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No. of bitstreams: 1 Eunice Pereira Salles.pdf: 490170 bytes, checksum: 0c155f2455a42c85e413c5e3e4b5cd70 (MD5) Previous issue date: 2005-04-04 / The speed of the changes which has occurred in the globalized world has interfered with Quality of Life (QOL) of the majority of people and it tends to influence on their performance as workers People who care of human beings can be affected and have their attending quality compromised The purpose of this research was to assess the QOL of nursing paraprofessionals of Intensive Care Units (ICUs) It is a descriptive and exploratory study developed in ICUs of four public hospitals in Goiânia, Brazil A number of 125 nursing paraprofessionals were submitted to quality of life assessment using the World Health Organization instrument named WHOQOL 100 This specific version covers six domains: physical health psychological level of independence social relations environment spirituality / religion / personal beliefs The statistical analysis used the Kruskal Wallis Jonckhere Terpstra and Median tests The subjects were in the majority female young adults married and with two children catholics They also have more than two jobs and have been working more than five years in ICUs The analysis of each domain score showed that almost all of them had an average score higher than the medium point (12) The mean highest score was the Spirituality/Religiousness/Personal beliefs Domain (17,18) followed by the Level of Independence Domain (16,53) by the Personal Relations Domain (14,85) by the Psychological Domain (14,55) by the Physical Health Domain (13,55) and finally by the Environment Domain (11,95) The answers which evaluated the General Quality of Life got the average score of 14,27 The score of the Environment Domain was influenced by the dissatisfaction with the financial situation and the public transportation system as well as worries concerning to their physical safety They considered themselves satisfied with their home environment and their opportunities to get new skills and information The pain manifestations and the physical discomfort contributed to the reduction of the mean score of the Physical Health Domain but it did not interfere in the amount of energy used to perform everyday activities nor the sleeping quality The catholics considered themselves more worried with pain and physical discomfort than the evangelical ones In the Psychological Domain evaluation the self-esteem and physical appearance were positively determining The women had higher scores than men regarding positive thoughts In the Social Relation Domain the satisfaction with the family support and friends as well as with the sexual activity were evident mainly among the married ones / A velocidade nas mudanças que têm ocorrido no mundo globalizado tem interferido na Qualidade de Vida (QV) da maioria das pessoas e tendem a influenciar no seu desempenho como trabalhador Aquelas que têm como objeto de trabalho o cuidado ao ser humano em especial podem ser afetadas e ter a qualidade de seu atendimento comprometida Este estudo teve por objetivo avaliar a qualidade de vida dos auxiliares e técnicos de enfermagem em UTIs Trata-se de um estudo descritivo e exploratório realizado em UTIs de quatro hospitais públicos de Goiânia-GO Participaram deste estudo 125 Auxiliares e Técnicos de Enfermagem que responderam ao questionário elaborado pela OMS denominado WHOQOL-100 composto de seis domínios: Físico Psicológico de independência Relações Sociais Ambiente Espiritualidade/Religião/Crenças Pessoais Os resultados foram codificados e digitados no programa estatístico SPSS versão 11 sendo aplicados os testes da mediana de Kruskal-Wallis H e de Jonckheere-Terpstra Os sujeitos são na maioria do sexo feminino adulto-jovens casados com dois filhos católicos são técnicos de enfermagem com mais de dois empregos e trabalham há mais de cinco anos em UTIs A análise do comportamento dos escores dos domínios do WHOQOL-100 revelou que quase todos apresentaram média acima do ponto médio (12) A mais alta média do escore foi obtida pelo Domínio Espiritualidade/Religiosidade/Crenças Pessoais (17,18) seguida do Domínio Nível de Independência (16,53) do Domínio Relações Pessoais (14,85) do Domínio Psicológico (14,55) do Domínio Físico (13,55) e do Domínio Ambiente (11,95) As respostas às questões que avaliaram a Qualidade de Vida Geral obtiveram escore médio de 14,27 O escore obtido pelo Domínio Ambiente foi influenciado pela insatisfação com a situação financeira preocupação com segurança física e com os meios de transporte Consideraram-se satisfeitos com o ambiente do lar e com suas oportunidades de adquirir novas habilidades e informações As manifestações de dor e desconforto físico colaboraram para redução da média do escore do Domínio Físico mas não prejudicou a quantidade de energia para as atividades diárias nem a qualidade do sono Os católicos consideraram-se mais preocupados com a dor e desconforto físico que os evangélicos Na avaliação do Domínio Psicológico a auto-estima e aparência física foram positivamente determinantes As mulheres tiveram escores mais altos que os homens em relação aos pensamentos positivos No Domínio Relações Sociais destacaram-se a satisfação com o apoio familiar e dos amigos bem como com a atividade sexual principalmente dentre os casados O fato de não terem dificuldades para locomoção, não depender de medicação e tratamentos bem como a satisfação com a capacidade para o trabalho influenciaram para aumentar a média do escore do Domínio Nível de Independência Observou-se que quanto maior o tempo de serviço nas UTIs maior a capacidade para o trabalho

