The influence of self-help group therapy towards quality of life of cancer patients in palliative care

Background: The therapy of cancer treatment for patient affects the significant of physic, psychology, and information and social, so that it needs to support the adequate care. The supporting for adequate care is the way to improve the quality life of patients. One of the cares that given is self-help group therapy (SHG), it is a group treatment to share about the experiences of each other for cancer patient. This research is conducted to know the influences of self-help group therapy towards the quality of life of cancer patients that have a palliative care.Methods: The research uses a quantitative approach with quasi-experimental method with pre-test and post-test with control group design. The sample of this research is 14 respondents in control group and 14 respondents in intervention group.Results: There was significant difference value of quality of life pre-test rather than post-test in the intervention group, p=0.033, and there was no significant difference in the control group before and after intervention, p=0.190. The comparison between post-test intervention and post-test control group showed that there was significant difference of quality of life value. P value in intervention group was 0.002, while p value for the control group was 0.221.Conclusions: There was influence by giving self-help group (SHG) therapy towards the quality of life of cancer patients that have palliative treatment. The patient can expand the social networking, to accept the information, get the emotional supporting from their own group.

Avaliação da qualidade de vida de idosos dependentes no municí­pio de Vitória da Conquista/BA / Evaluation of quality of life of dependent elderly at Vitória da Conquista/BA

Objetivo: Avaliar a qualidade de vida de idosos dependentes do municí­pio de Vitória da Conquista/BA. Métodos: Trata-se de um estudo do tipo analí­tico transversal com abordagem quantitativa de tratamento e análise. O estudo foi realizado nos domicí­lios dos (as) idosos (as) assistidos pelo Programa de Atendimento Municipal Domiciliar ao Idoso com Limitação (PAMDIL), desenvolvido pela Prefeitura Municipal de Vitória da Conquista/BA, sendo a amostra representada por 25 idosos. O instrumento de coleta foi constituí­do de dados sociodemográficos, condições de saúde e Whoqol-bref. Os dados foram analisados por meio da estatí­stica descritiva. Resultados: Constatou-se uma maior frequência do sexo feminino 76,0%, acima de 80 anos (56,0%), sem companheiro (a) (72,0%), alfabetizado (a) (76,0%), do lar (28,0%), aposentado (a) (24,0%), renda de até dois salários mí­nimos (100,0) e aposentados (80,0%). A maioria (92,0%) apresentou algum tipo de problema de saúde. Na avaliação da qualidade de vida constatou-se que os domí­nios de menores médias foram os domí­nios fí­sico (62,07 ± 14,74 pontos) e psicológico (63,08 ± 16,70 pontos). Conclusão: Constatou-se na avaliação da qualidade de vida que os idosos obtiveram menores médias nos domí­nios fí­sico e psicológico. (AU)

Objective: To evaluate the quality of life of dependent elderly at Vitória da Conquista/BA. Methods: This was a cross-sectional analytical study with a quantitative approach for treatment and analysis. The study was carried out in the homes of the elderly assisted by the Municipal Home Care Program for the Elderly with Limitation (PAMDIL), developed by the city of Vitória da Conquista/BA, the sample being represented by 25 elderly people. The collection instrument consisted of socio-demographic data, health conditions and Whoqol-bref. Data were analyzed using descriptive statistics. Results: There was a higher frequency of female, 76.0%, older than 80 years old (56.0%), without a partner (72.0%), a literate (76.0%), of the household (28.0%), retired (24.0%), income of up to two minimum wages (100%) and retirees (80.0%). The majority (92.0%) presented some type of health problem. In the evaluation of quality of life we found that the domains of lower averages were the physical (62.07 ± 14.74 points) and psychological domains (63.08 ± 16.70 points). Conclusion: In the evaluation of the quality of life the elderly obtained smaller averages in the physical and psychological domains. (AU)

Propiedades psicométricas de la Escala de Evaluación de Calidad de Vida Laboral en el sector transporte urbano / Psychometric properties of the assessment of quality of working life scale in the urban transport sector

