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1.
J Indian Soc Pedod Prev Dent ; 37(4): 333-338, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31710006

RESUMO

Background: The early childhood oral health impact scale (ECOHIS) has been developed for assessing oral health-related quality of life (OHRQoL) in the preschool children and translated and validated in different languages to conform to their cultures. This tool has not been validated in Hindi for use among Indian preschool children till now. Hence, the present study was undertaken to assess the validity of the Hindi version of the ECOHIS among 3-5-year-old preschool children in Rohtak city, Haryana. Materials and Methods: The Hindi version of the ECOHIS was developed through standardized forward-backward linguistic translation method. It was tested for validity and reliability among 469 parents and their children after obtaining informed consent. Construct validity of the measure was assessed by correlating ECOHIS score to dental caries experience (deft). For internal consistency, Cronbach's alpha was determined. A subsample of the parents repeated the ratings of the measure to enable test-retest reliability assessments. Results: Construct validity was r = 0.298. Reliability of the questionnaire was 0.873 (Cronbach's alpha), and test-retest reliability as assessed by intraclass correlation value was 0.91. Conclusions: The Hindi version of the ECOHIS is a valid instrument for assessing OHRQoL in preschool children.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Pré-Escolar , Humanos , Psicometria , Qualidade de Vida , Reprodutibilidade dos Testes , Perfil de Impacto da Doença , Inquéritos e Questionários
2.
Braz Oral Res ; 33: e100, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31664362

RESUMO

It has been postulated that oral health-related quality of life (OHRQoL) may be affected by the sense of coherence (SOC), but there are no epidemiological studies investigating this association in Brazilian adults. The present study was conducted among adults of a mid-sized Brazilian city, with the aim of looking into this association. The probability sampling consisted of 342 adults aged 35-44 years old, from a mid-sized Brazilian city, who were examined at their homes for caries (Decayed, Missing and Filled Teeth [DMFT] Index) and periodontal disease (Community Periodontal Index - CPI), according to WHO criteria. The questionnaire applied included demographic factors, socioeconomic information, use of dental services, behavior, SOC and the Oral Health Impact Profile (OHIP). The OHIP outcome, measured by prevalence of the impact, was analyzed by binary logistic regression using a hierarchical approach, a conceptual model, and a 5% significance level. A total of 67.9% of the respondents had one or more impacts on OHRQoL, and 54.4% showed a high SOC. The impact on OHRQoL was more prevalent in adults who had a manual occupation (PR = 2.47, 95%CI 1.24-4.93), those who perceived the need for dental treatment (PR = 2.93, 95%CI 1.67-5.14), and those who had untreated caries (PR = 1.93, 95%CI 1.07-3.47). Those with a low SOC had a twofold higher prevalence of impact on OHRQoL (PR = 2.19, 95%CI 1.29-3.71). This impact on OHRQoL was associated with a low SOC, even after adjusted by socioeconomic, behavioral and clinical factors. Future studies should consider the SOC in determining the oral health impact on quality of life.


Assuntos
Inquéritos de Saúde Bucal , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Senso de Coerência , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Análise Multivariada , Doenças Periodontais/epidemiologia , Doenças Periodontais/psicologia , Valores de Referência , Distribuição por Sexo , Perfil de Impacto da Doença , Fatores Socioeconômicos
3.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1326-1332, out.-dez. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1022724

RESUMO

Objective: The study's purpose has been to describe the life quality of HIV/AIDS bearing people through their own perspective. Methods: It is a descriptive study with a qualitative approach. This research counted with the participation of 21 individuals enrolled in a municipality from the Paraná State. Data were analyzed by the content analysis method. Results: Two central points were identified, as follows: 1. Unveiling the knowledge about HIV/AIDS. The understanding vis-à-vis contamination, condom use, and virus detection time was considered satisfactory; some participants were unaware of gestational transmission and also neglected the use of condoms; 2. Recognizing the life quality determinants after the diagnosis. The participants have pointed out discomforts at the beginning of treatment, changes in routine, social and financial aspects, as well as discontentment in doing both physical and sexual activities. Conclusion: The individuals' perception concerning their quality of life are influenced by the biopsychosocial alterations and aggravating factors in their way of life, so it is important to improve the health professional planning towards the educational practices of those individuals


