Assess the Depression and Quality of Life among Women Suffering from Selected Gynaecological Cancers Attending Oncology Units of Selected Hospitals

Backgrounds: Gynecological cancers are significant and probable life-threatening diseases that harm patients' physical and psychological health. The leading cause of death in female抯 psychological problems like depression endure and can cause an extra burden during their treatment. Therefore, this study helps evaluate depression and well-being among gynaecological malignancies. Methods: Women's depression was evaluated by a standardized CES-D Scale and QOL by WHOQOL Bref scale, a sample of 100 women with cancers admitted at HSK and Kerudi cancer hospital, Bagalkot was selected using a purposive sampling technique, descriptive survey design was adopted. Statistical data were tested and scrutinized using descriptive and inferential analysis. Results: 100% of women had moderate depression. The mean percentage of depression score was 61.45% with mean and SD (37�9). Of the women, 71 % had moderate, 21%had poor, and 8% had good QOL. The mean percentage of QOL of women was 48.1% with mean and SD (62.5�.1). A Strong relation was found between depression scores with your family members known to you (?=4.52, p<0.05), Area of residence (?=3.88, p<0.05), and whether you have undergone previously any surgery for the treatment of cancer (?=8.93, p<0.05). No association was found between QOL scores with study variables. A Negative correlation (r=-0.27, p<.05) was found between depression and Total QOL scores. Conclusion: Most patients have moderate depression and moderate QOL. This study is effective in identifying depression and QOL

Quality of Life and Coping Strategies among Parents of Children Admitted in Thalassemia Ward

Background: Thalassemia is a hereditary disease of defective hemoglobin synthesis. Thalassemia results from an anomaly of genes involved in the production of hemoglobin. Every year approximately 10,000 children are born with thalassemia in India. Parents of thalassemic children feel depressed, frustrated, and helpless and have numerous emotional, psychosocial, and financial sufferings. Methods: Parent's quality of life was evaluated by a standardized WHOQOL Bref scale and coping status was assessed using the coping health inventory scale (CHIP), a sample of 100 parents of thalassemic children admitted to thalassemia ward at HSK hospital, Bagalkot was selected using purposive sampling technique, descriptive survey design was adopted. Statistical data were tested and scrutinized using descriptive and inferential analysis. Results: Total 70% of parents experienced moderate QOL, 9% had good and 21% parents had poor QOL. The mean percentage of QOL of parents was 48.11% with a mean and SD was 63�. Most of the parents had moderate (88%), 08% had good and 4% of parents� level of coping status was low. No association was found between QOL scores with study variables. A significant association was found among coping strategies with the type of family (?2=8.66, p<0.05), previous knowledge regarding thalassemia (?2= 4.912, p<0.05), relationship with the thalassemic child (?2=6.37, p<0.05). A positive correlation (r= 0.0829 p<0.05) was found between QOL and coping strategies. Conclusion: Most parents had moderate QOL and coping strategies. This study is effective to identify the QOL and coping status of parents having a child with thalassemia.

Measurement and analysis of the religious and spiritual factors of quality of life of residents of Islamic cities / Medición y análisis de los factores religiosos y espirituales de la calidad de vida de los residentes de las ciudades islámicas

Abstract Happiness and achieving quality of life primarily depends on the nature of the place in which we live. The religious/spiritual factor is considered a basic factor for understanding the quality of life of individuals. The study at hand used the Arabic version of WHOQoL-SRPB to analyze the religious and spiritual factor affecting the quality of life in Islamic holy cities. The scale was applied to 671 residents of Medina with an average age of 51.6 years, of which 527 (78.5 %) are males and 144 (21.5 %) are females, and they are all Muslims. The results showed that all factors have good internal consistency, since the Alpha Cronbach value was .81 at a significant level of p < .001, and its value for the factors ranged between .75-.89, which are high values and significant at p < .001 except for the "Wholeness" factor, which was significant at p < .01. Moreover, the results of the intra-class correlations coefficients (ICC) test showed that all WHOQoL-SRPB factors are acceptable, as their values ranged between (.82-.93), and all of them were significant at p < .001.