Resumen Introducción: La Calidad de Vida Laboral (CVL) es el grado de satisfacción, bienestar físico, psicológico y social que experimentan las personas en su entorno de trabajo; contiene las dimensiones objetiva, y subjetiva. Para este estudio se abordó la dimensión subjetiva de la CVL, conformada por salud laboral, bienestar laboral y percepción del trabajo. Objetivo: Determinar las propiedades psicométricas de la Escala de Evaluación de Calidad de Vida Laboral en el Sector Transporte. Materiales y métodos: El estudio es cuantitativo de tipo descriptivo-instrumental de la Escala que consta de 108 ítems y fue aplicada a 468 conductores del Sistema Estratégico de Transporte Público de la ciudad de San Juan de Pasto. Se calcularon las pruebas de Kaiser Meyer Olkin y de esfericidad de Bartlett, el análisis factorial exploratorio y Alfa de Cronbach. Resultados: La escala presentó características adecuadas de validez y confiabilidad, evalúa dos factores que son bienestar laboral y estilos de vida saludable y se presentan los baremos respectivos para ser aplicada. Conclusiones: El análisis factorial permite afirmar que la Escala de Calidad de Vida Laboral en el Sector Transporte puede aplicarse en estudios posteriores.

Abstract Introduction: The Quality of Working Life (QWL) is the degree of satisfaction, physical, mental and social well-being experienced by people in their working environment; it contains the objective and subjective dimensions. For this study, the subjective dimension of the QWL was addressed, which is formed by occupational health, labor welfare and perception of the work. Objective: To determine the psychometric properties of the assessment of quality of life scale at work in the transport sector. Materials and methods: A quantitative descriptive-instrumental study of the scale was made, which consists of 108 items and was applied to 468 drivers of the strategic system of public transport in the city of San Juan de Pasto. The evidence of Kaiser Meyer Olkin and roundness of Bartlett, the factorial analysis and Cronbach Alpha were calculated. Results: The scale presented appropriate features of validity and reliability. It evaluates two factors: labor welfare and healthy life styles, and the respective scales to be applied are presented. Conclusions: The factorial analysis allows us to affirm that the Scale of Quality of Working Life in the transport sector can be applied in subsequent studies.

Factores que inciden en la participación social de los adultos mayores en actividades físico-recreativas / Factors affecting social participation of older adults in recreational physical activity

Esta investigación se enmarcó en la temática de ocupación y adulto mayor activo, con el propósito de dar respuesta a la pregunta de investigación ¿Qué factores inciden en la participación social del adulto mayor en actividades físico-recreativas?, orientándose a aquellos factores facilitadores u obstaculizadores de dicha participación. Para este objetivo realizamos entrevistas en profundidad a cuatro personas que cumplieron los criterios muestrales establecidos para el estudio, que corresponden a: adultos mayores que se reconozcan a sí mismos como activos, que participen hace al menos un año en actividades físico-recreativas, como mínimo una vez por semana en el último año. Para el análisis de datos de esta investigación cualitativa utilizamos la técnica de análisis de contenido desde el relato de los participantes, obteniendo como principales factores facilitadores de esta participación el intercambio de recursos no tangibles, la motivación, el cuerpo vivido, la trayectoria de vida, la habituación y la accesibilidad, como factores que influyen en la participación de adultos mayores. Además de los mencionados existe una variedad de factores que interactúan entre sí, determinando atrayentes relaciones inter e intra factoriales, donde identificamos aspectos transversales a las distintas temáticas abordadas en esta investigación que posibilitan la apertura de nuevas líneas de investigación para la ciencia de la ocupación y terapia ocupacional.

This research was part of the issue of occupation and active older adult, setting a goal to answer the research question: what factors influence the social participation of the elderly, specifically in recreational physical activity?, aiming specifically those factors that emerge as facilitators or impede participation. To achieve this objective, in-depth interviews were conducted to four people who met the criteria established for the study sample, corresponding to: older adult who recognize themselves as active, involved at least a year in recreational physical activity, and as at least once a week in the last year. This exploratory qualitative used the technique of content analysis from the account of participants, having as main findings of this participation facilitating factors, where the most significant relate to: exchange of intangible resources, motivation, lived body, path of life, habituation and accessibility, which relate primarily to factors relating to that person, being a powerful accessibility elderly external prism that influences their involvement in such activities. In addition there was a variety of factors that interact with each other attractive determining relationships within and between categories, which identified issues which cut across the different themes addressed in this research. Finally, note that the nature of this study enables the opening of new lines of research that may contribute to the occupation science and occupational therapy.

