Made available in DSpace on 2016-06-02T20:18:07Z (GMT). No. of bitstreams: 1 TeseMTN.pdf: 1356245 bytes, checksum: 4692923c85348f190f2e10d0be464f6e (MD5) Previous issue date: 2007-02-02 / Financiadora de Estudos e Projetos / The aim this study was to investigate the quality of life among postmenopausal women with and without osteoporosis, sudden or not hip fracture, contribute to better understand about influence of the osteoporosis, hip fracture and institutionalization of the quality of life of the women with osteoporosis. Two studies were carried. The first, to investigate the health-related quality of life (HRQoL) of the post-menopausal women with or without osteoporosis through of the SF-36 and OPAQ questionnaire. Two groups were formed, with 21 volunteers each: Group 1 with women without osteoporosis (64,38 ± 4,24 years); and Group 2 with osteoporotic women (67,81 ± 4,19 years). The components Role Physical and General Health showed significant difference (p <0,05) between the groups, with better score to women without osteoporosis. No other differences were found in the SF-36 questionnaire. In the others 6 components, the values showed by two groups do not were significant difference. This form to conclude that post-menopausal women with osteoporosis and physical active can have a quality of life similar to the postmenopausal women without osteoporosis. In the second study, To investigate the health-related quality of life (HRQoL) of the post-menopausal women with osteoporosis, with or without hip fracture, were formed four groups: Group 1: 16 women without hip fracture and sedentary (67,80 ± 3,93 years); Group 2: 20 women without hip fracture and physical active (67,75 ± 4,29 years); Group 3: 20 women with hip fracture and non-institutionalized (70,65 ± 4,53 years); Group 4: 20 women with hip fracture and institutionalized (77,55 ± 6,8 years). The Results showed that the HRQoL of the post-menopausal women with hip fracture and institutionalized is, in general form, worst than non-institutionalized women with osteoporosis physical active, suggest hip fracture in post-menopausal women with osteoporosis to challenge a deteribration in the health-related quality of life, and the institutionalized of the sudden attack to able to contribute for greater decadence of the quality of life. The results of the ours study showed is possible have a good health-related quality of life after osteoporosis diagnostic, principal don t have hip fractures / Este trabalho teve como objetivo comparar a qualidade de vida de mulheres pós-menopausa com e sem osteoporose, acometidas ou não por fratura proximal de quadril, contribuindo assim para um melhor entendimento sobre a influência da osteoporose, fratura de quadril e institucionalização na percepção da qualidade de vida relacionada à saúde. Foram realizados dois estudos. O primeiro comparou a qualidade de vida relacionada à saúde por meio da aplicação do questionário genérico SF-36 (Medical Outcomes Study 36 Item Short-Form Health Survey) em voluntárias com e sem osteoporose. Foram comparados dois grupos, com 21 voluntárias cada, sendo o Grupo 1 constituído por mulheres sem osteoporose (64,38 ± 4,24 anos); e o Grupo 2 constituído por mulheres com osteoporose (67,81± 4,19 anos). Os componentes Aspectos Físicos e Estado geral da Saúde apresentaram diferenças significativas (p <0,05) entre os grupos, com score melhor para as mulheres sem osteoporose. Nos outros seis componentes, os valores apresentados pelos grupos não foram diferentes significativamente.Desta forma, conclui-se que mulheres pós-menopausa acometidas por osteoporose, mas que praticam atividade física podem ter qualidade de vida semelhante ao de mulheres pós-menopausa sem osteoporose. No segundo estudo, com o objetivo de comparar a qualidade de vida relacionada à saúde de mulheres pósmenopausa com osteoporose, acometidas ou não por fratura de quadril, 76 mulheres pós-menopausa com osteoporose responderam aos questionários SF-36 e ao OPAQ (OSTEOPOROSIS ASSESMENT QUESTIONNAIRE). As comparações foram feitas entre quatro grupos: Grupo 1, 16 mulheres sem fratura de quadril e sedentárias (67,80 ± 3,93 anos); Grupo 2, 20 mulheres sem fratura de quadril e praticantes de atividade física (67,75 ± 4,29 anos); Grupo 3, 20 mulheres com fratura de quadril e não institucionalizadas (70,65 ± 4,53 anos); Grupo 4, 20 mulheres com fratura de quadril e institucionalizadas (77,55 ± 6,8 anos). Os resultados mostram que a Qualidade de Vida relacionada à Saúde de mulheres pós-menopausa acometidas por fraturas de quadril e que residem em instituições é, de modo geral, pior do que a de portadoras de osteoporose que convivem na comunidade e que praticam atividade física, sugerindo que a fratura de quadril em mulheres pós-menopausa acometidas por osteoporose, provoca uma piora na qualidade de vida relacionada à saúde, sendo que a institucionalização dos acometidos pode colaborar para um declínio ainda maior da qualidade de vida. Os resultados de ambos estudos mostram que é possível ter uma boa percepção da Qualidade de Vida relacionada à Saúde mesmo após o diagnóstico de osteoporose, principalmente se for fisicamente ativo e não ter fraturas de quadril