Objetivo: Descrever a percepção da qualidade de vida de indivíduos com HIV/AIDS. Método: Estudo descritivo com abordagem qualitativa. Participaram 21 indivíduos cadastrados em um município no Paraná. Os dados foram analisados pelo método da análise de conteúdo. Resultados: Identificou-se dois eixos: 1. Desvelando o conhecimento sobre HIV/AIDS. O conhecimento foi satisfatório sobre contágio, uso do preservativo e tempo de detecção do vírus; alguns desconheciam sobre transmissão gestacional e ignoravam a utilização do preservativo; 2. Reconhecendo os determinantes na qualidade de vida após o diagnóstico. Apontou desconfortos no início do tratamento, alterações na rotina, nos aspectos sociais, financeiros, e insatisfação com a prática de atividade física e sexual. Conclusão: As percepções da qualidade de vida destes indivíduos são influenciadas pelas alterações e agravantes biopsicossociais no modo de viver, por isso é importante o planejamento dos profissionais de saúde nas práticas educativas destes indivíduos


Objetivo: Describir la percepción de la calidad de vida de los individuos con VIH/SIDA. Método: Estudio descriptivo con enfoque cualitativo. Participaron 21 individuos registrados en un municipio de Paraná. Los datos fueron analizados por el método del análisis de contenido. Resultados: Se identificaron dos ejes: 1. Desvelando el conocimiento sobre VIH/ SIDA. El conocimiento fue satisfactorio sobre contagio, uso del preservativo y tiempo de detección del virus; algunos desconocían sobre transmisión gestacional e ignoraban la utilización del preservativo; 2. Reconociendo los determinantes en la calidad de vida después del diagnóstico. Se señalaron molestias al inicio del tratamiento, alteraciones en la rutina, en los aspectos sociales, financieros, e insatisfacción con la práctica de actividad física y sexual. Conclusión: Las percepciones de la calidad de vida de estos individuos son influenciadas por las alteraciones y agravantes biopsicosociales en el modo de vivir, por eso es importante la planificación de los profesionales de salud en las prácticas educativas de estos individuos


Assuntos
Humanos , Qualidade de Vida/psicologia , Síndrome de Imunodeficiência Adquirida/psicologia , Perfil de Impacto da Doença , Educação em Saúde , HIV
4.
Braz Oral Res ; 33: e018, 2019 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-31432923

RESUMO

The aim of the present study was to evaluate the association between access to oral health care in the Primary Health Care (PHC) and Oral Health-Related Quality of Life (OHRQoL). The present study was a cross-sectional study, and the sample was composed of 412 users living in the areas covered by the public PHC services who visited a health unit for an oral exam or treatment in the last 24 months. Participants in the study responded to a home-based interview with questions that addressed socioeconomic status, behavioral, general health, dental prostheses, access to dental services in the PHC and their OHRQoL as measured by the Oral Health Impact Profile (OHIP-14) instrument. After the interview, a dental examination was performed to count the number of teeth. Chi-square tests, Student's t tests and multivariate analyses were performed using a hierarchical model and a Poisson regression with robust variance to evaluate the association between independent variables and OHRQoL. Access to oral health services in the PHC was statistically associated with OHRQoL, and the estimated prevalence rate was PR = 1.17 (CI 95% 1.00-1.37). In this study, the definition of access was based on the availability of dental consultations on demand. The study identified that lack of access to oral health services offered by the PHC was associated with a higher prevalence of impact on the quality of life of individuals.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Qualidade de Vida , Adulto , Idoso , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Distribuição por Sexo , Perfil de Impacto da Doença , Fatores Socioeconômicos , Inquéritos e Questionários
5.
Arch. Clin. Psychiatry (Impr.) ; 46(4): 85-88, July-Aug. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1019344

RESUMO

Abstract Background Impact of illness may vary with the medication adherence which in turn may vary with the attitude towards drugs. There is a paucity of research examining relationships between these variables. Objective To study the levels of drug attitude, adherence and its relationship with the impact of illness. Methods A total of 279 participants with mental illness in remission were assessed with socio-demographic and clinical proforma, scales like Hogan Drug Attitude Inventory (DAI), Impact of Illness Scale (IIS), and Morisky Medication Adherence Scale (MMAS) were used. Result Mean score on DAI, IIS, and MMAS were 2.38 (SD = 4.6), 25.88 (SD = 6.6), and 5.04 (SD = 2.2) respectively. On linear regression analysis (R2 = .122, DF = 2, F = 17.598, p < .001) IIS Score was statistically significant but negatively associated with the score of MMAS (p < .05) and DAI (p < .05). Discussion Impact of illness has an inverse relationship with the level of drug attitude and medication adherence. Improving drug attitude and adherence may buffer the impact of illness.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Adesão à Medicação/psicologia , Transtornos Mentais/tratamento farmacológico , Estudos Transversais , Perfil de Impacto da Doença , Intervalo Livre de Doença , Índia
6.
Turk J Ophthalmol ; 49(3): 142-148, 2019 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-31245976