The measuring the quality of life index within the palliative care patients / Шинэ санаа Шинэ нээлт

Palliative medicine deserved to improve quality of life of patients with advanced, incurable diseases. During last 13 years palliative care workers tried to palliate the pain, physical, psychological, spiritual symptoms of suffering, but they never measured the quality of life of palliative care patients. The term quality of life is used to evaluate the general well-being of individuals and societies. 111 countries of the World established Country QOL Index. Quality of life should not be confused with the concept of standard of living, which is based primarily on income, should not be confused with quality of health services, which is based on medical supplies, equipment, quality of medicine, education level of health workers. Health related quality of life (HRQOL) is “The degree to which a person enjoys the important possibilities of his or her life”. Health related quality of life index not established for all medical specialties. Some tools for measuring quality of life established for diabetic patients (DQOL), cancer patients (Ca QOL), HIV patients (HIVQOL), and palliative care patients (Pa QOL). In Mongolia since 2000 started to talk about quality of services and in 2008 started program on quality of health services, but never provided study of health related quality of life of any patientTo provide the study of quality of life index within palliative care patients and compare quality of life index with pain score and score of other physical, psychological, spiritual suffering of palliative care patientsWe provided study of quality of life index within 60 palliative care patients by MISSOULA-VITAS®- 15 quality of life index, pain score by Wong Baker scale, symptoms of suffering by Anderson method, functional activities by Karnofsky performance scale, psychological problems by hospital anxiety scale23.3% of patients were up to 45 years old, 76.6 % were older 45. 70% of palliative care patients in our study were patients with cancer, 30% were palliative care patients with non cancer pathology. The mean Quality of life Index of total palliative care patients was 37.7. They had more common symptoms of suffering, like pain (90%), fatigue (83.3%), weight loss (83.3%), poor appetite (66.6%), thirst (66.6%), nausea (53.3%), constipation (60%)., depression (66.7%) and anxiety (70%). 56.6% of palliative care patients had spiritual suffering because of false hope, lost of meaning, relationship problems, and forgiveness. Increasing the score of symptoms of physical, psychological, spiritual and social suffering correlated to decreasing the quality of life index.We need to develop comprehensive palliative care to improve quality of life palliative care patients.

Análise da qualidade de vida em idosos praticantes de atividade física regular em Teresina-Piauí / Analyze the quality of life in elderly practitioners of regular physical activity in Teresina-Piauí

Introdução: Alguns estudos mostram que 70% das pessoas acima de 60 anos no Brasil são sedentárias, número este preocupante, tendo em vista as consequências que este fator de risco pode acarretar. Objetivo:Avaliar o perfil de idosos praticantes e não praticantes de atividade física, utilizando como referência a análise da qualidade de vida, dos fatores de risco cardiovascular e sociodemográficos. Metodologia: O questionário SF-36 foi aplicado em um grupo composto por 55 idosos praticantes de atividade física e um grupo controle, de 55 idosos sedentários. Ambos os grupos foram compostos por idosos do Programa da Terceira Idade em Ação. Resultados: O perfil da qualidade de vida do grupo praticante de atividade física apresentou uma porcentagem maior de idosos em condições de ?excelente? e ?regular?,quando comparados as porcentagens dos não praticantes. Conclusão: Por meio desse estudo, verificou-se que a prática de atividade física proporciona um bem-estar físico, mental e emocional que influencia na melhora da qualidade de vida de idosos praticantes de atividade física.

Introduction: Some studies show that 70% of those over 60 years in Brazil are sedentary, this alarming number, considering the consequences of this risk factor may cause. Objective: To evaluate the profile of elderly and non-practitioners engaged in physical activity, using as reference the analysis of quality of life, cardiovascular risk factors and sociodemographic factors. Methodology: The SF-36 was applied to a group of 55 elderly physically active and a control group of 55 sedentary elderly. Both groups were composed of elderly in the Elderly Program Results in Action: The profile of quality of life-athlete group showed a higher percentage of elderly in terms of ?excellent? and ?regular?, when compared the percentages of non-practicing. Conclusion: Through this study it was found that physical activity provides a good physical, mental and emotional influences in improving the quality of life of older people engaged in physical activity.

