Stroke is a condition with high incidence mortality rates and is a leading cause of disability in Malaysia. The effect have long-term consequences on post-stroke patients. The impact of stroke on health related QoL may be disastrous; and stroke can affect multiple domains of life. However, there is a dearth of understanding of how stroke affects the quality of life (QoL) of post-stroke patients undergoing rehabilitation. The study was conducted based on the mode of grounded theory using semi-structured interviews. Data analysis was guided by constant comparative method, in which verbatim quotations were catalogued into essential concepts by use of codes developed interatively to reflect the data. Reports obtained were findings from 11 post-stroke patients (6 women and 5 men) aged 50 to 70 years which solicited their perspectives on post-stroke QoL. Themes emerged were impact of stroke on QoL, adaptation and coping strategies, and social support and interation. These findings were consistent with prior research indicating the measures of stroke-related QoL should include awareness and education of the post-stroke patient to cope with the consequences of stroke and disabilities.
Cognitive Behaviour Therapy (CBT) research has primarily focused on the reduction of negative symptoms as evidence for the effectiveness of the psychotherapy. However, positive factors such as Qualify of Life (QOL) have been largely ignored. Clinicians have only recently begun to incorporate QOL assessment into their treatment protocols and outcome studies, and very few longitudinal studies have been reported in the literature. This book presents a series of studies which demonstrate that subjective QOL is a valid and important outcome to consider in clinical practice with patients who struggle with anxiety and depressive disorders. We demonstrated that Group CBT was effective for treating psychiatric hospital outpatients with anxiety and depression, with improvements in both symptoms and QOL at post-treatment, which were maintained at long-term follow-up. We concluded that positive factors such as QOL were important outcome variables that must be monitored in clinical practice and research when determining the effectiveness of psychotherapy.
Quality of life (QoL) for people with schizophrenia has been a focus of concern in order to improve their standard of life to lead to more satisfaction, happiness, and well-being. However, few studies have examined the QoL for people with schizophrenia in Arab countries and none have solely studied the QoL for people with schizophrenia in Saudi Arabia. This work investigates the QoL for Saudi Arabian people with schizophrenia. It is driven by research questions regarding Saudi Arabian people with schizophrenia’s level of satisfaction with their QoL, as well as how they perceive their QoL. It provides basic information about the Saudi Arabian health care system, schizophrenia and QoL concept. Further, the research gives a detailed review of previous literature on the relationship between schizophrenia and patients’ perceptions of QoL. It reports on the QoL for Saudi Arabian people with schizophrenia through the use of mixed methods and compares the results with the QoL for people with schizophrenia in previous studies. This study’s findings provide an important basis for Saudi Arabian mental health care services, mental health nursing practice and education, and future research.
During the last couple of decades the world has developed technologically, economically and industrially. In spite of remarkable progress, it has been realized that increases in material wealth do not simply improve life quality. But urbanization in developing countries is unplanned. Rather, it is an outcome of sheer demographic expansion and increased pressure on land. As a result there is pressure on existing infrastructural facilities as well as other problems like traffic congestion, solid wastes, pollution and stress on natural resources. There is deterioration in living environment which undermines quality of life (QOL). This book is an attempt to assess QOL in an urban environment. Considering all issues found in relevant QOL studies, a framework has been constructed which places QOL as the central focus and takes into account interaction between men and environment. The book may help researchers in social sciences to understand QOL. The study assumes significance in the context of those cities which are growing in unplanned manner especially in developing countries from the point of view of policy making process.
Measurement of quality of life (QOL) has become an important patient reported outcome that reflects the success of therapy or medical procedures in clinical studies. This book has four parts. Part 1 aims to discuss the epidemiology of liver cirrhosis and liver disease, causes, the epidemic of the hepatitis C virus (HCV) in Egypt, complications and challenges of treating patients with cirrhosis. Part 2 explains the nature of QOL, beginning with defining QOL, then it discusses the relationship between QOL and health. An examination of Health-Related Quality of Life (HRQOL) in terms of its definition, domains and the importance of measuring HRQOL are critically discussed. Part 3 discusses the term of social support beginning with defining social support, then presenting the types and socurces of social support, and the underlying mechanism of social support. Then, relationship between social support and HRQOL, and available paradigms of measuring social support are discussed. Finally, HRQOL, symptoms experience and perceived social support in liver disease patients and its associated factors were reviewed in part 4.
