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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
141

Livskvalitet bland intensivvårdspatienter 12 månader efter utskrivning från intensivvård

Summermatter, David January 2009 (has links)
Syfte med denna enkätstudie var att undersöka hälsorelaterad livskvalitet (HRQOL) tolv månader efter utskrivning från intensivvårdavdelning mellan kvinnor och män och mellan yngre (< 65 år) och äldre (≥65 år). Huvudresultatet visade att det fanns signifikanta skillnader mellan kvinnor och män hur de skattar HRQOL i delskala smärta. Ingen signifikant skillnad fanns mellan yngre och äldre. Även med ett litet antal patienter är skattad HRQOL för hela undersökningsgruppen jämförbar med större studier inom område som mäter HRQOL med SF-36. / The aim of the study was to assess health-related quality of life (HRQOL) twelve months after discharge from the intensive care unit (ICU) as well as to study if there were differences in HRQOL between younger (<65 years) and older (≥65 years) patients. There were significant differences between women and men in how they estimated HRQOL in the domain pain. No significant differences existed between younger and older patients and the HRQOL overall twelve months after discharge from ICU were consistent with previous HRQOL SF-36 research results even with a small sample of patients.
142

Har en goodwillnedskrivning någon effekt på aktieavkastningen? : En eventstudie av bolagen på Stockholmsbörsen

Sandell, Krister, Koponen, Angelica January 2012 (has links)
On 1 January 2005, IFRS (International Financial Reporting Standards)was mandatory for all listed companies within the European Union. The introduction is to create a transparent and consistent reporting. Mainly to provide companies, investors and financiers the same access to world capital markets. Since the introduction of IFRS, the goodwill value is determined by annual impairment tests. If an impairment of goodwill is a fact the goodwill decreases in value. The value of goodwill should be allocated to cash generating units or groups of cash generating units expected to benefit from goodwill, that is, achieve future positive payment surplus. The purpose of this study is to investigate whether goodwill impairment in Swedish listed companies is reflected in equity returns and to investigate in which quarter impairment is recognized and published. All companies listed on the Stockholm´s Large, Mid and Small Cap lists in 2011 were examined and goodwill impairment of the listed companies was studied over a five year period between years 2007 – 2011. A. Craig MacKinlays standard in event studies was used, where the cumulative average abnormal return (CAAR) was calculated to further carry out a hypothesis testing. The study shows an average reduction in yield of 1, 49 percent, but no statistically significant association between goodwill impairment and stock returns was found. The study also shows that goodwill impairment most frequently is published in the first quarter and that it is reported in the fourth quarter of previous year.
143

Svårigheten för en revisor att verifiera posten goodwill / The difficulty for an auditor to verify the item goodwill