Medication adherence and health-related quality of life amongst HIV patients receiving care at umuebule cottage hospital, etched, Rivers State

HIV treatment is available, free, and accessible for individuals who are infected. The study is aimed at determining the levels of medication adherence and health related quality of life (HRQOL) among HIV patients receiving care at Umuebule Cottage Hospital, Etche, Rivers State.Method: This cross-sectional study recruited 430 adult clients who have been on ART for at least one year using a convenient sampling method. An average of 10 patients visits the facility on clinic days. After explaining the purpose of study and obtaining consent,patients who met the eligibility criteria were recruited on each clinic day for a period of 12 weeks, until the sample size was reached. Data was collected using semi-structured interviewer administered validated questionnaire; Morisky Medication Adherence Questionnaire (MMAS-8) and WHO-Quality of Life-BREF(WHOQOL-BREF), after a pilot study on 30 PLHIV from Okomoko general hospital, Etche. Data was analyzed with IBM-SPSS Version 25. The mean age of respondents was 35.9±10.9 years, 59.3% of the respondents' last viral load was suppressed, 19.1% had low level viremia, while (21.6%) were virally unsuppressed. Medication adherence levels were observed to be good (67.7%), poor (32.3%) respectively, while HRQOL of respondents were found to be poor (56.9%) and good (43.1%).Conclusion:A significant proportion of the respondents adhere to their medication whereas most of them had poor HRQOL. There is need for hospital management to collaborate with social welfare organizations to support PLHIV to set up means of earning to enable them to provide their basic needs for improved HRQOL

Desempeño psicométrico e intervalos de referencia del WHOQOL-BREF en población sana, Medellín-Colombia / Psychometric performance and WHOQOL-BREF reference intervals in a healthy population, Medellín-Colombia

Resumen Introducción: El instrumento de calidad de vida de la Organización Mundial de la Salud es ampliamente utilizado en personas sanas y enfermas; sin embargo, son pocos los estudios colombianos que han analizado sus dimensiones en población sana. Objetivo: Evaluar las propiedades psicométricas del WHOQOL-BREF en población sana de Medellín, y estimar los intervalos de referencia para sus cuatro dimensiones. Métodos: Estudio transversal y de evaluación psicométrica en 1938 personas. Se evaluó fiabilidad con el α de Cronbach, consistencia interna y poder discriminante con Rho de Spearman, validez de contenido con coeficientes λ y varianza explicada mediante un análisis factorial exploratorio con extracción por componentes principales. Se eliminaron valores aberrantes mediante el estadístico de Grubbs, se estimaron los intervalos de referencia globales para cada dimensión del WHOQOL-BREF y los específicos, según variables demográficas y socioeconómicas, mediante intervalos de confianza del 95% para la media, y comparaciones mediante T- Student y Anova. Los análisis se realizaron en SPPS 25.0®. Resultados: Se halló una excelente fiabilidad, consistencia interna, poder discriminante y validez de contenido en las cuatro dimensiones del instrumento en población sana. Los valores de referencia fueron 64,3-65,6 en salud física, 70,8-72,0 en salud psicológica, 64,3-65,9 en salud social y 60,5-61,6 en salud ambiental, con diferencias estadísticamente significativas según las características demográficas y socioeconómicas Conclusión: El excelente desempeño psicométrico de la escala en población sana, permitió la estimación de los intervalos de referencia para las cuatro dimensiones, así como los valores para subgrupos conformados por variables demográficas y socioeconómicas, lo que resulta determinante para incluir los desenlaces centrados en las personas en los programas de medicina y salud pública, así como comparadores adecuados para población enferma.

Abstract Introduction: The Quality of Life Instrument of the World Health Organization is widely used in healthy and sick people; however, few Colombian studies have analyzed its dimensions in a healthy population. Objective: To evaluate the psychometric properties of the WHOQOL-BREF in a healthy population of Medellín and to estimate the reference intervals for it's four dimensions. Methods: Cross-sectional study and psychometric evaluation in 1938 people. Reliability was evaluated with Cronbach's α, internal consistency and discriminant power with Spearman's Rho, content validity with λ coefficients and variance explained by means of an exploratory factor analysis with extraction by principal components. Aberrant values were eliminated using the Grubbs statistic, the global reference intervals were estimated for each dimension of the WHOQOL-BREF and the specific ones, according to demographic and socioeconomic variables, using 95% confidence intervals for the mean, and comparisons using Student's t and Anova. The analyzes were carried out in SPPS 27.0®. Results: Excellent reliability, internal consistency, discriminating power, and content validity were found in the four dimensions of the instrument in a healthy population. The reference values were 64.3-65.6 in physical health, 70.8-72.0 in psychological health, 64.3-65.9 in social health and 60.5-61.6 in environmental health, with statistically significant differences according to demographic and socioeconomic characteristics Conclusion: The excellent psychometric performance of the scale in the healthy population allowed the estimation of the reference intervals for the four dimensions, as well as the values for subgroups made up of demographic and socioeconomic variables, which is decisive for including the outcomes centered on people in medicine and public health programs, as well as suitable comparators for the sick population.