RESUMO

Objectives: The aim of this study was to evaluate the prevalence of dry eye symptoms among lecturers. Materials and Methods: The study included 254 lecturers employed at Mersin University. The lecturers were selected by simple random sampling from lists obtained from the personnel department. Data were obtained between November 15 and December 15, 2017 using a questionnaire developed by the researchers and the Ocular Surface Disease Index (OSDI). The data were evaluated using descriptive statistics, Student's t-test, ANOVA, and correlation tests with the SPSS package program. Results: Of the lecturers who participated in the study, 52.8% were male and 47.2% were female, and the mean age was 39.29±9.41 years. According to OSDI scores, 20.5% of the participants had mild, 15% had moderate, and 36.5% had severe disease. There were significant differences in mean OSDI score based on sex (p<0.001), alcohol use (p=0.01), continuous drug use (p=0.03), wearing glasses (p=0.04), history of dry eye (p<0.001), and presence of dry eye symptoms (p<0.001). There were also significant differences between the OSDI score categories in terms of sex (p<0.001), smoking status (p=0.04), wearing glasses (p=0.03), history of dry eye (p<0.001), and presence of dry eye symptoms. The only factor significantly correlated with OSDI score was daily duration of computer usage (p=0.009). Conclusion: Our study showed that a substantial proportion of lecturers experience dry eye symptoms, and OSDI scores were associated with daily duration of computer use. Determining the factors associated with dry eye is important for the planning of preventive interventions.


Assuntos
Síndromes do Olho Seco/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Qualidade de Vida , Ensino , Lágrimas/metabolismo , Adulto , Idoso , Estudos Transversais , Síndromes do Olho Seco/diagnóstico , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/diagnóstico , Prevalência , Estudos Retrospectivos , Perfil de Impacto da Doença , Inquéritos e Questionários , Turquia/epidemiologia , Adulto Jovem
7.
Am J Occup Ther ; 73(3): 7303205070p1-7303205070p11, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31120837

RESUMO

OBJECTIVE: This study's objective was to test the psychometrics of Smith's (2013) Low Vision Independence Measure (LVIM) using the Rasch model. METHOD: A cohort design was used with 93 participants receiving occupational therapy for low vision. Confirmatory factor analysis (CFA) with a parceling approach was used to test the LVIM factors and Rasch analysis to examine item-level psychometrics. RESULTS: Participants' average age was 78.9 yr (standard deviation = 12.1), and the majority were female (72.8%) with macular degeneration (62.3%). The CFA revealed two measurement factors: visual field or scotoma (n = 28) and visual acuity (n = 24). We removed six misfitting items, and the two factors of the revised LVIM demonstrated good rating scale function, good internal consistency (person reliability: visual field, .87; visual acuity, .90), good precision (person strata: visual field, 3.91; visual acuity, 4.40), no ceiling or floor effects, and no differential item functioning. CONCLUSION: The revised LVIM demonstrates good psychometrics on the Rasch model and can be used as a valid outcome measure in low vision rehabilitation.


Assuntos
Inquéritos e Questionários/normas , Baixa Visão , Pessoas com Deficiência Visual/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Psicometria , Qualidade de Vida , Reprodutibilidade dos Testes , Perfil de Impacto da Doença , Baixa Visão/fisiopatologia , Acuidade Visual/fisiologia
8.
Sao Paulo Med J ; 137(1): 25-32, 2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31116266

