Psychological peculiarities of the patiens with Parkinson‘s disease Objektives: the aim of this research was to assess and to compare characteristics of quality of life, depression and social support of the patients with Parkinson‘s disease and healthy ones. Methods: using Ferrans and Powers (1985) Quality of Life Index (QLI), wich measures general quality of life (QOL) and four domains – health and funktioning, social and economic, psychological/spiritual and family), Centre for Epidemiologic Studies Depression scale (CES – D), ( Radloff, 1977) and O‘Brien, Wortman, Kessler, Joseph (1993) social support scale was used to interview 60 patients with Parkinson‘s disease (mean age 67,2 years) and 73 healthy people (mean age 67,0 years). The Cronbach alpha coefficient for the QOL Lithuanian version was 0,94, for CES – D scale – 0,87. Results:the research showed that people with Parkinson‘s disease had lower QOL than healthy people (respektively 16,42 and 19,96, t = - 6,393, p = 0,001).Analysis between patients with Parkinson‘s disease and healthy respondents showed that patients with Parkinson‘s disease had in all domains lower QOL than healthy respondents and there were statistically significant differences in all domains (p < 0,05). The most difference in QOL average was found in scale of physical health (14,33 and 19,03 respectively, p < 0,05) proving that people with Parkinson‘s disease experience more serious problems.Research showed that the... [to full text]

General aim of the study: to identify the main social factors, which have negative effect on quality of life of 10-16 years old children with cerebral palsy, and to formulate recommendations for the elimination or reduction of these factors. Objectives: 1. To estimate the social �� economical status of the families, having healthy or disabled children. 2. To evaluate some social integration aspects of healthy or disabled children: the access to health care, education and social services. 3. To find out differences in incidence of some social factors which have negative effect on quality of life in study populations. 4. To formulate the recommendations for the reduction of social factors, which have negative effect on quality of life of children. Research method: The study was performed in Kaunas County (Kaunas, Jonava, Kedainiai, Raseiniai) in 2005. 154 families which have healthy children, and 150 families which have children with cerebral palsy aged from 10 to 16, were interviewed. For the data collection anonymous questionnaire was structured by the author of the study and tested in pilot study. Results: The results of the study showed that the quality of life of Lithuanian disabled children and their families in the social and economic aspects is worse than in families which raise healthy children. It was estimated that the disabled children more often than healthy children grow with one of the parents (21%), in orphanage (10%) or at foster care (4, 4%). Disabled... [to full text]

Summary Bronchial asthma (BA) is considered to be the disease of civilization. Life conditions of the people improve and liability to alergies becomes more intensive. Air polution determines, that asthma spreads fastly in all the world and has become a world problem of health. Asthma has exacerbated quality of life of many asthmatic people: it causes discomfort, psychological tension. Financial losses are much easier beared by a patient than social barrier, however, poor financial situation influences deeply the quality life of the asthmatic people. The goal of this work: to estimate the quality of life of asthmatic people. The following tasks have been set up in achieving this goal: 1. To evaluate the quality of life of astmatic people using SGPQ. 2. To evaluate the influence of BA to patient’s quality of life; 3. To define training impact of BA to quality of life. Investigations have been carried out using SGPQ. 100 patients - asthmatic people have been interviewed according to unanimous questionnarie for no less than one year. Totally the interview have passed 53 men and 47 women, i.e. 53 percentage of men and 47 percentage of women of totally interviewed. Age census of both gender groups was from 18 till 75 years old. Accordingly, the average age of the investigated group was 49,8. Hence, while evaluating harm character of QL, the patients pointed, that the following symptoms mostly disorganize their quality of life (defined calculated interval –... [to full text]

According to current research in many countries there were studies showing effectiveness of MMT programs in drug use prevention, but there is no data on effectiveness and cost-effectiveness of MMT in Lithuania. There are hard political discussions about feasibility and needs of such harm reduction and drug prevention programs also this is associated to intentions to finance such maintenance programs from the state health care budget. Aim - we aimed to analyze economic effectiveness of six month methadone maintenance treatment program in Lithuanian primary health care setting. Objectives 1. To analyze effectiveness of methadone maintenance program and quality of life changes during program implementation. 2. To account costs for methadone maintenance program in Lithuania. 3. To analyze cost – utility of methadone maintenance program and to compare results with available data from other analogical studies.

