scholarly journals Influence of socioeconomic factors on daily life activities and quality of life of Thai elderly

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Ratana Somrongthong ◽  
Sunanta Wongchalee ◽  
Chandrika Ramakrishnan ◽  
Donnapa Hongthong ◽  
Korravarn Yodmai ◽  
...  

<em>Background</em>: The increasing number of older people is a significant issue in Thailand, resulted in growing demands of health and social welfare services. The study aim was to explore the influence of socioeconomic factors on activities of daily living and quality of life of Thai seniors. <br /><em>Design and methods:</em> Using randomised cluster sampling, one province was sampled from each of the Central, North, Northeast and South regions, then one subdistrict sampled in each province, and a household survey used to identify the sample of 1678 seniors aged 60 years and over. The Mann-Whitney U-test and binary logistic regression were used to compare and determine the association of socioeconomic variables on quality of life and activities of daily living. <br /><em>Results</em>: The findings showed that sociodemographic and socioeconomic factors were significantly related to functional capacity of daily living. Education levels were strongly associated with daily life activities, with 3.55 adjusted ORs for respondents with secondary school education. Gender was important, with females comprising 61% of dependent respondents but only 47% of independent respondents. Seniors with low incomes were more likely to be anxious in the past, present and future and less likely to accept death in the late stage, with 1.40 Adjusted ORs (95%CI: 1.02-1.92), and 0.72 (95%CI: 0.53-0.98), respectively. However, they were more likely to engage in social activities. <br /><em>Conclusions</em>: While socioeconomic factors strongly indicated the functional capacity to live independently, a good quality of life also required other factors leading to happiness and life satisfaction.

Stroke is a major cause of death and disability worldwide. Cognitive impairment is commonly seen after stroke and might significantly affect the functional outcome. The study aimed to investigate the impact of cognitive impairment after stroke on quality of life and daily life activities. This was a cross-sectional study involving 38 post stroke patients, consisted of 23 males (60.5%) and 15 females (39.5%). All patients underwent neuropsychology examination and assessment of quality of life and activity daily living. The proportion of post-stroke cognitive impairment was 44.7%. Cognitive impairment after stroke affects several domains, including attention, memory, executive function and visuospatial. Cognitive impairment was significantly associated with worse performance in daily life activities


2019 ◽  
Vol 1 (1) ◽  
pp. 113-124 ◽  
Author(s):  
Ingrid Ribeiro ◽  
Fernando Lucca ◽  
Thatiane Rosa ◽  
Renan Maues ◽  
Sâmia Flor ◽  
...  

Parkinson's disease (PD) is a chronic and progressive pathology that results from the degeneration of the black substance responsible for the voluntary control of movements. The reduction of dopamine generates motor and non-motor symptoms that hinder the mobility of the patient and the execution of their activities of daily living. The Watsu method relieves pain, tension and releases the muscles, fascias and spine leading to the gain of flexibility and range of motion, and can be a facilitator in reducing the symptoms of PD. The aim was to evaluate the effects of the Watsu method on motor and non-motor symptoms and their relation with the functional capacity of these individuals. This is an experimental study applied to 4 male patients diagnosed with PD. The analyzed variables were: anxiety, depression, quality of life, basic and instrumental activities of daily living and balance. 9 Watsu sessions was applied. Student's t-test (paired sample) was carried out to compare the variables studied. There was no significant improvement in the variables analyzed, but there was a tendency for improvement in quality of life variables (before 38.75 and later 36.50), depression (before 23 and after 21.25) and instrumental activities of daily living (before 19.50 and later 20.75). For the variables anxiety, basic activities of daily living and balance there was no improvement of these variables. It was observed that the Watsu method trends to improve motor and no-motor symptoms that affect the PD patients. In addition, there is still a lack in the literature in studies that use the Watsu method as a treatment for both PD and other diseases.


Author(s):  
Samantha Gomes de Alegria ◽  
Leandro Kasuki ◽  
Monica Gadelha ◽  
Agnaldo José Lopes

BACKGROUND: Musculoskeletal disorders in acromegaly compromise upper and lower limb activity. Corresponding changes can be better assessed by a functional capacity test incorporating multitasking, such as the Glittre Activities of Daily Living Test (GA-T). OBJECTIVES: To evaluate functional capacity in adults with acromegaly using the GA-T and to correlate functional capacity with hand function and health-related quality of life. METHODS: The GA-T was applied to 36 patients with acromegaly and an equal number of healthy individuals. Additionally, participants completed the Acromegaly Quality of Life (AcroQoL) questionnaire and underwent a chronic pain assessment using a map of the human body, a hand function evaluation using the Cochin Hand Functional Scale (CHFS), and a handgrip strength test. RESULTS: Relative to the comparison group, patients with acromegaly required more time to perform the GA-T, showed worse hand function, and reported that squatting to accomplish shelving tasks was the major difficulty. GA-T time was correlated with the AcroQoL global score, handgrip strength, and the CHFS (rs=-0.487, p= 0.002; rs=-0.369, p= 0.026; rs= 0.538, p= 0.0007, respectively). CONCLUSIONS: Patients with acromegaly exhibited a reduced functional capacity as assessed by the GA-T. Additionally, an association was identified between the total GA-T time and both hand function and quality of life.