Assessment Of Quality of Life Among PLHIV Attending the FIART Clinic of Bankura Sammilani Medical College, West Bengal

Introduction: People Living with HIV (PLHIV) are facing increasing challenges pertaining to the disease as life expectancy is gradually rising. This study was conducted to assess the quality of life (QOL) in vari-ous domains among PLHIV and to find out its’ associated factors. Methods: A descriptive, cross-sectional study was conducted in Facility Integrated Antiretroviral Thera-py (FIART) clinic of Bankura Sammilani Medical College & Hospital (BSMCH) among 99 PLHIV from 01/07/2019 to 30/06/2020. Data were collected by interviewing PLHIV aged within 18-60 years using pre-designed, pre-tested, and semi-structured questionnaire incorporating WHO Quality of Life for HIV (WHOQOL-HIV) - BREF version to assess the QOL of the study subjects in various domains.Results: 44% participants rated their QOL as good, 79% satisfied with their health. Among all other do-mains, QOL score (median- 17.0, IQR- 4) was found highest in physical domain, while it was lowest (me-dian- 14.0, IQR- 2) in spiritual domain. Overall QOL was significantly higher in males, rural residents, joint family and higher socio-economic class. Multiple linear regression revealed statistically significant relation of overall QOL with residence, family type and socio-economic status. Conclusion: Psychological and spiritual well-being of PLHIVs is an area of concern and requires clinical attention.

Overall quality of life impact on candidates for septorhinoplasty according to the World Health Organization quality of life brief questionnaire (WHOQOL-Brief) / Impacto geral na qualidade de vida em candidatos à septorrinoplastia de acordo com o World Health Organization Quality of Life Brief Questionnaire (WHOQOL-Brief)

Abstract Introduction: Quality of life has been an increasingly reference measure in whole health impact of diseases and in septorhinoplasty evaluation as well. It is known that the decision for this elective surgical procedure requires the subjective perception of patients' complaints about their own health and life stage in association with the surgeon's aesthetic and functional perspective of each case. Objective: To define the quality of life of candidates for septorhinoplasty using the World Health Organization quality of life questionnaire, WHOQOL-Brief, and the prevalence of other independent variables for this population. Methods: A cross-sectional study using a sample of candidates for septorhinoplasty was performed. All patients responded to the WHOQOL-Brief during the pre-operative period. A normative population quality of life study was the reference for the sample size and means. Results: A total of 302 patients were included among the 322 eligible patients. Twenty patients did not complete the questionnaire correctly and were excluded from the study. The sample consisted of patients aged between 15 and 78 years (34.7±14 years): the most majority were Caucasian and female. Among this group, 88.1% declared symptoms of nasal obstruction and 77.4% complained of sleeping problems. It was seen that 10.9% patients chose the surgery primarily for aesthetic improvement; 37.1% chose it mainly because of functional symptoms and 52% chose it for both functional and aesthetic reasons. The physical health domain's mean was 62.2 ± 17), which is a higher mean compared to the references' standard one (Μ = 58.9± 10.5, p = 0.002). The social relationship domain mean was 70.8±18.1; that is a lower mean then general population's one (Μ = 76.2± 18.8, p < 0.001). The psychological and the environment domain means revealed no difference when comparing the sample to the norm (μ = 65.3 ±15.1 vs. μ = 65.9 ±10.8, p = 0.530 and μ = 60.3 ±13.1 vs. μ = 59.9 ± 14.9, p = 0.667). Conclusion: The WHOQOL-Brief questionnaire proved an accurate instrument to cross-check different populations in quality of life outcomes. The study provides good evidence of lower quality of life in social relations domain and high prevalence of nasal obstruction and sleeping symptoms in candidates for septorhinoplasty. This study contributes to recent literature with relevant data supporting a more integrative evaluation in this population in the preoperative period. The results may also encourage a multidisciplinary approach for chronic symptoms when associated with nasal obstruction, sleep disorders and aesthetic complaints.