Made available in DSpace on 2016-07-27T14:21:14Z (GMT). No. of bitstreams: 1 Patricia de Oliveira Vasconcelos.pdf: 1122281 bytes, checksum: e65f09c79ed3bbace7181e1dfc244d73 (MD5) Previous issue date: 2006-11-20 / Obesity is a chronic multidimensional disease and with high degree of associated comorbities, whose incidence has been increasing lately in many countries. The weight loss, through the bariatric surgery, can lead patients with obesity to a better Quality of Life (QOL). This study aimed at evaluate the perception of obese people's QOL, in pré and post-surgical condition. Thirty obese, degree III and II with associated comorbities that awaited the accomplishment of the bariatric surgery (Group I) and thirty obese that had already submitted to the procedure (Group II) in a public hospital, answered WHOQOL- 100 and SF-36, instruments of evaluation of QOL, and a semi-structured interview seeking the subjective evaluation of those participants' QOL. In WHOQOL-100, the Group II presented larger punctuation that the Group I in all the domains, indicating better QOL, detaching a little significant difference in the domains of social relationships and spirituality/religion/values. In SF-36, the Group II presented improvement in the perception of QOL in all the dimensions, excepting the dimension of emotional aspects, which maintained equality among the two Groups. In the semi-structured interview it was possible evaluate nine thematic categories that allowed to evaluate the concepts of health, disease and the participants' QOL, as well as their perception of the net work of social support that are inserted, the locus of control and the coping that use in stress situations, such as their disease and treatment. In the social and family dimension of QOL, the two Groups presented a percentage significant in behavior positive front the net work of social support (9.9% - Group I and 10.5% - Group II). The group I presented larger percentile in internal locus of control (3.6%), while the Group II, in external locus of control (3.8%) and in the coping the largest percentage was in the behavior coping (9.5% - Group I and 8.7% - Group II). The Group II presented improvement in all dimensions of QOL, mainly, in the physical dimensions and functional capacity, proving that weight loss through the bariatric surgery is an effective treatment in concerns the improvement in general QOL. / A obesidade é uma doença crônica, multidimensional e com alto grau de comorbidades associadas, cuja incidência tem aumentado nos últimos anos em muitos países. A perda de peso, por meio da cirurgia bariátrica, pode levar a uma melhoria na Qualidade de Vida (QV) das pessoas com obesidade. Este estudo objetivou avaliar a percepção de QV de pessoas com obesidade, em condição pré e pós-cirúrgica. Trinta pessoas com obesidade, grau III e II com comorbidades associadas que aguardavam a realização da cirurgia bariátrica (Grupo I) e trinta pessoas com obesidade que já haviam se submetido ao procedimento (Grupo II) em um hospital público, responderam o WHOQOL-100 e o SF- 36, instrumentos de avaliação de QV, e uma entrevista semi-estruturada visando a avaliação subjetiva da QV desses participantes. No WHOQOL-100, o Grupo II apresentou maior pontuação que o Grupo I em todos os domínios, indicando melhor QV, destacando uma diferença pouco significativa nos domínios de relações sociais e espiritualidade/religião/crença. No SF-36, o Grupo II apresentou melhoria na percepção de QV em todas as dimensões, excetuando-se a dimensão de aspectos emocionais, que manteve igualdade entre os dois Grupos. Na entrevista semi-estruturada foi possível a categorização de nove categorias temáticas que permitiram avaliar os conceitos de saúde, doença e QV dos participantes, bem como sua percepção da rede de suporte social em que estão inseridos, o locus de controle e as estratégias de enfrentamento que utilizam em situações de estresse, tais como sua doença e tratamento. Na dimensão social e familiar da QV, os dois Grupos apresentaram um percentual significativo em comportamento positivo frente a rede de suporte social (9.9% - Grupo I e 10.5% - Grupo II). O grupo I apresentou maior percentual em locus interno (3.6%), enquanto o Grupo II, em locus externo (3.8%) e nas estratégias de enfrentamento a maior percentagem foi na estratégia comportamental (9.5% - Grupo I e 8.7% - Grupo II). Os participantes do Grupo II apresentaram melhoria em todas as dimensões da QV, principalmente, nas dimensões físicas e de capacidade funcional, demonstrando que a perda de peso por meio da cirurgia bariátrica é um tratamento eficaz no que diz respeito à melhoria na QV geral.