2019 ◽  
Author(s):  
Di Gioia Tina ◽  
Alessandro Bortolotti

Apathy refers to a set of behavioral, emotional and cognitive characteristics such as reduced interest and participation in the main activities of daily life, lack of initiative, a tendency to early withdrawal from the activities started, indifference and flattening of the affections. The work of Tierney et al.(2018) studied how much and if apathy contributes to the problems of managing daily activities and qualities and in the following work new tests have been added that could be useful to further improve the research and to improve the distinction between apathy and depression.


2019 ◽  
pp. 14-20
Author(s):  
Sofía del Carmen Almaraz-Moctezuma ◽  
Erendira Sánchez-Barrera ◽  
Verónica Vázquez-Chacón

Objective: To analyze the effects of the IREX virtual reality system on the functional capacity of adults over 65-75 years old. Methodology: A clinical study with 15 older adults was applied. Participants were asked for their free and informed consent to participate in the study. A total of 18 sessions were applied for a period of 6 weeks, 3 sessions per week. Each session was based on increasing functional capacity by incorporating virtual reality. A combined exercise treatment was carried out with the support of the IREX virtual reality system. Contribution: According to the results, the IREX virtual reality system facilitates the social insertion of the patient, granting greater autonomy to carry out their daily life activities, improving their quality of life and increasing their functional capacity, giving therapists a vision of the most relevant aspects of the IREX virtual reality system and its application in the field of rehabilitation


Author(s):  
Bibiana Trevissón-Redondo ◽  
Daniel Lopez Lopez ◽  
Eduardo Perez-Boal ◽  
Pilar Marques-Sanchez ◽  
Cristina Liébana-Presa ◽  
...  

Objective: The objective of the present study was to evaluate the activities of daily living using the Barthel Index, before and after the infection by SARS-COV-2 and to see if the results vary according to sex. Methods: The activities of daily living of 68 cohabiting geriatric patients, 34 men and 34 women, in 2 nursing homes were measured before and after SARS-COV-2 infection using the Barthel index. Results: The Covid 19 infection affects the performance of daily life activities in institutionalized elderly in nursing homes, and it does so especially the older the subject, regardless of sex. Conclusions: The Covid 19 pandemic, in addition to having claimed some victims, especially in the elderly population, has reduced the ability of these people to carry out their activities of daily life, considerably worsening their quality of life despite have been able to overcome the disease.


Author(s):  
Wei Yu ◽  
Jie Tong ◽  
Xirong Sun ◽  
Fazhan Chen ◽  
Jie Zhang ◽  
...  

Background: Factors related to medication adherence in patients with schizophrenia have always been key to the treatment and rehabilitation of these patients. However, the treatment modes in different countries are not the same, and there is no research on the factors influencing medication adherence under different mental health service modes. Objectives: The purpose of this study was to explore medication adherence and its influencing factors in patients with schizophrenia in the Chinese institutional environment. Methods: We conducted a cross-sectional study of hospitalized persons living with schizophrenia from November 2018 to January 2019. A systematic sampling method was used to select 217 hospitalized persons living with schizophrenia. The Medication Adherence Rating Scale (MARS), Positive and Negative Syndrome Scale (PANSS), General Self-Efficacy Scale (GSES), Schizophrenia Quality of Life Scale (SQLS), and Scale of Social Skills for Psychiatric Inpatients (SSPI) were used to explore medication compliance and its influencing factors in the Chinese institutional environment. Results: The descriptive analysis and ANOVA showed that there were no significant differences in medication adherence when assessed by demographic characteristics such as sex, marital status, and education level (p > 0.05). A correlation analysis showed that there was no significant correlation between medication adherence and mental symptoms (p > 0.05) but that there was a positive correlation with self-efficacy, quality of life, and activities of daily living (p < 0.01). The linear regression analysis showed that self-efficacy, psychosocial factors, symptoms/side effects, and activities of daily living had significant effects on medication adherence (F = 30.210, p < 0.001). Conclusions: Our findings show that the self-efficacy, quality of life, and social function of patients with schizophrenia are important self-factors influencing medication adherence in the Chinese institutional environment.


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