Asmenys, turintys vienokią ar kitokią negalią ir neatitinkantys visuomenei priimtinų elgesio normų, dažnai yra nepriimtini dar ir šiomis dienomis. Tai ypač pasakytina apie žmones, turinčius vidutinę ir žymią proto negalią. Tokią nuostatą sąlygoja dar sovietmečiu suformuota visuomenės nuomonė apie tai, kad visi šalies gyventojai yra sveiki žmonės. Protiškai neįgalūs asmenys buvo izoliuojami nuo visuomenės specialiose uždarose įstaigose (pensionatuose) ir apie jų egzistavimą mažai kas žinojo. Šį reiškinį J.Ruškus yra pavadinęs „socialinės „kapsulizacijos“ fenomenu“ (Ruškus, 2001, p. 59). Pasikeitus įstatymams ir gyvenimiškai situacijai, visuomenė nežino, kaip elgtis su tokiais neįgaliaisiais, bijo jų, ignoruoja ar net atvirai tyčiojasi. Tačiau požiūris į negalią ir neįgaliuosius privalo keistis, plečiantis demokratiškumo ir tolerancijos idėjoms pasaulyje, tuo pačiu ir Lietuvoje. / The conteporary society has set certain standards or norms defining what a human being should be and how should behave. Other individuals, especialy with some kind incapacity, often become unacceptable or even unnecessary.such an attitude towards an incapacitated person must be undisputedly changed. Objective researching — to examine life quality optimization possibilities adult mentaly handicapped people (deep and middle mental deseases) through expanding cultural — artistic activities formes and methods. Master work is consisted of successive sections: introduction, theoretical material (three parts), research section, resulting deduction, recommendations. Is used quantitative — qualitative researching analysis. The first theoretical section is analyzed mental handicapped conception, triple disability people with deep and middle mental deseases, living in pension. In the second part is researched life quality indicators for „normal“ and mentaly handicapped people, life quality people, living in pension. Third teoretical section is analyzed music therapy methods and formes conditioning to self - realization and socialization processes mentaly disabled people living in pension through musical activities. Researchin part consist of succsessive analysis: mentally handicapped people living in pension supervisions (free time, during musical activities, after musical activities); community questioning analysis how „normal“ accept people with mental deseases socialization... [to full text]

Gauti rezultatai parodė, kad slaugomų sunkai sergančių asmenų ir jų artimųjų gyvenimo kokybė pasižymi tam tikromis ypatybėmis, tačiau slaugymo procesas, kaip veikla, nėra pagrindinis veiksnys, keičiantis gyvenimo kokybę. / Quality of live is individual evaluation of the status of very persons based on the ground of system of culture influenced by physical, psychological health, level of its independence and by communication between the persons and environment.