Made available in DSpace on 2016-08-03T16:34:52Z (GMT). No. of bitstreams: 1 MarciaSantana_capa_resumo_dm.pdf: 130921 bytes, checksum: 297cec40ac7c629d0bc88d5b0011b645 (MD5) Previous issue date: 2010-09-20 / Obesity is a chronic disease that has been progressively affecting a growing number of people in the world. Since it is a hard to control pathology that favors the emergence of other health conditions, there is a pressing need to undertake research that might contribute to enhance treatment, as well as improve quality of life and adaptive efficacy. Therefore, this study aims at evaluating obese people s quality of life perception (QL) and adaptive efficacy by relating the results obtained from evaluation of their QL perception with the results from adaptive efficacy, as well as the results from the Global Functioning Evaluation (AGF). For that purpose, the WHOQOL-100 Portuguese-version questionnaire was employed to evaluate their quality of life perception, and a Preventive Diagnosis Interview Functional Adaptive Diagnostic Scale (FADS) was also undertaken as regards adaptive efficacy, to evaluate thirty obese persons (Body Mass Index BMI >=30 kg/m2), with an average age of 52.33, who use the services of anambulatory care center located in the Greater ABC region, in the State of Sao Paulo. The majority of participants have degree I of obesity 46.70%, 33.30% have degree II and 20.00% degree III. The majority started to gain weight at the start of pregnancy (43.30%). The second period during which subjects started to lose control of their body weight occurred between the ages of 40 and 50 (20.00%). In overall evaluation of QL, it has been observed that domain VI Spiritual/Religious/Personal Belief Aspects had the highest average score (16.17 - DP=2.95 [equivalent to 80.83% of the maximum score that could be obtained]), when compared to the remaining evaluated domains. On the other hand, domain I Physical/Fitness provided the owest average score (11.77 - P=2.78 58.83%). All participants are under adaptive nefficacy: Group 2 Light Inefficacy (26.7%), Group 3 oderate Inefficacy (33.3%) and group 4 Severe Inefficacy (30.0%). As regards the global functioning evaluation (GFE),36.67% are observed to fall in the interval between 51-60 points; 23.33% of participants are in the interval between 31-50 points; and only 23.33% obtained a score above 70 points. By correlating the results from the evaluations, strong, positive and significant relations have been found between the evaluation on quality of life perception, adaptive efficacy and global functioning. / A obesidade é uma doença crônica que vem acometendo, progressivamente, cada vez mais pessoas no mundo. Por ser uma patologia de difícil controle que favorece a eclosão de outros agravos à saúde, é premente a necessidade de realização de pesquisas que possam contribuir para o aperfeiçoamento dos tratamentos, bem como para a melhoria da qualidade de vida e eficácia adaptativa. Sendo assim, a presente pesquisa visou avaliar a percepção da qualidade de vida (QV), a eficácia adaptativa (EDAO) e o funcionamento global (AGF) de pessoas com obesidade, relacionando os resultados obtidos na avaliação da percepção da QV com os da eficácia adaptativa, bem como aos do funcionamento global (AGF). Para tanto, utilizou-se o questionário WHOQOL-100 versão em português para avaliação da percepção de qualidade de vida, a Entrevista Diagnóstica Preventiva Escala Diagnóstica Adaptativa Operacionalizada (EDAO) para a eficácia adaptativa e a Escala de Avaliação do Funcionamento Global (AGF) para o funcionamento global. Este estudo contou com a participação de trinta mulheres obesas (Índice de Massa Corporal IMC >=30 kg/m2), com idade média de 52,33 anos, que utilizavam os serviços de um ambulatório situado na região do Grande ABC, estado de SP. A maioria das participantes se encontrava no grau I de obesidade - 46,70%, situava-se no grau II 33,30% e 20,00% no grau III. O aumento de peso da maioria teve início nas gestações (43,30%), o segundo período onde ocorreu o início do descontrole do peso corporal foi entre os 40 aos 50 anos (20,00%). Na avaliação geral da QV, observou-se que no domínio VI Aspectos Espirituais/Religião/Crenças Pessoais foi encontrado o maior escore médio (16,17 - DP=2,95 [equivalente a 80,83% do escore máximo que poderia ser obtido]), comparando-o com os demais domínios avaliados. Em oposição, o domínio I Físico foi o que apresentou o menor escore médio (11,77 - DP=2,78 - 58,83%). Todas as participantes se encontravam em ineficácia adaptativa: Grupo 2 Ineficaz Leve (26,7%), no Grupo 3 Ineficaz Moderada (33,3%) e no Grupo 4 Ineficaz Severa (30,0%). Quanto à avaliação do funcionamento global (AGF), notou-se que 36,67% se situavam no intervalo entre 51-60 pontos. 23,33% das participantes no intervalo entre 31-50 pontos. Apenas 23,33% tiveram pontuação acima de 70 pontos. Relacionando os resultados das avaliações, foram encontradas correlações fortes, positivas e significativas entre a avaliação da percepção de qualidade de vida, da eficácia adaptativa e do funcionamento Global.

