Dissertations / Theses on the topic 'Quality of Life Aged'
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Tidermark, Jan. "Quality of life and femoral neck fractures /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-322-8/.
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Hodges, Pamela. "Life purpose, health-related quality of life, and hospital readmissions among older adults with heart failure a dissertation /." San Antonio : UTHSC, 2008. http://proquest.umi.com/pqdweb?did=1495953151&sid=1&Fmt=2&clientId=70986&RQT=309&VName=PQD.
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Crawley, Leah R. "Gender differences in quality of life of residents living in aged care complexes /." Title page, contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09ARPS/09arpsc911.pdf.
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Wong, Shuk-wah. "An exploratory study of the quality of life of elderly with cataract in Hong Kong /." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470708.
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McCoy, Thomasin E. "Child self-report and parent ratings of health-related quality of life in school-aged children born preterm." Diss., University of Iowa, 2010. https://ir.uiowa.edu/etd/855.
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Recent progress in science and medicine is that regions such as the United States, Canada, Australia, and Western Europe have witnessed dramatic declines in infant morbidity and mortality. The most significant of these declines has occurred among infants born prematurely and low birth weight (LBW)--the cohort that represents the highest proportion of illness and death among infants Despite these medical advances, recent longitudinal studies have provided clear evidence of physical health problems; cognitive and neuropsychological dysfunction; and other social, emotional, and behavioral problems among children born prematurely. A number of studies have indicated that premature and LBW infants are still at risk for psychosocial, physical, and mental problems despite the immediate contributions of post-natal interventions to their increased chance for survival The extant research has demonstrated that children born prematurely and LBW are at risk for problems in health, neuropsychological functioning, learning, academic achievement, behavior, and psychosocial adjustment. Research has further demonstrated that a variety of physical and psychological conditions are associated with poorer QOL among children. However, few studies have examined pediatric QOL among preterm school-aged children. Moreover, existing studies have not explored the relationship between cognitive, academic, and social/emotional functioning and QOL. The current study compared child and parent ratings of health-related quality of life among school-aged children born preterm (n = 26) and full-term (n = 28). Given the increased rates of physical, psychological, and cognitive problems among the preterm population, it was hypothesized that children born prematurely would have significantly poorer proxy-reported and self-reported QOL than children born preterm.
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Greenberger, Hilary Beth. "Influences on Health Related Quality of Life in Community Dwelling Adults Aged 60 Years and Over." VCU Scholars Compass, 2006. http://hdl.handle.net/10156/1638.
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Tierney, Laura T. "Enhancing quality of life for aged care facility residents with dementia: The role of 'meaningful activities'." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/200216/1/Laura_Tierney_Thesis.pdf.
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This study explored quality of life and 'meaningful activity' for people living with dementia in residential aged care facilities, drawing on the experiences and perspectives of residents, their family members and care staff. The findings identified groups of residents who have fewer activity opportunities and less frequent participation in activities. A deeper understanding was developed of 'meaningful activity', the benefits of participating in these types of activities and the supports needed for residents to participate. The knowledge gained from this study will inform care practices and improve the daily lives of people living with dementia in residential aged care facilities.
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Wan, Ka-pik. "An exploratory study of the elderly people's perception of quality of life." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470988.
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Lee, Feng-Ping. "The relationship of comfort and spirituality to quality of life among long-term care facility residents in southern Taiwan /." Thesis, Connect to this title online; UW restricted, 2005. http://hdl.handle.net/1773/7328.
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Au, Kwok-chung. "Economic status and life satisfaction of the elderly." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470150.
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Bland, Rosemary. "Senior citizens, good practice and quality of life in residential care homes." Thesis, University of Stirling, 2006. http://hdl.handle.net/1893/70.
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This thesis is an examination of the definition and implementation of ‘good practice’ in residential care for senior citizens. The central contention is that ‘good practice’ is a term that has been variously defined. Different groups define it in different ways, and their definitions have changed over time. This reflexive qualitative study explores ‘good practice’ in local authority, voluntary and private residential care homes in Scotland from the perspective of policy, practice and the experience of senior citizens who live in them. The study is based on analysis of policy documents, historical studies, and reanalysed interview and survey data from two earlier studies conducted by the author and colleagues. The thesis shows that the notion of ‘good practice’ that emerges in policy and practice documents is a confused and often conflicting set of ideas. Historically, the earliest were driven by concerns over cost. In more modern times, statements about ‘good practice’ have had a more benevolent intent but are frequently flawed by paternalistic and ageist assumptions. It is shown that staff in residential homes typically adopt a different set of attitudes: their preoccupation is with safety and the avoidance of risk. Although benevolent in intention, these interpretations of ‘good practice’ are also at variance with what residents themselves actually want. Two particular models or styles of care are examined in detail. One of these is the use of ‘keyworkers’, often implemented in ways that fail to realise its potential. The other is the ‘hotel’ model of care. The potential of this model as an alternative to the statutory model is explored. The thesis concludes that it is a model that can realise the goal of enabling residents to exercise independence, choice and privacy while meeting their needs in residential care.
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Gilfillan, Rona. "Quality of life following haematopoietic stem cell transplant among recipients aged over 50 years : an interpretative phenomenological analysis." Thesis, University of Glasgow, 2011. http://theses.gla.ac.uk/2944/.
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Background: Allogeneic Haematopoietic stem cell transplant (HSCT) is a potentially curative treatment for haematological cancers however it is a particularly aggressive treatment that can impact individuals’ quality of life (QOL) in multiple ways. Due to the toxicity of the transplant, adults aged over fifty years have only recently become eligible for this treatment following the development of a reduced intensity regimen. As a result, little is known regarding the experience of QOL among recipients aged over fifty years. QOL information is an essential part of assessing the success of medical treatments and can help prepare recipients for any ways in which their lives and those of their families may be impacted post-transplant. Method Potential participants were recruited through the Beatson West of Scotland Cancer Centre (BWSCC) and a purposive sample of eight participants volunteered to take part in the study. A qualitative approach, Interpretative Phenomenological Analysis was used to explore the experience of QOL among recipients. Results Four superordinate themes emerged from the data; ‘Shifting sense of self and others’, ‘Adaptation and managing the impact’, ‘A new perspective on life and living’, and ‘Changing over time’. The findings helped highlight the challenges and gains experienced by HSCT recipients as well as the process of adaptation and adjustment which mediates the impact of HSCT on QOL. Conclusions The participants in this study demonstrated that there are a number of commonalities between younger and older recipients in terms of post transplant QOL when compared to the literature on younger recipients to date. However, increased age and stage of life was also shown to have a unique impact on the subjective experience of QOL after transplant. Increased age continues to represent a significant risk factor in terms of QOL and survival post transplant. However, the findings from this study suggest that this small sample of recipients is adjusting well to the challenges of HSCT. Further research is required in this area. Limitations of this study are discussed.
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Eržebet, Ač-Nikolić. "Uticaj pojedinih komponenti zdravlja na kvalitet života starih." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2002. http://dx.doi.org/10.2298/NS20020614ACNIKOLIC.