This dissertation concerning the theme "A comparison of the Contact and HRQOL concept in clients of nursing/old people´s homes" consists of a theoretical and practical part. The theoretical part firstly defines in detail the concept of the quality of life and the quality of life related to health (HRQoL ? health related quality of life). It also describes various methods of its evaluation. The next charter deals with the problems of aging and changes which arise with increasing age and are associated with a deteriorating health condition, as well as with situations and circumstances which may reset in a chase in the perception of the quality of life. The dissertation takes a closer look at the stay of elderly in some institutions for the elderly. The theoretical part compares the results obtained from elderly clients in an old people?s home using standardised SF-36 and Contact questionnaires. The SF-36 questionnaire is designed to measure the quality of life related to health and the Contact questionnaire serves to ascertain the frequency of contact between family and friends ant he elderly client. Data from both questionnaires were evaluated statistically and drawn up in the form of tables and graphs. This research showed a reduced perception of the quality of life of clients living in old people?s homes compared with the standard European population. In most domains of the quality of life there was no significant difference between clients with various frequency of contact with family and friends, and no difference was found n the evaluation of the quality of life between men and women.

A multiple cerebrospinal sclerosis is one of the most frequent neurologic diseases affecting individuals in the productive age, more often women. The thesis aims to describe the life quality of patients suffering from multiple sclerosis. To detect whether due to the multiple sclerosis the qualities of life change. If this would be the case then the goal is to reveal which aspects the changes affect. Another objective was to establish whether the life quality of multiple sclerosis patients decreases depending on the period of time since the diagnosis was made, that is on the duration of the disease. The theoretical part of the thesis is dedicated to describing the disease in general, signs, symptoms, prognosis, and treatment. I also deal with defining the term of life quality and its clarification, I also discuss the social-legal problems of the disease. The practical part of the thesis implements both qualitative and quantitative methods. The qualitative method included a semi-standardized interview. The quantitative method incorporated interrogative research using a SF-36 questionnaire about the quality of life conditioned by health. The information detected from the semi-standardized interview (the qualitative part) served as the basis for defining hypotheses for the quantitative part of the thesis. The following hypotheses were defined: H1: ``The quality of life in patients diagnosed with multiple sclerosis is lower than in the general population" and H2: "The quality of life in multiple sclerosis carriers decreases in correlation to the period of time since the diagnosis was made, that is on the duration of the disease.{\crqq} Chapter ``Results{\crqq} contains the established information.

