QUALITY OF LIFE IN WOMEN WITH POLYCYSTIC OVARIAN SYNDROME: REQUISITE OF CLINICAL PHARMACIST INTERVENTION

Objective: Polycystic ovarian syndrome (PCOS) is a lifestyle disorder known to cause profound distress in the physical and emotional well-being of the patient that implicates the need for treatment and lifestyle management. Unawareness and ignorance among patients may be a predominant cause of compromised quality of life (QOL) that necessitates education from health-care professionals. The existing study was designed to assess the impact of counseling on QOL in the above patients. Methods: This hospital-based interventional study was carried out for 6 months. A total of 173 subjects were recruited for the study. The World Health Organization BREF, a validated, reliable tool to assess QOL was administered in two phases of the study, pre-interventional, and post-interventional phase. Awareness regarding disease and lifestyle modification were detailed by a clinical pharmacist to the patients, and its impact was assessed using suitable statistical techniques. Results: The average age of study participants was 23.9±4.5 years. Decreased QOL was observed in the women affected with PCOS when compared to healthy controls, wherein the psychological domain was the most affected. Post-intervention, a positive impact was reflected as higher scores in all the 4 QOL domains. Conclusion: Women suffering from PCOS exhibit varied symptoms which affect both physical and psychological health. The key factor in management is to create awareness on the complications of the disease and the lifestyle modification to minimize severity and progression. The study findings reveal that women with PCOS showed an improved QOL post participation in awareness programs imparted by the clinical pharmacists.

Download Full-text

Evaluation of women’s quality of life after breast reconstruction surgery

Pomeranian Journal of Life Sciences ◽

10.21164/pomjlifesci.698 ◽

2020 ◽

Vol 66 (2) ◽

Author(s):

Marta Stanisz ◽

Ewelina Kolak ◽

Dorota Branecka-Woźniak ◽

Renata Robaszkiewicz-Boukaz ◽

Przemysław Ciepiela ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Breast Reconstruction ◽

Great Influence ◽

Well Being ◽

World Health ◽

World Health Organization Quality ◽

Reconstruction Surgery ◽

The Impact

Introduction: Breast cancer is the most common malignancy among women, and is usually treated surgically. Mastectomy has a great influence on the mental and physical condition of women. Breast reconstruction offers them a chance to improve their quality of life (QOL) and self-image.The main aim of the study was to gain knowledge about the impact of breast reconstruction on the QOL of women following mastectomy, and an analysis of the QOL after breast reconstruction, in the context of prosthesis effect assessment.Materials and methods: The study comprised 100 women following breast reconstructive surgery involved in 1 of the 7 “Amazon Clubs” (post-mastectomy women’s associations) in the West Pomeranian Voivodeship, northwest Poland. The study was based on the author’s questionnaire, and a shortened standardized version of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire. Statistical calculations were performed with StatSoft Statistica v10 software, adopting a significance level of p < 0.05.Results: The women who decided to have breast reconstruction surgery, noticed improved well-being (67%) and experiencedan increase in self-confidence (61%). The vast majority ofthe patients surveyed (93%) were satisfied with the effectof the prosthesis. Statistically significant differences in QOL were observed in the following spheres: rest and sleep, work capacity, negative feelings, and financial resources (p < 0.05) in relation to the evaluation of the prosthesis effect.Conclusions: 1. Breast reconstruction has a positive influence on improvements in well-being, increasing self-esteem, and the assessment of a more attractive appearance in women of all ages. 2. Breast reconstruction surgery has a positive impact on QOL and health in the physical, psychological, and environmental domains, especially in the women who are satisfied with the effects of the surgery. 3. A negative assessment of the breast reconstruction effect has an adverse influence on QOL. Identifying the factors affecting dissatisfaction with the post-operative outcome is crucial for a complete understanding of the subject, and for implementing measures aimed at improving the QOL of these women.Keywords: quality of life; mastectomy; breast cancer; breast reconstruction; breast surgery.