RESUMO

BACKGROUND: Exudative age-related macular degeneration (e-AMD) may cause severe central vision loss. Patients with e-AMD can experience difficulties in daily basic activities and suffer from psychological problems. Our aim was to assess quality of life (QoL) and anxiety and depression status among patients with e-AMD. DESIGN AND SETTING: Cross-sectional study in a state university. METHODS: We included 200 e-AMD patients and 120 age and gender-matched controls. We assessed QoL using the National Eye Institute Visual Functioning Questionnaire-25 (NEI-VFQ-25) and the Short Form (SF)-36 test; and anxiety and depression status using the Hospital Anxiety Depression Scales A and D (HADS-A and HADS-D). RESULTS: The mean ages in the e-AMD and control groups were 68.40 ± 9.8 and 66.31 ± 8.98, respectively. Visual acuity among e-AMD patients was 0.37 ± 0.31 and 0.39 ± 0.32 in the right and left eyes, respectively. The e-AMD patients performed significantly worse than the controls in NEI-VFQ-25 (P < 0.05 for all items). The proportions of e-AMD patients scoring higher than the cutoffs in HADS-A and HADS-D were significantly higher than among the controls (41.5% versus 12.5% and 63.5% versus 27.5%; P < 0.001). The e-AMD patients had significantly lower mean scores than the controls for each of the SF-36 QoL items (P < 0.001). The NEI-VFQ-25 scores were significantly lower among patients with bilateral e-AMD than among those with unilateral disease (P < 0.05 for all). The HADS scores were positively correlated with duration of e-AMD and patient age, but negatively with vision levels (P < 0.05 for all items). CONCLUSION: The e-AMD patients had higher depression and anxiety scores and lower QoL scores.


Assuntos
Ansiedade/fisiopatologia , Depressão/fisiopatologia , Degeneração Macular/fisiopatologia , Degeneração Macular/psicologia , Qualidade de Vida/psicologia , Idoso , Ansiedade/psicologia , Estudos de Casos e Controles , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência , Índice de Gravidade de Doença , Perfil de Impacto da Doença , Fatores Socioeconômicos , Estatísticas não Paramétricas , Inquéritos e Questionários , Testes Visuais/métodos , Acuidade Visual/fisiologia
9.
An. psicol ; 35(2): 181-187, mayo 2019. graf
Artigo em Inglês | IBECS | ID: ibc-181687

RESUMO

In breast cancer patients, quality of life has been associated with treatment response and overall survival. One hundred women undergoing chemotherapy treatment for breast cancer completed questionnaires including demographic and clinical information, the EORTC-Quality of Life Questionnaire, Hospital Anxiety and Depression Scales, Body Image Scale, Index of Family Relations and the Life Orientation Test. The results showed that higher optimism and better body image were associated with improved quality of life. Distress significantly predicted physical and emotional quality of life, but recurrence only predicted physical quality of life. Family stress was a moderator in the relationship between psychological distress and emotional quality of life, showing the need to screen and intervene on family stress in patients with breast cancer. The results may help in designing interventions for women with breast cancer in order to promote quality of life


En pacientes con cáncer de mama, la calidad de vida se ha asociado con la respuesta al tratamiento y la supervivencia global. Cien mujeres sometidas a tratamiento de quimioterapia para el cáncer de mama completaron cuestionarios incluyendo información demográfica y clínica, Cuestionario de Calidad de Vida EORTC, Escalas de Ansiedad y Depresión Hospitalaria, Escala de Imagen Corporal, Índice de Relaciones Familiares y el Test de Orientación Vital. Los resultados mostraron que un mayor optimismo y una mejor imagen corporal se asociaron con una mejor calidad de vida. La morbilidad psicológica predijo significativamente la calidad de vida física y emocional, pero la recurrencia sólo predijo la calidad de vida física. El estrés familiar fue un moderador en la relación entre la morbilidad psicológica y la calidad de vida emocional, mostrando la necesidad de detectar e intervenir en el estrés familiar en pacientes con cáncer de mama. Los resultados pueden ayudar en el diseño de intervenciones para las mujeres con cáncer de mama con el fin de promover la calidad de vida


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Neoplasias da Mama/psicologia , Qualidade de Vida/psicologia , Família/psicologia , Estresse Psicológico/psicologia , Autoimagem , Perfil de Impacto da Doença , Apoio Social , Relações Familiares/psicologia , Imagem Corporal/psicologia , Estudos Transversais
10.
Ideggyogy Sz ; 72(3-4): 115-122, 2019 Mar 30.
Artigo em Húngaro | MEDLINE | ID: mdl-30957466

