O objetivo do presente estudo foi avaliar o efeito do tratamento periodontal na qualidade de vida de pacientes portadores de Síndrome Metabólica (SM), em uma amostra de 48 pacientes. Os pacientes apresentavam diagnóstico de Periodontite e SM e foram randomizados para dois grupos de tratamento: um grupo ao qual era oferecido tratamento periodontal imediato e outro grupo de tratamento tardio, que receberia o tratamento periodontal após seis meses da sua inclusão no estudo. Para aferir qualidade de vida relacionada à saúde bucal e qualidade de vida geral, foram usados os instrumentos OHIP-14 e WHOQoL-bref, respectivamente. Exames periodontais completos avaliaram Índice de placa visível, Índice de sangramento gengival, Fatores retentivos de placa, Profundidade de sondagem, Sangramento à sondagem e Nível de inserção clínica, em seis sítios por dente. Além disso, exames antropométricos, exames sorológicos e entrevistas com os questionários de qualidade de vida foram realizados no momento inicial e após seis meses do início do estudo. Os dois grupos se mostraram semelhantes no momento inicial. Após seis meses, foram observadas reduções significativas no grupo de tratamento imediato para todos os parâmetros periodontais clínicos. A análise do WHOQoL-bref por domínios mostrou pequenas alterações não significativas em ambos os grupos. Na avaliação dos escores totais de OHIP-14 foi observada, após 6 meses, uma redução de 18,6 para 15 (Δ=3,6) no grupo tardio e de 15 para 5,7 (Δ=9,3) no grupo imediato, com diferenças estatisticamente significantes entre os grupos (p=0,003). Essas diferenças resultaram em um tamanho de efeito de 0,27 (pequeno) para o grupo tardio e 0,78 (moderado) para o grupo imediato. Na análise por domínios, foram encontradas diferenças significativas para o grupo imediato nos domínios limitação funcional (p=0,006), desconforto psicológico (p=0,001), incapacidade física (p=0,009) e incapacidade psicológica (p=0,007), comparado ao grupo tardio. Em pacientes portadores da SM, as mudanças na percepção da qualidade de vida aferidas pelo OHIP-14 foram significativas para o grupo de pacientes que recebeu tratamento periodontal imediato, em comparação ao grupo que recebeu o tratamento tardio. / The aim of this study was to assess the effect of periodontal treatment in quality of life of patients with Metabolic Syndrome, in a sample of 48 patients. The patients showed diagnosis of Periodontitis and Metabolic Syndrome and were randomized for two treatment groups: 1) immediate periodontal treatment 2) later treatment, six months after study inclusion. The instruments OHIP-14 and WHOQoL-bref were used to assess oral health related quality of life and general quality of life, respectively. Complete periodontal exams evaluated plaque visible index, gingival bleeding index, plaque retentive factors, probing depth, bleeding on probing and clinical attachment level, on six sites per tooth. Furthermore, antropometrics, blood exams and interview with quality of life measures instruments were performed in baseline and six months after the beginning of the study. Both groups were similar in baseline. After six months, significant reductions on immediate treatment group for all clinical periodontal parameters were observed. The WHOQoL-bref analysis by domains showed no significant small changes, for both groups. After six months, a decrease of 18,6 to 15 (Δ=3,6) for the later treatment group and 15 to 5,7 (Δ=9,3) for the immediate treatment group was observed in the evaluation of OHIP-14 for total scores, with statistical significant differences between the groups (p=0,003). These differences resulted in an effect size of 0,27 (small) for the later treatment group and 0,78 (moderate) for the immediate treatment group. In domains analysis, significant differences for the immediate treatment group on functional limitation (p=0,006), psychological discomfort (p=0,001), physical incapacity (p=0,009) and psychological incapacity (p=0,007) domains, were found compared to later treatment group. In patients with Metabolic Syndrome, changes on quality of life perception measured by OHIP-14 were significant for immediate treatment group, compared to the later treatment group.

Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2016-08-30T18:34:53Z No. of bitstreams: 2 Dissertação - Tereza Yoshie Ikegami - 2014.pdf: 4173121 bytes, checksum: 40f69d0a256dfd9171932287659d381f (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-08-31T13:07:31Z (GMT) No. of bitstreams: 2 Dissertação - Tereza Yoshie Ikegami - 2014.pdf: 4173121 bytes, checksum: 40f69d0a256dfd9171932287659d381f (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2016-08-31T13:07:31Z (GMT). No. of bitstreams: 2 Dissertação - Tereza Yoshie Ikegami - 2014.pdf: 4173121 bytes, checksum: 40f69d0a256dfd9171932287659d381f (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2014-08-08 / Outro / The purpose of this study was to assess QOL (quality of life) of workers of Board of Public Security and Justice of the State of Goias, Brazil, and to identify the socio-demographic and occupational variables that may influence their QOL. This is an epidemiological cross-sectional study, conducted in the metropolitan region and countryside municipalities of the state. The institutions studied were the Military Police (MP), the Firefighting Brigade (FB), the Civilian Police (CP) and the Technical and Scientific Police (TSP). Data were collected using the World Health Organization Quality of Life Instrument Bref (Whoqol-bref) and a questionnaire with socio-demographic and occupational variables of interest. Data analysis was conducted using the Statistical Package for Social Sciences (SPSS), version 18.0. Descriptive statistics and measures of central tendency were calculated for the variables of interest. To evaluate the association between explanatory variables and the QOL scores (and their domains), the non-parametric Mann-Whitney and Kruskal-Wallis tests were used with p<5%. Of 1.039 workers (356 of MP, 275 of FB, 188 of CP and 203 of TSP), 78.1% were male, the predominant age was 31-50 years old; 76.4% were married or in a stable relationship. Regarding length of working in public service, 57.3% had been working up to 15 years. Of the 1.039 respondents, 62.4% were in field work activities. The scores of overall QOL and of the physical, psychological and social domains were very good; as for the environmental domain, the scores were good. The following variables were statistically significant for a better QOL: being married, working at countryside municipalities, field work activities and exercising regularly. The following variables were associated with a worse QOL: being female and having a sick family member. Good scores of QOL means offering the minimum conditions for individuals to develop the maximum of their potential to live, feel, love, work and produce. / A finalidade deste estudo foi avaliar a qualidade de vida (QV) dos trabalhadores da Secretaria de Segurança Pública e Justiça do Estado de Goiás (SSPJGO) e identificar as variáveis sociodemográficas e ocupacionais que podem influenciar a QV destes servidores. Trata-se de um estudo epidemiológico transversal, realizado nas instituições de segurança pública (ISP) da região metropolitana e cidades do interior do estado de Goiás. As instituições estudadas foram: a Polícia Militar (PM), o Corpo de Bombeiros Militar (CBM), a Polícia Civil (PC) e a Superintendência de Polícia Técnico-Científica (SPTC). Os dados foram coletados usando o instrumento abreviado de avaliação da QV da Organização Mundial da Saúde – World Health Organization Quality of Life Instrument bref (Whoqol-bref) – e um questionário com as variáveis sociodemográficas e ocupacionais de interesse. Realizou-se estatística descritiva, com medidas de tendência central, para as variáveis de interesse. Para avaliar a associação entre variáveis de interesse e os escores da QV geral e dos seus domínios, foram utilizados os testes não paramétricos de Mann-Whitney e Kruskal-Wallis, com p<5%. A amostra foi constituída de 1.039 servidores, sendo 356 da PM, 275 do CBM, 188 da PC e 203 da SPTC; com 78,1% homens; predominando as faixas etárias de 31 a 50 anos; 76,4% referiram ser casados ou em união estável. Com relação ao tempo de trabalho no serviço público, 57,3% dos servidores tinham até 15 anos. Dos 1.039 respondentes, 62,4% está em atividade operacional. Os escores da QV geral e nos domínios físico, psicológico e social foram muito bons e, no domínio ambiental, bom. As variáveis que apresentaram diferença estatisticamente significativa para uma melhor QV foram: ser casado, estar lotado no interior, trabalhar em atividade operacional e praticar atividade física regular. As seguintes variáveis tiveram associação estatisticamente significativa para pior QV dos servidores estudados: ser do sexo feminino, ter algum familiar doente e trabalhar em escalas extras. Os níveis dos escores da QV, considerados bons, significam uma QV que oferece o mínimo de condições para que os indivíduos possam desenvolver o máximo de suas potencialidades de viver, sentir, amar, trabalhar e produzir.