Download Full-text

The Impact of COVID-19 Infection on the Quality of Life of Health Care Workers

10.21203/rs.3.rs-1009194/v1 ◽

2021 ◽

Author(s):

Sadeel Shanshal ◽

Harith Kh. Al-Qazaz

Keyword(s):

Quality Of Life ◽

Sleep Quality ◽

Psychological Health ◽

World Health ◽

World Health Organization Quality ◽

Significant Difference ◽

Males And Females ◽

The Mean ◽

The Impact

Abstract Background: COVID-19 pandemic has negatively affected the entire world and one of its impacts was the increased level of stress and anxiety, especially among healthcare workers. Therefore, this study aims at evaluating the quality of life (QoL) and sleep quality of healthcare professionals in Iraq.Methods: This study assessed the QoL and sleep quality by using World Health Organization Quality of Life Instruments (WHOQOL-BREF) and the Insomnia Severity Index (ISI) respectively. The questionnaires were administered through an online cross-sectional survey targeted at workers in medical fields in Iraq from 1st to 20th of August 2021. Results: Three hundred medical health workers participated, and females constituted 75.3%. The two questionnaires had very good internal consistency. The highest scoring domain was the social relationships, followed by physical health. Significant difference was found in the mean scores of psychological health domain between males and females, with higher scores observed in males. The mean of the total ISI score was 11.58 ± 6.88 with a range between 0 and 27. Severe insomnia was observed in only 9.7% of the participants. A significant negative correlation (r = -0.118) was found between age and ISI scores of the participants. Significant differences were found between males and females with higher ISI mean score observed among males. Conclusion: The quality of life and sleep pattern can be impacted by COVID-19 infection with the psychological aspect of QoL being the most affected and some degrees of insomnia being observed in many participants.

Download Full-text

Mothers’ quality of life delivering kangaroo mother care at Malawian hospitals: a qualitative study

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01823-8 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Alinane Linda Nyondo-Mipando ◽

Mai-Lei Woo Kinshella ◽

Tamanda Hiwa ◽

Sangwani Salimu ◽

Mwai Banda ◽

...

Keyword(s):

Quality Of Life ◽

Health Workers ◽

Well Being ◽

Kangaroo Mother Care ◽

World Health ◽

World Health Organization Quality ◽

Resource Limited ◽

Limited Health ◽

The Impact

Abstract Introduction Kangaroo mother care is known to help save the lives of preterm and low birthweight infants, particularly in resource-limited health settings, yet barriers to implementation have been documented. Mothers and their families are very involved in the process of providing kangaroo mother care and the impact on their well-being has not been well explored. The objective of this research was to investigate the perspectives and experiences of a mother’s quality of life while delivering facility-based kangaroo mother care. Methods This study is a secondary analysis of the qualitative data collected within the “Integrating a neonatal healthcare package for Malawi” project. Twenty-seven health workers and 24 caregivers engaged with kangaroo mother care at four hospitals in southern Malawi were interviewed between May–August 2019. All interviews were face-to-face and followed a topic guide. Content analysis was conducted on NVivo 12 (QSR International, Melbourne, Australia) based on the six World Health Organization Quality of Life domains (physical, psychological, level of independence, social relationships, environment, spirituality). Results Fifty-one interviews were conducted with 24 caregivers and 14 health workers. Mothers experienced multidimensional challenges to their quality of life while delivering facility-based KMC. Though kangaroo mother care was considered a simple intervention, participants highlighted that continuous kangaroo mother care was difficult to practice. Kangaroo mother care was an exhausting experience for mothers due to being in one position for prolonged periods, compromised sleep, restricted movement, boredom, and isolation during their stay at the hospital as well as poor support for daily living needs such as food. Discussion A heavy burden is placed on mothers who become the key person responsible for care during kangaroo mother care, especially in resource-limited health settings. More focus is needed on supporting caregivers during the delivery of kangaroo mother care through staff support, family inclusion, and conducive infrastructure.