Lindell, Johanna, Halse, Pehr January 2010 (has links)
Syfte: Att lokalisera och förstå revisorns problem med att verifiera posten goodwill i jämförelse med vad IAS och IFRS säger.   Metod: Det vetenskapliga synsätt vi använt oss av är hermeneutiskt, vilket går ut på att förstå något. Vi har valt att använda en kvalitativmetod med fem stycken ostrukturerade intervjuer med revisorer från olika revisionsbyråer för att samla in vårt empiriska data. Litteraturstudien har samlats in genom vetenskapliga artiklar och litteratur som sökts via databaser på Högskolan i Gävle och Uppsala Universitet. Resultat & slutsats: Revisorerna litar på företagen och följer hellre praxis än IFRS vilket gör att de inte ser värderingen som ett problem. Eftersom studien endast innehåller fem intervjuer kan vi inte säga att resultat är generaliserbart. Slutsatsen är tänkt att ge en bild av att IAS 36 inte kan följas i praktiken. Förslag till fortsatt forskning: Vi rekommenderar att studera och jämföra praxis, lag och rekommendationer. Detta eftersom revisorerna säger att de inte följer regelverken IFRS och IAS utan och innan vid en revision, de anser att det är bättre att följa praxis då IFRS och IAS ställer alldeles för höga krav på företagen. Uppsatsens bidrag: I likhet med förslag till fortsatt forskning har vi kommit fram till att det skulle vara mycket värdefullare med en jämförelse av lag och praxis istället för hur revisorn utför sitt arbete jämfört med vad som står i lagen. Detta eftersom att revisorn följer praxis noggrannare än IFRS ramverk. / Aim: To locate and understand the auditor’s verification problem recording the item goodwill in comparison with IAS and IFRS. Method: The scientific approach we have used is hermeneutic, which is to understand something. We have chosen to use a qualitative approach with five unstructured interviews with auditors from different auditing firms to collect our empirical data. The literature study was collected through scientific articles and literature that we search for through databases at the University of Gävle and Uppsala University. Result & Conclusions: The auditors trust the companies, and follow established practice rather than IFRS so that they do not see the valuation as a problem. We can not say that our result is generalizable since the study only contains five interviews. The conclusion is supposed to point out that IAS 36 can be difficult to follow in practice. Suggestions for future research: We recommend studying and comparing established practice, law and recommendations. This because the auditors say they do not use IFRS and IAS regulations, they think it is better to follow established practice because IFRS and IAS make too high demands on companies. Contribution of the thesis: Compared to suggestions for future research we realize that it would give more value for knowledge to compare law and praxis instead of comparing how the auditor is working compared to the law. That is because the auditor follows practice more strictly than the standards of IFRS.
144

Upplysningar om nedskrivningsprövning av goodwill enligt IAS 36 p.134 : Ur ett finansanalytikerperspektiv