Title: Quality of life of people after spinal cord injury practicing outdoor sports and physical activities Objectives: The aim of this diploma thesis was to determine the quality of life of people after spinal cord injury who participe in outdoor sports or physical activities in their lesure time. The subsequent aim was to compare the obtained results with selected groups of people without spinal cord injury and people after spinal cord injury who do not primarily engage in outdoor sports. Methods: The standardized WHOQOL-BREF questionnaire from World Health Organization was used to measure the quality of life in this thesis. The data collection was done online and the data were evaluated according to the relevant manual using Microsoft Excel. The results are presented in tables and graphs for clarity, including verbal descriptions. A total of 32 people with post-traumatic spinal cord injury (23 men and 9 women) aged 30-75 years participated in the study. 11 of whom had quadriplegia and 21 had paraplegia/paraparesis. Results: The research showed that the quality of life of people after spinal cord injury practicing outdoor sports and physical activities is best rated in the are of experience (15,54 points) and in the area of environment (15,31 points). The score were 14,93 for physical health and...

Introducción: Los adultos mayores experimentan cambios a nivel físico, cognitivo, social y emocional que tienen un impacto en su calidad de vida. Por lo tanto, resulta necesario disponer de instrumentos con adecuadas propiedades de medición para identificar y medir esta variable, de modo que las inferencias o interpretaciones sean válidas para la toma de decisiones. Objetivo: El objetivo del estudio fue analizar las propiedades de medición del cuestionario de calidad de vida WHOQOL-OLD en adultos mayores peruanos institucionalizados. Método: Participaron 300 adultos mayores de 65 años (Medad=78.41) institucionalizados en un asilo de la ciudad de Lima, donde 173 (57.7%) fueron hombres y 127 (42.3%) fueron mujeres. Se analizó la estructura interna del WHOQOL-OLD a través del análisis factorial confirmatorio (AFC) y la validez convergente con el Índice de Calidad de Vida (ICV). Asimismo, se estimaron puntuaciones de fiabilidad y se obtuvo un baremo para la muestra de estudio. Resultados: Los resultados indican que la estructura de seis factores del WHOQOL-OLD presenta un ajuste satisfactorio con los datos (CFI = .97; TLI = .97; SRMR = .02; RMSEA= .06) y una adecuada consistencia interna (alfa de Cronbach entre .94 y .98). Asimismo, se evidencian relaciones significativas con las dimensiones autonomía (rs = .13, p < .05) y participación social del ICV (rs = .16, p < .01). Conclusiones: El cuestionario de calidad de vida WHOQOL-OLD cuenta con evidencias empíricas de validez y fiabilidad que lo sitúan como un instrumento adecuado para medir la variable de la calidad de vida. / Introduction: Older adults experience physical, cognitive, social, and emotional changes that have an impact on their quality of life. It is therefore necessary to have instruments with appropriate measurement properties to identify and measure this variable, so that inferences or interpretations are valid for decision-making Objective: The objective of the study was to analyze the measuring properties of the WHOQOL-OLD questionnaire for institutionalized older Peruvian adults. Method: The participants were 300 adults over 65 years (Mage=78.41) institutionalized in an asylum in the city of Lima, where 173 (57.7%) were men and 127 (42.3%) were women. The internal structure of the WHOQOL-OLD was analyzed through confirmatory factor analysis (CBA) and the convergent validity with the Quality of Life Index (LCI). In addition, reliability scores were estimated and a scale for the study sample was obtained. Results: Los resultados indican que la estructura de seis factores del WHOQOL-OLD presenta un ajuste satisfactorio con los datos (CFI = .97; TLI = .97; SRMR = .02; RMSEA= .06) y una adecuada consistencia interna (alfa de Cronbach entre .94 y .98). Asimismo, se evidencian relaciones significativas con las dimensiones autonomía (rs = .13, p < .05) y participación social del ICV (rs = .16, p < .01). Conclusions: The WHOQOL-OLD Quality of Life Questionnaire has empirical evidence of validity and reliability that makes it an appropriate instrument to measure the quality of life variable. / Tesis

