scholarly journals Quality of Life in Patients with Substance Use Disorders Admitted to Detoxification Compared with those Admitted to Hospitals for Medical Disorders: Follow-Up Results

2016 ◽  
Vol 10 ◽  
pp. SART.S39192 ◽  
Author(s):  
John-Kåre Vederhus ◽  
Are Hugo Pripp ◽  
Thomas Clausen
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
General Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical Disorders ◽  
Major Factors ◽  
Data Collections

Quality of life (QoL) in patients admitted to a general hospital was compared with those admitted to a detoxification unit for the treatment of substance use disorder (SUD). This study combines data from two separate data collections: a cross-sectional study in a general hospital unit (somatic sample, N = 519) and a follow-up study in a detoxification unit (SUD sample, N = 140). A total of 659 patients recruited during 2008–2013 were included in this study. All patients completed a generic QoL questionnaire at inclusion, and the SUD sample also completed it at the six-month follow-up. SUD patients experienced comparably low physical QoL and had significantly lower psychological, social, and existential QoL domain scores when compared with the somatic sample. Mental distress and having a SUD were the major factors explaining variations in QoL, with both influencing QoL negatively. In the SUD sample, QoL improved moderately at the six-month follow-up with less improvement for the domain relationship to a partner. To facilitate the recovery of SUD patients, clinicians must view their patients' situation holistically and invest efforts into the different life domains affected by poor QoL.

scholarly journals The prevalence and associated factors of depression among patients with schizophrenia in Addis Ababa, Ethiopia, cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tolesa Fanta ◽  
Desalegn Bekele ◽  
Getinet Ayano
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
Suicide Attempt ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Sectional Study ◽  
Comorbid Depression ◽  
Cross Sectional

Abstract Background Depression is common among people with schizophrenia and associated with severe positive and negative symptoms, higher rates of disability, treatment resistance and mortality related to suicide, physical and drug-related causes. However, to our knowledge, no study has been conducted to report the magnitude of depression among people with schizophrenia in Ethiopia. Therefore, this study aimed to determine the prevalence and associated factors of depression among people with schizophrenia. Method A hospital-based cross-sectional study was conducted among 418 patients with schizophrenia selected by systematic sampling technique. Patient Health Questionnaire 9 (PHQ-9) was used to measure depression among the study participants. To identify the potential contributing factors, we performed binary and multivariable logistic regression analysis adjusting the model for the potential confounding factors. Odds ratios (OR) with the corresponding 95% confidence interval (95%CI)) was determined to evaluate the strength of association. Result The prevalence estimate of depression among people with schizophrenia was found to be 18.0% [95% confidence interval: 14.50–22.30]. Our multivariable analysis revealed that current substance use (AOR 2.28, 95%CI (1.27, 4.09), suicide attempt (AOR 5.24, 95%CI (2.56, 10.72), duration of illness between 6 and 10 years (AOR 2.09, 95%CI (1.08, 4.04) and poor quality of life (AOR 3.13, 95%CI (1.79, 5.76) were found to be the factors associated with depression among people with schizophrenia. Conclusion The current study revealed that comorbid depression was high among people with schizophrenia and associated with current substance use, suicide attempt, and long duration of the illness as well as poor quality of life. Attention needs to be given to address comorbid depression among people with schizophrenia.

scholarly journals Predictors of health related quality of life among diabetic patients on follow up at Nekemte Specialized Hospital, Western Ethiopia: A cross sectional study

2019 ◽  
Author(s):  
Bikila Regassa Feyisa ◽  
Mekdes Tigistu Yilma ◽  
Belachew Etana Tolessa
Keyword(s):  
Quality Of Life ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
Western Ethiopia

AbstractObjectiveTo assess health related quality of life (HRQoL) and its predictors among diabetic patients on follow up at Nekemte Specialized Hospital (NSH) in Western Ethiopia.Design, setting and participantsThis facility based cross sectional study was conducted among 224 diabetic patients on follow up at one of the public hospitals in western Ethiopia.Main outcome measuredHRQoL was measured by using the Medical Outcome Study 36-item Short Form Health Survey from 15th April to 5th June. Structured questionnaire was used for data the collection from participants selected by systematic random sampling. Multiple linear regression was used for final model.ResultA total of 215 diabetic patients were involved in the study with the response rate of 96%. The mean score of the overall HRQoL of the study participants was found to be 50.30 ± 18.08 with highest mean score in physical functioning and lowest mean score in general health domain. Age, education status, history of smoking, feeling of stigmatized and Body mass index (BMI) were inversely associated while being male, being married, absence of co morbidity and absence of chronic complications related to diabetes mellitus were found to be positively associated with overall HRQoL.ConclusionThe overall HRQoL of diabetic patients on follow up at the study area was found to be moderate. General health, mental health, bodily pain and vitality were the most affected domains. Both the mental and physical components need to be considered when caring the diabetic patients on follow up beyond provision of treatment.Strength and limitations of this studyThe study was the first of its kind in assessing the predictors of health-related quality of life (HRQoL) among both diabetes mellitus type I and type II in Ethiopia.The tools used was validated across different culturesEight domains of HRQoL and two component summary scores were used to make the measurement more specific.The cross sectional nature of the study design made the result of the study difficult to identify either the cause or the effect comes first.