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Kvalitet života u vezi sa zdravljem kod starih je najznačajniji aspekt kvaliteta života uopšte, amerenje kvaliteta života ima značajno mesto u praksi zdravstvene zaštite i naučnoistraživačkomradu. Cilj istraživanja je bio da se primenom modifikovanog McMaster Health Index Questionnaireutvrde fizička, socijalna i emotivna dimenzija kvaliteta života starih, kao i da se definiše validniinstrument za procenu kvaliteta života u vezi sa zdravljem kod starih u našim uslovima. Istraživanjeje sprovedeno u periodu 1998-2000 u obliku studije preseka, putem anketnog upitnika na uzorkustanovništva Novog Sada starosti 60 i više godina (n=373). Inicijalni anketni upitnik je poslužio zaanalizu pojedinih domena zdravlja a iz njega su korelacionim analizama izdvojeni ajtemi za šestskala: fizičko funkcionisanje, samozbrinjavanje, osećanje u vezi korisnosti u društvu, osećanja uvezi života, socijalno funkcionisanje i samoprocena. Za svaku skalu i za ukupni indeks kvalitetaživota (QOL-OLD indeks) je izračunat transformisani skor (ranga 0-100) kao i uticaj pojedinihskala na ukupni indeks kvaliteta života u odnosu na zdravlje. Indeks kvaliteta života QOL-OLD(ranga 0-100) predstavlja sumarnu numeričku vrednost dobijenu iz svih šest domena. Za svakuskalu kao i za sumarni Indeks utvrđena je pouzdanost i validnost pomoću svetski prihvaćenihkriterijuma za Cronbach Alpha vrednost. Analizom je izdvojeno šest skala koje imaju uticaj nakvalitet života starih i utvrđeno je da je uticaj fizičkog zdravlja, posmatran kroz skalu fizičkogfunkcionisanja i skalu samozbrinjavanja, dominantan i čini 39,3% u globalnom kreiranju indeksakvaliteta života. Svaki domen kao i ukupni QOL-OLD indeks je analiziran u odnosu na nekesociodemografske determinante za koje se pokazalo da imaju uticaj na pojedine domene kao i naukupni kvalitet života u odnosu na zdravlje kod starih. Izdvajanjem ajtema iz modifikovanogMcMaster Health Index Questionnaire dobijen je skraćeni i validan upitnik za procenu kvalitetaživota starih u populaciji ali iza procenu kvaliteta života kod pojedinaca iste starosti.Health related quality of life of the elderly is the most important aspect of quality oflife concept in general, and it's measurement has an important place in health carepractice and scientific work. The aim of this study was to determine physical, socialand emotional dimension of health related quality of life among elderly, usingmodified McMaster Health Index questionnaire, as well as to construct validinstrument for health related quality of life assessment among elderly for ourtheritory. Cross sectional study was performed during 1998-2000. through poll, on theNovi Sad population sample aged 60 and above (n=373). Initial questionnaire wasused for the purpose of analysis of certain health domains, and by using correlationanalysis to extract items for six scales: physical functioning, selfcare, socialusefulness, emotions about life, social functioning and self perception. Transformedscore (range 0-100) was calculated for each scale separatly and for total health relatedquality of life index (QOL-OLD) as well as percentage influence of each scale onQOL-OLD index. Health related quality of life index (QOL-OLD) presents summarnumeric value calculated from all six domains. For each scale and for QOL-OLDvalidity and reliability was determined using Cronbach alpha value. Analysisextracted six scales which influence quality of life among elderly, and results showedthat physical health, covered with physical functioning scale and selfcare scale, hasdominant influence (39,3%) in creating global QOL-OLD index. Each domain andQOL-OLD index was analyzed considering some socio-demographic determinantswhich showed impact on single domains and on total QOL-OLD index. Extractingitems from initial modified McMaster Health Index Questionnaire enabledconstruction of shortened and valid questionnaire for assessment health related qualityof life among elderly in the population but also for individuals of same age.
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Hester-Smith, Philippa. "An investigation to examine the relationship between illness representations, quality of life and treatment adherence amongst young adults (aged 17-30 years) with insulin dependent diabetes." Thesis, n.p, 1998. http://ethos.bl.uk/.
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Cruz, Keila Cristianne Trindade da 1973. "Qualidade de vida relacionada à saúde dos idosos do Estudo SABE." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311022.
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Orientador: Maria José D'ElbouxTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A qualidade de vida relacionada à saúde (QVRS) é uma forma utilizada para avaliar a saúde das pessoas bem como detalhes subjetivos de suas vidas. Esta pesquisa teve por objetivo avaliar a QVRS dos idosos do Estudo SABE por meio do SF-12 e de variáveis que contemplem as características peculiares dessa faixa etária. O presente estudo foi realizado a partir dos dados do Estudo Longitudinal Saúde, Bem-estar e Envelhecimento (SABE) coletados em 2006, com uma amostra representativa de 1031 idosos residentes no município de São Paulo, sem sintomas depressivos que responderam o "The Medical Outcomes Study 12-item Short-Form Health Survey" (SF-12). Os escores do SF-12 são resumidos em dois grandes componentes, o escore do componente físico (ECF) e o escore do componente mental (ECM). Foi realizada uma busca na literatura sobre os significados atribuídos por idosos brasileiros sobre QV e agrupados em quatro categorias de informações contidas no questionário do Estudo SABE 2006: a categoria sociodemográfica, relacionada à saúde, de relacionamento/apoio e de bem-estar subjetivo. Os ECF e ECM do SF-12 foram categorizados em tercis sendo o primeiro constituído pelos escores mais baixos dos componentes e os demais pelos escores intermediários e mais altos, respectivamente. Foi realizada a Regressão Logística Multinomial para modelar a chance de um idoso pertencer a um dos tercis de cada componente de QVRS. Os componentes físicos e mentais apresentaram médias e amplitudes de variação maiores para os homens, com exceção do ECF cuja variação foi maior para as mulheres. No ECF, o maior número de idosos apresentou piores valores desse componente. Houve associação significativa entre o componente físico e sexo, faixa etária, ter casa própria, escolaridade, morbidades, número de medicamentos, dificuldade para ABVDs e AIVDs, paz/tranquilidade e religião. Em relação ao componente mental, houve associação significativa com ter dinheiro suficiente, escolaridade, morbidade, número de medicamentos, sentir-se nutrido, sentir-se amado pela família, APGAR de Família, paz/tranquilidade e satisfação com a vida. No componente físico houve influência das categorias sociodemográfica e relacionadas à saúde e no componente mental, de variáveis pertencentes às categorias dados sociodemográficos, relacionados à saúde e bem estar subjetivo. Espera-se com esse trabalho subsidiar o planejamento e implantação de intervenções que visem favorecer a QV do idoso
Abstract: The Health related quality of life (HRQoL) is a kind of health assessment as well as an evaluation of subjective details of people lives. This research aimed to evaluate HRQOL of no depressed elderly people, that were subjects of a Longitudinal Study on Health, Wellbeing and Aging (SABE Study), using "The Medical Outcomes Study 12-item Short- Form Health Survey "(SF-12) and variables that cover specific characteristics of this age group. The present study have used SABE Study data that were collected in 2006 on a sample of 1031 older adults that were living in São Paulo, without depressive symptoms, those who responded SF-12. The scores of SF-12 are summarized into two major components: the physical component score (PCS) and the mental component score (MCS). It were done a literature review on the meanings attributed by Brazilian elderly on Quality of Life(QOL) and these meanings were grouped into four categories of information in the survey of SABE Study: sociodemographic category, health-related category, relationship / support and subjective well-being. The PCS, MCS and the SF-12 were categorized as terciles. The first of these have consisted of the lowest scores of the components. The others have presented intermediate and highest scores, respectively. It were performed a Multinomial Logistic Regression to investigate the chance of an elderly to belong to one of terciles of each component of HRQOL. The physical and mental components showed averages and amplitudes of variation greater for men, except for PCS which variation was greater for women. In the PCS, largest number of elderly has the worst scores of this component. There was a significant association between physical component and some variables as: sex, age group, homeownership, education, comorbidities, number of medications in use, difficulty for Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL), peace / tranquility and religion. Regarding the mental component, there was significant association with having enough money, education, comorbidity, number of medications in use, to feel nurtured, feeling of being loved by family, Family APGAR, peace / tranquility and life satisfaction. The physical components were influenced by sociodemographic and health related categories. The mental component received influence by variables of the following categories: sociodemographic, health-related and subjective well-being. It is expected that this work supports the planning and implementation of interventions designed to improve the QOL of the elderly
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Kovtyuk, N. I. "Quality of life of school age children with cephalgia." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19147.
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Rydwik, Elisabeth. "Effects of physical training on physical performance in frail elderly people /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-310-8/.
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Robinson, Caroline O. "Life course religiosity and spirituality and their relationship to health and well-being among homebound older adults." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. http://www.mhsl.uab.edu/dt/2007p/robinson.pdf.
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Nilsson, Ingeborg. "Occupational Engagement among Older People : Evaluation, Repertoire and Relation to Life satisfaction." Doctoral thesis, Umeå : Umeå universitet, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-863.