Resumo Introdução: A qualidade de vida tem sido cada vez mais uma medida de referência no impacto total das doenças na saúde e também na avaliação da septorrinoplastia. Sabe-se que a decisão por esse procedimento médico eletivo requer a percepção subjetiva da queixa do paciente sobre sua própria saúde e estágio de vida em associação com a perspectiva estética e funcional do cirurgião de cada caso. Objetivo: Definir a qualidade de vida de pacientes candidatos à septorrinoplastia por meio do questionário de qualidade de vida da OMS, WHOQOL-Brief e a prevalência de outras variáveis independentes para essa população. Método: Foi feito um estudo transversal com uma amostra de candidatos à septorrinoplastia. Todos os pacientes responderam ao WHOQOL-Brief no momento pré-operatório. Um estudo normativo de qualidade de vida populacional foi a referência para o tamanho e as médias da amostra. Resultados: Foram incluídos 302 pacientes entre os 322 elegíveis. Vinte pacientes não preencheram o questionário corretamente e foram excluídos do estudo. A amostra foi composta por pacientes entre 15 e 78 anos (34,7 ± 14 anos) e a maioria era branca e do sexo feminino. Entre todos, 88,1% declararam sintomas de obstrução nasal e 77,4% declararam ter sintomas durante o sono. Observou-se que 10,9% dos pacientes optaram pela cirurgia principalmente para melhoria estética; 37,1% optaram principalmente devido a sintomas funcionais e 52% optaram por queixa funcional e estética. A média do domínio saúde física foi de 62,2 ± 17, uma média mais alta em comparação com o padrão de referências (μ = 58,9 ± 10,5, p = 0,002). A média do domínio do relacionamento social foi de 70,8 ±18,1, uma média inferior à da população geral (μ = 76,2 ± 18,8, p < 0,001). As médias dos domínios psicológico e meio ambiente não diferiram na comparação da amostra com o normativo (μ = 65,3 ±15,1 vs. μ = 65,9 ± 10,8, p = 0,530 e μ = 60,3 ±13,1 vs. μ = 59,9 ± 14,9, p = 0,667). Conclusão: O questionário WHOQOL-Brief demonstrou servir como um instrumento preciso para cruzar diferentes populações nos desfechos de qualidade de vida. O estudo fornece boas evidências de menor qualidade de vida no domínio relações sociais e alta prevalência de obstrução nasal e sintomas durante o sono em candidatos à septorrinoplastia. Este estudo contribui para a literatura recente com dados relevantes que subsidiam uma avaliação mais integrativa nessa população no momento pré-operatório. Os resultados também podem incentivar uma abordagem multidisciplinar para os sintomas crônicos quando associados, como ocorre na obstrução nasal, distúrbios do sono e queixas estéticas.

Quality of life of people living with HIV/AIDS before and after receiving antiretroviral therapy

Background- HIV/AIDS is a chronic illness. Besides having serious morbidities, opportunistic infections, it also adversely affects quality of life of People Living with HIV/AIDS (QOL- PLHIV). Early and prompt initiation of antiretroviral therapy (ART) might improve quality of life of PLHIV in various domains like psychological, physical, environment level of independence, social relationship and spirituality/religion/personal beliefs. Material and methods- The study was conducted at a medical institute of North India. Patients attending ART centre of the institute for the treatment of HIV/AIDS were interviewed on WHOQOL-HIV questionnaire. Aim and objectives- To assess and compare quality of life of people living with HIV/AIDS at initiation and after 6 months of receiving antiretroviral therapy. Result- QOL-PLHIV was improved in various domains when assessed after six months of receiving ART. For physical domain mean score increased from 12.83 to 13.85, for psychological domain from 12.54 to 14.31, for level of independence from 12.95 to 13.21, for social relationship from 12.46 to 14.15, for environment domain from 11.98 to 13.15 and for spirituality/religion/personal belief mean score increased from 11.41 to 11.96. Respective standard deviation was decreased when compared from before initiation of ART to six months after receiving ART. Conclusion – Quality of life of people living with HIV/AIDS was improved significantly after receiving ART.

The quality of life, situations and emerging concerns of parents of children with neurodevelopmental disorders in Philippine Children's Medical Center during COVID-19 pandemic

BACKGROUND@#COVID-19 resulted in a public health emergency and quarantine measures which may negatively impact vulnerable populations.@*OBJECTIVES@#This study intends to determine the quality of life, situations and emerging concerns of parents of children with neurodevelopmental disorders during the ongoing pandemic. @*METHODOLOGY@#A cross-sectional survey using a socio-demographic questionnaire, situations and emerging concerns during the coronavirus pandemic and WHOQOL-BREF (Filipino version) for parental quality of life was documented via Google Forms. Parents of patients aged 2-18 years seen at the PCMC Neurodevelopmental Pediatrics OPD during July to December 2019 were recruited.@*RESULTS@#Data from 115 respondents showed a lower score in the environmental domain. Child characteristics comparable with QoL scores include sex, severity of ID and ADHD while parent characteristics comparable with the QoL scores include educational attainment, monthly family income, father’s employment status and family structure (P-value <0.05). Most respondents reported situations of physical distancing (82.61%) and curfew (80.87%). Inability to access essential services (43.48-74.48%) were further compounded by limited financial resources (51.30%) and public transport (60%). Government policy received included quarantine pass (90.43%), food allowance or relief package (86.09%), disinfection (60.87%), DSWD-SAP (42.61%) and cash distribution (41.74%).@*RECOMMENDATIONS@#Programs and policies should be planned accordingly to provide improvement of quality of life to parents and their child with neurodevelopmental disorder.