Björklund, Cristina, Lundgren, Kristina January 2008 (has links)
<p>En diskussion har länge förts kring hur beräkning av goodwill ska ske. Detta framförallt eftersom goodwill är en komplex tillgång som är svår att identifiera och separera från andra tillgångar. Sedan 2005 tillämpas nedskrivning av goodwill enligt IAS 36 för noterade företag. De krav som återfinns i IAS 36 p.134 har enligt tidigare studier visat sig vara svåra för företagen att följa. Kraven anses motsvara kapitalmarknadens informationsbehov. Därmed har författarna ansett att det finns ett intresse i att studera vilket behov finansanalytikerna har av upplysningarna i IAS 36 p. 134. I uppsatsen studeras fyra finansanalytikers åsikter och behov utav denna information.</p><p>Syfte: Studien syftar till att undersöka om den information som ska ges av företagen enligt IAS 36 p.134 överensstämmer med finansanalytikernas behov av information, hur denna information används samt hur finansanalytikernas behov påverkar utfärdandet av redovisningsinformation.</p><p>Metod och empiri: Studien är kvalitativ och abduktiv. Empiriinsamlingen har skett genom intervjuer med fyra finansanalytiker.</p><p>Teori: Det teoretiska ramverket består av IFRS föreställningsram, IAS 36, Analytikers roll och arbete, teori om marknadseffektivitet, reglering, informationsöverflöd samt nytta och kostnad.</p><p>Resultat: Studien visar att upplysningarna enligt IAS 36 p.134 inte används direkt i kassaflödesmodellen men att upplysningarna används som referens-/signalvärde samt för att uppskatta den finansiella risken. Den information som är relevant för finansanalytiker är antaganden och förändringar av dessa antaganden. Informationen om nedskrivningsprövning av goodwill är relevant vid förvärv och när förväntan på utdelning hos ett företag är hög. Finansanalytiker anser att det är relevant information att få veta om en valutaförändring skett som påverkar goodwillvärdet. Företagens subjektivitet kan försämra informationens tillförlitlighet. Även goodwillvärdet kan upplevas mindre tillförlitligt på grund att den är svår att separera från andra tillgångar. Trots detta är den generella åsikten bland finansanalytikerna att den information som presenteras är tillförlitlig. Finansanalytikerna vill ha så mycket information som möjligt samtidigt som studien tyder på att de till stor del inte använder sig av informationen om nedskrivningsprövning av goodwill vid en företagsanalys. Detta orsakar en överproduktion av redovisningsinformation som orsakar kostnader för företag och kunder.</p> / <p>The calculation of goodwill has been a subject discussed for a long period of time. The main reason for this is that goodwill is a complex asset, which is difficult to identify and separate from other assets. Since 2005, companies, which are quoted on the stock exchange, have to apply to IFRS standard IAS 36, which treats the impairment test of goodwill. According to several earlier studies the requirements of IAS 36 p. 134 have shown to be difficult for companies to comply with. These requirements are considered to correspond to the needs of information that the capital market requests. Therefore, the authors of this thesis have considered it to be interesting to examine the analysts’ needs of the information according to IAS 36 p.134. In this thesis four analysts’ opinions and needs of financial information according to IAS 36 p.134 are studied.</p><p>Purpose: The study aims to examine if the information that should be presented by companies according to IAS 36 p.134 comply with the analysts’ needs of information. It will also include how the information is used and how analysts’ needs affect the publication of financial information.</p><p>Method and empirics: The study is qualitative and abductive. The collection of empirics has been made through interviews with four analysts.</p><p>Theory: The theory consists of the IFRS framework, the IAS 36 and the role and work of the analyst. In addition, the theory of market efficiency, regulation, information overload and the benefit and cost theory will also be analysed.</p><p>Result: The study shows that the information according to IAS 36 p.134 is not directly used in the cash flow model. However, more as a reference or signal value and it is also used to evaluate the financial risk. The information, which is relevant for analysts, is the assumptions made and the changes of these assumptions. Information considering goodwill impairment test is relevant when acquisitions are made and when there are high expectations of dividends. Also, it is relevant information where there has been a great currency fluctuation, which affects the value of goodwill. Considering whether analysts find the information to be reliable, they find that the reliability will become deteriorated since the company is subjective when it performs the estimation. Also, the value of goodwill is considered to be less reliable since it is difficult to separate from other assets. In spite of this, the general opinion among analysts is that the presented information is reliable. The analysts wish to receive as much information as possible. Hence, at the same time the study shows that they for the main part do not use the information concerning goodwill impairment tests. This causes an information overload of financial information that further results in costs for companies and customers.</p>
145

Retrospektive Analyse der subjektiven Patientenzufriedenheit nach Rotatorenmanschettenrekonstruktion anhand des Fragebogens SF-36 / Retrospective Analysis of subjective life quality after Rotator-cuff-repair by using SF-36

Üblacker, Kati 21 November 2011 (has links)
No description available.
146

Erstellung von Referenzwerten für das isokinetische Training im Rahmen der Rehabilitation nach Schulteroperationen und Bestimmung der körperlichen Leistungsfähigkeit und der kardiopulmonalen Belastung während der Schulterrehabilitation