Theoretical foundation Chronic obstructive pulmonary disease ranks among the most serious diseases in the population. The COPD prevalence is assumed at up to 7,7%. As the name shows, it is a chronic disease characteristic with typical symptoms including particularly cough, expectoration and noticeable dyspnoea. The symptoms may get worse above their common level in the course of the disease, which we call exacerbation. The presence of unpleasant breathing problems affects different life areas, restricting the individual when performing everyday activities. The patient's psyche is affected as well, including potential incidence of anxieties or depressions. Finally, the patient's subjectively perceived quality of life is significantly worsened. Goal of the thesis The goal of this thesis is to ascertain the areas in which COPD affects the quality of life. Hypotheses H1: COPD patients feel breathing problems. H2: COPD patients feel restrictions in the sphere of common daily activities. H3: COPD patients feel restrictions in the sphere of physical activity. H4: COPD patients feel restrictions in social sphere. H5: COPD patients experience negative feelings. H6: COPD patients perceive their quality of life as bad. Methodology The research investigation was implemented based on quantitative inquiry within the grant Project No. 120/2012/S "Reflection of life quality in nursing". The data collection was performed under use of quantitative method; the research investigation took place with the help of questionnaire technology. Two questionnaires were used: St. George's Respiratory Questionare Czech (SGRQ) and WHOQOL 100 generic standardized questionnaire. The questionnaires were distributed to persons with diagnosed chronic obstructive pulmonary disease. The selection set was made up through quota selection that was observed. The quotas consisted in COPD diagnosis and the respondents' gender. The proportion of men and women was specified at 500 persons, 294 men and 206 women from that number. The research set consisted of 296 men and 207 women, i.e. 503 respondents in total. The investigation took place through addressing general practitioners, specialized outpatients' departments and chest disease wards. Results The results were processed with the help of the SASD program (statistic analysis of social data). The results can be divided into three groups. The first group includes the results characterizing the structure of the research set; the second group includes the graphically represented results, and the third group includes the results processed with the help of descriptive statistics. The last two groups include results from both questionnaires used. The results allowed us obtaining information on perception of breathing problems by the patients, on the sphere of common daily activities, on problems in the sphere of movement, on social sphere, on experiencing of negative feelings and on subjective perception of quality of life. Based on the results, the hypotheses were evaluated as follows: H1: COPD patients feel breathing problems confirmed, H2: COPD patients feel restrictions in the sphere of common daily activities - confirmed, H3: COPD patients feel restrictions in the sphere of physical activity not confirmed, H4: COPD patients feel restrictions in social sphere - not confirmed, H5: COPD patients experience negative feelings confirmed, and H6: COPD patients perceive their quality of life as bad - not confirmed. Conclusion The thesis provides comprehensive view of the spheres affecting the quality of life of patients with chronic obstructive pulmonary disease. It may be used not only for nurses but also for the whole multidisciplinary team caring for the patient. The thesis may be used also as study material for nursing students. The results of the research investigation will be further presented at conferences and published in professional journals.