El papel de la familia en la autopercepción de calidad de vida del adulto mayor / The Family Role in the Older Adult's Self-Perception of Quality of Life

Introducción: El envejecimiento de la población en la actualidad es uno de los principales problemas a nivel mundial, debido al incremento en la esperanza de vida. Sin embargo, una mayor esperanza de vida no significa una mejor calidad de vida. Objetivo: Valorar el papel que desempeña la familia en la autopercepción de calidad de vida del adulto mayor. Métodos: Estudio descriptivo, observacional y transversal en adultos mayores aplicada en sujetos de ambos sexos en la provincia ecuatoriana de El Oro entre enero del 2018 y noviembre del 2019. La muestra quedó conformada por 399 pacientes. Los cuestionarios utilizados fueron: Valoración biopsicosocial del adulto mayor desde un enfoque bioético, y la Escala de Calidad de Vida WHOQOL-BREF. Resultados: El promedio de edad fue de 73,66 años ± 7,38 con un rango entre los 65 y 98 años. El 78,9 por ciento de los adultos mayores maltratados y el 75,9 por ciento de los adultos mayores con trato familiar regular refieren una calidad de vida deficiente. Solo el 18,3 por ciento de los adultos mayores bien tratados refirieron una calidad de vida deficiente, por lo que se observa una asociación entre el trato familiar y la percepción de la calidad de vida estadísticamente significativa. Se constató maltrato familiar por negligencia en los adultos mayores que refirieron una calidad de vida deficiente. Conclusiones: La familia posee un papel preponderante en la calidad de vida del adulto mayor(AU)

Introduction: Nowadays, population aging is one of the main problems worldwide, due to the increase in life expectancy. However, higher life expectancy does not mean better quality of life. Objective: To assess the role played by the family in the older adult's self-perception of quality of life. Methods: A descriptive, observational and cross-sectional study was carried out with older adults of both sexes in the Ecuadorian province of El Oro, between January 2018 and November 2019. The sample consisted of 399 patients. The questionnaires used were the Biopsychosocial Assessment of the Older Adult from a Bioethical Approach and the WHOQoL-BREF Quality of Life Scale. Results: The average age was 73.66 years ± 7.38 years, with a range between 65 and 98 years. A poor quality of life was reported by 78.9 percent of the mistreated older adults and 75.9 percent of the older adults with regular family treatment. Only 18.3 percent of the well-treated older adults reported a poor quality of life, which shows a statistically significant association between family treatment and perception of quality of life. Family mistreatment due to neglect was found in older adults who referred poor quality of life. Conclusions: The family has a preponderant role in the quality of life of the older adult(AU)

Calidad de vida en mujeres con el síndrome de ovario poliquístico, según el cuestionario WHOQOL-BREF / Quality of Life in Women with Polycystic Ovary Syndrome, according to the WHOQOL-BREF Questionnaire

Introducción: El síndrome de ovario poliquístico se caracteriza clínicamente por trastornos menstruales, infertilidad anovulatoria, hiperandrogenismo clínico y bioquímico. Con frecuencia se asocia a diabetes mellitus tipo 2, hipertensión arterial, dislipidemia y riesgo de enfermedad cardiovascular. Objetivo: Evaluar la calidad de vida de mujeres con diagnóstico de síndrome de ovario poliquístico, según el cuestionario WHOQOL-BREF. Métodos: Se realizó un estudio transversal en el periodo de septiembre de 2019 a marzo de 2020, que incluyó a 84 mujeres con diagnóstico del síndrome de menos de tres meses. Se les aplicó el cuestionario para evaluar la calidad de vida denominado WHOQOL-BREF, elaborado por la Organización Mundial de la Salud. Resultados: La valoración de la calidad de vida global para el 20,2 por ciento fue poca, el 15,5 por ciento refiere que es mala y el 8,3 por ciento de los pacientes dijo estar muy insatisfecho con su estado de salud. La media de la puntuación de este ítem fue 2,81. La media de la calidad de vida global de las mujeres estudiadas fue 85,2. De acuerdo con la calidad de vida global categorizada como baja, media o alta, en el primer caso hubo un 14,3 por ciento, el 72,6 por ciento estuvo dentro de la calificación media y solo el 13,1 por ciento tuvo una calidad de vida alta. Conclusiones: El cuestionario demostró una afectación moderada de la calidad de vida en las mujeres con la enfermedad, sobre todo en facetas de la dimensión física. Por tanto, consideramos importante incluir el estudio de los aspectos relacionados con su calidad de vida en aras de tener una atención más integral(AU)