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Asano, Midori, Taichi Sugiura, Kiyomi Miura, Shinpei Torii, and Ayako Ishiguro. "Reliability and Validity of the Self-report Quality of Life Questionnaire for Japanese School-aged Children with Asthma (JSCA-QOL v.3)." Japanese Society of Allergology, 2006. http://hdl.handle.net/2237/7106.
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Eastman, Sandra Kay. "Satisfaction with life, quality of relationships and social service needs of gay, lesbian, bisexual and transgendered persons aged 50 and older." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1585.
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Barbisan, Silmar Alexandre [UNESP]. "Caracterização de parâmetros de exercício físico e qualidade de vida na terceira idade no município de Taquaritinga." Universidade Estadual Paulista (UNESP), 2007. http://hdl.handle.net/11449/95199.
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A promoção de um estilo de vida mais ativo na terceira idade tem sido utilizada como estratégia importante para desenvolver melhora nas condições de saúde e na qualidade de vida dos idosos. O objetivo do presente estudo foi caracterizar a prática de atividade física em indivíduos idosos, bem como identificar parâmetros de qualidade de vida, prática de exercício físico e estado nutricional no município de Taquaritinga-SP. A amostra foi composta por mulheres e homens com idade acima de 65 anos praticantes de atividade física em dois locais diferentes, 35 avaliados em uma academia e os outros 35 em um projeto para idosos da prefeitura municipal. A maioria dos integrantes da amostra foi do sexo feminino. Dentro das faixas etárias 76% eram aposentados e 24% continuam na ativa. Em relação á classificação de IMC observou-se que 15% são obesos e não foram observados desnutridos. Entre os homens o percentual médio de gordura foi de 25,31% estando acima do recomendado. Entre mulheres, o percentual médio de gordura foi de 41,21% apresentado o resultado acima do recomendado. As médias de porcentagens de gordura para os dois sexos foram estatisticamente diferentes (p<0,05). Em relação à distribuição de gordura abdominal no sexo masculino 50% estão dentro dos padrões de normalidade. Já os outros 50% estão fora desses padrões. Já no sexo feminino 16% estão dentro dos padrões de normalidade, enquanto que 84% estão fora desses padrões. Quanto aos problemas de saúde que referiam, destaca-se a hipertensão arterial (38,6%), problemas de coluna e artrose (18,5%), diabetes (10%), alterações na taxa de colesterol (3%), ocorrendo outros problemas como depressão, hipotensão, gastrite, tontura, câncer, problemas renais e circulatórios (23,9%) sendo que aproximadamente 6% deles se consideravam saudáveis. Quanto á pressão arterial, 18 idosos apresentaram...
The promotion of life style more active in the third age has been applied as an important strategy to develop a better condition of health and in the quality of aged life. The aim of this study was to characterize the practice of physical activity in aged as identify parameters of life quality, physical exercise and nutrition at Taquaritinga municipality. The sample was accomplished with women and men over 65, practicing of physical activity in two different places, 35 of them were evaluated in academy and the other 35 in a project for aged in municipal city hall. The majority was women corresponding 80%, 76% were retired and 24% were working. According to IMC classification 15% were obese and there wasnþt innutrition. Among the percentage of fat., the average in men was 25,31%, being over the recommended average. Among the women was 41,21% also over the average. The averages of fat concentration for both were different (p<0,05). According to the distribution of abdominal fat in men, 50% were in pattern. The others 50% were out of these ones. In women, 16% were in the patterns, while 84% were out. There were problems of health reported as hypertension (38%), backache (18,5%), diabetes (10%), alterations in the levels of cholesterol (3%) and other diseases an melancholia, gastritis, dizziness, cancer, renal problems and circulatory (23,9%) being about 6% of them healthy. With reference to arterial pressure 18 aged showed a great condition, corresponding 26% of the samples and 23 normal level (33%). All of them were practicing of physical activity and participated in more than one modality, the majority practiced elongation (80%), while walk (62%), dance (52%), hydro gymnastic (30%), general gymnastic (16%)and other modalities (4%). There were four causes of these ageds practiced physical activity: leisure (62%), medical prescription (21%), health (14%) and physical condition (7%).
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Barbisan, Silmar Alexandre. "Caracterização de parâmetros de exercício físico e qualidade de vida na terceira idade no município de Taquaritinga /." Araraquara : [s.n.], 2007. http://hdl.handle.net/11449/95199.
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Orientador: Rodolpho Telarolli JuniorBanca: Aureluce Demonte
Banca: Luis Henrique Montrezor
Resumo: A promoção de um estilo de vida mais ativo na terceira idade tem sido utilizada como estratégia importante para desenvolver melhora nas condições de saúde e na qualidade de vida dos idosos. O objetivo do presente estudo foi caracterizar a prática de atividade física em indivíduos idosos, bem como identificar parâmetros de qualidade de vida, prática de exercício físico e estado nutricional no município de Taquaritinga-SP. A amostra foi composta por mulheres e homens com idade acima de 65 anos praticantes de atividade física em dois locais diferentes, 35 avaliados em uma academia e os outros 35 em um projeto para idosos da prefeitura municipal. A maioria dos integrantes da amostra foi do sexo feminino. Dentro das faixas etárias 76% eram aposentados e 24% continuam na ativa. Em relação á classificação de IMC observou-se que 15% são obesos e não foram observados desnutridos. Entre os homens o percentual médio de gordura foi de 25,31% estando acima do recomendado. Entre mulheres, o percentual médio de gordura foi de 41,21% apresentado o resultado acima do recomendado. As médias de porcentagens de gordura para os dois sexos foram estatisticamente diferentes (p<0,05). Em relação à distribuição de gordura abdominal no sexo masculino 50% estão dentro dos padrões de normalidade. Já os outros 50% estão fora desses padrões. Já no sexo feminino 16% estão dentro dos padrões de normalidade, enquanto que 84% estão fora desses padrões. Quanto aos problemas de saúde que referiam, destaca-se a hipertensão arterial (38,6%), problemas de coluna e artrose (18,5%), diabetes (10%), alterações na taxa de colesterol (3%), ocorrendo outros problemas como depressão, hipotensão, gastrite, tontura, câncer, problemas renais e circulatórios (23,9%) sendo que aproximadamente 6% deles se consideravam saudáveis. Quanto á pressão arterial, 18 idosos apresentaram... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The promotion of life style more active in the third age has been applied as an important strategy to develop a better condition of health and in the quality of aged life. The aim of this study was to characterize the practice of physical activity in aged as identify parameters of life quality, physical exercise and nutrition at Taquaritinga municipality. The sample was accomplished with women and men over 65, practicing of physical activity in two different places, 35 of them were evaluated in academy and the other 35 in a project for aged in municipal city hall. The majority was women corresponding 80%, 76% were retired and 24% were working. According to IMC classification 15% were obese and there wasnþt innutrition. Among the percentage of fat., the average in men was 25,31%, being over the recommended average. Among the women was 41,21% also over the average. The averages of fat concentration for both were different (p<0,05). According to the distribution of abdominal fat in men, 50% were in pattern. The others 50% were out of these ones. In women, 16% were in the patterns, while 84% were out. There were problems of health reported as hypertension (38%), backache (18,5%), diabetes (10%), alterations in the levels of cholesterol (3%) and other diseases an melancholia, gastritis, dizziness, cancer, renal problems and circulatory (23,9%) being about 6% of them healthy. With reference to arterial pressure 18 aged showed a great condition, corresponding 26% of the samples and 23 normal level (33%). All of them were practicing of physical activity and participated in more than one modality, the majority practiced elongation (80%), while walk (62%), dance (52%), hydro gymnastic (30%), general gymnastic (16%)and other modalities (4%). There were four causes of these ageds practiced physical activity: leisure (62%), medical prescription (21%), health (14%) and physical condition (7%).
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Platts, Loretta Grace. "A life course study of quality of life at older ages in a French occupational cohort." Thesis, Imperial College London, 2014. http://hdl.handle.net/10044/1/25128.