Orientador: Vera Aparecida Madruga / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Educação Fisica / Made available in DSpace on 2018-08-14T15:22:08Z (GMT). No. of bitstreams: 1 DiGrazia_RenataCristina_D.pdf: 1299085 bytes, checksum: 4cc0c3ffae29b36284e45a1007c24f5a (MD5) Previous issue date: 2009 / Resumo: O presente estudo teve como objetivo analisar e verificar os efeitos do programa de terapia manual (Método Mulligan associado à massagem clássica) nas queixas de dor e na qualidade de vida de mulheres adultas com disfunção da articulação temporomandibular (DTM). Participaram da pesquisa 29 mulheres, com idades entre 28 e 59 anos (média de idade de 47,41 (dp±6,71) anos), encaminhadas pelo serviço odontológico do Centro de saúde da Comunidade da Unicamp (CECOM). Todas as voluntárias apresentavam DTM e foram avaliadas antes e após programa de terapia manual utilizando-se a escala visual-numérica de dor e o questionário de qualidade de vida SF-36. O programa de terapia manual foi realizado no setor de Fisioterapia do Cecom-Unicamp durante 16 semanas, com 02 sessões/semanais de 30 minutos, em dias alternados. Utilizou-se estatística descritiva para analise dos dados da anamnese e o teste de Wilcoxon (software SPSS, V. 13.0), com nível de significância de 5% (p< 0,05) para os dados coletados na escala de dor e no SF36. Os resultados mostraram na analise das respostas obtidas com a escala visual numérica de dor, onde as voluntárias responderam de 0 a 10, qual era o número que representava sua dor naquele momento, sendo encontrados na condição pré-terapia os valores: 5 (17,2%); 6 (3,4%); 7 (20,7%); 8 (31%); 9 (10,3%) e 10 (17,2%). Após a terapia manual pode-se verificar que o nível de dor caiu, ou seja, para o valor 0 (37,9%), para o valor 1 (24,1%) e para o valor 2 (31%). Os resultados obtidos no questionário de Qualidade de Vida SF-36 mostraram diferenças estatisticamente significantes com p<0,05. Concluindo pode-se inferir que o programa envolvendo tratamento fisioterapêutico através da terapia manual mostrou-se eficiente para o grupo de mulheres com DTM, pois antes do tratamento elas apresentavam um nível de dor elevado e após o programa de terapia manual esse valor mostrou-se reduzido, com melhora do quadro álgico. / Abstract: The actual study had the objective to analyze and verify the effects of a manual therapy program (Mulligan Method associated with classical massage) in the pain complaints and in the quality of life of the adults' woman with the temporomandibular joint diseases (TMJ). Participated of the study, 29 woman, aged between 28- 59 years old (mean 47,41 (dp±6,71)), referred by the dental department in the health center of Unicamp community (CECOM). All the volunteers had TMJ disease and were assessed before and after program of manual therapy using the visual numeric scale of pain and the quality of life questionnaire SF-36. The manual therapy program had been realized in the Physical therapy of Cecom-Unicamp, during 16 weeks, with 2 sections/ week with 30 minutes, in alternate days. We used decrypted statistics to analyze the anamneses dates and the Wilcoxon test (SPSS, V.13.0), the level of significance was 5% (p< 0,05) for dates from visual numeric pain scale and SF-36. The results showed in the answers analysis obtained with the visual numeric scale of pain, where the volunteers must have to answer among 0 and 10, how are the number that represents their pain in that moment, and we had been in the beginning of the therapy the values: 5 (17,2%); 6 (3,4%); 7 (20,7%); 8 (31%); 9 (10,3%) e 10 (17,2%). After the manual therapy we verify that the values decreased so much, to value : 0 (37,9%); 1 (24,1%) ; 2 (31%) e 3 ( 6,9%) 0 (37,9%). In relation from the analyses of the results of the Quality of life questionnaire SF-36, these showed significant statistics differences with p< 0,05. Concluding, we could infer that the program evolved physiotherapy treatment through manual therapy was efficient for the arrange TMJ disease woman, before the therapy they had a high pain level and after these value decrease, with grow better of the pain. / Doutorado / Ciencia do Desporto / Doutor em Educação Física