O ensino na área da saúde e sua repercussão na qualidade de vida docente / Teaching in the health professions and its impact on teachers' quality of life

Pesquisa de abordagem qualitativa, realizada numa universidade de Santa Catarina, com o objetivo de conhecer a repercussão do processo de ensino-aprendizagem na qualidade de vida e saúde de docentes de cursos de graduação da área da saúde. Os dados foram coletados por entrevista em profundidade e analisados pela técnica de análise de conteúdo, associada ao processo de análise-reflexão-síntese. Observou-se que diferentes fatores promovem ou limitam a qualidade de vida do docente, inclusive para além do espaço laboral. Esses fatores estão relacionados à dinâmica das diversas interações pessoais desenvolvidas nos contextos dos processos de ensino-aprendizagem, especialmente naqueles onde há atividades com a população. Outros fatores envolvem questões relacionadas a problemas da instituição, interação com gestores, condições de trabalho e remuneração. O processo de ensino-aprendizagem na área da saúde aparece, ao mesmo tempo, como fonte de sofrimento e de prazer. O desafio dos docentes que cuidam enquanto ensinam é continuar a potencializar o autocuidado e os espaços de interação social com vistas à promoção de um ambiente coletivo saudável.

This qualitative study carried out in a university in the State of Santa Catarina, Brazil, aimed to analyze the impact of the teaching-learning process in the quality of life and health conditions of faculty members from health area graduation courses. Data were collected through in-depth interviews and submitted to content analysis, associated to the analysis-reflection-synthesis process. It was observed that different factors either facilitate or limit the quality of life of the faculty members, including issues outside the workplace itself. Such factors are related to the dynamics of personal interactions developed in the teaching-learning process, especially those involving activities with the user population. Other factors were related to institutional problems, the interaction with administrators, working conditions, and the wage. The teaching-learning process in the health area appears, at the same time, as a source of distress and of pleasure. The challenge for teachers that care while teaching is to continue enhancing self-care and to ensure social interaction opportunities in order to promote a healthy collective environment..

Evaluation de la qualité des soins et services à la clinique d'urologie et d'andrologie du CHU Hubert Maga de Cotonou

Objectif: L'évaluation de la qualité des soins et services dans la pyramide sanitaire est indispensable et intégrable aux normes et standards de santé des centres hospitaliers. Le but de ce travail est d'apprécier la qualité des soins et services à la Clinique d'Urologie et d'Andrologie de Cotonou. Matériel et méthodes: Le matériel d'étude utilisé est constitué par l'équipement et les prestataires de services de la Clinique d'Urologie et d'Andrologie du CHU Hubert MAGA de Cotonou. La méthode d'étude est rétrospective. La période couverte va du 1er Janvier 2001 au 31 Décembre 2002. L'hypothèse à corréler est « l'amélioration de la qualité des soins et services passe par l'évaluation des services ». Les variables étudiées sont celles du référentiel de l'OMS. Résultats: Les normes et standards évalués à la clinique d'Urologie et d'Andrologie du CHU Hubert MAGA de Cotonou affichent des indicateurs de satisfaction variable. Les indicateurs à améliorer sont les infrastructures (44%< S <72%), le matériel médico-technique (S=75%) et l'utilisation du service (S= 50%). Les autres ont un score 65%<S<100% jugés satisfaisants. Discussion: Les normes et standards évalués sont ceux du référentiel de l'OMS. Ainsi, l'équipement dénote d'une insuffisance d'infrastructure, de matériel médico-technique, de médicaments et de consommables. La performance du personnel est satisfaisante pour sa disponibilité et sa compétence technique. L'efficacité est moyenne quant à l'utilisation de services et suffisante pour les résultats de l'évolution. L'efficience est également moyenne quant au taux d'utilisation du bloc opératoire et à la productivité. L'organisation du service est satisfaisante dans son mécanisme de gestion et dans son organisation opérationnelle. La collaboration interpersonnelle est excellente entre prestataires et utilisateurs de services. L'hygiène est satisfaisante, l'hébergement est acceptable. La restauration répond à l'attente des utilisateurs et des prestataires. Conclusion: Tous les aspects des normes et standards de santé ne sont pas abordés. Les résultats obtenus sont propres au service, à son orientation future dans la stratégie et la tactique de l'assurance qualité de soins. Oui, les normes et standards influencent la qualité des soins et services