Tyrimo tikslas - išanalizuoti sergančiųjų stambiųjų sąnarių ligomis gyvenimo kokybės sąsajas su ligos sunkumo rodikliais (skausmu, judėjimo apribojimu). Gyvenimo kokybei įvertinti tyrime buvo naudotas klausimynas, parengtas Pasaulio sveikatos organizacijos Gyvenimo kokybės (WHOQOL-100) klausimyno pagrindu ir adaptuotas A.Goštauto (Kauno VDU Psichologijos katedra) ir N.Goštautaitės Midttun (Vilniaus Universiteto psichiatrijos katedra, 2000), judrumui įvertinti buvo naudota Barthel skalė ir skausmo intensyvumo įvertinimui - žodinė skausmo skalė. Tyrimo metu buvo ištirti 90 sergančiųjų stambiųjų sąnarių ligomis, Abromiškių reabilitacinės ligoninės pacientų: 57 vyrai ir 33 moterys. Gauti rezultatai parodė, kad aukščiausios fizinės, socialinių santykių ir nepriklausomumo sričių gyvenimo kokybės dominantės yra tarp tų vyrų ir moterų, sergančių sąnarių ligomis, kurių ligos sunkumas yra lengvas. Menkesnis vertinimas yra tarp vyrų ir moterų, kurių ligos sunkumas vidutinis ir žemiausios aukščiau paminėtų sričių dominantės yra tarp vyrų ir moterų, kurių ligos sunkumas didžiausias. Psichologinėje srityje gyvenimo kokybę geriausiai įvertino vyrai ir moterys, kurių ligos sunkumas yra lengvas, prasčiau vyrai ir moterys, kurių ligos sunkumas didžiausias. Žemiausia psichologinės srities gyvenimo kokybės dominantė yra tarp tų vyrų ir moterų, kurių ligos sunkumas vidutinis. Moterų fizinės srities gyvenimo kokybė yra susijusi su patiriamu skausmu: didesnis moterų patiriamas skausmas susijęs... [toliau žr. visą tekstą] / The purpose of the work was to analyze the links of life quality of the persons, who have diseases of large joints, with the indexes of disease’s gravity (pain, limited mobility). In order to assess the life quality the questionnaire was used for the research, which was prepared on the basis of the questionnaire of World Health Organization Quality of Life (WHOQOL – 100) and adapted by A. Goštautas (Kaunas VMU Department of Psychology) and N. Goštautaite - Midttun (Vilnius University, Department of Psychiatry, 2000). In order to assess the mobility the Barthel scale was used, while the intensity of pain was assessed with the help of verbal pain scale. During the research 90 patients with the diseases of large joints in Abromiskes rehabilitation hospital were examined: 57 men and 33 women. According to the results, the biggest dominants of the life quality in the physical area, area of social relations and independence are among the men and women, whose degree of the disease of large joints is light. Lower evaluation is encountered among men and women with moderate gravity of the disease, and the lowest evaluation in the aforementioned areas is seen among men and women, whose degree of the disease is heavy. The men and women, whose degree of the disease is light, evaluated the life quality in the psychological area the best, and the ones, whose disease is the most grave, evaluated the life quality worse. The smallest dominant of the life quality in the psychological area is... [to full text]

Šiame darbe ištirta sergančiųjų 2-ojo tipo cukriniu diabetu gyvenimo kokybė ir emocinė būsena, atsižvelgiant į ligonio (lytis, amžius, kūno masės indeksas, išsilavinimas, socialinė grupė, šeiminė padėtis, žalingi įpročiai (rūkymas) ir ligos (cukrinio diabeto trukmė, komplikacijos, gydymo būdas, hipertenzija, mitybos įpročių ir fizinio aktyvumo pokyčiai nustačius cukrinį diabetą) veiksnius. Įvertintas gyvenimo kokybės ryšys su ligonio ir su ligos veiksniais. Išanalizuoti depresijos ir nerimo ryšiai su ligonio (lytis, amžius, kūno masės indeksas, išsilavinimas, socialinė grupė, šeiminė padėtis, žalingi įpročiai (rūkymas) ir su ligos veiksniais (cukrinio diabeto trukmė, komplikacijos, gydymo būdas, hipertenzija, mitybos įpročių ir fizinio aktyvumo pokyčiai nustačius cukrinį diabetą). / Quality of the life and emotional state of patients with type 2 diabetes depending on the factors of the patient (gender, body mass index, education, social group, marital status and harmful habits (smoking) and on the factors of the disease (duration of the diabetes, complications, treatment method, hypertension, changes of nutritional habits and physical activity after determination of DM) was analyzed. Also relation between quality of the life and factors of the patient (gender, body mass index, education, social group, marital status and harmful habits (smoking) and the factors of the disease (duration of the diabetes, complications, treatment method, hypertension, changes of nutritional habits and physical activity after determination of DM) was evaluated. Relation between depression, anxiety and factors of the patient (gender, body mass index, education, social group, marital status and harmful habits (smoking) and factors of the disease (duration of the diabetes, complications, treatment method, hypertension, changes of nutritional habits and physical activity after determination of DM) was analyzed.

