Assessment of quality of life in outpatients with osteoarthritis

Author(s):  
Anna Maria Pudelewicz ◽  
Kamila Mazurkiewicz ◽  
Grażyna Bączyk

Introduction. Osteoarthritis is a chronic and one of the most often appearing causes of the afflictions on the part of the motor organ. A chronic condition has a negative impact on all areas of human functioning. Its occurrence, but mainly the severity of its symptoms results in significant reduction in quality of life, which is why it is important to assess the effects of the treatment process and rehabilitation. Aim. Assessment of quality of life of patients with osteoarthritis as regards variables such as age, gender, duration of the disease.Material and Methods. The study includes a group of 40 patients diagnosed with osteoarthritis treated in the Health Centre of General Physicians in Mieścisko, Poland in the period from October 2014 to January 2015. The tool which was used to investigate the quality of life of people with osteoarthritis was the Polish version of the scale Arthritis Impact Measurement Scales 2 (AIMS-2).Results. The lowest level of the quality of life was indicated by the subjects in the areas of: arthritis pain (6.54 ± 1.96), walking and bending (6.51 ± 2.81) and mobility (7.21 ± 2.06). The highest level of quality of life occurred in the areas of: support from family and friends (1.56 ± 2.16), household tasks (2.47 ± 3.16), self‑care (2.50 ± 2.92), arm function (2.58 ± 2.72), hand and finger function (2.71 ± 3.03), work (2.67 ± 2.38) and mood (3.14 ± 1.56). The youngest participants obtained a result of higher level of the quality of life, which was subject to deteriorate with age.Conclusions. Patients with osteoarthritis require a permanent, comprehensive, multifaceted and multidirectional proceedings in order to improve comfort and quality of life.

2002 ◽  
Vol 14 (5) ◽  
pp. 219-225 ◽  
Author(s):  
Krystyna Jaracz ◽  
Jan Jaracz ◽  
Wojciech Kozubski ◽  
Janusz K Rybakowski

Background:Studies on the determinants of the quality of life (QOL) after stroke bring differing results depending on the applied concept of QOL. This may lead to confusion about the contribution of various factors to the post-stroke QOL.Objective:The aim of the study was: (i) to investigate functional and psychological QOL in the individuals after the first ischemic stroke; (ii) to identify the most important correlates of QOL; and (iii) to examine the significance of depression among the other possible predictors of QOL.Methods:A hospital-based sample of 72 stroke patients was followed up to 6 months after stroke onset. QOL was assessed using the Polish version of the Quality of Life Index and the Sickness Impact Profile. A multiple regression procedure was performed to examine relationships between QOL and the study variables.Results:In spite of good recovery, the psychological and functional QOL of the examined patients was impaired, although the negative impact of stroke was greater on the objective QOL than on the subjective QOL. Stroke-related impairment, depression, functional disability and marital status predicted 80% of the variance in the functional QOL. Emotional support, depression and functional disability explained 38% of the variance in psychological well-being.Conclusions:Depression and physical disability were the most important predictors of QOL after stroke since their impact on QOL was more robust in comparison to the remaining variables. For improving QOL, a comprehensive care for patients aimed at reducing physical dependence and ameliorating depressive symptoms could be recommended.


2008 ◽  
Vol 52 (6) ◽  
pp. 931-939 ◽  
Author(s):  
Carlos Clayton Torres Aguiar ◽  
Anya Pimentel G. Fernandes Vieira ◽  
André Ferrer Carvalho ◽  
Renan M. Montenegro-Junior