Housing is a key issue that normally forefront the scene when considering challenges of urbanization and urban growth. It is a fundamental aspect of human life and a major factor in delivering healthy and attractive communities. Increasing interest is now shown towards the study of how people think of their housing and how it affects their lives. Therefore, measuring the housing quality has become an important tool to assess the efficiency of housing provision and the extent to which people are satisfied with it. This research is about examining housing quality and exploring the set of aspects through which it influences people’s quality of life (QOL). It stems out of a general concern about the state of life in cities and the general factors that shape and outline such life. The research aims to critically investigate housing quality and the impact it has on QOL experienced by residents. It employs an integrated conception of housing quality that poses three types of qualities: quality of provision, quality of context and quality of dwelling, and explores the implications of these qualities, in order to provide an overarching understanding of the influences of housing on QOL.
Glaucoma is a chronic ophthalmic disease characterized by a progressive loss of visual function and a potential to cause an irreversible blindness if not treated at an early stage. Patients of glaucoma need to take lifelong medications in order to keep their intraocular pressure within limits. Disability consequent to the disease, and inconvenience faced with the treatment have an impact on the daily life of patients. Patient reported outcomes therefore, play an important role in judging the impact of an intervention on the patients’ physical, mental as well as social well being; in other words, the Health Related Quality of Life (HRQOL). Research in the field of QOL has been done for a number of chronic diseases like diabetes, rheumatoid arthritis, etc. But studies assessing QOL of glaucoma patients are limited. This work intends to evaluate the impact of glaucoma and its treatment with topical anti-glaucoma drugs on the vision-related QOL of patients of primary open angle glaucoma and those with ocular hypertension.
Hemodialysis is one of the treatment modes for end stage renal disease patients. ESRD and dialysis affect the daily lives of many patients and families confronted by changes in health status, lifestyles, and roles. This study was conducted to assess QoL exhibited by these patients and factors affecting it. Descriptive exploratory design was used. A purposive sample of 100 adult undergoing HD was recruited from two renal insufficiency and dialysis units at hospitals in Cairo. Interviewing schedule questionnaire and Kidney disease quality of life (KDQoL-SF™) tools were used. Findings indicated that QoL of patients undergoing HD was significantly impaired, numerous clinical and socio-demographic factors were found to have significance difference but the most powerful predictors are psychosocial factors. To conclude identifying and understanding QoL of these patients and its determinant factors are fundamental aspect to help health care providers especially nurses to establish methods that would help patients to lead more productive lives, designing and implementing nursing interventions according to patients' needs and fears, thus continuous monitoring and evaluating is recommended.
Diabetes is by far the commonest form of the disease globally, with rapidly developing countries being at the forefront of this epidemic. Education and counseling plays a major role in the management of diabetes which is viewed as cornerstone for its treatment. The ultimate goal of counseling is to provide information directed at encouraging safe and appropriate use of medications leading to better therapeutic outcomes and thereby enhancing the quality of life (QoL) of patient. This book intends to shed light on various aspects of counseling that may be helpful for improving the QoL of a patient who has Diabetes Mellitus. The education programs should be combined with counseling and psychological intervention if they have to be effective. Evidence suggests that some interventions, including the introduction of blood glucose lowering medications or new insulin delivery systems, along with educational and counseling interventions designed to facilitate the development of diabetes-specific coping skills, can improve both glycemic control and QoL in patients with diabetes. The data so published may be useful for clinicalpharmacists,communitypharmacists,students,nurses,clinicians.