RESUMO

Background and purpose: The purpose of our communication was to determine the total cost of cerebral paretic patients in Hungary between 0 and 18 years and to assess their impact on the national budget. Methods: Based on the data of Borsod county we calculated the CP characteristics. The cost of CP was determined by routine care of individuals. Lost Parental Income and Tax were calculated on the basis of average earnings. The ratio of GDP, Health and Social Budget and Health Budget to CP is based on CP annual average cost and frequency. We have developed a repeatable computational model. Results: Of the risk groups, premature birth (30.97%), low birth weight (29.64%), perinatal asphyxia (19.47%) were the most common. Source is unknown of 37.61% of the cases. CP prevalence was 2.1‰. The two-sided (59.7%) and the one-sided (19.0%) spastic pareses dominated. The most serious form is the two-sided spastic paresis (42.5% GMFCS 3-5 degrees). Epilepsy was 22.0%, incontinence was 27%, mental involvement was 46%. Care for one child up to 18 years of age costs an average of 73 million HUF (€ 251,724). The lost family income was 27.36 million HUF (€ 94,345), and lost tax and health care contributions were 14.46 million HUF (€ 49,862). Additionally, 0.525% of the GDP, 0.88% of the full health and social budget and 1.83% of direct medical costs were spent for CP families. Conclusion: The cost of CP disease is significant. Costs can be reduced by improving primary prevention. From the perspective of the family and government, it is better to care for families so they can take care of their disabled children.


Assuntos
Paralisia Cerebral/economia , Paralisia Cerebral/epidemiologia , Efeitos Psicossociais da Doença , Custos de Cuidados de Saúde/estatística & dados numéricos , Adolescente , Paralisia Cerebral/psicologia , Paralisia Cerebral/terapia , Criança , Pré-Escolar , Epilepsia/epidemiologia , Humanos , Hungria/epidemiologia , Lactente , Recém-Nascido , Prevalência , Qualidade de Vida , Convulsões/economia , Perfil de Impacto da Doença
11.
J Refract Surg ; 35(4): 214-221, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30984978

RESUMO

PURPOSE: To evaluate the standard clinical outcomes, defocus curves, and satisfaction obtained with a new diffractive low addition trifocal intraocular lens (IOL). METHODS: Thirty patients who were implanted with the Versario Multifocal 3F IOL (Valeant Med Sp.zo.o., Warsaw, Poland) were recruited for a prospective observational study at Qvision, Vithas Virgen del Mar Hospital, Almería, Spain. Variables for reporting standard outcomes were collected at the 1-month visit for monocular vision and the 3-month visit for binocular vision, including best spectacle refraction and corrected and uncorrected visual acuities at far, intermediate (67 cm), and near (40 cm) distances. In addition, monocular and binocular visual acuity defocus curves were measured and questionnaires for grading subjective visual quality, satisfaction, and visual function were supplied at the end of the follow-up. RESULTS: Monocular corrected distance visual acuity decreased progressively from far (-0.05 logMAR) to near (0.25 logMAR) and improved approximately -0.1 logMAR along the defocus curve in binocular vision. The mean residual spherical equivalent (SE) was 0.15 ± 0.47 diopters (D), with 79% of eyes within ±0.50 D and 97% within ±1.00 D with the SRK/T formula. All of the visual function tasks improved after surgery, especially driving at night, which increased from 58 to 79 (P < .05). Of 27 patients, 84.4% were satisfied or very satisfied with their general vision. CONCLUSIONS: This new lens was similar in terms of visual performance and satisfaction to other trifocal IOLs. It can be classified as a trifocal extended depth of focus IOL because of the performance between extended depth of focus IOLs and medium-high addition trifocal IOLs. [J Refract Surg. 2019;35(4):214-221.].


Assuntos
Implante de Lente Intraocular , Lentes Intraoculares Multifocais , Facoemulsificação , Pseudofacia/fisiopatologia , Visão Binocular/fisiologia , Acuidade Visual/fisiologia , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Estudos Prospectivos , Perfil de Impacto da Doença , Inquéritos e Questionários , Resultado do Tratamento
12.
Indian J Ophthalmol ; 67(5): 669-676, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31007237

RESUMO

Purpose: Coping strategies employed by people with visual disability can influence their quality of life (QoL). We aimed to assess coping in patients with low vision or blindness. Methods: In this descriptive cross sectional study, 60 patients (25-65 years) with <6/18 best-corrected vision (BCVA) in the better eye and vision loss since ≥6 months were recruited after the institutional ethics clearance and written informed consent. Age, gender, presence of other chronic illness, BCVA, coping strategies (Proactive Coping Inventory, Hindi version), and vision-related quality of life (VRQoL; Hindi version of IND-VFQ33) were recorded. Range, mean (standard deviation) for continuous and proportion for categorical variables. Pearson correlation looked at how coping varied with age and with VRQoL. The analysis of variance (ANOVA) and t-test compared coping scores across categorical variables. Statistical significance was taken at P < 0.05. Results: Sixty patients fulfilled inclusion criteria. There were 33 (55%) women; 25 (41.7%) had low vision, 5 (8.3%) had economic blindness, and 30 (50.0%) had social blindness; 27 (45.0%) had a co-morbid chronic illness. Total coping score was 142 ± 26.43 (maximum 217). VRQoL score (maximum 100) was 41.9 ± 15.98 for general functioning; 32.1 ± 12.15 for psychosocial impact, and 41.1 ± 17.30 for visual symptoms. Proactive coping, reflective coping, strategic planning, and preventive coping scores correlated positively with VRQoL in general functioning and psychosocial impact. Conclusion: Positive coping strategies are associated with a better QoL. Ophthalmologists who evaluate visual disability should consider coping mechanisms that their patients employ and should refer them for counseling and training in more positive ways of coping.