Le lupus érythémateux disséminé (LES) est une maladie systémique auto-immune chronique dont le retentissement sur la vie des patients est très lourd. Au cours de la décennie écoulée, des échelles de qualité de vie spécifique du lupus systémique ont été développées pour compléter les données obtenues avec les questionnaires génériques. Dans une première partie de ce travail, nous exposons la définition du concept de qualité de vie et les différentes manières de la mesurer. Nous présentons ensuite l’état des connaissances sur les facteurs influençant la qualité de vie au cours du LES. Dans une seconde partie, nous exposons les résultats obtenus sur une cohorte de 182 patients atteints de LES (étude FRESHQOLA) ayant pour but de valider la version française du questionnaire spécifique LupusQoL. La validité et la fiabilité du questionnaire étaient satisfaisantes. Dans une seconde partie, nous présentons les résultats de la sensibilité au changement du même questionnaire, et nous montrons que le LupusQoL permet de capter un changement dans l’état de santé des patients, et qu’il serait plus sensible au changement que le questionnaire générique SF-36 pour mesurer une amélioration de leur état de santé. Dans une troisième partie, nous présentons les résultats de l’étude EQUAL sur 330 patients ayant pour objectif la validation du questionnaire SLEQOL. Outre la fiabilité et la validité du questionnaire, nous avons réalisé une analyse de fonctionnement différentiel d’item entre les patients de notre cohorte et un échantillon de patients issus de la cohorte de développement de l’échantillon à Singapour. Le SLEQOL était fiable et valide malgré 4 items montrant un fonctionnement différentiel modéré. Dans une quatrième partie, nous présentons l’analyse des facteurs associés à la qualité de vie mesurée par les questionnaires spécifiques LupusQoL, SLEQOL et les questionnaires génériques SF-36 et WHOQOL dans cette même cohorte de 330 patients. La qualité de vie dans les domaines physique, mental et social était fortement associée aux facteurs socio-économiques et en particulier la précarité sociale, telle que mesurée par le score EPICES. Les femmes avaient une altération de la qualité de vie spécifique, tandis que le surpoids et le tabagisme influençaient les questionnaires génériques mais pas les questionnaires spécifiques, suggérant que dans ces situations, les patients n’attribuent pas la gêne à leur lupus. Enfin, l’atteinte articulaire était la manifestation clinique de la maladie la plus fortement associée à une diminution de la qualité de vie. Ces résultats ouvrent donc des perspectives dans la compréhension du retentissement du lupus systémique sur le quotidien des patients et nous permettront de mieux comprendre les résultats des essais cliniques et études épidémiologiques à venir. / Systemic Lupus Erythematosus (SLE) is a chronic systemic auto-immune disease that considerably impairs patients’ daily living. During the past 10 years, disease-specific health related quality of life questionnaires have been developed in order to complete the information obtained using generic questionnaires in SLE patients. In the first part of our work, we present the definition of the concept of quality of life and the different way to measure it. In the second part, we present the results of a cohort study of 182 SLE patients that aimed to validate the French version of the SLE-specific questionnaire LupusQoL. Validity and reliability of the questionnaire were found to be satisfactory. In the second part, we present the results concerning responsiveness of the same questionnaire. We showed that LupusQol was able to capture a change in patients’ health state, and that it could be more responsive than the generic SF-36 questionnaire in patients with improving symptoms. In the third part, we present the results of a study involving 330 patients that aimed to validate the SLEQOL questionnaire. Besides determining the validity and reliability of the questionnaire, we conducted a differential item functioning analysis between patients of our cohort and patients from the development cohort of the SLEQOL in Singapore. The SLEQOL was found to be reliable and valid despite 4 items showing a moderate differential item functioning. In the fourth part, we present the results of the analysis of factors associated with quality of life in SLE patients, as measured by SLEQOL and LupusQoL specific questionnaires, and WHOQOL and SF-36 generic questionnaires in the same cohort of 330 patients. Quality of life in physical, mental and social domains was strongly associated with socio-economic factors, especially the social precariousness, as measured by the EPICES score. Women had a lower generic quality of life, whereas overweight and smoking influenced the generic questionnaires but not the specific ones, suggesting that in those situation, patients did not attribute their problem to lupus. Finally, articular involvement of the disease was the clinical symptom with the strongest association with quality of life impairment. This study opens up new areas of research that will lead to better understanding of SLE burden and improve the interpretation of results from future clinical trials and epidemiological studies.

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.

Introduction: Approximately 10 000 people suffer each year from out-of-hospital cardiac arrest in Sweden. At the turn of the millennia the survival rate for out-of-hospital cardiac arrest was circa three precent and in 2022 the survival rate had increased to around eleven percent. Survivors face cognitive, psychological, and motor problems post arrest which impacts their health-related quality of life (HRQoL) – ie. their perception of their own social and physical environment and health. The research regarding HRQoL following cardiac arrest is limited. With increasing survival rates comes an increasing need for extensive research mapping the HRQoL of cardiac arrest survivors. Aim: The aim of this study was to investigate patients’ perceived health-related quality of life after surviving cardiac arrest.   Method: This study was conducted as a quantitative general literature review with an inductive content analysis. This study used articles that included the SF-36 instrument to measure the HRQoL in cardiac arrest survivors. Main- and subcategories were created based on the data extracted from the included articles. Result: Cardiac arrest patients generally experience their health-related quality of life as worse compared to the general population. Physical, psychological and social factors were identified as the main components whose effect on HRQoL was found to be the greatest. Conclusion: Cardiac arrest survivors experience a reduced HRQoL compared to the general population. The HRQoL is affected in both the psychological and physical dimensions with long term consequences. These results create a foundation for the nurse in the work to improve the HRQoL for the patient.