Download Full-text

The 2019 Universiti Teknologi MARA, Malaysia Staff Survey: Determining the Level and Predictors of Quality of Life

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.705018 ◽

2021 ◽

Vol 12 ◽

Author(s):

Mohd Izwan Mat Nazali ◽

Salmi Razali ◽

Suthahar Ariaratnam ◽

Yuhaniz Ahmad ◽

Hapizah Nawawi

Keyword(s):

Quality Of Life ◽

Psychological Health ◽

Well Being ◽

World Health ◽

Academic Excellence ◽

Medical Illness ◽

University Staff ◽

World Health Organization Quality ◽

Level Of Education

Experiencing good quality of life (QOL) among university staff is extremely crucial to ensuring academic excellence; however, there are limited data on factors that contribute to QOL among university staff. This study aims to determine the level and the predictors for good QOL among university staff. The consenting participants were selected using a stratified sampling method. Participants who had fulfilled the selection criteria were provided with socio-demographic, medical illness, job factor, and family background questionnaires. QOL and psychological well-being (depression, anxiety, and stress) were assessed using the World Health Organization Quality of Life brief version (WHOQOL-BREF) and Depression, Anxiety, and Stress Scale (DASS-21) questionnaires, respectively. A total of 278 staff (mean ± SD age: 38.84 ± 7.85 years, 44.2% males, 82.7% married) had participated in this study. This study found that participants had low QOL in the domains of physical health [P-QOL] (11.2%), psychological health [PSY-QOL] (9.7%), social relationships [SR-QOL] (19.1%), and environment [E-QOL] (14.4%). The predictors of P-QOL were depression, medical illness, and number of dependents, while those of PSY-QOL were work promotion, depression, medical illness, and number of dependents. Additionally, the predictors of SR-QOL were campus location, depression, and work promotion, while those of E-QOL were age, level of education, depression, work promotion, and medical illness. Depression significantly affected all domains of QOL. Younger participants without medical illness and those with tertiary level of education had increased odds of having good QOL. Participants having dependents without work promotion and employed in suburban areas had decreased odds of having good QOL. The relevant authority should be identified and then assist staff with difficulties to ensure the staff benefited from having a good QOL.

Download Full-text

The Concept of Mindfulness in Integrative Preventive Medicine

10.1093/med/9780190241254.003.0005 ◽

2017 ◽

Author(s):

Kim Aikens ◽

Shauna Shapiro

Keyword(s):

Quality Of Life ◽

Health Promotion ◽

Preventive Medicine ◽

Psychological Health ◽

Healthy Lifestyle ◽

Well Being ◽

Tertiary Prevention ◽

Preventive Strategy ◽

The Impact

This chapter discusses mindfulness as it applies to integrative preventive medicine. Defining mindfulness as the awareness that arises through intentionally attending in an open, caring, and discerning way, the chapter proposes three core mindfulness elements: intention, attention, and attitude. It explores the potential application of mindfulness to primary, secondary, and tertiary prevention. The chapter looks at the impact of mindfulness on health promotion and examines mindfulness as a secondary prevention strategy, particularly in hypertension and diabetes. It then addresses tertiary prevention and the impact of mindfulness in chronic disease. Lastly, mindfulness as a preventive strategy for psychological well-being is explored. Overall, there is strong evidence suggesting that mindfulness is positively associated with healthy lifestyle as well as improvements in depressive symptoms, stress, anxiety, quality of life, physical outcomes, and positive psychological health.

Download Full-text

RELATIONSHIP BETWEEN QUALITY OF LIFE AND MENTAL HEALTH OF PEOPLE WITH TYPE II DIABETES IN RURALAREAS

10.36106/ijsr/2029557 ◽

2021 ◽

pp. 35-37

Author(s):

Selvakumar Jagannathan ◽

Kannan Ramiah ◽

Valarmathy Selvakumar

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Type Ii Diabetes ◽

Well Being ◽

World Health ◽

Mental Condition ◽

Type Ii ◽

The Impact ◽

The Relationship

Background:For populations with chronic disease, measurement of QOLprovides a meaningful way to determine the impact of health care when cure is not possible. Revicki and colleagues (2000) dene QOL as "a broad range of human experiences related to one's overall well-being. It implies value based on subjective functioning in comparison with personal expectations and is dened by subjective experiences, states and perceptions. The World Health Organization (2010) denes mental health as a state of positive mental condition in which one realizes his/her capabilities, manages the life stresses, put effort effectively and efciently, and is competent enough to put some contribution to his/her society. According to mental health model (Veit & Ware, 1983), there are two components of mental health, rst is psychological well-being and the other is psychological distress. Therefore, studying the relationship between quality of life and mental health of People with type II diabetes will reveal that to what extend a good quality of life have a relationship in maintaining better mental health in order to cope up with diabetes complications. Objective:The present study was undertaken to know the relationship between quality of life and mental health of people with Type II diabetes. Sample: 30 Type II diabetes were selected from the Diabetes Management Clinic in Rural areas for the assessment of quality of life and mental health. Methodology:The quality of life was assessed using “The Quality of Life Scale (QOLS)” by John Flanagan (1970) and Mental health was assessed using “Mental health inventory (MHI)-18 items by Veit and ware (1983). Finding and Conclusion: The study revealed that there is a signicant relationship between quality of life and mental health of people with Type II diabetes