Research progress on quality of life of patients with tumor / 肿瘤研究与临床

This article introduces the definition of quality of Life.How do the quality of life questionnaires apply in the clinical situations.This paper provides an overview of the factors that influence cancer patients quality of life.These research will give inspirations to our nurses and provide some reference for nursing interfere measurement.In order to improve quality of life of cancer patients,the clinical nurses should pay attention to these influencing factors.

Investigation of the health related quality of life in patients with chronic hepatitis C / 中华传染病杂志

Objective To evaluate the health related quality of life (HRQOL) of patients with chronic hepatitis C(CHC) and the improvement after interferon therapy. Methods Using the SF 36 questionnaire and the hepatitis specific scale derived from the Medical Outcomes Study (MOS), the HRQOL in 67 non cirrhotic patients with chronic HCV infection were evaluated, 38 patients of which were treated with IFN ?2a 3MU( n=31) and CIFN 15 ?g ( n =7), three times a week for 6 months. 12 patients had a sustained viral response (undetectable serum HCV RNA and normal ALT level at 24 weeks post treatment) to interferon therapy. 26 patients had no response. Live biopsies were performed in 23 patients and the diagnosis of chronic hepatitis proved. These scales were self administered by patients at baseline and at 24 weeks post treatment. Patients with chronic hepatitis C were compared with healthy volunteers ( n =40) who were selected as normal controls, the age, sex, education profession were matched between them. Results Compared with healthy controls, patients with chronic hepatitis C at baseline had lower HRQOL on all eight scales of the SF 36 ( P

Quality of Life Level in the Patients with Traumatic Brain Injury / 신경정신의학

This study was designed to investigate the quality of life(QOL) In the patients with traumatic brain injury(TBI), in view of the global, psychosocial and neurobehavioral aspects of QOL. Thirty-one patients with TBI and corresponding matched controls were rated with a global measure(Quality of Life-Index, QL-Index), a psychosocial measure(Sickness Impact Profile ; SIP), and a self-rating(Head Injury Symptom Checklist: HISCL) and an objective symptom scales(Neurobehavioral Rating Scale, NRS). The results were as follows: 1) There were significant differences between the TBI and the control groups in the level of QOL measured by all scales(p<0.01). 2) On QL-Index, the decrement of QOL was 67.4+/-19.2 in TBI group, and 8.1+/-6.4 in control group. In TBI group, the severity of impairment was highest in activity(involvement in own occupation)', and the following items were 'Outlook in Life', 'Perception of own Health', 'Activities of Daily Living', and 'Support of Family and Friends' in decreasing order of severity. 3) On SIP, the degree of psychosocial dysfunction was 67.2+/-20.1 in TBI group, and 8.5 +/-6.9 in control group. In TBI group, the impairment was highest in 'Work' and the following items were 'Home Management' and 'Social Interaction', with 'Body Care and Movement' and 'Eating' the lowest. 4) On HISCL the severity of subjective symptoms of TBI patients was highest in 'Memory', and the next were 'Concentration' and 'Home sensitivity' and the lowest were 'Light sensitivity' and 'Insomnia' 5) On NRS, the severity of objective symptoms of TBI patients was highest in 'Somatic concern', 'Depressive mood', and 'Anxiety' in decreasing order. Among the flour factors of HRS, the severity of impairment was highest in Factor III (Somatic/Anxiety), and the next were Factor I(Cognition/Energy), Factor II(Metacognition), and Factor IV(Language). 6) There was significant correlation among the total scores of all the above scales in the patients with TBl(p<0.01).