Standtke, Susanne 11 May 2015 (has links) (PDF)
Nach Operationen am Schultergelenk ist die Rehabilitation von entscheidender Bedeutung, um das operative Ergebnis zu sichern und die Schulterfunktion wiederherzustellen. Die dafür erforderliche funktionelle Kraft, Mobilität, Stabilität und Schmerzfreiheit soll mittels adäquater Maßnahmen im Therapieprozess entwickelt werden. Einen Untersuchungsschwerpunkt dieser Arbeit stellte die Erhebung von indikationsspezifischen isokinetischen Referenzwerten dar, die als schädigungsfrei erreichbare Steigerungsraten der Kraft innerhalb eines definierten Rehabilitationsprogrammes anzusehen sind. Dafür wurden jeweils 30 Patienten mit ventraler Schulterstabilisierung, arthroskopisch subakromialer Dekompression und Rekonstruktion der Rotatorenmanschette unter Verwendung des Seilzugisokinetikgerätes „Moflex®“ für die Bewegungen Adduktion, Innen- und Außenrotation untersucht. Zusätzlich galten die tägliche Schmerzquantifizierung, die Erfassung der aktiven Beweglichkeit und die subjektive Einschätzung mittels Fragebögen zum Gesundheitszustand (SF-36-Health-Survey) und zur Schulterfunktion (DASH-Score) zu definierten Zeitpunkten der Rehabilitation als obligate Bestandteile der Untersuchung. Auf der Grundlage der ermittelten Referenzwerte werden Empfehlungen für die praktische Anwendung eines therapeutischen Aufbautrainings mit dem Therapieband und dem Seilzugsystem abgeleitet. Einen weiteren Schwerpunkt der Arbeit bildete die Leistungsdiagnostik mit der Überprüfung der körperlichen Leistungsfähigkeit und der kardiopulmonalen Belastung während einer orthopädisch ausgerichteten Rehabilitation. Dafür absolvierten 20 männliche Patienten nach einer Operation am Schultergelenk zu Beginn und zum Abschluss der Rehabilitation einen Spiroergometrietest auf dem Fahrradergometer und eine Spirometrieuntersuchung mit dem „K4b2“ während der Krankengymnastik und der Medizinischen Trainingstherapie. Mit den Resultaten ist erstmalig eine Beurteilung der kardiopulmonalen Belastung von Patienten bei differenten Therapiemaßnahmen möglich. Die Ergebnisse können als Handlungsanleitung für die Belastungsgestaltung im Rahmen der postoperativen Rehabilitation von Schulterpatienten betrachtet werden.
147

Pagyvenusių ir vyresnių žmonių su sveikata susijusios gyvenimo kokybės analizė Kauno miesto ir rajono senelių namuose / The analysis of life quality as related to health of the elderly and the senior people living in Kaunas city and district retirement home

Lebedinskaitė, Jurgita 06 June 2013 (has links)