Download Full-text

The clinical use of quality-of-life scales in neurological disorders

Acta Neuropsychiatrica ◽

10.1111/acn.12020 ◽

2013 ◽

Vol 25 (4) ◽

pp. 193-205 ◽

Cited By ~ 4

Author(s):

Francesco Corallo ◽

Rosaria De Luca ◽

Roberta Leonardi ◽

Simona De Salvo ◽

Placido Bramanti ◽

...

Keyword(s):

Quality Of Life ◽

Neurological Disorders ◽

Methodological Approach ◽

Well Being ◽

World Health ◽

Global Evaluation ◽

Life Itself ◽

Health Organization ◽

The Impact

ObjectiveQuality of life (QoL) is a growing issue in medicine, particularly in the evaluation of rehabilitative care. The concept of QoL is included in and expands the definition of health given by the WHO (World Health Organization) and comprises complete physical, mental, and social well-being. It expresses the degree of satisfaction in various areas as a result of the opportunities that arise during one's lifetime despite the restrictions and impediments that life itself puts forth. The last decade has exponentially increased the number of studies on QoL, although they are still limited.MethodsWe performed a literature review on the QoL scales used in patients with neurological disorders.ResultsRecent studies have shown the importance of QoL assessment because standard treatments do not assess the treatment impact felt by the patient. In fact, by understanding the impact of treatment on survival and QoL, one can make a clearer interpretation of the health of the patient.ConclusionThis review has adopted an innovative holistic methodological approach, which allowed a global evaluation of the comfort reported by the patients. The scales applied in this study allowed to choose the most suitable therapeutic strategies and programme individual therapeutic treatment.

Download Full-text

EFFECTIVENESS OF LIFESTYLE MODIFICATION ON WEIGHTLOSS AND QUALITY OF LIFE IN OBESE WOMEN WITH POLYCYSTIC OVARIAN SYNDROME

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i9.25575 ◽

2018 ◽

Vol 11 (9) ◽

pp. 333

Author(s):

Vinaya Rajendra Patil ◽

Poovishnu Devi Thangavelu ◽

Vaishali Krishnat Jagtap

Keyword(s):

Quality Of Life ◽

Weight Loss ◽

Polycystic Ovarian Syndrome ◽

Lifestyle Modification ◽

Obese Women ◽

Group A ◽

Conventional Physiotherapy ◽

Group B ◽

Ovarian Syndrome

Objectives: (1) The objectives of this study were to determine the effectiveness of lifestyle modification on weight loss and the quality of life in obese women with the polycystic ovarian syndrome and (2) to determine the effectiveness of conventional physiotherapy on weight loss and the quality of life in obese women with polycystic ovarian syndrome.Methods: Ethical clearance was obtained from the Institutional Ethical Committee. A total of 40 obese women with the polycystic ovarian syndrome (PCOS) were selected and divided into two groups, Group A (N=17) received conventional physiotherapy alone, and Group B (n=15) received lifestyle modification along with conventional physiotherapy. The preassessment of body weight is measured by body mass index (BMI); the waist-hip ratio (W-H ratio) and body fat percentage and the quality of life were scored as per the PCOS questionnaire (PCOSQ); and postinterventional assessment was taken for the same after 9 months.Result: Intergroup statistical analysis for BMI revealed extremely significant in postintervention for Group B (P<0.0001). W-H ratio and PCOSQ were extremely significant for Group B (P<0.0001). While postintervention analysis showed extremely significant difference between Group A and Group B (P<0.0001). Group B treated with lifestyle modification, and conventional physiotherapy was extremely significant.Conclusion: Lifestyle modification with conventional physiotherapy helped in reducing weight and showed the increased quality of life in women with PCOS.