Introduction: Polycystic ovary syndrome is clinically characterized by menstrual disorders, anovulatory infertility, as well as clinical and/or biochemical hyperandrogenism. It is frequently associated with type 2 diabetes mellitus, arterial hypertension, dyslipidemia, and risk of cardiovascular disease. Objective: To assess quality of life of women diagnosed with polycystic ovary syndrome, from their perspective and using a general questionnaire. Methods: A cross-sectional study was carried out in the period from September 2019 to March 2020, which included 84 women with a diagnosis of the syndrome for less than three months. The questionnaire to assess quality of life called WHOQOL-BREF, prepared by the World Health Organization, was applied to them. Results: Assessment of global quality of life for 20.2 percent was low, 15.5 percent refer that it is bad, and 8.3 percent of the patients expressed that they were very dissatisfied with their health status. The mean score for this item was 2.81. The mean value of global quality of life of the women studied was 85.2. Consistent with the global quality of life categorized as low, medium or high, in the first case there was 14.3 percent. 72.6 percent were within the average rating, and only 13.1 percent presented a high value for quality of life. Conclusions: The questionnaire showed a moderate impact on the quality of life in women with the disease, especially in aspects of the physical dimension. Therefore, we consider it important to include the study of aspects related to their quality of life in order to have a more comprehensive care(AU)

Evaluation Of The Quality Of Life Levels Of Undergraduate And Associate Degree Students Studying In Health Departments

@#Quality of life is at the forefront of the goals that all societies aim to achieve today. This is the main reason why measuring quality of life is a routine procedure in many studies. This study was carried out by undergraduate and associate degree students of health sciences; the aim of this study was to evaluate and compare the quality of life. The research was carried out on a total of 200 undergraduate and associate degree students studying in the health sciences departments of the same university in a one-year period. In order to obtain the demographic information of the students; the personal data collection form created by the researchers and the World Health Organization Quality of Life Scale-Short Form (WHOQOL-Bref) were applied by one to one interview technique. The voluntariness of the participants was taken as a basis in filling out the questionnaires. SPSS-22 program was used to evaluate the data in our study. By making descriptive statistics, two independent groups were compared between the groups. The mean age of the associate degree students participating in our study was 20.6 ± 1.26, and the undergraduate students were 20.8 ± 3.07. When the last question, the 27th environmental question, is included in the WHOQOL-Bref scale, which consists of four sub-parameters, the name of the scale is named WHOQOL-Bref-TR. In our study, which we evaluated with WHOQOL-Bref-TR, the scores of undergraduate students in the "psychological field" sub-category were found to be significantly higher (p>0.05) than associate degree students in comparisons made based on education level. In the comparison made according to genders, the difference in general health, psychological, and environmental dimensions was not significant (p>0.05). In conclusion; in all comparisons, the level of quality of life and problem solving abilities do not differ depending on gender. As the education level increases; the psychological state, which has an effect on the quality of life, increases positively. With the data obtained, suggestions were made to curriculum arrangements and university administrations in order to increase the quality of life of young adults.

Association between quality of life and clinical symptoms in patients with the first-episode depression / 西安交通大学学报(医学版)

【Objective】 To study the relationship between quality of life and clinical symptoms of patients with the first-episode depression. 【Methods】 The untreated patients (n=36) with the first-episode depression and the depression patients (n=71) on drug treatment were included according to the strict screening and exclusion criteria. Subjects in control group (n=59), who matched in age, gender and education, were included according to the corresponding enrollment criteria. World Health Organization Quality of Life—Brief (WHOQOL-BREF) and The Social Adaptation Self-evaluation Scale (SASS) were used to evaluate all the subjects. The Hamilton Depression Rating Scale (HAMD), The Hamilton Anxiety Scale (HAMA) and Montgomery-Asberg Depression Rating Scale (MADRS) were used to evaluate the depressive patients. 【Results】 There was no significant difference in age or education level between all the groups. The quality of life was significantly lower in the first group and the treatment group than in the control group; no significant difference was found between patients in the two depression groups. Correlation analysis showed that the total scores of physiology, environment and quality of life in the first group and the treatment group were negatively correlated with HAMD, HAMA and MADRS. SASS was positively correlated with the total scores of physiology, psychology, environment and quality of life. 【Conclusion】 The quality of life and social adaptation of patients with the first-episode depression and those with depression after treatment were significantly reduced. More serious depression symptoms are linked to the worse quality of life, while better social adaptation is linked to the better quality of life.

Post-Flood Impact on the Quality of Life of Victims in East Coast Malaysia

@#Introduction This study aimed to evaluate the quality of life among flood victims exposed at three worst districts in Pahang, Malaysia Methods Semi-guided questionnaires were distributed randomly to a total of 602 flood victims. Quality of life (QOL) was measured using WHO Quality of LifeBREF (WHOQOL-BREF), which was assessed based on four domains, i.e. physical activity, psychological, social relationships and environment. Results Victims of the flood had a poorer quality of life in all the domains especially physical (59.0%) and psychological (53.3%) domain. The impact of the flood on QOL was higher among women, those who reside in the urban area, the elderlies and persons with high education and income. Conclusions Flood event has reduced the QOL of victims. The impact of flood has been found to be mitigated over the time and relief efforts. Interventions aimed to reduce these concerns in acute post-flood areas are essential to minimize poor QOL among the affected victims.