For several decades much research has shown that people who often attend religious services estimate their life quality and health higher than people who never attend church. (e g Koenig, McCullough &amp; Larson, 2001, 2012). Much of this research has been done in USA. What about Sweden - one of the most secularized countries in the world? The theories of existential epidemiology and of the importance of existential health to other aspects of health from prof. Valerie DeMarinis were used as a theoretical base in this study.  The purpose of this mixed method sequential study was to compare 247 elderly (medium age 75) according to their frequencies of church attendance: Were there any significant correlations between frequency of church attendance and existential health according to WHOQOL-SRPB? Where there any significant correlations between existential health and the other aspects of health assessed in WHOQOL?  What factors were mentioned as explanations to existential health among elderly in this secular country? This question was investigated in the second qualitative part of the study where eight interviews were done, four with persons who never attend church and four who often did. The interview persons were matced to demografic variables and to general health according to WHOQOL. Statistical calculations were made with Spearmans rank order correlation and Mann-Withneys U-test for nonparametri variables. The interviews were analyzed both inductively and deductively.  The results showed significant correlations on 0,01 level between church attendance and all aspects of existential health in SRPB. The result also showed significant correlations between every aspect of existential health to other aspects of health, most clearly to social and psychological health. The correations were stronger to some of the aspects of existential health. It was also  a clear difference in existential health accordning to assessment on SRPB between the two groups.  For intrview persons who never attend church the ways to get existential health was for three of them to engage in different activities as physical exercise, music, spending time with relatives and friends. The fourth person, who estimated higher on SRPB, described a number of aspects of existential health. Among those who often attend Sunday service this was not per se a a factor mentioned as an explanation to their high existential health. Instead it was their Christian faith as a whole that made their existential health.  Researchers in Psychology of religion in Sweden claim an existential epidemiology spread, especially in groups of young people and immigrants. This study shows rather low existential health also in a group of elderly . A collaboration between health care centers and local priests, deacons, pastors and imams are suggested to prevent and treat low existential health.

No description available.

Made available in DSpace on 2016-05-02T13:54:42Z (GMT). No. of bitstreams: 1 Dissertacao completa Fabio de Souza Terra.pdf: 1253899 bytes, checksum: 97e2a9b443864eee5e5db5722e7f2770 (MD5) Previous issue date: 2007-03-23 / Coordenacao de Aperfeicoamento de Pessoal de Nïvel Superior / This study evaluated the QL of end-stage renal patients submitted to hemodialysis and their adhesion to daily pharmacologic treatment knowing their life expectancy and the main complications presented during HD It is an epidemiologic descriptive tranversal and quantitative research carried out at a hemodialysis clinic of a university hospital of Alfenas State of Minas Gerais Brazil with the participation of all the 30 dialysis patients in the period of the collection of data A questionnaire was used for the obtainment of data about the participants' characterization adhesion to pharmacologic treatment and life expectation QL was analyzed through the instrument WHOQOL-bref of the World Health Organization The data were tabulated in the statistical program SPSS version 10.0 and analyzed by means of the medium score with application of the following tests Qui-square Coefficient of Correlation of Pearson Test of Wilcoxon Student s t test Cronbach s Alpha Coefficient The results showed that most of the interviewees referred that HD interfered in their professional activities and in leisure and recreation but 53.33% were calm during the permanence in the clinic The most frequent complications were the arterial hypotension vomit and dizziness All the patients take medicines mainly antihypertensives With regard to knowledge of the indication of the medicines 40% of the dialysis patients know all the drugs that they take Thirty patients informed to take the medicines daily but 16.66% have already interrupted the treatment on their own account due to adverse reactions The average scores of QL were General QL 3.26 physical domain 3.10 psychological domain 3.58 social relationships 4.19 and environment 3.54 Therefore the participants of