Apart from physical symptoms, TB patients face various problems that are social and economic in nature. Therefore, for a comprehensive assessment of patients' health status, it is essential to consider the overall impact of TB on health and patients' perception of well being, besides routine clinical, radiological and bacteriological assessments.A prospective study was conducted on 90 patients of tuberculosis at 2 directly observed treatment short course (DOTS) cum microscopy centers in an urban area of Delhi. The WHOQOLBREF (Hindi) questionnaire was used to assess the QOL at the onset of treatment, after 3 months of treatment under DOTS, and at completion of treatment. Patients with tuberculosis had significantly lower mean scores than controls for overall QOL. The most affected domains were physical and psychological. Women scored significantly better than men in the physical and environmental domains. Overall QOL scores were lowest for category II and significantly lower for the psychological and social domains. The mean scores after treatment were significantly lower than controls for overall QOL, the social and environmental domains. The DOTS regimen improves the QOL and its d
Parks are placed high on the research agenda addressing their social, economic, and environmental influences. They been recognised as contributors to the physical quality of urban environments. More recently, a broader view of parks has emerged. This view goes well beyond the traditional value of parks as places for recreation and visual delight, to depict them as valuable contributors to broader strategic objectives, such as property values, place attractiveness, job opportunities, social belonging, public health, tourist development, and improving the overall quality of life (QOL) for individuals and societies. The present book aims to examine the role of parks in enhancing the quality of human life in urban environments. It measures QOL in terms of 'human needs' and 'subjective well-being'. Finally, the study concludes a understanding of the impact of public parks upon improving the QOL, as a synthesis of the findings from 'human needs' and 'subjective well-being'. This should open ways for policymakers, practitioners and researchers to realise the potentials of public parks towards improving the QOL and recognising the aspired-for individual and social development in Egypt.
Prostate cancer is the second most common type of cancer in the world and in Palestine. The use of different treatment options helped prostate cancer survivors to get cured or to live for longer periods of time. Because of the several complications of treatment modalities, issues related to quality of life (QOL) became highly important to help prostate cancer survivors to live and experience a higher level f quality of life. Many studies examined QOL of prostate cancer survivors and barriers to health care; but none was conducted in a developing country. The purpose of this study was to evaluate the level of QOL and to assess the barriers to health care utilization as perceived by prostate cancer survivors who live in Gaza Strip. Findings revealed that prostate cancer survivors living in Gaza Strip had lower QOL scores compared to those reported in the literature. Besides that, several barriers to health care utilization were reported by participants. Therefore, it is important for health care providers and health care policy makers to work on improving their QOL and removing barriers to health care utilization.
Diabetes mellitus has become a major cause of illness and disability across the world. The number of people with diabetes is increasing due to population growth, aging, urbanization, and increasing prevalence of obesity and physical inactivity. Quantifying the prevalence of diabetes and the number of people affected by diabetes now and in the future is important to allow rational planning and allocation of resources. Epidemiological data for India indicates that people affected by diabetes in India presently are about 31,196,000 and projections for 2030 in India are about 79,441,000 as reported in the World Health Organization [WHO] Global Burden of Disease Study. The present work discusses the importance of the antidiabetic therapies in altering the Quality of Life and cognitive parameters in diabetic conditions. The outcome of the study will measure the efficacy of antidiabetic drug on quality of life and cognitive function of the diabetic patients. The comparative efficacy of the antidiabetic drugs used in the treatment of diabetic patients in relation to Sociodemographic and lifestyle characteristics on their Quality of Life and cognitive paradigms will also be revealed.
The present study focused on women''s psychological health. It explored the relationship between depression and quality of life using two main research paradigms – the quantitative (survey method) and the qualitative (focus group discussion). Women''s quality of life was affected by geographical, social? cultural, economical, environmental, political and health related factors. The study focused on samples of women from the general population and Psychiatry outpatients to examine differences with respect to these critical issues. Depression was defined in cultural terms and efforts were made by the researcher to understand how women coped with it.