Comparison of stressful life events among family caregivers of cancer, mental retardation and schizophrenia patients leading to stress, anxiety and depression and its effect on quality of life

Background: Mental retardation (MR), schizophrenia and cancer are chronic disorders, requiring long term treatment along with family support. Principal caregiver is usually nonprofessional family person who play a pivotal role in supporting the patient medically, emotionally and financially which in turn affects their own health and quality of life. To identify stressful life events, level of anxiety, stress, depression and Quality of life in these family caregivers (FC), this study was planned.Methods: After gaining consent, the FC were assessed on Presumptive Stressful Life Events Scale (PSLE), Depression Anxiety Stress Scale (DASS) and WHO Quality of Life -Bref Scale (WHOQOL-Bref). Data so gained was analyzed by SPSS-21 and results were drawn.Results: 66 FC of cancer patients, 39 FC of MR patients and 53 FC of Schizophrenia patients were assessed. All three groups were found to be matched socio-demographically. On PSLE Mean of total stressful life events for cancer FC was 7±1.5, for MR 6.02±1.5 and for schizophrenia FC was 5.75±1.70 and this difference was statistically significant. Mean of total undesirable life events was 5.31±1.3, 4.33±1.34 and 3.86±1.46 respectively and this difference was also statistically significant. Similarly difference in mean stress score of total life events and for undesirable events was also statistically significant. On DASS scale no statistically significant difference was found within the groups. Quality of life was significantly low depicting high impact on physical health and social life of these care givers.Conclusions: Family Caregivers of cancer, mental retardation and schizophrenia groups are highly affected and there is urgent need to address these issues for early diagnosis and treatment.

Quality of life assessment after successful percutaneous transmitral commissurotomy and ascertain its relationship with gender / Evaluación de la calidad de vida tras comisurotomía mitral percutánea exitosa y determinación de su relación con el sexo

Abstract Background: percutaneous transmitral commissurotomy has become an ideal treatment option for mitral stenosis due to its less adverse events and more favorable outcomes. Patients improve symptomatically after percutaneous transmitral commissurotomy but we have minimal available data about the quality of life after percutaneous transmitral commissurotomy. Objective: to assess the quality of life after percutaneous transmitral commissurotomy through WHOQol scoring covering different aspects of life, to determine its correlation with a net gain in mitral valve area (MVA) and to ascertain its association with gender. Methods: it was a prospective cohort study carried out for a period of 15 months. A total of 100 patients with mitral stenosis who had successful percutaneous transmitral commissurotomy done were enrolled in the study. Among the total included, 4 patients were lost to follow up and data were collected from 96 patients. Quality of life was assessed before the procedure, at 1 month and 3 months follow up after percutaneous transmitral commissurotomy using WHOQol scoring questionnaire. Results: among 96 patients, 64 (67%) were females and 32 (33%) were males. WHOQol scoring improved significantly after percutaneous transmitral commissurotomy from 32.8±8.9 to 54.6±11.2 and 62.8± 9.7, after one month and 3 months respectively. There was a significant association between net gain of MVA and WHOQol scoring with an R value of 0.46 and p value of 0.03. There was no difference in group comparison of all the six domains between male and female patients. Conclusion: successful percutaneous transmitral commissurotomy improves the quality of life in mitral stenosis patients regardless of their gender and has a positive correlation with a net gain in mitral valve area.

Resumen Antecedentes: La comisurotomía mitral percutánea se ha convertido en una opción terapéutica ideal para la estenosis mitral, debido a efectos menos adversos y a resultados más favorables. Los pacientes mejoran sintomáticamente tras la realización de esta técnica, aunque se dispone de escasos datos acerca de la calidad de vida tras su puesta en práctica. Objetivo: Evaluar la calidad de vida tras la comisurotomía mitral percutánea mediante la puntuación WHOQol, que cubre diferentes aspectos de la vida, para determinar su correlación con la ganancia neta del área valvular mitral (AVM), y determinar su asociación con el sexo. Métodos: Estudio prospectivo de cohorte durante un periodo de 15 meses, en el que se incluyeron 100 pacientes con estenosis mitral a quienes se les practicó con éxito comisurotomía mitral percutánea. De entre el total incluido, se perdieron 4 pacientes durante el estudio, por lo que se recolectaron datos de los 96 pacientes restantes. La calidad de vida se evaluó antes del procedimiento, y transcurridos un mes y tres meses de seguimiento, utilizando el cuestionario de puntuación WHOQol. Resultados: De los 96 pacientes, 64 (67%) eran mujeres y 32 (33%) varones. La puntuación WHOQol mejoró considerablemente tras la realización de la comisurotomía mitral percutánea, con valores de 32,8±8,9 a 54,6±11,2 y 62,8± 9,7, transcurridos uno y 3 meses, respectivamente. Se produjo una asociación significativa entre la ganancia neta de AVM y la puntuación WHOQol, con un valor R de 0,46 y un valor p de 0,03. No se produjo diferencia alguna en cuanto a la comparación grupal de los seis dominios entre varones y mujeres. Conclusión: La comisurotomía mitral percutánea exitosa mejora la calidad de vida de los pacientes de estenosis mitral, independientemente del sexo, y tiene una correlación positiva con la ganancia neta del área valvular mitral.