the study classified their QL as being above "neither bad, nor good" while the domain social relationships was evaluated between "good" and "very good" The variables did not interfere in the patients' QL in other words they did not present any correlation with the domains of WHOQOL-bref Through the reproducibility it was verified that the interviewees' QL was stable between the "test" and the "retest" having satisfactory reliability while the internal consistency of WHOQOL-bref was acceptable for the facets and domains indicating a homogeneity in the appraised items The main expectation of the patients' life is receiving a renal transplantation 82.35% are in the waiting list and 47.06% encountered the refusal of their relatives in donating the organ It can be verified that the instrument WHOQOL-bref showed to be effective to evaluate QL of end-stage renal patients submitted to HD thus being a reliable instrument for such a measure Finally dialysis patients will have a better QL when they are informed about their disease and treatment when cared for in a solid supportive system and rehabilitation in order to make them capable to lead an active productive and self-sufficient life / Este estudo avaliou a QV dos nefropatas crônicos submetidos à hemodiálise e sua adesão ao tratamento farmacológico de uso diário conhecer a expectativa de vida dessa população com relação ao futuro e as principais complicações apresentadas durante a HD Trata-se de uma pesquisa epidemiológica descritiva transversal e quantitativa realizada em uma clínica de hemodiálise de um hospital universitário de Alfenas-MG com todos os 30 pacientes submetidos à HD no período da coleta de dados Utilizou-se para a coleta um questionário com dados sobre a caracterização dos participantes adesão ao tratamento farmacológico e expectativa de vida e a QV foi analisada por meio do instrumento WHOQOL-bref da Organização Mundial da Saúde Os dados foram tabulados no programa estatístico SPSS versão 10.0 e analisados por meio do escore médio com aplicação dos seguintes testes Qui-quadrado Coeficiente de Correlação de Pearson Teste de Wilcoxon Teste t de Student Coeficiente Alfa de Cronbach Os resultados mostraram que a maioria dos entrevistados referiram que a HD interferiu em suas atividades profissionais e de lazer e recreação mas 53,33% se sentem tranqüilos durante a permanência na clínica As complicações de maior ocorrência foram a hipotensão arterial vômito e tontura Todos os pacientes fazem uso de medicamentos sendo os antihipertensivos os mais utilizados Quanto ao conhecimento da indicação dos medicamentos 40% dos renais crônicos conhecem todos os fármacos que usam Os 30 pacientes estudados informaram tomar os medicamentos diariamente mas 16,66% já interromperam o uso por conta própria devido a reações adversas Os escores médios referentes à QV foram QV geral 3,26 domínio físico 3,10 psicológico 3,58 relações sociais 4,19 e meio ambiente 3,54 Assim os participantes do estudo classificaram a QV como sendo acima do nem ruim nem boa enquanto o domínio relações sociais foi avaliado entre boa e muito boa As variáveis estudadas não interferiram na QV dos pacientes ou seja elas não apresentaram correlação com os domínios do WHOQOL-bref Por meio da reprodutibilidade verificou-se que a QV dos entrevistados foi estável entre o teste e o reteste tendo uma confiabilidade satisfatória enquanto a consistência interna do WHOQOL-bref foi aceitável para as facetas e domínios indicando uma homogeneidade nos itens avaliados A principal expectativa de vida dos pacientes é a realização do transplante renal sendo que 82,35% estão na lista de espera e 47,06% se depararam com a recusa dos familiares em doar o órgão Pode-se verificar que o instrumento WHOQOL-bref mostrou-se eficaz para avaliar a QV de renais crônicos submetidos à HD sendo confiável para essa medida Por fim o paciente submetido à HD terá uma melhor QV quando ele for informado acerca de sua doença e tratamento quando existir um sólido sistema de suporte e reabilitação e ser capaz de levar uma vida ativa produtiva e autosuficiente