Bakgrund: Fetma är ett allvarligt folkhälsoproblem då fetma ökar risken att drabbas av följdsjukdomar, samt att patienter med fetma visat sig ha lägre genomsnittlig hälsorelaterad livskvalitet (HRQoL) jämfört med befolkningen i allmänhet. Syfte: med denna litteraturöversikt var att beskriva hälsorelaterad livskvalitet bland personer som genomgått fetmakirurgi. Metod: Litteraturöversikt baserad på 8 kvantitativa interventionsstudier med uppföljningar mellan 9 månader - 10 år efter genomförd behandling. Litteratursökning skedde i databaserna PubMed och Cinahl. Analys av studierna skedde genom att studierna sammanställdes baserat på redovisning av frågeformulär SF-36 för index fysisk och mental hälsa och dess åtta dimensioner. Resultat: Samtliga studier indikerar att den fysiska hälsan i genomsnitt ökar efter fetmakirurgi. Samtliga utom en studie indikerar att hälsoindex för mental hälsa i genomsnitt ökar efter fetmakirurgi. Studier som sträcker sig över flera uppföljningsperioder visar att den initiala ökningen av hälsoindex minskar med tiden och effekten är som högst 1–2 år efter fetmakirurgi. Konklusion: Resultaten pekar på att fetmakirurgi initialt leder till en förbättring av fysisk och mental HRQoL med en tydlig topp efter 1–2 år. Studier med högt deltagande och uppföljning över tid är för få för att dra slutsatser kring effekten av fetmakirurgi på HRQoL på längre sikt. Utbildning av vårdpersonal och uppföljningsprogram kan bidra till ökat uppföljningsdeltagande, och minska risken för bortfall till följd av brister i vårdpersonalens bemötande. / Background: Obesity is a serious public health problem as it increases the risk of secondary diseases. Patients with obesity have been shown to have lower average health-related quality of life (HRQoL) compared to the general population. Aim: of this literature review was to describe health-related quality of life among people who have undergone bariatric surgery. Methods: Literature review of eight quantitative intervention studies with follow-ups between 9 months to 10 years. Literature search took place in the databases PuBMed and Cinahl. Analysis of the studies was done by summarizing the studies based on the reported result of the SF-36 questionnaire for physical and mental health and its eight dimensions. Results: All studies indicate that physical health increases on average after bariatric surgery. All but one study indicate that the mental health index increases, on average, after bariatric surgery. Studies that extend over several follow-up periods show that the initial increase in mental health decreases over time and the effect is highest 1–2 years after bariatric surgery. Conclusion: The results indicate that bariatric surgery initially leads to an improvement in physical and mental HRQoL with a clear peak after 1–2 years. Studies with high participation and follow-up over time are too few to draw conclusions about the effect of bariatric surgery on HRQoL in the longer term. Training of healthcare professionals and follow-up programs can contribute to increased follow-up participation, and reduce the risk of non-response.

No description available.

Title: Guest dimensions of health status in patients with spondylarthritis ankylopoetica using the SF-36th Objectives: The major aim of the diploma thesis was the study and the evaluation of the quality of life of patients with the spondylarthritis ankylopoetica in the Czech Republic. Methods: The own research was conducted using the survey method by means of the standardized questionnaire Short Form 36 (SF-36), which deals with the Health Related Quality of Life . The Czech version of the SF-36 survey translated by MUDr. Petr, Ph.D. (2000) was applied. In order to reach the main aim of the thesis the research was conducted in a group of patients with spondylarthritis ankylopoetica (n=101) and among the same number of the general Czech population members. The achieved results were divided into particular age categories in the both groups. The statistically significant differences between the two analysed samples were subsequently verified. Results: The mean age of the patients with spondylarthritis ankylopoetica was 51,6±14,9 years, whereas it reached 52,3±15,5 years in the sample of the general population. In the majority of the dimensions of the SF-36 questionnaire related to the physical health (physical functioning, role physical, bodily pain and general health) achieved the patients...