Theoretical foundation Arterial disease which gradually leads to narrowing of artery, up to complete vascular closure and to subsequent manifestation of ischaemia is called ischaemic disease of the lower extremities (IDLE). We need to understand ischaemic disease of the lower extremities not only as a disease causing patients a range of difficulties and significantly impacting their life quality, but also as a very important indicator of overall cardiovascular condition of whole organism. Ischaemic disease of the lower extremities becomes more and more accepted as a chronic disease associated with a substantial cardiovascular risk. This disease causes primarily walking limitation by which it impacts daily activities and significantly decrease the life quality. Goal of the thesis: A goal was set for the thesis: Finding out in which areas the ischaemic disease of the lower extremities impacts the life quality. Hypotheses: 6 hypotheses were set for the thesis: H1: Patients with IDLE feel pain H2: Patients with IDLE are limited in moving H3: Patients with IDLE are limited socially H4: Patients with IDLE feel concern for their future H5: Patients with IDLE perceive their life quality as a low one. H6: Patients with IDLE are limited in the area of basic daily activities. Methodology: The research part of the thesis was implemented based on quantitative inquiry within the grant Project No. 120/2012/S ?Reflection of life quality in nursing?. For the empirical part of the thesis the quantitative method was used, the survey was carried out in form of questionnaires, more precisely a standardized questionnaire EQ-5D-5L, selected questions from a questionnaire WHOQOL 100 and specific non-standardized complementary questions for patients with ischaemic disease of the lower extremities. The survey was carried out by addressing practising physicians , doctors from specialized outpatient departments and inpatient wards. Nurses who were, along with the doctors, responsible for explaining the significance of the survey to the patients were an integral part to the data gathering process. The respondents were selected intentionally, the basic factor of selection was presence of the ischaemic disease of the lower extremities. The selection sample was designed using selective quota, the only quota being the age of respondent. Results: All results obtained were statistically processed in the SASD (Statistical Analysis of Social Data) software. The results were divided into three areas. Firstly results describing the structure of selection sample, secondly results depicted graphically and thirdly results processed using a descriptive statistics. The last two areas were then arranged according to the used questionnaire. The results provided us with information regarding patients' perceiving of pain, the difficulties in moving, the social area, the basic daily activities, the concerns for the future and subjective perceiving ot the life quality. Based on the results, the set hypotheses were evaluated as follows: H1: Patients with IDLE feel pain ? confirmed, H2: Patients with IDLE are limited in moving - confirmed, H3: Patients with IDLE are limited socially - confirmed, H4: Patients with IDLE feel concern for their future - confirmed, H5: Patients with IDLE perceive their life quality as a low one ? not confirmed, H6: Patients with IDLE are limited in the area of basic daily activities - confirmed. Conclusion: The thesis provides a comprehensive view on the areas impacting the life quality of patients with ischaemic disease of the lower extremities. In practice the results can facilitate the choice of effective intervention and improve communication with patients, especially due to the gained knowledge. The results will be published in journals and presented at conferences. The results could also be used as a foundation for another survey and as a studying material for students of nursing.

The face of transplantation has changed in recent decades. The improvement can be observed not only in terms of survival, but also the improved quality of life after this demanding procedure. This is one of the reasons why quality of life is one of the factors to consider (Durant, 2019). This is also due to the fact that in today's modern society one does not only want to survive, but wants to live fully. He wants to benefit his family and the society in which he lives. He wants to do his hobbies. Everybody wants to be active physically and also mentally. Today, quality of life is considered an indicator suitable for assessing physical, mental and social health (Chrastina, 2015). Methodology: The aim of this work is to evaluate how patients after liver transplantation perceive different domains related to quality of life and whether the results are different depending on the time elapsed from transplantation. For the purposes of the research was chosen a quantitative method using a questionnaire. A standardized WHOQOL BREF was used. The questionnaire contains 24 closed questions, which contain four domains and two questions themselves. Two separate questions assess the overal quality of life and overall health. The questionnaire was supplemented by two questions, which were aimed at obtaining...