The adverse consequences of posttraumatic stress on quality of life have been well documented. It is, however, possible that it is not the intrusive re-experiencing and hyperarousal posttraumatic stress symptoms that have an impact on quality of life per se, but the inflexible efforts to avoid internal experiences and emotions related to the traumatic event, and the way these emotions are expressed and experienced. Previous research shows that both experiential avoidance and emotion regulation have been found to be etiologically central to the development and maintenance of psychological problems in trauma survivors. The degree to which experiential avoidance and emotion regulation act together as toxic underlying mechanisms to explain the relationship between posttraumatic stress and quality of life is, however, yet to be examined. Quality of life is now regarded as an important outcome variable across a broad range of conditions and problem areas. The quality of life concept has generated a large body of research and yet its assessment has been a challenge for researchers. The WHOQOL-BREF is considered to be one of the few genuine quality of life measures but it has received much criticism, especially regarding the poor psychometric performance of its social relationships domain. The aim of the current thesis was twofold. The first aim involved the revision of the WHOQOL-BREF through the enhancement of the social relationships domain. In Study I 986 ill and healthy individuals from five countries worldwide completed the Pilot Revised WHOQOL-BREF (WHOQOL-BREF-R) along with measures of life satisfaction, anxiety, and depression for the detailed psychometric analysis of the scale. Study I confirmed the limitations of the social relationships domain, and despite its improvement, the performance of the overall scale was found to be poor. In fact, findings from modern and robust techniques challenged the 4-factor structure of the WHOQOL-BREF. Instead, results supported the performance of a 3-factor solution, which led to the development of a psychometrically sound measure. Study II is preceded by a systematic review of the literature investigating experiential avoidance as a mediator in trauma survivors with posttraumatic stress. Ten studies were identified and organised in two categories assessing experiential avoidance as a mediator between: 1) trauma exposure and posttraumatic stress, and 2) posttraumatic stress and maladaptive behaviours. Findings suggest that the development and maintenance of posttraumatic stress symptoms and maladaptive behaviours in the aftermath of trauma can be explained through the use of experiential avoidance. Methodological limitations and future directions for research are discussed. The WHOQOL-BREF-R was then used in Study II, which explored an integrative mediation model whereby experiential avoidance and emotion regulation were tested as mediators in the relationship between posttraumatic stress symptomatology and quality of life in trauma exposed adults. The two mediators were also explored for their overlapping relationship. A total of 360 participants from the community completed self-report measures of posttraumatic stress, experiential avoidance, emotion regulation, and quality of life. With the use of path analysis Study II found experiential avoidance and emotion regulation to be two distinct constructs that together act as an underlying mechanism explaining the impact of posttraumatic stress on quality of life. Alternative mediating models were explored. The current study makes an important contribution in the area of trauma and in the conceptualisation and assessment of quality of life. Findings can be considered as a first step towards an integrative mediation model of toxic mechanisms in trauma and quality of life. Additionally, the favourable psychometric properties of the WHOQOL-BREF-R make it a powerful tool for use in quality of life research.

Made available in DSpace on 2014-12-17T15:38:59Z (GMT). No. of bitstreams: 1 IsisSL_DISSERT.pdf: 849712 bytes, checksum: 3292c946a295ab825e4bdace18364a27 (MD5) Previous issue date: 2012-09-06 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The population aging process increases the number of elderly people worldwide. In Brazil, a country of continental size, this process began in the 40s and happens with specific features in each of the different region s realities. This way, this thesis aimed to evaluate the psychometric properties of a elderly s quality of life (QOL) scale, the WHOQOL-old, in a population of the Northeast of Brazil. We sought to investigate the congruence between the content covered by the scale and the ones deemed as relevant by the participants. It aimed also study the validity evidences of the instrument s internal structure. To achieve the research objectives we adopted the design of multiple methods. The research was organized in two studies. For data collection, both studies used a sociodemographic questionnaire to obtain a profile of the participants and the Mini Mental State Exam (MMSE), used as exclusion criterion. A number of 18 elderly residents of the cities of Natal-RN and Campina Grande-PB, mean age of 73.3 years (SD = 5.9) took part od the study, They were organized