Determinant of Quality of Life in Patients with Chronic Cerebral Infarct

This study investigated how physical and cognitive function and psychological factors affected the health-related quality of life (HRQoL, hereafter HQ) of stroke patients in South Korea. The study enrolled 32 right-handed subjects with chronic cerebral infarction with disability and preserved cognitive function (Mini-Mental State Examination ≥ 20). Physical disability was assessed using the modified Rankin Scale (mRS) and Korean modified Barthel Index (KMBI). Quality of life was measured using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF, hereafter WB) and the 36-Item Short-form Health Survey (SF-36) in face-to-face interviews. Psychological distress was investigated using the Beck Depression Inventory Scale-II. The associations of each domain of WB and SF-36 were investigated using Pearson correlation analyses. Physical disability was negatively correlated with HQ in the SF-36. The physical function and bodily pain scales of the SF-36 were negatively correlated with physical disability. The general health domain of the SF-36 was negatively correlated with psychological scores. Emotional status was associated with physical health, social relationships, and general health in HQ. In summary, the severity of physical disability was associated with the patient's general and physical health and body pain. These findings suggest the importance of psychological, cognitive, and physiological interventions for improving the quality of life of patients after cerebral infarction.

Multiprofessional care promotes of quality of life in pregnant women with preeclampsia: a cross-sectional study

OBJECTIVES: To assess the quality of life of hospitalized pregnant women with preeclampsia (PE), and compare with a group of healthy pregnant women (HP). METHODS: This was an observational cross-sectional study conducted among 58 pregnant women; 28 of them had preeclampsia and 30 were healthy. The WHOQOL-Bref questionnaire, which was divided into four aspects: physical, psychological, social, and environmental, was applied to each subject. RESULTS: A statistically significant difference was observed regarding maternal age (PE 27.8±6.2 x HG 23.0±6.6, p<0.01) and gestational age (PE 224±28.1 x HG 253.8±43.7, p<0.01) in relation to the clinical and obstetric data. No significant difference was observed among groups in the physical (PE 57.7±18.9 x HG 65.7±16.6, p=0.19), psychological (PE 68.2±12.8 x HG 73.3±13.30, p=0.16), social (PE 72.0±15.8 x HG 71.7±18.7, p=0.78), or environmental (PE 61.1±11.9 x HG 59.3±15.9, p=0.88) aspects of the WHOQOL-Bref. CONCLUSIONS There was no difference in quality of life between the groups studied, a result possibly due to the fact that women with PE were hospitalized and received multiprofessional care.

Evaluation of quality of life in hemophilia patients using the WHOQOL-bref and Haemo-A-Qol questionnaires

ABSTRACT Introduction: Hemophilia is a coagulopathy caused by a deficiency in coagulation factors VIII (hemophilia A) or IX (hemophilia B). It is a chronic disease and, hence, impairs the quality of life (Qol) of the patients. This study aimed to evaluate the Qol of patients with hemophilia using the WHOQOL-bref and the Haemo-A-Qol instruments, its relation to the clinical condition and its sociodemographic variables. Methods: This is a cross-sectional, epidemiological study, comprising 17 patients with hemophilia, registered at the hemocenter, who met the eligibility criteria. Data were collected using three questionnaires: a semi-structured clinical evaluation form, the WHOQOL-bref and the Haem-A-Qol. Results: The average age was 30 years old, and most participants declared themselves to be single (58.82%), without children (64.70%) and employed (58.82%). Hemophilia A was observed in 14 patients and the most severe form of the disease was more prevalent (64.70%). The average score of Qol, estimated by the WHOQOL-bref questionnaire was 74.3; being "social relations" the domain with the highest average. The Haem-A-Qol measured an average of 36.2 and the domain with the highest result was "Family Planning". Conclusion: Hemophilia had a higher negative impact upon the physical, sports and leisure features in the sample subjects. The analysis of the questionnaires did not reveal statistical agreement between them. Based on this, the Haem-A-Qol is considered the most recommended to evaluate the Qol, as it addresses factors more specifically related to the disease. No statistical significance was observed between the scores of Qol, as for the presence of comorbidities, gravity of the hemophilia and positive serology for infections.