages have a higher level of marital instability and psychological distress and a lower level of quality of life as compared to women with late marriages. Overall, the study's findings recommended proactive interventions and policies aimed at improving the psychological well-being and quality of life of women in the region.

Evaluation of Nursing Students' Sleep Patterns, Social Jet Lag, and Quality of Life*,*.

The aim of this study is to evaluate the relationship between the chronotypes of nursing students, social jet lag, and quality of life. This study was planned and performed in a descriptive, method. Research data were collected in the 2019-2020 fall semester. The research population consisted of nursing students working at the nursing departments of state and private universities in Istanbul. The study sample included 1152 nursing students who agreed to participate in the study after obtaining informed consent. Data were collected using the "Student Information Form," "Morningness- Eveningness Scale," and "Short Form of the Turkish WHO Quality of Life Scale." Of the nursing students, 81.2% (n = 935) were women, 26.5% (n = 305) were first-year students, 86.5% (n = 997) were non-smoker, and 92.4% (n = 1065) not consumed alcohol. Most of the nursing students in this study were intermediate chronotypes (80.2%). Students' social-jet lag mean value was 1.36±0.73 hours (min:0-max:4.8). Multiple regression analysis showed that an increase in social jetlag decreases the average scores of the physical and environmental subdimension and an increase in the morning chronotype increases the average scores of the physical, mental, and social subdimension. High social jet lag reduced the quality of life and a morning chronotype improved the quality of life.

Psychometric properties of the Yonsei Lifestyle Profile‐BREF of community‐dwelling older adults

AbstractBackgroundLifestyle is important indicator of health and well‐being among older adults. Therefore it is important to measure the individual’s lifestyles effectively. This study aimed to examine the validity and reliability of the Yonsei Lifestyle Profile‐BREF (YLP‐BREF).MethodIn total, 569 community‐dwelling older adults were recruited via an online survey. Confirmatory factor analysis of a one‐factor model was conducted for each of the three domainsof the YLP‐BREF. The total score of YLP‐BREF and each domain were evaluated for convergent validity and divergent validity using the WHO quality of life scale and center for epidemiologic studies depression scale. Additionally, Cronbach’s alpha reliability was examined. Finally, an optimal cutoff score for the YLP‐BREF was established using receiver operating characteristic curve analysis.ResultThe five items of physical activity demonstrated an acceptable fit (CFI = 0.962; TLI = 0.923; RMSEA = 0.095; SRMSR = 0.033). The four items of activity participation illustrated an acceptable fit except for the Tucker–Lewis index (CFI = 0.959, TLI = 0.876, RMSEA = 0.080, SRMSR = 0.022). All 13 nutrition items showed an acceptable fit fit (CFI = 0.927; TLI = 0.913; RMSEA = 0.076; SRMSR = 0.047). Cronbach’s alpha reliability was good for nutrition (r = 0.85) and acceptable for physical activity (r = 0.61), but insufficient for activity participation (r = 0.43). Convergent and divergent validities were good (r = 0.17–0.32, p&lt;0.001; r = 0.01—0.10, p&lt;0.001). The optimal cut‐off score for the YLP‐BREF was 9 for physical activity, 6 for activity participation, and 28 for nutritionConclusionThe YLP‐BREF is a reliable and valid self‐report questionnaire for measuring multifaceted lifestyle factors in community‐dwelling older adults in South Korea.

Unmet Health Needs During the COVID-19 Pandemic

Objective: This study aimed to identify the unmet health needs of adults during the COVID-19 pandemic, the reasons for these needs, solutions sought and socio-demographic determinants.&#x0D; Methods: The cross-sectional online survey was conducted with 2,074 adult individuals from December 15 to December 31, 2020. Data were collected using Socio-demographic Data Collection Form, Unmet Health Needs Data Collection Form and World Health Organization Quality of Life Scale (WHOQOL).&#x0D; Results: The percentage of the participants who stated that they had unmet health needs was 66% and the most unmet needs reported were oral and dental treatment (46.3%), eye health and treatment for vision disorders (22.5%), and early diagnosis and annual health screening (11.4%). The reasons with the most impact on the emergence of these needs were fear of being infected with the virus (44.3%), lack of access to health care (42.7%) and not wanting to cause a burden on the health system. There was a significant difference between the groups with and without unmet health needs in terms of gender, economic status, presence of health insurance, presence of chronic disease, perception of health, and WHOQOL total scores.&#x0D; Conclusion: The findings obtained will benefit policymakers in the rational use of limited resources and making strategic arrangements for needs.

Evaluation of the quality of life in the university of third age students: a cross-sectional study.

The purpose of this paper was to determine the quality of life (QoL) and related factors in university of third age (U3A) students, as well as to compare the QoL between those who participated in education and those who did not. Two hundred seventy-one people aged 60 and over who are students at Ege U3A, were included in this cross-sectional study. Demographic data of participants were collected through a pre-prepared form. Data on the QoL of individuals were collected through the short form of the WHO QoL Scale (WHOQOL-BREF). A total of 271 participants were included in this study. 82.2% (n = 221) of the research group were women. In U3A, 65.3% (n = 177) of the individuals were former students. The highest value was found in the psychological and general health sub-parameter with 75.0%, and the lowest value in the social relations sub-parameters with 66.7%. The scores of sub-parameters of social environment were significantly higher in men than in women (p < 0.001, respectively). The physical health scores of the former students were higher than those of the new students (p < 0.001). It was determined that the QoL of U3A students was higher among males, those with higher education levels, and those who were married, as well as that the QoL of the individuals participating in the U3A training was positive in the physical health sub-dimension. There is a need for future studies in which pre- and post-training evaluations will be conducted to determine the impact of the U3A training program.