into three focal groups (FG) in witch they discussed about the concept of QOL, what enhance and what hinders QOL. For Study II, a quantitative approach, 335 elderly from Campina Grande responded scale WHOQOL-old. They are between 65 and 99 years (M = 74.17, SD = 6.5). The FG data were analyzed by categorical thematic content. For the data analysis of the WHOQOL-old scale were used exploratory factor analysis and calculation of the Akaike and Bayesian information criteria. The results of both studies were triangulated. According to the discussions in the FG, health and social participation have central roles in quality of life. Social participation is related to all the other QOL s influences raised. The participants indicated the relevance of religiosity and were divided about the importance of sexual activity. Exploratory factor analysis (EFA) extracted a model of six factors. Two items (OLD_3 and OLD_9), not loaded on any factor and were excluded. The other items had factor loadings > 0.3. The response categories were reduced from five to three. After the scale changes, the empirical model showed better fit (-2loglikelihood = 8993.90, BIC and AIC = 9183.90 = 9546.24) than the theoretical model (-2loglikelihood = 18390.88, AIC = 18678.88 and BIC = 19228.11). Despite the best information criterion values, the RMESA remained above the ideal (0.06). We conclude that the WHOQOL-old presents psychometric parameters below the ideal when used with the Northeast population, but the improvements made the scale s use acceptable. The WHOQOL-old uses observable variables that matches with the participants' perceptions on quality of life. However, new strategies must be tested for a better sacale refinement / O envelhecimento populacional aumenta o n?mero de idosos em todo mundo. No Brasil, pa?s de tamanho continental, esse processo come?ou na d?cada de 40 e acontece com caracter?sticas espec?ficas em suas diferentes realidades. Dentro dessa perspectiva, a presente disserta??o teve o objetivo de avaliar as propriedades psicom?tricas da escala de avalia??o da qualidade de vida (QV) de idosos, WHOQOL-old, em uma popula??o de nordestinos. Buscou-se investigar a congru?ncia entre os conte?dos abordados pela escala e aqueles considerados relevantes pelos participantes; e estudar as evid?ncias de validade de estrutura interna do instrumento. Para atingir os objetivos da pesquisa foi adotado o desenho de m?todos m?ltiplos. A pesquisa foi organizada em dois estudos. Como instrumento de coleta de dados comum a ambos, foi utilizado question?rio sociodemogr?fico para tra?ar o perfil dos participantes e o Mini Exame do Estado Mental (MEEM), que serviu como crit?rio de exclus?o. O Estudo I, de abordagem qualitativa, contou com a participa??o de 18 idosos moradores das cidades de Natal-RN e Campina Grande-PB, m?dia de idade de 73,3 anos (DP = 5,9), divididos em tr?s grupos focais (GF) que discutiram o conceito de QV, o que ajuda e o que atrapalha a QV. Para o estudo II, de abordagem quantitativa, 335 idosos de Campina Grande, entre 65 e 99 anos (M = 74,17; DP = 6,5) responderam a escala WHOQOL-old. Os dados dos GF foram submetidos ? an?lise categorial tem?tica de conte?do; e para an?lise dos dados da escala WHOQOL-old foram utilizados an?lise fatorial explorat?ria e c?lculo dos crit?rios de informa??o de Akaike e Bayesiana. Os resultados dos dois estudos foram triangulados. De acordo com as discuss?es nos GF, sa?de e participa??o social t?m pap?is centrais na qualidade de vida. A ?ltima estabelece rela??o com todos os demais temas suscitados. Os participantes indicam a relev?ncia da religiosidade e ficam divididos sobre a import?ncia da atividade sexual. Analise fatorial explorat?ria (EFA) extraiu um modelo de seis fatores. Dois itens (OLD_3 e OLD_9), n?o carregaram em nenhum fator e foram exclu?dos. Os demais itens apresentaram carga fatorial >0,3. As categorias de resposta foram reduzidas de cinco para tr?s. Ap?s as mudan?as na escala, o modelo emp?rico apresentou melhor ajuste (- 2loglikelihood = 8993,90; AIC = 9183,90 e BIC = 9546,24) que o modelo te?rico (- 2loglikelihood = 18390,88; AIC = 18678,88 e BIC = 19228,11). Apesar dos melhores valores de crit?rio de informa??o, o RMESA permaneceu acima do ideal (0,06). Conclui-se que o WHOQOL-old apresenta par?metros psicom?tricos abaixo do ideal na popula??o nordestina, mas as melhorias o tornaram sua utiliza??o aceit?vel. O instrumento WHOQOL-old utiliza vari?veis observ?veis que condizem com a percep??o dos participantes sobre qualidade de vida. No entanto, novas estrat?gias merecem ser testadas para refinamento da escala

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.