فاعلیة برنامج إرشادی فی تحسین جودة الحیاة لدى معلمی المرحلة الثانویة بمحافظة شقراء The Effectiveness of a Counseling Program in Developing the Quality of Life among the Secondary Stage Teachers in Shakraa Governorate

2017 ◽  
Vol 36 (175) ◽  
pp. 521-553
Author(s):  
خالد عبد الرازق الغامدی
Keyword(s):  
Quality Of Life ◽  
Counseling Program ◽  
Secondary Stage

scholarly journals Long Term Outcome After Open Abdomen Treatment: Function and Quality of Life

2021 ◽  
Vol 8 ◽  
Author(s):  
Alexis Theodorou ◽  
Agnes Jedig ◽  
Steffen Manekeller ◽  
Arnulf Willms ◽  
Dimitrios Pantelis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Open Abdomen ◽  
Fascial Closure ◽  
Secondary Reconstruction ◽  
Secondary Stage ◽  
Primary Fascial Closure ◽  
Hernia Incidence

Background: Open abdomen treatment (OAT) is widely accepted to manage severe abdominal conditions such as peritonitis and abdominal compartment syndrome but can be associated with high morbidity and mortality. The main risks in OAT are (1) entero-atmospheric fistula (EAF), (2) failure of primary fascial closure, and (3) incisional hernias. In this study, we assessed the long-term functional outcome after OAT to understand which factors impacted most on quality of life (QoL)/daily living activities and the natural course after OAT.Materials and Methods: After a retrospective analysis of 165 consecutive OAT patients over a period of 10 years (2002–2012) with over 65 clinical parameters that had been performed at our center (1), we initiated a prospective structured follow-up approach. All survivors were invited for a clinical follow-up. Forty complete datasets including clinical and social follow-up with SF-36 scores were available for full analysis.Results: The patients were dominantly male (75%) with a median age of 52 years. Primary fascial closure (PC) was achieved in 9/40 (23%), while in 77% a planned ventral hernia (PVH) approach was followed. A total of 3/4 of the PVH patients underwent a secondary-stage abdominal wall reconstruction (SSR), but 2/3 of these reconstructed patients developed recurrent hernias. Fifty-five percent of the patients with PC developed an incisional hernia, while 20% of all patients developed significant scarring (Vancouver Scar Score >8). Scar pain was described by 15% of the patients as “moderate” [Visual Analog Scale (VAS) 4–6] and by 10% as “severe” (VAS > 7). While hernia presence, PC or PVH, and scarring showed no impact on QoL, male sex and especially EAF formation significantly reduced QoL.Discussion: Despite many advantages, OAT was associated with relevant mortality and morbidity, especially in the early era before the implementation of a structured concept at our center. Follow-up revealed that hernia incidence after OAT and secondary reconstruction were high and that 25% of patients qualifying for a secondary reconstruction either did not want surgery or were unfit. Sex and EAF formation impacted significantly on QoL, which was lower than in the general population. With regard to hernia incidence, new strategies such as prophylactic mesh implantation upon fascial closure should be discussed analogous to other major abdominal procedures.

scholarly journals The Effect of Skill-based Sexual Enhancement Counseling Program in Quality of life in Women with Multiple Sclerosis–a quasi-experimental study

2020 ◽  
Author(s):  
Negin Sayari ◽  
Katayon Vakilian ◽  
Zohre Khalajinia ◽  
Seyyed Amir Hejazi ◽  
Mostafa Vahedian
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Intervention Group ◽  
Control Group ◽  
Medical Procedure ◽  
Care Providers ◽  
Counseling Program ◽  
Significant Difference ◽  
Quasi Experimental

Abstract Background: Multiple sclerosis (MS) is one of the world’s most common neurologic disorders and the leading cause of neurologic disability in young adults. This study aimed to investigate skill-based sexual enhancement counseling on Quality of Life (QLI) of women with Multiple Sclerosis.Methods: the present study is a quasi-experimental design with two groups. Forty-two patients with multiple sclerosis and their spouses (N=88) voluntarily participated in this study based on the inclusion and exclusion criteria. After obtaining the written consent forms, the couples were randomly assigned in two groups. The subjects in the intervention group (N=22 couples) received the skill-based sexual enhancement counseling program in six sessions (each for 90 minutes). The control group just received routine medical procedure during this period. Both groups completed three stages of pretest-posttest, and the standard MSQOL54 questionnaire 3 months later. Data were analyzed by SPSS-20 using descriptive and inferential statistics (repeated measures ANOVA, chi-square, Friedman and t-test).Results: The results showed that the participants' overall quality of life in the intervention group in pretest was 55.32±9.140 which increased to 73.89± 13.39 in posttest and to 92.59±20.45, 3 months later. Also, the physical quality of life showed a significant difference between the two groups 3 months after the intervention (P <0.05). There was a significant difference between the two groups in psychological quality of life, too. The subscales of physical and mental QLI such as sexual satisfaction, sexual function, emotional wellbeing, social function and energy in post-test and follow-up were significantly different (P<0.05).Conclusions: According to the findings, skill-based sexual enhancement counseling program is effective in quality of life enhancement. Therefore, it is recommended to health care providers to use enhancement program alongside the other rehabilitation and medical services to improve the patients' quality of life.

scholarly journals Effectiveness of a Multi-Dimensional Group Counseling Program Based on the GATHER Approach on the Quality of Life in Surgically Menopausal Women

2019 ◽  
Vol 25 (3) ◽  
pp. 130
Author(s):  
Fereshteh Salimi Moghadam ◽  
Zohreh Mahmoodi ◽  
Kourosh Kabir ◽  
Parvaneh Mirabi ◽  
Mansoureh Yazdkhasti
Keyword(s):  
Quality Of Life ◽  
Group Counseling ◽  
Counseling Program ◽  
Dimensional Group ◽  
Menopausal Women

scholarly journals A counseling program on nuisance bleeding improves quality of life in patients on dual antiplatelet therapy: A randomized controlled trial

PLoS ONE ◽  
2017 ◽  
Vol 12 (8) ◽  
pp. e0182124 ◽  
Author(s):  
Simone Biscaglia ◽  
Elisabetta Tonet ◽  
Rita Pavasini ◽  
Matteo Serenelli ◽  
Giulia Bugani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Antiplatelet Therapy ◽  
Dual Antiplatelet Therapy ◽  
Controlled Trial ◽  
Counseling Program ◽  
Randomized Controlled
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