Temos aktualumas Gyvenimo kokybės (GK) analizė yra vertinga siekiant palyginti ir įvertinti tam tikrų su sveikata susijusių būklių įtaką visuomenės gerovės aspektams, tiek vertinant iš paties žmogaus pusės, tiek ir pagal tai, kokios pagalbos jam reikia (Coons SJ. ir kt., 2000). GK tyrimai padeda geriau tai įvertinti. Rašydama šį darbą, noriu paanalizuoti, kaip socialiniai demografiniai veiksniai siejasi su gyvenimo kokybe. Darbo tikslas Įvertinti senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę. Darbo uždaviniai: 1. Įvertinti privačiuose senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę lyties ir amžiaus grupių aspektu; 2. Įvertinti valstybiniuose senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę lyties ir amžiaus grupių aspektu; 3. Palyginti privačiuose ir valstybiniuose senelių namuose gyvenančių pagyvenusių ir vyresnių žmonių su sveikata susijusią gyvenimo kokybę. Tyrimo metodika Protinės būklės trumpo tyrimo klausimynas (ang. Mini Mental State Exam, MMSE). Į tyrimą neįtraukiami asmenys, kuriems MMSE įvertintas sunkus pažinimo sutrikimas. Su sveikata susijusi gyvenimo kokybė vertinama naudojant SF-36 klausimyną (Trumpa sveikatos apklausos forma) (Hirsch, Bartholomae, Volmer, 2000; Ware 2000; Lloyd, Sawyer, Hopkinson, 2001). Rezultatai ir išvados Privačiuose senelių namuose gyvenantys pagyvenę ir vyresni žmonės su sveikata susijusią... [toliau žr. visą tekstą] / Relevance of the Topic The analysis of life quality is valuable seeking to compare and evaluate the influence of particular health states to the aspects of public welfare both assessing out of man‘s position and according to what kind of help he needs (Coons SJ. etc., 2000). The research of life quality helps to assess it better. Writing this work I aim at the analysis of how demographic factors are related to life quality. The aim of the work To assess the life quality as related to health of the elderly and the senior people living in the nursing home. The tasks of the work: 1. To assess the life quality as related to health of the elderly and the senior people living in private nursing home based on their gender and age group; 2. To assess the life quality as related to health of the elderly and the senior people living in public nursing home based on their gender and age group; 3. To compare the life quality as related to health of the elderly and the senior people living in private and public nursing home. The method of the research Mini Mental State Exam (MMSE). The research does not include people, who in MMSE were assessed as having a serious cognition disorder. The life quality related to health is assessed using SF-36 questionnaire (a short survey form concerning health (Hirsch, Bartholomae, Volmer, 2000; Ware 2000; Lloyd, Sawyer, Hopkinson, 2001)). The Results and Conclusions The elderly and the senior people living in private nursing home evaluated the life... [to full text]
148