Download Full-text

Quality of Care and Quality of Life: Convergence or Divergence?

Health Services Insights ◽

10.4137/hsi.s13283 ◽

2014 ◽

Vol 7 ◽

pp. HSI.S13283 ◽

Cited By ~ 2

Author(s):

Wadi B. Alonazi ◽

Shane A. Thomas

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Policy ◽

Quality Of Care ◽

Effective Treatment ◽

Well Being ◽

World Health ◽

The World ◽

The Impact

The aim of this study was to explore the impact of quality of care (QoC) on patients’ quality of life (QoL). In a cross-sectional study, two domains of QoC and the World Health Organization Quality of Life-Bref questionnaire were combined to collect data from 1,059 pre-discharge patients in four accredited hospitals (ACCHs) and four non-accredited hospitals (NACCHs) in Saudi Arabia. Health and well-being are often restricted to the characterization of sensory qualities in certain settings such as unrestricted access to healthcare, effective treatment, and social welfare. The patients admitted to tertiary health care facilities are generally able to present themselves with a holistic approach as to how they experience the impact of health policy. The statistical results indicated that patients reported a very limited correlation between QoC and QoL in both settings. The model established a positive, but ultimately weak and insignificant, association between QoC (access and effective treatment) and QoL ( r = 0.349, P = 0.000; r = 0.161, P = 0.000, respectively). Even though the two settings are theoretically different in terms of being able to conceptualize, adopt, and implement QoC, the outcomes from both settings demonstrated insignificant relationships with QoL as the results were quite similar. Though modern medicine has substantially improved QoL around the world, this paper proposes that health accreditation has a very limited impact on improving QoL. This paper raises awareness of this topic with multiple healthcare professionals who are interested in correlating QoC and QoL. Hopefully, it will stimulate further research from other professional groups that have new and different perspectives. Addressing a transitional health care system that is in the process of endorsing accreditation, investigating the experience of tertiary cases, and analyzing deviated data may limit the generalization of this study. Global interest in applying public health policy underlines the impact of such process on patients’ outcomes. As QoC accreditation does not automatically produce improved QoL outcomes, the proposed study encourages further investigation of the value of health accreditation on personal and social well-being.

Download Full-text

Impact of Growth Hormone Therapy on Quality of Life in Adults with Turner Syndrome

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2009-1754 ◽

2010 ◽

Vol 95 (3) ◽

pp. 1355-1359 ◽

Cited By ~ 41

Author(s):

Emily Amundson ◽

Ulla Wide Boman ◽

Marie-Louise Barrenäs ◽

Inger Bryman ◽

Kerstin Landin-Wilhelmsen

Keyword(s):

Quality Of Life ◽

Turner Syndrome ◽

Social Isolation ◽

Well Being ◽

World Health ◽

Mineral Density ◽

Gh Treatment ◽

Significant Difference ◽

The Impact

Abstract Context: GH and/or oxandrolone are used to promote growth in Turner syndrome (TS). Objective: The aim of this study was to compare quality of life (QoL) in TS women with controls and determine the impact of growth promoting therapy on QoL in TS women. Design: This was a cross-sectional, case-control study. Setting: The study was conducted at an outpatient clinic at Sahlgrenska University Hospital, Göteborg, Sweden. Patients: Patients included 111 TS women (age range 18–59 yr) and 111 randomly selected, age-matched women (25–54 yr) from the World Health Organization Monitoring Trends and Determinants for Cardiovascular Disease project (Göteborg, Sweden) served as controls. Main Outcome Measures: QoL was estimated by the Psychological General Well-Being scale (anxiety, depressed mood, positive well-being, self-control, general health and vitality) and the Nottingham Health Profile (physical mobility, pain, sleep, energy, social isolation, and emotional reactions). Results: TS women reported more social isolation than controls (P < 0.001). After age adjustment, significantly less pain (<0.05) was reported attributable to GH treatment within TS. No significant difference in any other subscales used could be shown. In TS, QoL was negatively affected by higher current age and age at diagnosis and positively affected by better body balance, fine motor function, and higher bone mineral density. Conclusions: Social isolation was more commonly reported in the whole TS cohort than in the population. Except for less pain, no significant impact on QoL attributable to GH treatment could be found, despite the mean +5.1 cm final height.

Download Full-text