Quality of the life and emotional state of patients with type 2 diabetes depending on the factors of the patient (gender, body mass index, education, social group, marital status and harmful habits (smoking) and on the factors of the disease (duration of the diabetes, complications, treatment method, hypertension, changes of nutritional habits and physical activity after determination of DM) was analyzed. Also relation between quality of the life and factors of the patient (gender, body mass index, education, social group, marital status and harmful habits (smoking) and the factors of the disease (duration of the diabetes, complications, treatment method, hypertension, changes of nutritional habits and physical activity after determination of DM) was evaluated. Relation between depression, anxiety and factors of the patient (gender, body mass index, education, social group, marital status and harmful habits (smoking) and factors of the disease (duration of the diabetes, complications, treatment method, hypertension, changes of nutritional habits and physical activity after determination of DM) was analyzed. / Šiame darbe ištirta sergančiųjų 2-ojo tipo cukriniu diabetu gyvenimo kokybė ir emocinė būsena, atsižvelgiant į ligonio (lytis, amžius, kūno masės indeksas, išsilavinimas, socialinė grupė, šeiminė padėtis, žalingi įpročiai (rūkymas) ir ligos (cukrinio diabeto trukmė, komplikacijos, gydymo būdas, hipertenzija, mitybos įpročių ir fizinio aktyvumo pokyčiai nustačius cukrinį diabetą) veiksnius. Įvertintas gyvenimo kokybės ryšys su ligonio ir su ligos veiksniais. Išanalizuoti depresijos ir nerimo ryšiai su ligonio (lytis, amžius, kūno masės indeksas, išsilavinimas, socialinė grupė, šeiminė padėtis, žalingi įpročiai (rūkymas) ir su ligos veiksniais (cukrinio diabeto trukmė, komplikacijos, gydymo būdas, hipertenzija, mitybos įpročių ir fizinio aktyvumo pokyčiai nustačius cukrinį diabetą).

Tyrimo objektas: Šeimų, auginančių intelekto sutrikimą turinčius vaikus, gyvenimo kokybė. Tyrimo tikslas – Nustatyti šeimų, auginančių sutrikusio intelekto vaikus, gyvenimo kokybę. Uždaviniai: 1. Apibūdinti šeimų, auginančių neįgalius vaikus, gyvenimo kokybę teoriniu aspektu 2. Išanalizuoti šeimų, auginančių neįgalius vaikus dalyvavimo darbinėje, visuomeninėje ir laisvalaikio veiklos galimybes ir ypatumus. 3. Ištirti šeimų, auginančių neįgalius vaikus, gyvenimo kokybę. 4. Palyginti šeimų, auginančių neįgalius vaikus, gyvenimo kokybę šeimos pajamų ir sudėties aspektais. Išvados: 1. Išanalizavus mokslinę literatūrą išryškėjo, kad šeimų, auginančių neįgalius vaikus, gyvenimo kokybę dažniausiai įtakoja materialinės problemos, socialinės paramos trūkumas, socialinis tinklas, tarpusavio santykiai. 2. Šeimos, auginančios neįgalius vaikus susiduria su įvairiomis kliūtimis derindami darbui ir vaiko priežiūrai skirtą laiką. Šeimų dalyvavimo visuomeniniame gyvenime intensyvumui įtakos turi vaiko negalės ypatumai, visuomenės požiūris, atitinkamos tėvų reakcijos į galimai neigiamą visuomenės požiūrį. Laisvalaikį įtakoja materialinės šeimos galimybės, pomėgiai. 3. Šeimos, auginančios sutrikusio intelekto vaikus savo gyvenimo kokybę vertina vidutiniškai. Vertinant šeimos sudėties aspektu didelių skirtumų nepastebėta, tačiau matoma tendencija, kad pilnos šeimos gyvenimo kokybę įvertino geriau nei nepilnos šeimos. Vertinant pajamų aspektu materialinė šeimų padėtis neturėjo reikšmingos įtakos... [toliau žr. visą tekstą] / The object of the research: The quality of life of families bringing up children with intelectual disabilities. The goal of the research – To identify the quality of life of families bringing up children with intelectual impairment. Aims: 1. To define the quality of life of families having disabled childen on the basis of theoretical aspect. 2. To analize the possibilities and features of taking part in working, social activities of families bringing up children with intelectual impairment. 3. To analize the quality of life of families bringing up disabled children. 4. To compare the quality of life of families bringing up disabled children on the basis of their income and the structure of the family. Conclusions: 1. After the analyses of scientific literature, it became obvious that the quality of families having disabled children depends on financial problems, the shortage of social help, social network, mutual relatioship. 2. Families bringing up disabled children face different obstacles while combining the time work and the time for a child‘s care. The intensivity of families taking part in social life is influenced by the features of a child‘s disability, the social attitude, possibile reactions of the parents to a negative attitude of the society. The free time is closely connected with a family‘s possibilities and hobbies. 3. Families having childen with intelectual disabilities, evaluate their quality of life rather in the middle. While evaluating on the basis of the... [to full text]