Assuntos
Adaptação Psicológica , Qualidade de Vida/psicologia , Baixa Visão/reabilitação , Acuidade Visual/fisiologia , Pessoas com Deficiência Visual/reabilitação , Adulto , Idoso , Estudos Transversais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Perfil de Impacto da Doença , Inquéritos e Questionários , Baixa Visão/psicologia
13.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 567-575, abr.-maio 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-987511

RESUMO

Objetivo: Analisar as repercussões causadas pela incontinência urinária na qualidade de vida dos idosos. Métodos: Pesquisa descritiva e exploratória, com abordagem qualitativa, composta por 12 idosos. A coleta de dados foi realizada por meio de entrevistas, em um ambulatório de urologia e ginecologia de um hospital público/escola de referência em Teresina. Os dados foram interpretados pela análise temática de conteúdo. Resultados: Os depoimentos originaram duas categorias: sentimentos negativos dos idosos com incontinência urinária e aspectos sociais que interferem na qualidade de vida dos idosos com incontinência urinária. Conclusão: A incontinência urinária nos idosos é uma patologia pouco discutida nas consultas, a baixa escolaridade dos idosos influencia na demora em procurar o tratamento para a doença e esclarecimento da mesma. Há a necessidade de um olhar diferenciado por parte dos profissionais de saúde para os idosos acometidos com esta patologia


Objective: The study's aim has been to analyze the urinary incontinence repercussions towards the elderly's life quality. Methods: It is a descriptive-exploratory study with a qualitative approach, which was comprised by 12 participants from both genders. The research scenario was a urology and gynecology ambulatory from a large public hospital/school that performs procedures of high complexity and etiology in Teresina city, Piauí State. Data analysis occurred through the thematic content analysis. Results: The statements gave rise to two categories, as follows: the elderly's negative feelings related to urinary incontinence; and, the social aspects that impact in the quality of life of elderly people bearing urinary incontinence. Conclusion: The urinary incontinence in elderly people is a poorly discussed pathology during consultations. Furthermore, the elderly's low level of education ends up influencing them in realizing the necessity of looking for understanding and treatment about the disease. Conclusively, health professionals must have a different perspective with regards to the elderly people bearing this pathology


Objetivo: Analizar las repercusiones causadas por la incontinencia urinaria en la calidad de vida de los ancianos. Métodos: Investigación descriptiva y exploratoria, con abordaje cualitativo, compuesta por 12 ancianos. La recolección de datos fue realizada por medio de entrevistas, en un ambulatorio de urología y ginecología de un hospital público / escuela de referencia en Teresina. Los datos fueron interpretados por el análisis temático de contenido. Resultados: Los testimonios originaron dos categorías: sentimientos negativos de los ancianos con incontinencia urinaria y aspectos sociales que interfieren en la calidad de vida de los ancianos con incontinencia urinaria. Conclusión: La incontinencia urinaria en los ancianos es una patología poco discutida en las consultas, la baja escolaridad de los ancianos influye en la demora en buscar el tratamiento para la enfermedad y aclaración de la misma. Hay necesidad de una mirada diferenciada por parte de los profesionales de la salud para los ancianos afectados con esta patología


Assuntos
Humanos , Masculino , Feminino , Idoso de 80 Anos ou mais , Incontinência Urinária/complicações , Incontinência Urinária/enfermagem , Incontinência Urinária/terapia , Qualidade de Vida , Incontinência Urinária/prevenção & controle , Perfil de Impacto da Doença
15.
Clín. salud ; 30(1): 13-20, mar. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-180394