Avaliação da qualidade de vida das mulheres que apresentam cefaléia / Evaluation of the quality of life of the women who present chronic headache

Renata Alessandra Evangelista 12 November 2007 (has links)
Nas últimas décadas, as doenças crônicas têm desempenhado um importante papel na morbimortalidade da população mundial atingindo não só a população idosa, mas também jovens em idade produtiva e principalmente mulheres. Dentre as doenças a cefaléia tem sido considerada uma das principais causas de doença do indivíduo adulto em todo o mundo industrializado e na maioria dos países em fase de desenvolvimento, principalmente, nos grandes centros urbanos, como uma doença crônica. A alta prevalência da doença tem se tornado um grande problema de saúde pública afetando milhares de pessoas e, conseqüentemente, a Qualidade de Vida dessa população. O presente estudo é do tipo transversal com objetivo geral de avaliar a prevalência da cefaléia nas mulheres de uma Instituição de Ensino Superior e a qualidade de vida relacionada à saúde das mesmas de um município do estado de Minas Gerais, no ano de 2006, segundo o Instrumento genérico de avaliação de QVRS, SF-36. A coleta de dados foi realizada junto a mulheres no período entre setembro e dezembro de 2006. Considerando os critérios de exclusão, 150 mulheres foram selecionados para participarem deste estudo, destas 72 faziam parte do grupo de Migrânea, 30 faziam parte do grupo Cefaléia Tensional e 48 não apresentaram cefaléia nos últimos 06 meses. Os resultados relacionados às variáveis aspectos clínicos da dor e impacto (freqüência das crises, intensidade da dor, sintomas associados às crises de dor) nos grupos que apresentavam migrânea e cefaléia tensional foram apresentados e discutidos. Os descritores de maior atribuição relatados pelas mulheres que apresentam migrânea foram alucinante fulminante, insuportável e os de menor atribuição foram aniquiliadora, colossal e brutal. Para as mulheres que apresentavam cefaléia tensional os descritores de maior atribuição foram dilacerante, desumana, terrível, e os de menor atribuição foram desgraçada, apavorante e pavorosa. Os escores padronizados do instrumento SF-36, segundo seus domínios foram apresentados e discutidos segundo os quartis, valores máximos e mínimos e representados por meio de tabelas. Adicionalmente, valores médios e respectivos desvios-padrão foram apresentados. A consistência interna do instrumento foi verificada por meio dos valores de alfa de Cronbach entre os domínios da escala. O programa estatístico SPSS, versão 12.1 para Windows foi utilizado. Entre as mulheres investigadas, idade média igual a 24,5 anos, com desvio-padrão de 8,21 anos,para o grupo Migrânea e idade média igual a 33,5 anos, com desvio-padrão de 9,2 anos,para o grupo Cefaléia Tensional. Em relação às propriedades de medida do SF-36, foi obtido um valor para alfa de Cronbach igual a 0,92, mostrando que houve consistência nas respostas dos indivíduos às questões. Tal resultado pôde ser verificado, também, para cada um dos domínios do SF-36, com valor mínimo para o alfa de Cronbach igual a 0,49 e máximo igual a 0,91. O grupo estudado apresentou um maior comprometimento nos domínios Vitalidade, Dor, Saúde Mental e Aspectos Físicos / In recent decades, chronic diseases have played an important role in global morbidity and mortality rates, affecting not only the aged population, but also young people in the productive age group. Amongst the illnesses the chronic headache has been considered one of the main causes of illness of the adult individual in industrialized the whole world and the majority of the countries in development phase, mainly, in the great urban centers, as a chronic illness. The high prevalence of the illness if has become a great problem of public health affecting thousand of people and, consequently, the Quality of Life of this population. The present study it is of the transversal type with general objective to evaluate the prevalence of the chronic headache in the women of an Institution of Superior Education and the quality of life related to the health of the same ones of a city of the state of Minas Gerais, in the year of 2006, according to generic Instrument of QVRS evaluation, SF-36. The collection of data was carried through next to women in the period between September and December of 2006. Considering the exclusion criteria, 150 women had been selected to participate of this study, of these 72 were part of the group of Migrânea, 30 were part of the group Tensional Chronic headache and 48 had not presented chronic headache in last the 06 months. The results related to the changeable clinical aspects of pain and impact (frequency of the crises, intensity of pain, symptoms associates to the pain crises) in the groups that presented migraine and tensional chronic headache had been presented and argued. The describers of bigger attribution told by the women who present migraine had been alucinante sudden, insuportável and of lesser attribution they had been aniquiliadora, colossal and brutal. For the women who presented tensional chronic headache the describers of bigger attribution had been dilacerante, desumana, terrible, and of lesser attribution they had been poor fellow, appalling and dreadful. You prop up them standardized of instrument SF-36, according to its dominious had been presented and argued according to quartiles, maximum and minimum and represented values by means of tables. Additionally, average and respective values shunting line-standard had been presented. The internal consistency of the instrument was verified by means of the values of alpha of Cronbach enters the dominious of the scale. The statistical program SPSS, version 12.1 for Windows was used. Between the investigated women, equal average age the 24,5 years, with shunting line-standard of 8,21 years, for the Migrânea group and equal average age the 33,5 years, with shunting line-standard of 9,2 years, for the group Tensional Chronic headache. We obtained a Cronbachs alpha of 0.92 for the measurement properties of SF- 36, which revealed consistency between the individuals answers to the questions. We obtained a Cronbachs alpha of 0.92 for the measurement properties of SF-36, which revealed consistency between the individuals answers to the questions. Vitality, Pain, Mental Health and Physical Aspects
149

