scholarly journals Observational Study of Qigong as a Complementary Self-Care Practice at a Tertiary-Care Pain Management Unit

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Lauren Curry ◽  
Meghan Pike ◽  
Mary Lynch ◽  
Dana Marcon ◽  
Jana Sawynok

Qigong, which can be characterized in many different ways, is offered as a complementary self-care practice at a tertiary-care pain management unit in Halifax, Nova Scotia. This report provides a quantitative and qualitative assessment of two groups engaged in qigong practice in this context as part of two Research in Medicine (RIM) projects (2014-15, 2016-17). It includes assessments of pain, mood, quality of life, sleep, and fatigue, considers outcomes in relation to the amount of practice, and considers whether health attitudes would help determine who might benefit from the practice. There were 43 participants (28 ongoing practitioners, 15 new to qigong). The ongoing practice group in RIM2 had significant benefits over time in pain, mood, quality of life, and fatigue in quantitative scores, but changes were not significant in RIM 1. There were no differences in any measures in those new to qigong. Qualitative comments in core and other domains reflected good or better outcomes in 16 subjects in the ongoing group who practiced consistently. In those who practiced less, results were more variable. In most of those new to qigong, the practice was limited and comments indicate minimal changes. Those engaged in qigong have a stronger internal health locus of control than control subjects. Diligent qigong practice provides multiple health benefits for those with chronic pain, and qualitative assessments are essential for documenting these effects. For those new to qigong, factors needed to effectively engage practice need to be explored further to optimize program delivery. The trial is registered with http://www.clinicaltrials.gov (NCT04279639).

2021 ◽  
Vol 3 (3) ◽  
pp. 11
Author(s):  
Azhar T. Zaki ◽  
Manal S. Hassan ◽  
Ahmed H. Soliman ◽  
Yosreah M. Mohamed

Context: Hepatocellular carcinoma (HCC) is considered one of the most challenging tumors with high incidence, prevalence, and mortality rates. Radiofrequency Ablation (RFA) is one of the emerging therapeutic modalities used for the minimally invasive treatment in the management of early-stage HCC. Aim: This study aimed to assess the effect of self-care guidelines on quality of life for patients with Hepatocellular Carcinoma undergoing Radio Frequency Ablation. Methods: A quasi-experimental design was used to achieve the aim of this study. This study was conducted at the Interventional Radiology Unit, affiliated to Ain Shams University Hospital, on a purposive sample of 50 patients with hepatocellular carcinoma; 25 randomly allocated to the study group, and 25 allocated to the control group. A structured interview questionnaire for patients with hepatocellular carcinoma undergoing radiofrequency ablation was used to collect the study data. It comprises three parts: Sociodemographic characteristic, assessment of patients' medical health, and knowledge about HCC and RFA. The second tool was the quality of life of cancer survivors questionnaire (pre /posttest), and finally, a patient-reported self-care practices assessment checklist (pre /posttests). Results: There were statistically significant differences between the study and control groups regarding their total knowledge about hepatocellular carcinoma and radiofrequency ablation therapy pre and post-implementation of self-care guidelines. There were highly statistically significant differences between both groups regarding the total quality of life, pre and post-implementation of self-care guidelines. In addition, there were highly statistically significant differences regarding total self-care practice, pre, and post-implementation of self-care guidelines. A positive correlation was revealed between total knowledge with total self-care practice and total quality of life (pre/posttest). Also, a significant correlation was revealed between the total quality of life and self-care practices post self-care guidelines implementation at (p<0.001). Conclusion: Implementation of self-care guidelines were improved patients' knowledge, quality of life, and self-care practices for patients with hepatocellular carcinoma undergoing radiofrequency ablation. A simplified, illustrated, and comprehensive Arabic booklet including self-care guidelines should be available for patients with hepatocellular carcinoma undergoing radiofrequency ablation. Replication of the current study on a larger probability sample is recommended to achieve generalization of the results. Further studies are recommended to assess factors affecting the quality of life for patients with hepatocellular carcinoma undergoing radiofrequency ablation.


2016 ◽  
Vol 16 (2) ◽  
pp. 292-311 ◽  
Author(s):  
Kori R Bloomquist ◽  
Leila Wood ◽  
Kristin Friedmeyer-Trainor ◽  
Hea-Won Kim

This study explored the effects of self-care practices and perceptions on positive and negative indicators of professional quality of life, including burnout, secondary traumatic stress, and compassion satisfaction among MSW practitioners. Results reveal that while social workers value and believe self-care is effective in alleviating job-related stress, they engage in self-care on a limited basis. Findings indicate that MSW programs and employers do not teach social workers how to effectively engage in self-care practice. Various domains of self-care practice contribute differently to indicators of professional quality of life. This study sheds light on the under-studied relationship between social worker self-care and professional quality of life, provides insights into the types of activities practiced and not practiced by MSW practitioners, and identifies gaps between perceived value and effective teaching of self-care. Implications exist for social work educators and employers and the potential to support a healthier, sustainable workforce.


Author(s):  
Priyanka Kulla ◽  
Shruthi Pusala ◽  
Sandeep Kumar Beemreddy

ABSTRACTIntroduction: Diabetes is a serious health concern all over the world. Among people with diabetes, a key factor influencing quality of life (QOL) is degree and nature of diabetes related complications experienced by the patients over a lifetime. QOL is important health related factor and one of the most widely used measure to self-assess the effect of the management of chronic disease on health and monitors the physical, psychological, and social aspects of personal health.Methodology: This study is a prospective questionnaire based observational study which was conducted over a period of 6 months in a tertiary care hospital among diabetic patients. The subjects are interviewed with WHOQOL-BREF questionnaire and relevant information was collected. The domain wise scores are calculated.Results: A total of 140 diabetic patients were included in the study of which 100 were with complications and 40 were without complications. On conducting single sample unpaired test analysis, we found significant difference in the patients. The inference obtained this study was that nephropathy is the most common microvascular complication and affects the psychological and environmental status of subjects.Conclusion: The study was done to know the influence of complications on QOL and to reduce the burden of disease by improving QOL by effective counselling points and self-care management. We conclude that taking proper diabetic diet and self-care can prevent the worsening of QOL in patients with microvascular complications.  


Author(s):  
Daisy Fancourt

From the Greek ‘γ‎ έ‎ ρ‎ ω‎ ν‎’ (geron) meaning old man, and ‘ι‎ α‎ τ‎ ρ‎ ό‎ ς‎’ (iatros) meaning doctor or healer, geriatric medicine focuses on the health of elderly people. Geriatric medicine includes preventing and treating impairments, such as impaired vision, hearing, memory or intellect, immobility and incontinence, and dealing with increasing health complexities such as multiple health conditions and multi-medication usage. One of the main areas of attention is around dementias including Alzheimer’s disease. The field also encompasses practical and ethical issues around supporting independence, daily functioning. and self-care in elderly people as well as attention on wellbeing and quality of life....


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