RESUMO

La innovación en los servicios sanitarios afronta retos en cuanto a la generación de alternativas eficaces para las crecientes necesidades de la población, así como el desarrollo de metodologías para su evaluación. El propósito de éste estudio fue determinar el retorno social de la inversión (SROI) de un tratamiento psicológico basado en la evidencia. Se llevó a cabo el análisis de un programa de intervención psicológica con un diseño que incluía medidas pre/postratamiento y un grupo control. Como resultado se obtuvo un impacto social positivo: cada euro invertido ofreció un retorno social neto de 2.98€. En conclusión, puede decirse que el SROI puede ofrecer información sobre el impacto social provocado por las intervenciones clínicas, determinando los rendimientos tangibles obtenidos con la inversión


Innovation in health care services generates the development of new initiatives. Research should focus on the development of methodologies that allow the evaluation of interventions and determine the true impact they have. The purpose of this study was to determine the social return of investment (SROI) of a health treatment. An analysis of a psychological intervention program was carried out with a design that included pre/post-treatment measures and control group. As results, a positive social impact was obtained. Each monetary unit spent offered a net social return of 2.98. In conclusion, SROI can offer information about the social impact caused by health care interventions, determining the tangible return obtained with the investment


Assuntos
Humanos , Técnicas Psicológicas , Prática Clínica Baseada em Evidências/métodos , Medidas de Resultados Relatados pelo Paciente , Perfil de Impacto da Doença , Custos de Cuidados de Saúde , Estudos de Casos e Controles
17.
Rev. logop. foniatr. audiol. (Ed. impr.) ; 39(1): 27-31, ene.-mar. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-176637

RESUMO

Introducción: La disartria corresponde a un trastorno adquirido del habla de origen neurológico. Habitualmente, la evaluación se centra en describir los procesos motores del habla afectados, las características perceptuales y determinar el grado de severidad a través de la inteligibilidad del habla. Pocas veces se explora el impacto de este trastorno sobre la calidad de vida de la persona. Método: Se realizó un estudio cuantitativo, no experimental, transversal, descriptivo y correlacional. Se evaluaron 21 personas con disartria (51.04 ± 13.06 años, 13 hombres) con el protocolo de evaluación de habla para pacientes disártricos y el cuestionario autoadministrado de calidad de vida en hablantes disártricos (QOL-Dys). Resultados: Las personas con disartria ven alterada su calidad de vida. Hay una correlación significativa con el grado de severidad de la disartria (r = -.5, p =.02). La inteligibilidad predice de manera significativa el puntaje en el cuestionario de calidad de vida total (R2 =.2, p =.04). El puntaje más bajo se presenta en la percepción de la reacción de los otros (1.66 ± 12.93), y el más alto en enfrentarse a situaciones difíciles (24.38 ± 9.12). Conclusión: La disartria afecta la calidad de vida de las personas. Se recomienda su evaluación para mejorar la intervención en estas personas


Introduction: Dysarthria is an acquired motor speech disorder of neurological origin. Usually assessment focuses on describing the affected motor processes of speech, perceptual characteristics and determining the degree of severity through speech intelligibility, but rarely explores the impact it has on the quality of life of the person. Method: A quantitative, non-experimental, cross-sectional, descriptive and correlational study was performed. Twenty-one patients with dysarthria (51.04 ± 13.06 years, 13 men) were evaluated with the speech assessment protocol for dysarthric patients and the self-administered quality of life questionnaire for dysarthric speakers (QOL-Dys). Results: The quality of life of people with dysarthria is affected (QOL), which correlates significantly with the degree of severity of the dysarthria (r = -.5, p = .02). Intelligibility significantly predicts the score of the total quality of life questionnaire (R2 =.2, p = .04). The lowest score occurred in the perception of the reaction of the others (16.66 ± 12.93), and the highest in dealing with difficult situations (24.38 ± 9.12). Conclusion: Quality of life is affected in people with dysarthria, its assessment is recommended to improve intervention in these people


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Disartria/psicologia , Transtornos da Articulação/psicologia , Inteligibilidade da Fala , Qualidade de Vida/psicologia , Perfil de Impacto da Doença , Índice de Gravidade de Doença , Estudos Transversais
18.
Rev. lab. clín ; 12(1): 38-52, ene.-mar. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-176973

RESUMO

Este documento describe las causas de error más frecuentes en la medición de marcadores tumorales séricos proteicos en sus diferentes fases: preanalítica, analítica y postanalítica y recomendaciones para detectar y solventar problemas, así como la interpretación de los resultados de los marcadores tumorales en la práctica clínica


This document describes the most frequent causes of error in the measurement of 13 serum protein tumour markers in their different phases: preanalytical, analytical and 14 postanalytic and recommendations to detect and solve problems, as well as the 15 interpretation of the results of the Tumor Markers in clinical practice