Efeitos da abordagem interdisciplinar na qualidade de vida de pacientes com doença renal crônica

Santos, Fabiane Rossi dos 13 September 2007 (has links)
Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-02-03T11:32:27Z No. of bitstreams: 1 fabianerossidossantos.pdf: 1207169 bytes, checksum: 239998bfa9068a9b4676999c0ad12433 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-02-03T12:06:14Z (GMT) No. of bitstreams: 1 fabianerossidossantos.pdf: 1207169 bytes, checksum: 239998bfa9068a9b4676999c0ad12433 (MD5) / Made available in DSpace on 2017-02-03T12:06:14Z (GMT). No. of bitstreams: 1 fabianerossidossantos.pdf: 1207169 bytes, checksum: 239998bfa9068a9b4676999c0ad12433 (MD5) Previous issue date: 2007-09-13 / O impacto do diagnóstico da Doença Renal Crônica pode trazer perdas que vão além da função renal. A evolução da doença pode trazer significativas mudanças na qualidade de vida de pacientes renais crônicos, envolvendo alterações corporais, sociais e psíquicas. Grande parte dos programas de atendimento a pacientes com Doença Renal Crônica são focados em pacientes já em terapia renal substitutiva. Porém, o acompanhamento precoce destes pacientes, ainda em tratamento conservador, pode proporcionar aos profissionais de saúde intervenções que busquem retardar a entrada destes em diálise, bem como reforçar uma maior adesão ao tratamento. A abordagem de pacientes em tratamento conservador através de equipes interdisciplinares torna-se fundamental, uma vez que se destina a uma abordagem global desta população, e pode ter como conseqüência uma melhora da qualidade de vida destes pacientes. O presente estudo avaliou os efeitos da abordagem interdisciplinar na qualidade de vida de pacientes com Doença Renal Crônica em tratamento conservador. Através da avaliação da qualidade de vida pelo instrumento SF-36 e de parâmetros bioquímicos, foi realizada comparação entre um grupo de pacientes acompanhados por equipe interdisciplinar e um grupo que recebeu apenas acompanhamento médico tradicional, observando-se o impacto do acompanhamento interdisciplinar nas possíveis melhoras de aspectos físicos, sociais e emocionais. Pacientes acompanhados por equipe interdisciplinar apresentaram melhora da qualidade de vida nos domínios capacidade funcional, aspectos físicos, estado geral de saúde, vitalidade e aspectos emocionais. O grupo que recebeu acompanhamento médico tradicional não apresentou melhora da qualidade de vida em nenhum dos parâmetros. Pacientes acompanhados por equipe interdisciplinar também apresentaram mudança estatisticamente significante da anemia, cálcio e redução de peso, o que não foi observado no grupo controle. / The impact of chronic renal disease may involve losses well beyond renal function. Body, social, and psychic changes, brought about by disease evolution, may significantly impair the quality of life. A sizeable proportion of programs targeting chronic renal disease patients prioritize those on renal substitutive therapies. If these patients are followed at an earlier stage, while still on conservative treatment, health providers may implement interventions to delay dialytic therapy and enhance compliance. A global interdisciplinary approach to the care of patients on conservative treatment is fundamental, as it may lead to a better quality of life. This study assessed the effects on the quality of life of an interdisciplinary approach to the care of chronic renal disease patients on conservative treatment. Through SF-36assessed quality of life and determination of biochemical parameters, a group of patients followed by an interdisciplinary team was compared with a group receiving traditional medical care. The interdisciplinary approach was possibly accountable for the improvements in the physical, social, and emotional features. Patients followed by the interdisciplinary team had better quality of life as refers to functional capacity, physical features, general health, vitality, and emotional features. The group on traditional medical care did not present any improvement of the quality of life as refers to these parameters. Patients on interdisciplinary care also had statistically significant favorable changes in their anemia, calcium levels, and weight loss, findings not seen in the control group.
150

Qualidade de vida em saúde e bem-estar subjetivo em idosos : um estudo de base populacional / Health related quality of life and subjective well-being among the elderly : a population based study