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Background and aims. This thesis took a life course approach to examining inequalities in quality of life in early old age using the French occupational cohort GAZEL. The cohort combines company administrative records with information from annual questionnaires for 20 625 electricity and gas industry employees. The thesis aimed to examine whether current circumstances, retirement routes, mid-life working conditions or occupational grade were associated with subjective quality of life, measured with CASP-19, in retired participants. Results. Cross-sectional and change analyses using multiple regression demonstrated that social support, financial adequacy and, above all, mental and physical health were strongly associated with quality of life. There was a graded relationship between occupational grade in mid-life and quality of life following labour market exit, a relationship which was largely accounted for by health and financial circumstances in retirement. After adjusting for occupational grade and social class, exposures to physical hazards and ergonomic strain were associated with lower quality of life following retirement; accumulated exposures to carcinogens were not. Pathways from working conditions to poorer quality of life via physical and mental health accounted for the associations between earlier strenuous and dangerous working conditions and quality of life following retirement. Retiring tended to improve subjective quality of life, particularly if it was from difficult psychosocial working conditions. Retiring in ill health was associated with worse quality of life; this retirement route was more likely for individuals who had poor working conditions. Continuing professional activities after retirement was associated with better quality of life, a retirement route more likely for individuals working in higher grades. Conclusions. The thesis demonstrated small but persistent life course influences of employment characteristics upon quality of life which appeared to be mediated via current determinants of quality of life.
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Mejia, Gabriel. "Psychological quality of life in the nursing home environment." CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/3178.
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This study confirms that depression is highly prevalent in nursing homes. In addition, this study reveals incongruency between depression rates and recognition rates of depression in the nursing home environment.
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Nilsson, Jan. "Understanding health-related quality of life in old age : a cross-sectional study of elderly people in rural Bangladesh /." Stockholm : Division of Geriatric Epidemiology, Department of Neurotec, Karolinska institutet ; Stockholm Gerontology Research Center, 2005. http://diss.kib.ki.se/2005/91-7140-477-5/.
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Ammerman, Leah. "Quality of Life After Cardiac Valve Replacement Surgery." Honors in the Major Thesis, University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1200.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Nursing
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Sugiura, Taichi, Midori Asano, Kiyomi Miura, Ayako Ishiguro, and Shinpei Torii. "Development of the Revised Final Version of the Quality of Life of Japanese School Aged Children with Asthma Questionnaire : The Characteristics of the Low QOL Scoring Group and Development of an Evaluation Form." Japanese Society of Allergology, 2005. http://hdl.handle.net/2237/7105.
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Monteiro, Antonio [UNESP]. "Idosos usuários do SUS do município de Alambarí-SP: Quem são? Como vivem? O que sentem?" Universidade Estadual Paulista (UNESP), 2002. http://hdl.handle.net/11449/98487.
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O acelerado processo de envelhecimento populacional, principalmente nos países em desenvolvimento constitui-se num dos grandes desafios a serem equacionados nas próximas décadas. No Brasil ainda são poucos os estudos epidemiológicos sobre a população idosa, principalmente em municípios de pequeno porte. Este é um estudo epidemiológico multidimensional que avaliou o universo dos idosos de 60 anos e mais, usuários do SUS num pequeno município paulista (3650 habitantes). Foram feitas entrevistas domiciliares a 322 idosos (92,8% da população idosa total do município), onde foram colhidas informações sobre características pessoais; condições socio-econômicas; condições de saúde, hábitos e percepção da qualidade de vida. Os resultados mostraram uma população de baixa escolaridade (87% com até primário incompleto); classe econômica baixa (82,3%); grande prevalência de edentulismo (89,1%); com pouco acesso a serviços preventivos básicos: 41% das mulheres nunca fez um Papanicolaou; 67,3% dos homens nunca fez um exame de próstata e 27% nunca consultaram um oftalmologista. Apesar dessas carências e seqüelas, a maioria dos entrevistados (88,8%) disseram estar felizes com suas vidas atuais. Conclui-se que essa população apresenta carências e seqüelas que necessitam ser atendidas visando a melhoria da qualidade de suas vidas. São apresentadas algumas recomendações para o desenvolvimento de ações a nível local, que visem atender algumas dessas necessidades e feita a recomendação para que se invista em ações de prevenção primária preparando as gerações mais novas para que quando sejam idosos tenham mais autonomia, maior produtividade, mais saúde e menor número de seqüelas evitáveis de doenças crônico-degenerativas e, portanto tenham melhores condições para serem mais felizes com qualidade de vida melhor. Palavras chave: Epidemiologia de idosos, Idosos do SUS, Idosos e qualidade de vida.
The accelerated process of population aging, mainly in developing countries, consist in one of the greatest challenges to be faced during the next decades. In Brazil there are still very few epidemiological studies about old aged population, especially living in small municipal districts. This is an epidemiological and multidimensional study which evaluated the universe of sixty years old and elder people, users of the SUS in a small municipal district of the state of São Paulo ( 3,650 inhabitants ).322 domiciliary interviews have been done with old people ( 92,2 percent from total of old aged population in that municipal district ), when informations were collected about: personal characteristics; socio-economical conditions; health conditions; customs and perception of life quality. Results have shown : low school level ( 87 percent with incomplete primary school/grade school ); low economical class ( 83,2 % ); high predominance of toothless persons ( 89,1 % ); quiet little access to basic preventive services; 40 % of the women never have done a Pap smear; 67,3 percent of the men never have dons a prostate examination and 27 percent never have seen an ophtalmologist. Despite these needfulnesses and their sequels, the majority of inquired people ( 88,8 % ) has told that they were happy with their present life conditions. Thus it follows that this population shows needfulnesses and their sequels which ought to be solve in order to improve their life quality. Some suggestions are presented to promote local actions which aim is to attend some of those necessities and also an advice is made to invest into primary preventive measures, so that younger generations, when they will become old, should be more independent, should have more productivity, a better health and a lower level of avoidable chronical degenerative diseases. Thus they might have more conditions to be happy with a better life quality.
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McGaffic, Cheryl Mallernee. "Patterns of spirituality and health among aging adults and dying adults living in the community." Diss., The University of Arizona, 1995. http://hdl.handle.net/10150/187408.
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This research tests and refines a middle range theoretical model about unitary developmental patterns in aging adults and dying adults. The primary aim was to explore the relationships among four unitary patterns of Health (power, personal death awareness, perceived symptoms in transition, and well-being) and three unitary patterns of Spirituality (self-transcendence, spiritual perspective, and meaning and purpose in life and death). A secondary aim was to explore the personal meanings of death for participants. A descriptive, cross-sectional design was used to answer the research questions. The sample was composed of 35 aging adults and 35 dying adults. Descriptive statistics were used to examine relationships among demographic and study variables. Relationships among variables were explored using bivariate and canonical correlational analysis. Content analysis was used to describe the meaning of death paragraphs. Analysis of variance and covariance was used to describe differences between the groups. Dying adults had greater death awareness than aging adults. There were no differences between the two groups for the other three patterns of Health. There were no differences in self-transcendence or meaning and purpose in life and death. Differences in spiritual perspective were gender-related, aging men having less spiritual perspective than aging women, dying men, or dying women. Different patterns of relationships were identified for each group. Greater purpose and self-transcendence were positively associated with greater well-being, more positive and fewer negative symptoms in transition, and more power for aging adults. For dying adults, less purpose, self-transcendence, and spiritual perspective were associated with less well-being, less positive and more negative symptoms, less power and more death awareness. Moderate or high scores were obtained on instruments measuring power, well-being, self-transcendence, spiritual perspective, and purpose in life. Both groups attributed positive evaluations, acceptance, and self-transcendence to meanings of death. This research enhances understanding of the potential for personal transformation and ongoing development in persons facing death. It also provides direction for nursing care in terms of fostering a sense of purpose in life, promoting spiritual expression, and assisting identification of patterns of power, symptoms in transition, and death awareness.
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Cassels, Nicola. "Quality-of-life and clinical outcomes in age-related macular degeneration." Thesis, Cardiff University, 2017. http://orca.cf.ac.uk/109189/.