Assuntos
Humanos , Biomarcadores Tumorais/análise , Técnicas de Laboratório Clínico/métodos , Neoplasias/diagnóstico , Padrões de Prática Médica , Perfil de Impacto da Doença , Reprodutibilidade dos Testes , Coleta de Amostras Sanguíneas/normas , Preservação de Amostras/métodos
19.
Med. oral patol. oral cir. bucal (Internet) ; 24(2): e165-e171, mar. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-180639

RESUMO

Background: Neurodegenerative diseases that affect the cerebellum, especially in elderly individuals, cause im¬pairment of motor coordination and quality of life. The presente study evaluated the electromyographic activity and thickness of the right and left masseter and temporal muscles, and the maximum molar bite force of individu¬als with spinocerebellar ataxia. Material and Methods: Twenty-eight individuals were divided into two groups: those with (n=14) and without (n=14) spinocerebellar ataxia. Data on the masticatory muscles obtained from the electromyographic activity (resting, right and left laterality and protrusion), muscle thickness (maximal voluntary contraction and tensile strength) and maximum bite force (right and left) were tabulated and descriptive analysis using Student’s t-test (P ≤ 0.05). Results: In the comparison between groups, greater electromyographic activity was demonstrated for individuals with spinocerebellar ataxia, with a statistically significant difference in protrusion and laterality for the temporal muscles (P = 0.05). T here was no statistically significant d ifference b etween t he g roups for m asticatory muscles thickness in the conditions evaluated. For maximum molar bite force, the group with spinocerebellar ataxia showed lower bite force (P ≤ 0.05). Conclusions: The data obtained suggest that spinocerebellar ataxia promotes functional reduction in the stomatognathic system, mainly affecting the electromyographic activity and bite force, hindering chewing, with a resultant alteration of nutritional intake and a decrease of quality of life


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Ataxias Espinocerebelares/fisiopatologia , Sistema Estomatognático/fisiopatologia , Músculos da Mastigação/fisiopatologia , Perfil de Impacto da Doença , Eletromiografia , Força de Mordida , Músculo Masseter/fisiopatologia , Músculo Temporal/fisiopatologia , Estudos Prospectivos , Estudos de Casos e Controles
20.
Urology ; 127: 53-60, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30790648

RESUMO

OBJECTIVES: To test the validity of an Internet-based version of Expanded Prostate Cancer Index Composite (EPIC-26) versus the phone-based version. Most men will survive for years after treatment for localized prostate cancer (PCa) and may experience lasting treatment-related toxicities affecting health-related quality of life. The EPIC-26 is a validated instrument that measures health-related quality of life across 5 PCa-specific domains. Previously, EPIC-26 was administered via phone in a large multicenter clinical trial. METHODS: We developed an Internet-based version of EPIC-26. We recruited subjects from two prospective longitudinal study cohorts of PCa patients undergoing local therapy: PROST-QA, and PROSTQA-RP2. Subjects were randomized to either an "Internet-first" or "phone-first" group. Subjects were offered the alternate questionnaire modality 2 weeks after completing the initial modality. RESULTS: 181 subjects were offered enrollment; 133 agreed to participate. 65 subjects were randomized to the "Internet- first" group and 68 subjects to the "phone-first" group. Of these, 37 and 26 subjects respectively completed both questionnaire versions (response rate: 44.4%). Test-retest analysis showed significant intraclass correlations in all 5 domains of EPIC-26: urinary incontinence (r = 0.96), urinary irritation (r = 0.85), bowel function (r = 0.61), sexual function (r = 0.94), and hormonal function (r = 0.89). There was no effect of order of questionnaire administration. CONCLUSION: This study demonstrates excellent correlation of responses between Internet-based and phone-based EPIC-26 administration. All domains demonstrated test-retest reliability between modalities, without ordering effect. This validates the use of internet-based EPIC-26 in international registries as part of the International Consortium for Health Outcomes Measurement effort, and may facilitate its use in clinical practice and quality improvement.


Assuntos
Internet/estatística & dados numéricos , Neoplasias da Próstata/psicologia , Neoplasias da Próstata/terapia , Qualidade de Vida , Telefone/estatística & dados numéricos , Fatores Etários , Idoso , Estudos de Coortes , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Estadiamento de Neoplasias , Estudos Prospectivos , Neoplasias da Próstata/mortalidade , Neoplasias da Próstata/patologia , Medição de Risco , Perfil de Impacto da Doença , Análise de Sobrevida
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