A avaliação da qualidade de vida (QV) vem se tornando cada vez mais utilizada para medir o impacto geral de doenças na vida dos indivíduos. O diabetes melito (DM) é uma doença crônica associada com morbimortalidade elevada e prejuízo na QV. Em estudos longitudinais, o impacto psicossocial da DM prediz a mortalidade nessa doença. Esta revisão busca descrever e analisar os principais instrumentos de avaliação da QV em pacientes com DM. Foram analisados instrumentos genéricos, como Quality of Well-Being Scale (QWB), The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) e EuroQol (EQ-5D), e instrumentos específicos, como Diabetes Care Profile (DCP), Diabetes Quality of Life Measure (DQOL), Diabetes Impact Measurement Scales (DIMS), Appraisal of Diabetes Scale (ADS), Audit of Diabetes-Dependent Quality of Life (ADDQoL), Diabetes Health Profile (DHP-1 e DHP-18), Questionnaire on Stress in Patients with Diabetes-Revised (QSD-R), Well-Being Enquiry for Diabetics (WED), Diabetes-Specific Quality-of-life Scale (DSQOLS), Diabetes 39 (D-39) e Problems Areas in Diabetes (PAID). O PAID é o único instrumento traduzido e validado para uso no Brasil. Tanto os instrumentos genéricos quanto os específicos têm vantagens e desvantagens na aferição da QV de pacientes com DM. O uso combinado de instrumentos genéricos (como o SF-36) e específicos (como o PAID) parece ser uma forma consistente de avaliação da QV em pacientes diabéticos no Brasil. O presente artigo revisa os vários instrumentos e enfatiza a necessidade urgente de estudos para validação desses instrumentos em pacientes diabéticos brasileiros.


Author(s):  
E. Bąk ◽  
A. Młynarska ◽  
C. Marcisz ◽  
R. Bobiński ◽  
D. Sternal ◽  
...  

Abstract Introduction There have been no comprehensive studies that assess the impact of frailty syndrome on quality of life (QoL) of patients with diagnosed type 2 diabetes. The purpose of the study was to assess the impact of frailty syndrome on QoL and depression symptoms of patients with type 2 diabetes. Methods The study included 148 consecutive patients (aged ≥ 60y). The patients were divided into two groups according to the prevalence of the frailty syndrome: robust and frailty. For all of the patients that were included in the study, we used the Polish version of validated instruments: ADDQoL, TFI and BDI. Results In the study group, 43.2% had been diagnosed with frailty syndrome. An analysis of QoL assessment depending on the prevalence of the frailty syndrome showed that patients who were robust (without recognized frailty syndrome) assessed QoL significantly better than patients with coexisting frailty syndrome. Robust patients did not have any severe depressive symptoms, whereas in the group of patients with the frailty syndrome 43.8% of the patients had a depression. 70.2% of the patients without any depressive symptoms were robust patients, meanwhile only 14% of the patients had frailty syndrome recognized. Conclusions Frailty syndrome occurred in 43 percent of the patients with type 2 diabetes. This has a negative impact on QoL of patients. Depression is more common in patients with the frailty syndrome and diabetes.


Author(s):  
Christy Vijay ◽  
Melvin Kumar G. ◽  
Anand K. ◽  
Paul Peter ◽  
Annisa M. T. ◽  
...  

Background: Arthritis means inflammation of the joints. Arthritis can be caused due a variety of local and systemic illnesses, the most common among them being osteoarthritis and rheumatoid arthritis. Arthritis can affect men, women and children. Determining the quality of life among osteoarthritis patients will provide important information for planning future cost effective preventive strategies and health care services.Methods: This was a cross-sectional study conducted among 199 symptomatic arthritis patients. Arthritis impact measurement scale 2 (AIMS 2) was administered to assess Health-related quality of life (HRQoL) of the participants.Results: Total of 199 subjects was included in the study. The mean age of study subjects was 62.1±14.8 years. When looked into the 12 component model of AIMS 2 it was evident that arthritis pain had the highest negative impact on quality of life with a median score of 7.12. This was followed by difficulty in walking and bending (median score 6.6) and tension in life (median score 6.06). Arthritis had low impact in the domains of work, arm movements, household tasks, hand and finger function and self-care tasks. The five component model also reemphasizes the above finding with ‘symptoms’ of arthritis contributing the most to quality of life whereas the domain of ‘role’ contributing the least to quality of life.Conclusions: Over all arthritis had a significant impact on quality of life. Arthritis pain had the highest negative impact on quality of life. This was followed by difficulty in walking and bending and tension in life.


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