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Age-related macular degeneration (AMD) is of increasing concern given the ageing population, and the associated economic and social burdens. Vision-related quality-of-life (QoL) is arguably one of the most important factors in the management of those with AMD. Consequently, there is a clear need for an understanding of the clinical outcomes that influence vision-related QoL in order to inform management strategies. The principle aim of the studies described herein was to determine the factors that predict vision-related QoL in those with AMD, over 1 year. Experimental procedures were undertaken at baseline (n=52 individuals with AMD) and repeated after 1 year (n=32 individuals with AMD). These included: visual acuity, contrast sensitivity, reading speed, microperimetry, optical coherence tomography and fundus photography. A questionnaire interview included assessment of vision-related QoL (Impact of Visual Impairment questionnaire), health status (EQ-5D), level of depressive symptoms (PHQ-9) and well-being (Warwick-Edinburgh Well-Being Scale). At baseline, the optimum multiple regression model accounted for 41% of the variance in vision-related QoL and included Mean Total Deviation or Mean Sensitivity with level of depressive symptoms. After 1 year, the optimum model to predict change in vision-related QoL accounted for 43% of the variance and included baseline contrast sensitivity and change in health status and reading speed. The most clinically useful measures of visual function, in identifying those with a reduced QoL or those at risk of a reduced QoL were contrast sensitivity, microperimetry, and reading speed. These outcomes may allow a better understanding of vision-related QoL if they were adopted in a clinical setting. In conclusion, the studies provide sufficient evidence to encourage a review of the clinical outcome measures most relevant to vision-related QoL.
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Soares, Joaquim JF, Örjan Sundin, Eija Viitasara, Maria Gabriella Melchiorre, Mindaugas Stankunas, Jutta Lindert, Francisco Torres-Gonzales, Henrique Barros, and Elisabeth Ioannidi-Kapolou. "Quality of life among persons aged 60-84 years in Europe: The role of psychological abuse and socio-demographic, social and health factors." Mittuniversitetet, Avdelningen för hälsovetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-18658.
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Background: Elder abuse and its effects are a serious public health issue. However, little is known about therelation between psychological abuse, other factors (e.g. social support) and quality of life (QoL) by domain. This studyaddressed differences in QoL by domain between psychologically abused and non-abused. While considering otherfactors such as social support. Methods: The respondents were 4,467 (2,559 women) randomly selected persons aged 60-84 years living in7 European cities. The mean response across countries was 45.2%. The cross-sectional data were analyzed withbivariate/multivariate methods. Results: Abused respondents contrasted to non-abused scored lower in QoL (autonomy, 67.42 ± 21.26 vs. 72.39± 19.58; intimacy, 55.31 ± 31.15 vs. 67.21 ± 28.55; past/present/future activities, 62.79 ± 19.62 vs. 68.05 ± 18.09;social participation, 65.03 ± 19.84 vs. 68.21 ± 19.77). Regressions showed that abuse was negatively associated withautonomy, intimacy and past/present/future activities, and positively with the social participation. All QoL dimensionswere negatively associated with country and depressive/anxiety symptoms, and positively with social support. Further,variables such as age, sex and somatic symptoms were negatively associated with some of the QoL dimensions andothers such as family structure, education, health care use and drinking positively. The regression model “explained”32.8% of the variation in autonomy, 45.6% in intimacy, 44.8% in past/present/future activities and 41.5% in socialparticipation. Conclusions: Abuse was linked to lower QoL in most domains, but other factors such as depressive symptomsalso carried a negative impact. Social support and to some extent family structure had a “protective” effect on QoL.Abuse, health indicators (e.g. depressive symptoms) and social support should be considered in addressing the QoL ofolder persons. However, QoL was influenced by many factors, which could not be firmly disentangled due to the crosssectionalapproach, calling for longitudinal research to address causality.
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Noller, Marcia. "Health promotion and quality of life in noninstitutionalized older adults." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897498.
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The purpose of this study was to examine the relationship between health promotion and quality of life in noninstitutionalized older adults. The study was conducted within the framework of Nola Pender's Health Promotion Model.Approval for this study was obtained from the Institutional Review Board of Ball State University for human protection of the participants. Permission from the five churches' boards was obtained. Written assurance of anonymity of subjects was given.This study was descriptive and correlational. Quality oflife was the dependent variable and the independent variables were health promoting behaviors, importance of health, perceived health status, the number of chronic health conditions and any consequent disruption to life, prior involvement in a senior citizens' wellness group or with a health advisor, and demographic variables including age, gender, marital status, living alone or with a companion or family, and education. Volunteer subjects aged 65 and older from five church groups were asked to complete the following questionnaires: Health Promoting Lifestyle Profile, Quality of Life Index, Value Survey, and a demographic sheet. The demographic questionnaire included an item regarding self-perceived health status, whether or not the participant had been involved in a wellness group or with a health advisor for older adults, and a checklist of chronic health conditions and whether or not these had had debilitating consequences for the participant.Hypotheses included the following: (1) There is no correlation between health promoting behavior and quality of life among older adults. (2) There is no correlation between importance of health and quality of life among older adults. (3) There is no correlation between perceived health status and quality of life among older adults. (4) There is no correlation between the number of chronic health conditions and quality of life among older adults. (5) There is no correlation between disruption brought about by chronic health conditions and quality of life among older adults. (6) There is no significant difference between those older adults who had participated in a senior citizens' wellness group or with a health advisor and those who had not. (7) There are no significant differences in older adult males and females and those who live alone or with family or a companion regarding quality of life. (8) There is no correlation between age and quality of life among older adults. (9) There is no correlation between number of years of education and quality of life among older adults.Statistical significance was found between Quality of Life Index and Health Promoting Lifestyle Profile scores (r=0.24, p<0.05) and Quality of Life Index and self-perceived health status scores (r=0.33, p<0.01). Other correlations, t-test, and analyis of variance did not achieve statistical significance.School of Nursing
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Bidinotto, Augusto Bacelo. "Saúde bucal e fatores associados na mudança da qualidade de vida em idosos sul brasileiros vivendo na comunidade : um estudo de coorte prospectivo." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/125816.
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Poucos estudos analisam a associação entre saúde bucal e qualidade de vida geral com um delineamento longitudinal. O objetivo do presente estudo foi avaliar se mudanças no estado de saúde bucal estiveram associadas com o declínio nos escores dos domínios do instrumento WHOQOL-bref. Este estudo longitudinal foi parte de uma coorte de idosos independentes vivendo no sul do Brasil. Uma amostra de 872 indivíduos com mais de 60 anos foi avaliada na linha de base em 2004. O seguimento aconteceu em 2012, sendo que a população para o presente estudo foi de 389 idosos. Entrevistas foram realizadas para coletar dados sociodemográficos, qualidade de vida (WHOQOL-bref) e sintomas depressivos (Escala de Depressão Geriátrica). Exames bucais com contagem de dentes foram realizados. Os participantes avaliaram sua satisfação com capacidade mastigatória e aparência oral. Riscos relativos foram estimados através de regressão de Poisson. Recuperação de sintomas depressivos foi um fator de proteção para declínio no escore dos domínios físico (RR 0,49 (0,30-0,80)), psicológico (RR 0,38 (0,20-0,73)), social (RR 0,52 (0,35- 0,76)) e ambiental (RR 0,31 (0,16-0,60)). No domínio físico, diminuição no número de doenças crônicas (RR 0,60 (0,40-0,88)) também esteve associado à qualidade de vida. Quanto ao domínio psicológico, melhora na satisfação com a capacidade mastigatória (RR 0,69 (0,50-0,97)) e perda dentária (RR 1,04 (1,02-1,06)) estiveram relacionados com o desfecho. No domínio social, morar na área rural (RR 1,11 (1,01- 1,23)) a aumento na satisfação com aparência bucal (RR 0,84 (0,72-0,98)) estiveram associados com a qualidade de vida. As mesmas variáveis estiveram associadas no domínio ambiental, a RR 1,24 (1,06-1,44) e RR 0,77 (0,61-0,97) respectivamente. Os resultados indicam que prevenir a perda dentária e reconhecer e tratar apropriadamente das necessidades do paciente no que diz respeito à capacidade mastigatória e aparência bucal pode ter impacto no bem-estar geral de idosos independentes.Few studies assess the association between oral health and general quality of life (QoL) in a longitudinal design. The aim of this study was to evaluate if changes in oral health status were associated with decline in WHOQOL-bref domain scores. This longitudinal study was part of a cohort of community dwelling elderlies in southern Brazil. A random sample of 872 individuals aged 60 or more was evaluated at baseline in 2004. Follow-up was carried out in 2012, with the population for the current study consisting of 389 elderlies. Interviews were performed to assess sociodemographic data, qol (WHOQOL-bref) and depressive symptoms (Geriatric Depression Scale). Oral examinations assessing the number of teeth were performed. Subjects were asked to rate their satisfaction with chewing ability and oral appearance. Risk ratios were estimated by means of Poisson regression. Recovery from depressive symptoms was a protective factor to decline in WHOQOL scores in the physical (RR 0.49 (0.30-0.80)), psychological (RR 0.38 (0.20-0.73)), social (RR 0.52 (0.35-0.76)) and environment (RR 0.31 (0.16-0.60)) domains. In the physical domain, decrease in number of chronic conditions (RR 0.60 (0.40-0.88)) was also associated. Regarding the psychological domain, improvement in satisfaction with chewing ability (RR 0.69 (0.50-0.97)) and tooth loss (RR 1.04 (1.02-1.06)) were also related to qol. In the social domain, living in rural area (RR 1.11 (1.01-1.23)) and increased satisfaction with oral appearance (RR 0.84 (0.72-0.98)) were associated to the outcome. The same variables were associated with the environment domain, at RR 1.24 (1.06-1.44) and RR 0.77 (0.61-0.97). The results indicate that preventing tooth loss and recognizing and properly addressing the patient’s concern regarding chewing and dental appearance can have an impact in the general well-being of community dwelling older adults.