scholarly journals Quality of Life of the Patient with Head and Neck Cancer Submitted to Radiotherapy and the Overload of Their Caregivers

2021 ◽  
Author(s):  
Daniela Delalibera ◽  
Alessandra Cristine Ribeiro Carvalho ◽  
Bruna Luiza Thesolim ◽  
Laura Ferreira de Rezende
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Functional Changes ◽  
Therapeutic Choice

Abstract Introduction Esthetic and functional changes are frequent in patients with head and neck cancer, and they can be caused by both tumor and treatment. Physical and functional impairment often requires the need of a caregiver, who may feel overwhelmed with the tasks of care. Objective This study aims to evaluate the quality of life of patients with head and neck cancer submitted to radiotherapy and the overload of their caregivers. Method This is a quantitative cross-sectional study with 42 patients with head and neck cancer and 17 caregivers evaluated during the radiotherapy treatment. Patients responded to the following questionnaires: Functional Assessment of Cancer Therapy for Head and Neck Cancer (FACT-H&N) and Shame and Stigma Scale (SSS), while the caregivers responded to the Zarit Burden Interview Scale (ZBI) and Palliative Performance Scale (PPS). Results Head and neck cancer patients showed a decline in the quality of life in all FACT-H&N domains, with the domain of additional concerns having the worst outcome. Among the feelings reported by patients, the most important was penitence. Less than half of the patients needed caregivers. It was observed that the greater the degree of commitment of the patient, the greater the degree of overload of the caregiver. Conclusion Therefore, the quality of life of the patient with head and neck cancer is an important aspect to be considered during the therapeutic choice and in the follow-up of the patient, since it has influenced both the patient and his caregiver.

scholarly journals Residual Symptoms, Lung Function and Imaging Findings in Patients Recovering from SARS-CoV-2 Infection

2021 ◽  
Author(s):  
fares darawshy ◽  
Ayman Abu Rmeileh ◽  
Rottem Kuint ◽  
Dan Padawer ◽  
Khalil Karim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lung Function ◽  
Disease Severity ◽  
Medical Center ◽  
Pulmonary Function Tests ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Residual Symptoms

Abstract RationaleSymptoms following acute COVID-19 infection are common, but their relationship to initial COVID-19 severity is unclear. We hypothesize that residual symptoms are related to disease severity, and severe acute COVID-19 infection is more likely to cause residual pulmonary damage. This study aims to evaluate symptoms, lung function and abnormal imaging within 3 months following COVID-19 infection, and whether they are related to initial disease severity.Methods A cross-sectional study was carried out at a designated post-COVID clinic in Hadassah Medical Center, Jerusalem, Israel. Patients with PCR-confirmed SARS-CoV-2 infection were evaluated within 12 weeks following infection and included both admitted and non-admitted subjects. All participants underwent assessment of symptoms, quality of life (SGRQ), pulmonary function tests, and imaging. Results A total of 208 patients (age 49.3±16 years) were included in the study. Initial disease severity was mild in 86, moderate in 49 and severe in 73 patients. At the time of follow up, there were no differences in frequency of residual symptoms or in SGRQ score between groups. Patients with severe COVID-19 were more likely to have residual dyspnea (p=0.04), lower oxygen saturation (p<0.01), lower FVC and TLC (p<0.001, p=0.03 respectively), abnormal CXR (p<0.01) and abnormal CT scan (p<0.01) compared to other groups. Conclusion Frequency of symptoms and impairment of quality of life at 12 weeks follow up are common and are not related to severity of initial COVID-19 disease. In contrast, reduced lung function and abnormal pulmonary imaging are more common in patients with more severe acute COVID-19 infection.

scholarly journals Factors Related to the Quality of Life of Patients with Coronary Heart Disease at Saiful Anwar General Hospital, Malang

2021 ◽  
Author(s):  
Mazidah Imanuna ◽  
Hartati Eko Wardani ◽  
Tika Dwi Tama
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
General Hospital ◽  
Disease Risk ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional

Most coronary heart disease (CHD) patients experience a decrease in quality of life that can worsen the prognosis. To the best of our knowledge, no previous study has identified the quality of life of CHD patients in Saiful Anwar General Hospital and its predictors. Hence, this study was conducted to determine the factors related to the quality of life of patients with CHD at Saiful Anwar General Hospital. A cross-sectional study was conducted by selecting 90 patients diagnosed with CHD in 2019 purposively. The instruments used in this study were the DASS-21, SF-36 and social support. Data were analysed using univariate and bivariate with binary logistic regression. The study found that the quality of life of patients with CHD has an average value of 63.29. As many as 88.9% of CHD patients were categorized as having a good quality of life. There was no relationship between the independent variables and the quality of life. Further research needs to be done on potential variables related to the risk factors of the CHD patients’ quality of life, which can subsequently be used as a guideline for optimizing and improving the patients’ quality of life. Keywords: coronary heart disease, risk factors, quality of life