Lima, Margareth Guimarães, 1968- 20 August 2018 (has links)
Orientadores: Marilisa Berti de Azevedo Barros, Maria Cecilia Goi Porto Alves / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-20T10:33:54Z (GMT). No. of bitstreams: 1 Lima_MargarethGuimaraes_D.pdf: 4846752 bytes, checksum: 5098d3f36601cbff5f662190f32704ff (MD5) Previous issue date: 2012 / Resumo: As medidas do estado de saúde autorreferido e de bem-estar são importantes complementos das medidas diretas de morbidade, de mortalidade e de expectativa de vida, e contribuem para ampliar o conhecimento e a efetividade de intervenções voltadas para melhorar a saúde e a satisfação com a vida da população. Este estudo tem como objetivos verificar a associação de várias dimensões do estado de saúde autorreferido com comportamentos de saúde e com a duração do sono; e verificar os fatores associados ao bem-estar, particularmente o sentimento de felicidade, em idosos. Trata-se de um estudo transversal, de base populacional, que utilizou dados dos inquéritos: Inquérito Multicêntrico de Saúde no Estado de São Paulo (ISA-SP) e Inquérito de Saúde no Município de Campinas (ISACAMP), realizados, em 2001/2002 e 2008/2009, respectivamente. O estudo incluiu 1958 idosos residentes em 4 regiões do estado de São Paulo e 1431 idosos da cidade de Campinas. As variáveis dependentes foram os dois componentes (físico e mental) e as 8 escalas do The Medical Outcomes study 36-item short-form health survey (SF-36), versões 1 e 2 (capacidade funcional, aspectos físicos, dor, saúde geral, vitalidade, aspectos emocionais, aspectos sociais e saúde mental - em relação ao humor), e o sentimento de felicidade nas últimas 4 semanas. As variáveis independentes foram os comportamentos relacionados à saúde: atividade física no lazer, ingestão de bebida alcoólica, tabagismo e padrão do tempo de sono; variáveis demográficas e socioeconômicas e variáveis indicadoras de morbidade e condições de saúde. Os resultados revelaram que a atividade física esteve positivamente associada com as oito escalas medidas pelo SF-36. Os idosos que ingeriram bebida alcoólica pelo menos 1 vez por semana apresentaram melhores condições de saúde do que os que não ingeriram. Comparados com os que nunca fumaram, os fumantes apresentaram o pior estado de saúde em escalas do componente mental. Estes resultados apontam para a importância da adoção e manutenção de comportamentos saudáveis para uma boa saúde e qualidade de vida, também na população idosa, justificando as políticas de saúde do Ministério da Saúde, Brasil (2011), focadas nas estratégias de mudanças de comportamentos relacionados à saúde. Segundo o tempo de sono, o padrão de sono curto (6 horas ou menos) esteve associado às piores condições de saúde mental em ambos os sexos, comparando com o padrão de sono médio (7 a 8 horas)... Observação: O resumo, na íntegra, poderá ser visualizado no texto completo da tese digital / Abstract: Measures of self-reported health status and well-being among elderly individuals constitute important complements to direct measures of illness, mortality and life expectancy. Such measures contribute toward broadening knowledge and increasing the effectiveness of interventions directed at improving health and satisfaction with life. The aims of the present study were to determine whether different dimensions of self-reported health status are associated with health behavior and sleep duration and determine factors associated with well-being, especially the feeling of happiness, among elderly individuals. A population-based, cross-sectional study was carried out using data from the Multi-Center Health Inquiry in the State of São Paulo and the Health Inquiry in the City of Campinas (state of São Paulo, Brazil), respectively carried out in 2001/2002 and 2008/2009. The present study involved 1958 elderly individuals residing in four regions of the state of São Paulo and 1431 elderly individuals residing in the city of Campinas. The dependent variables were the Physical (PCS) and Mental (MCS) Component Summary Scales and the eight subscales of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) versions 1 and 2 (physical functioning, role physical, bodily pain, general health, vitality, role emotional, social functioning and mental health - in relation to mood) and the feeling of happiness in the previous four weeks. The independent variables were health-related behavior (physical activity during leisure, alcohol intake, smoking habits and sleep pattern) as well as demographic and socioeconomic variables and health conditions. The results revealed that physical exercise was positively associated with the eight SF-36 subscales. Individuals who ingested alcoholic beverages at least once a week exhibited better health conditions than those who did no ingest alcohol. Compared to those who had never smoked, smokers had a worse health status on the mental component health summary. These results underscore the importance of adopting and maintaining healthy behavior for satisfactory health and quality of life among the elderly population, thereby justifying health policies of the Brazilian Ministry of Health (2011) focused on strategies directed at changes in health-related behavior. Regarding sleep, the short sleep pattern (6 or fewer hours) was associated with worse mental health status in both genders in comparison to the medium sleep pattern (7 to 8 hours)...Note: The complete abstract is available with the full electronic document / Doutorado / Epidemiologia / Doutor em Saude Coletiva

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