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Oliveira, Gabriel Brassi Silvestre de. "Tradução e adaptação da quality of life scales for nursing home residents para o contexto brasileiro." Universidade Federal de São Carlos, 2014. https://repositorio.ufscar.br/handle/ufscar/3279.
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The Homes for the Aged may influence the quality of life (QOL) of the patients. However, there is a paucity of literature on specific instruments that assess the quality of life of older people in these contexts. The aim of this study was to culturally adapt the instrument Quality of Life Scales for Nursing Home Residents for the brazilian context. The scale has 54 items in total and includes eleven domains answered in the form of Likert scale and is used to assess the social and psychological aspects of QOL of patients. It is a methodological research, which followed the steps described in the literature on translation and adaptation of instruments: translation; synthesis of translations; back translation; review by a committee of judges and pretesting. The initial translation was developed by two independent qualified translators who investigated and corrected errors of interpretations and of ambiguous terms in the original language. Both translators and researchers conducted a synthesis of the results of the translations. In the back translation, the consensual translated version of the instrument was again passed into the original language (American English). In the next step, a review by a committee of judges aimed to produce a final version, modified and adapted after review and comparison of all translations performed. Likert scale was used for each item of the scale and calculated the Content Validity Index (CVI) in order to produce the final version and adapted. Items that had Validity Index (CVI) of 0.80 were reviewed again by experts. In the last step, the pre-test, the instrument was administered to 15 elderly patients in Homes for the Aged in order to confirm understanding, clarity of all questions in this sample. This step was developed in long-stay institutions for the elderly in a city in the state of São Paulo, in 2013. The Quality of Life Scales for Nursing Home Residents was translated and adapted to the brazilian context. The application of the instrument through the sample of institutionalized elderly showed clarity and understanding of all the items of the instrument.
As Instituições de Longa Permanência para Idosos (ILPI) podem influenciar a qualidade de vida (QV) de seus residentes. No entanto, há na literatura uma escassez de instrumentos específicos que avaliem a QV de idosos nesses contextos. O objetivo deste estudo foi realizar a adaptação cultural do instrumento Quality of Life Scales for Nursing Home Residents, para o contexto brasileiro. A escala possui 54 itens ao todo e inclui onze domínios respondidos no formato da escala Likert e é utilizada para avaliar os aspectos sociais e psicológicos da QV. Trata-se de uma pesquisa metodológica, que seguiu os seguintes passos descritos na literatura sobre tradução e adaptação de instrumentos: tradução; síntese das traduções; retrotradução; revisão por um comitê de juízes e o pré-teste. A tradução inicial foi desenvolvida por dois tradutores independentes e qualificados, que investigaram e corrigiram erros de interpretações e de termos ambíguos no idioma original. Os dois tradutores e os pesquisadores realizaram uma síntese do resultado das traduções. Já na retrotradução, a versão consensual traduzida do instrumento foi novamente passada para a língua de origem (inglês americano). Na etapa seguinte, a revisão por um comitê de juízes teve como objetivo produzir uma versão final, modificada e adaptada após revisão e comparação de todas as traduções realizadas. Foi utilizada uma escala Likert para cada item da escala e calculado o Índice de Validade de Conteúdo (IVC), a fim de produzir a versão final e adaptada. Os itens que obtiveram Índice de Validade (IVC) de 0,80 foram revisados novamente pelos especialistas. Na última etapa, o pré-teste, o instrumento foi aplicado para 15 idosos residentes em ILPI a fim de confirmar a compreensão e a clareza de todas as perguntas nessa amostra. Esta etapa foi desenvolvida em Instituições de Longa Permanência para idosos em uma cidade no interior do estado de São Paulo, no ano de 2013. A escala Quality of life Scales for Nursing Home Residents foi traduzida e adaptada para o contexto brasileiro. A aplicação do instrumento por meio da amostra de idosos institucionalizados apresentou clareza e compreensão de todos os itens do instrumento.
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Browall, Maria. "Experience of adjuvant treatment among postmenopausal women with breast cancer : health - related quality of life, symptom experience, stressful events and coping strategies /." Göteborg : Institute of Health and Care Sciences, Göteborg University, The Sahlgrenska Academy at Göteborg University, 2008. http://hdl.handle.net/2077/9586.
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Pappne, Demecs Ilona. "The use of creative activities in dementia in residential aged care facilities in Australia : a cross-sectional study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82146/1/Ilona_Pappne%20Demecs_Thesis.pdf.
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This thesis provides the first inquiry into the use of creative activities in dementia care in residential aged care facilities in Australia. The study used descriptive method design, incorporating a mix of quantitative and qualitative approaches to explore the incidence and the characteristics of these activities from the carers' perspective. Information about the use of creative activities and the appreciation of these activities by residents and carers is essential to the provision of dementia care and treatment to improve the quality of life of people with dementia.
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Kwan, Hoi-yee. "Communication needs, problems, and quality of life in Hong Kong elderly people." Click to view the E-thesis via HKUTO, 1999. http://sunzi.lib.hku.hk/hkuto/record/B36209910.
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Thesis (B.Sc)--University of Hong Kong, 1999."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, May 14, 1999." Also available in print.
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Alves, Vivian Cristina Pacola. "Stress e qualidade de vida em grupos de idosos: an?lise e compara??o." Pontif?cia Universidade Cat?lica de Campinas, 2008. http://tede.bibliotecadigital.puc-campinas.edu.br:8080/jspui/handle/tede/211.
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The present study had for objective to compare the presence of stress, level of quality of life and presence of stressors in three different groups of aging subjects: a group that were taking courses at an University Special Program for the Aged; a group that lived in a home for the aged and another group that lived at home and engaged in Catholic religious activities on a regular basis. Sixty people (30 men and 30 women) participated in the study, ranging form 60 to 81 years of age. Results showed that 55% of the sample did not present signs of emotional stress, 33,5% were in the resistance stage of stress and 55% of the people who lived in the home for the aged had significant more stress symptoms while 60% of the University attendants and 70% of the religious activity group did not have such symptoms. A low level of quality of life was found in all three groups, especially in the health area. Social and affective areas were the ones most preserved in quality. Worrying about depending upon others, routine activities, such as going to the bank, supermarket, and to perceive physical losses, such as vision, audition and others were mentioned as the greatest sources of stress in the three groups. Results indicate the importance of special stress management programs for the age group, especially those who live in homes for the aged.