Vision related quality of life of patients with keratoconus after keratoplasty at a Tertiary Eye Hospital in Saudi Arabia

2021 ◽  
pp. 112067212110206
Author(s):  
Bader S Al-Qahtani ◽  
Samar A Al-Swailem ◽  
Khabir Ahmad ◽  
Rajiv Khandekar
Keyword(s):  
Quality Of Life ◽  
Saudi Arabia ◽  
Cross Sectional Study ◽  
Clinical Factors ◽  
Cross Sectional ◽  
Related Quality ◽  
Beta Coefficient ◽  
The Relationship

Purpose: To assess the vision-related quality of life (VQoL) for patients with advanced keratoconus (KC) after primary keratoplasty. Methods: This was a cross-sectional study, undertaken at the King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, in December 2015. Adults (aged 22–75 years) were interviewed via telephone with regard to their VQoL, on the average, 5 years after undergoing primary keratoplasty for advanced KC. VQoL was measured using the Visual Functioning Index (VF-14, Arabic version). The relationship between VQoL and different demographic and clinical factors was evaluated using linear regression. Results: Ninety-five adults participated in the study (54.7 % males; mean age at the interview = 32.05 ± 7.18 years). Eighty-seven (91.6%) of them had undergone PKP. The overall mean VF-14 score was 86.19% (SD: 12.91). VF-14 score was significantly lower for individuals with higher log average K (beta coefficient, −28.32; 95% confidence interval [CI], −55.59 to −1.04; p = 0.042) and hazy graft (beta coefficient, −12.76; 95% CI, −21.16 to −4.36; p = 0.003) adjusting for the effect of keratoplasty technique and BCVA in the better eye at the last follow up. Conclusion: This study suggests that most patients with advanced keratoconus had satisfactory VQoL after primary keratoplasty. Certain subgroups may benefit less substantially than others and would need a particular attention.

Moderate relationship between function and satisfaction of total hip arthroplasty patients: a cross sectional study

2020 ◽  
pp. 112070002092111
Author(s):  
Cedric Maillot ◽  
Ciara Harman ◽  
Marwan Al-Zibari ◽  
Karam Sarsam ◽  
Charles Rivière
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Hip Replacement ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Total Hip ◽  
Oxford Hip Score ◽  
Positive Correlations

Purpose: Patient satisfaction regarding their hip replacement is often assumed to be directly linked to functional outcomes. We led this study to answer 2 questions: (1) what is the level of patient satisfaction, function, and quality of life after primary total hip replacement (THR); and (2) what is the relationship between patient satisfaction and functional and quality of life PROMs after THR? Methods: We led a retrospective study using our institutional registry of prospectively and consecutively collected data on patients after primary THR undertaken between 2004 and 2017. We included 6710 patients with a complete 2-year set of follow-up data for Oxford Hip Score (OHS) (for assessing patient’s function), EQ-5D (for assessing patient’s quality of life) and satisfaction PROM scores. Results: There was a significant improvement in all OHS and EQ-5D scores from preoperative level, and the mean postoperative satisfaction score was 89/100. We found moderate positive correlations between the patients’ outcome satisfaction VAS score and OHS (r = 0.665) and EQ-5D (r = 0.554). Conclusions: THR is a successful procedure generating high levels of patient function and satisfaction. Because patients’ OHS and EQ-5D scores may be influenced by comorbidities, those scores are of poor predictive value in estimating patient satisfaction, and therefore should not be used as a surrogate to determine the success of the THR procedure.

scholarly journals Quality of life issue in psoriasis: A study from western Nepal

2015 ◽  
Vol 3 (2) ◽  
pp. 116-120
Author(s):  
A Kumar ◽  
S Neupane ◽  
PR Shrestha ◽  
J Pun ◽  
P Thapa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Psoriasis Area Severity Index ◽  
Cross Sectional ◽  
Psoriasis Disability Index ◽  
Chisquare Test

Background: Psoriasis may have negative impact on a patient’s quality of life. Very few studies have examined this aspect in Nepalese population. Aim of this study was to evaluate the Quality of life (QOL) in chronic psoriatic patients by modified version of psoriasis disability index (PDI).Methods: Present cross sectional study was conducted in three major hospitals in western Nepal. One hundred chronic psoriatic patients of 18 years or more of age, with disease duration of six months or more and body surface area involvement of 10% or more were recruited. Clinical assessment was done with psoriasis area severity index (PASI) and quality of life was measured by modified version of PDI. Patients were managed as per indication. At the follow up at four weeks, improvement in PASI and improvement in QOL was measured. Statistical analysis by Chisquare test was done to assess the relation between severity of psoriasis and different items of quality of life.Results: Psoriasis has negative impact on all aspect of quality of life in Nepalese patients, as shown by score of modified version of PDI, which was 39.27% of total. There was significant improvement in PASI at follow up visit, from 23.29% to 15.35% of total. There was significant improvement in quality of life after treatment (modified version of PDI) from 39.27% to 32.66% of total.Conclusions: Psoriasis has negative impact on all aspect of quality of life in Nepalese patients.Nepal Journal of Medical Sciences Vol.3(2) 2014: 116-120

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