Este estudo teve por objetivo comparar a incid?ncia de stress, n?vel da qualidade de vida e fontes de stress entre tr?s grupos diversificados de idosos (participantes da Universidade da Terceira Idade, residentes de asilo e idosos que participam ativamente de um grupo religioso cat?lico). A amostra foi composta por 60 pessoas, sendo 30 homens e 30 mulheres, na faixa et?ria entre 64 e 81 anos de idade. Os resultados demonstraram que, 55% dos participantes n?o apresentavam sintomas significativos de stress, 33,5% se encontraram na fase de resist?ncia, sendo que os idosos que residiam no asilo eram os mais prejudicados, apresentando 55% de stress, enquanto 60% dos idosos estudantes da UNATI, n?o apresentaram sintomas significativos de stress e 75% dos idosos participantes de atividades religiosas n?o apresentaram sintomas significativos de stress. Um baixo n?vel de qualidade de vida foi constatado nos tr?s grupos, principalmente no que diz respeito ? sa?de. Sociabilidade e afetividade mostraram-se as ?reas mais preservadas, ressaltando que todos os participantes que responderam ao quadrante profissional apresentaram ?ndice de fracasso. Preocupa??es quanto a depender de outras pessoas, desempenharem atividades de rotina como ir a bancos, supermercados e feiras e notar em si perdas f?sicas como de audi??o, vis?o e outros foram apontados como as fontes de estressoras mais importantes nos tr?s grupos. Os resultados da pesquisa sugerem a import?ncia de se implementar programas de controle do stress para idosos, principalmente para os que residem em asilos.
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Neves, Barbara Correia 1989. "Qualidade de vida de idosos residentes em um município de pequeno porte do interior de São Paulo." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312312.
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Orientador: Zélia Zilda Lourenço de Camargo BittencourtDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: As mudanças demográficas e epidemiológicas nos levam a refletir sobre o que traz qualidade de vida na velhice, não só para idosos da comunidade, mas principalmente para aqueles mais vulneráveis, como os institucionalizados. Objetivo: Avaliar e comparar a qualidade de vida de idosos institucionalizados e não institucionalizados residentes em um município de pequeno porte do interior do Estado de São Paulo. Métodos: Foram entrevistados 21 idosos de uma instituição de longa permanência para idosos (ILPI) e 322 da comunidade. Aplicaram-se os questionários de qualidade de vida WHOQOL¿BREF e WHOQOL-OLD e realizou-se levantamento de dados sócio demográficos e do estado de saúde. Na comparação dos escores dos domínios de ambos os instrumentos utilizou-se a Análise de Variância e o teste post-hoc de Tukey para as amostras independentes utilizou-se o teste "t". Testes com nível de significância de 0,05. Resultados: Predominaram as seguintes características: mulheres na comunidade (61,8%), homens na ILPI (71,43%), nível fundamental de escolaridade (77,95%) na comunidade e 85,71% na ILPI; idosos casados (65,53%) na comunidade e 28,57% na ILPI. A participação e frequência a clubes e associações foram relatadas por 75,78% de idosos da comunidade e 61,90% da ILPI. Quanto aos instrumentos utilizados os idosos da comunidade obtiveram maiores escores que os institucionalizados. Idosos da ILPI que participavam e frequentavam clubes e associações obtiveram maiores escores em todos os domínios de QV dos dois instrumentos e a renda mensal obteve significância estatística para maiores escores em idosos da comunidade. No WHOQOL-BREF a maior pontuação obtida pelos idosos da comunidade foi no domínio psicológico (70,83) e a menor no domínio físico (60,71). Para os da ILPI a maior pontuação foi para o domínio psicológico (58,33) e os menores no domínio social e nas questões gerais (50,0). Na avaliação pelo WHOQOL-OLD enquanto que para os idosos institucionalizados o domínio morte e morrer apresentou o menor score (12,50), para os idosos da comunidade este foi o domínio de maior pontuação (81,25). Conclusão: Os achados do estudo evidenciaram que idosos institucionalizados apresentaram piores escores de QV comparativamente aos da comunidade revelando que a inclusão social e participação em diferentes atividades contribuem significativamente para a melhoria da qualidade de vida
Abstract: Demographic and epidemiological changes lead us to reflect on what brings quality of life in old age, not only to community-based elderly, but, more importantly, to the most vulnerable, the institutionalized individuals. Objective: To evaluate and compare the quality of life of institutionalized and non-institutionalized elderly in a small city in the state of São Paulo. Methods: Twenty-one people in a long-term care facility for the elderly (LTCF) and 322 living in the community were interviewed. The WHOQOL-BREF and WHOQOL-OLD quality of life questionnaires were applied and sociodemographic and health status variables were recorded. Analysis of variance tests was used to compare scores of the domains of both instruments; the post-hoc Tukey test was used when the p-value <0.05. The t-test was used for independent samples. The level of significance was set at 0.05 in all statistical tests. Results: The following characteristics prevailed: women in the community (61.8%), men in LTCF (71.43%); elementary education, 77.95% in the community and 85.71% in LTCF; married people, 65.53% in the community and 28.57% in LTCF. Participation and attendance in clubs and associations was reported by 75.78% and 61.90% of the community-based and LTCF elderly, respectively. Moreover, community-based elderly had higher scores than institutionalized individuals according to the instruments used. LTCF elderly who participated in clubs and associations had higher scores in all QOL domains of the two instruments and monthly income was associated with higher scores in community-based elderly. The highest score obtained by non-institutionalized elderly in the WHOQOL-BREF was for the psychological domain (70.83) and the lowest score for the physical domain (60.71). For the LTCF elderly, the highest score was for the psychological domain (58.33) and the lowest for the social domain and general issues (50.0). While the lowest scoring domain of the WHOQOL-OLD for institutionalized elderly was death and dying (12.50), it was the highest scoring domain (81.25) for the community-based elderly. Conclusion: The study findings show that institutionalized elderly have worse quality of life scores compared to community-based individuals demonstrating that social inclusion and participation in different activities contribute significantly to improving the quality of life
Mestrado
Interdisciplinaridade e Reabilitação
Mestra em Saúde, Interdisciplinaridade e Reabilitação
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Pontes, Maria de Lourdes de Farias. "Qualidade de vida e fragilidade em idosos que residem em comunidades." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-17012014-111610/.
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A qualidade de vida em idosos é um conceito subjetivo, amplo e multifatorial, que resulta da interação entre pessoas em mudanças que vivem em sociedade e de suas relações intra, extraindividuais e comunitárias. Trata-se de um estudo transversal, teve por objetivo avaliar a qualidade de vida de idosos vulneráveis a fragilidade e os frágeis que vivem em comunidade. A amostra probabilística resultou na participação de 131 idosos residentes em 20 setores censitários do município de João Pessoa - PB. Os dados foram coletados mediante entrevistas domiciliares, realizadas no período de abril a junho de 2011, utilizando instrumento contendo questões sociodemográficas para a caracterização do idoso e para identificar problemas de saúde autorreferidos; Escala de Fragilidade de Edmonton (EFS); Escala de Depressão Geriátrica (EDG); WHOQOL-BREF e WHOQOL-OLD. Os dados foram analisados pela estatística descritiva, com testes para comparação de médias entre dois grupos (t-student); três ou mais grupos (análise de variância- Anova) e a correlação entres as variáveis (teste de Pearson). A média de idade foi de 75,4 (DP = 7,7) anos. Houve predominância do sexo feminino (74,0%), cor parda (45,0%), casados (45,0%), analfabetos (29,8%), renda familiar de 1 a 2 salários mínimos (31,3%); predominância do estado aparentemente vulnerável à fragilidade entre os idosos (45,8%). Ao relacionar os escores de fragilidade com variáveis sociodemográficas, observou-se que a cor da pele (p = 0,036) e a ocorrência de comorbidades (p = 0,002) apresentaram-se estatisticamente significantes. O problema de saúde autorreferido mais frequente entre os idosos foi a hipertensão arterial (69,5%), e o sexo feminino apresentou maior frequência em todos os problemas de saúde, com significância estatística para a hipertensão arterial e a audição prejudicada. Verificou-se dependência estatística entre as morbidades: DPOC/ Enfizema - doença bronco-pulmonar (p = 0,012), derrame (p < 0,001), doença cardíaca (p<0,001), doença neurológica - Parkinson/Esclerose (p = 0,022), hipertensão arterial (p = 0,031), incontinência urinária ou fecal (p = 0,001) e a síndrome de fragilidade. Os maiores escores médios da qualidade de vida foi para o domínio relações sociais (68,06) e a faceta intimidade (63,93). Houve diferença estatisticamente significativa (p = 0,029) na comparação das médias de homens e mulheres na faceta passado-presente - futuro. E entre as médias das facetas habilidades sensoriais e autonomia (p = 0,043 e p = 0,013) segundo a variável faixa etária. O único domínio da qualidade de vida a apresentar diferença estatisticamente significativa (p = 0,001) com os escores de fragilidade foi o físico. Todos os domínios do WHOQOL-BREF e as facetas autonomia (p = 0,039), atividades passado- presente-futuro (p<0,001), participação social (p<0,001) e intimidade (p<0,001) mostraram diferença estatisticamente significativa quando relacionado aos sintomas de depressão. O conhecimento dos níveis de fragilidade favorece a identificação de grupos de riscos, auxiliando na formulação de plano de cuidado para os idosos frágeis, com vistas à promoção da saúde e sua qualidade de vidaQuality of life of elderly people is a subjective, broad and multifactorial concept resulting from the interaction of people who live in society undergoing changes, and from their community, intra- and extraindividual relationships. The aim of this cross- sectional study was to assess the quality of life of elderly individuals vulnerable to frailty and that of frail elderly individuals who live in community. The probabilistic sample resulted in the participation of 131 elderly individuals living in 20 census sectors in the municipality of João Pessoa, state of Paraíba. Data were collected by means of home interviews, in the period between April and June of 2011, using an instrument containing sociodemographic questions so as to characterize the elderly and to identify self-reported health care problems, namely: Edmonton Frail Scale (EFS); Geriatric Depression Scale (GDS); WHOQOL-BREF and WHOQOL-OLD. Data were analyzed using descriptive statistics and tests to compare the means between the two groups (student\'s t test); three or more groups (analysis of variance -Anova) and the correlation between the variables (Pearson\'s test). The mean age was 75.4 (SD = 7.7) years. There was predominance of female (74.0%), mixed race (45.0%), married (45.0%), and illiterate (29.8%) individuals, with a family income of 1 to 2 minimum wages (31.3%); and predominance of the apparently vulnerable state to frailty among the elderly (45.8%). Relating the frailty scores with the sociodemographic variables allowed to observe that the skin color (p = 0.036) and the occurrence of comorbidities (p = 0.002) were statistically significant. The most frequent self-reported health problem among the elderly was arterial hypertension (69.5%), and women presented a higher frequency in all of the health problems, with statistical significance for arterial hypertension and impaired hearing. Statistical dependence was also observed between the comorbidities: bronchopulmonary disease - chronic obstructive pulmonary disease/emphysema (p = 0.012), stroke (p < 0.001), cardiac disease (p<0.001), neurologic disease - Parkinson/sclerosis (p = 0.022), arterial hypertension (p = 0.031), urinary or fecal incontinence (p = 0.001) and the frailty syndrome. The highest mean scores of quality of life were found in the domain of social relationships (68.06) and in the dimension of intimacy (63.93). There was a statistically significant difference (p = 0.029) in the comparison of the means of men and women in the dimension past-present-future, and between the means of the dimensions of sensory skills and autonomy (p = 0.043 and p = 0.013) according to the age range variable. The physical domain was the only domain in quality of life to present a statistically significant difference (p = 0.001) with the scores of frailty. All of the domains in the WHOQOL-bref and the dimensions of autonomy (p = 0.039), past- present-future activities (p<0.001), social participation (p<0.001) and intimacy (p<0.001) showed a statistically significant difference when related to the symptoms of depression. The knowledge of frailty levels favors the identification of risk groups, assisting to elaborate a care plan towards frail elderly individuals, aimed to promote their health and quality of life
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Machado, Daniel Rodrigues. "Violência contra idosos e qualidade de vida relacionada à saúde: estudo populacional no município de São Paulo." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-12092014-151733/.
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Introdução: Qualidade de Vida Relacionada à Saúde (QVRS) tem sido considerada como importante medida de avaliação do estado de saúde e de predição de mortalidade em idosos. Diversos estudos detectaram fatores associados à QVRS de idosos, mas, poucos deles, até o momento, propuseram-se a analisar as associações entre violência e QVRS dessa população. Objetivos: identificar a prevalência e as características da violência contra idosos não institucionalizados, residentes no Município de São Paulo; comparar idosos expostos e não expostos à violência em relação a dados sociodemográficos, econômicos, de saúde, de funcionalidade familiar, de incapacidade funcional e dos componentes físico e mental da QVRS; verificar se a violência é um fator independente associado aos escores dos componentes físico e mental da QVRS de idosos. Método: esta pesquisa transversal é parte integrante do Estudo SABE (Saúde, Bem-Estar e Envelhecimento). Os dados foram coletados em 2010 e a amostra compôs-se de 1.147 idosos que responderam o Short-Form 12 Health Related Survey (SF-12), instrumento genérico que avalia a QVRS em seus Componentes Físico (CF) e Mental (CM). O CF e o CM do SF-12 foram as variáveis dependentes do estudo. Utilizou-se a regressão linear múltipla, método stepwise backward, para identificação dos fatores associados aos componentes da QVRS. Resultados: a prevalência da violência contra idosos foi de 10,1% (IC 95% 8,4 12), e o tipo mais comum foi a psicológica (9,3%). As variáveis idade e coabitação não diferenciaram significativamente os idosos expostos e não expostos à violência. Sexo feminino, insuficiência de renda, baixa escolaridade, família disfuncional, saúde percebida como ruim, multimorbidade, dor referida, sintomas depressivos, deterioração cognitiva e dificuldades para executar ABVD ou AIVD foram as características presentes em maior proporção no grupo de idosos expostos à violência, quando comparados ao grupo não exposto. Além disso, os idosos expostos à violência, em comparação aos não expostos, alcançaram menores médias nos escores no CF (44,4, DP=10,8 contra 49,1, DP=9,3) e no CM (50,1, DP=12 contra 55,8, DP=7,5) com p<0,001 em ambos os componentes. Na análise múltipla, a violência contra idosos permaneceu significativamente associada ao CM da QVRS (=-2,69; p<0,001), independente de covariáveis demográficas, econômicas, de saúde, de apoio familiar e de incapacidade funcional. Conclusão: a prevalência da violência contra idosos detectada neste estudo foi elevada; os idosos expostos à violência, em comparação aos não expostos, apresentaram diferenças em relação às suas características demográficas, econômicas, de saúde, de funcionalidade familiar e de incapacidade funcional; e a exposição à violência comprometeu o CM da QVRS dos idosos. Medidas de prevenção e controle desse agravo à saúde devem ser tratadas como prioritárias à população idosaIntroduction: Health-related Quality of Life (HRQoL) has been considered as an important measure of health status assessment and a predictor of mortality in elderly. Several studies found factors associated to elderly\'s HRQoL, however, to date, few have proposed to examine the associations between violence and HRQoL of this population. Objectives: to identify the prevalence and characteristics of violence against non-institutionalized elderly who live in the city of São Paulo; to compare elderly who are exposed and not exposed to violence regarding to following variables: sociodemographic, economic and health data, familiar functionality, functional disability and HRQoL\'s physical and mental components; to verify whether violence is a factor independently associated to scores of the HRQoL\'s physical and mental components in elderly. Method: This cross-sectional study is part of the SABE (Health, Wellness, and Aging Study). Data were collected in 2010 and the sample was composed by 1,147 elderly who responded to the 12-Item Short-Form Health Related Survey (SF-12), a generic instrument that assesses the HRQoL in its Physical (CF) and Mental (CM) Components. The CF and CM of the SF-12 were the dependent variables of this study and we used the multiple linear regression, a method of backward stepwise selection to identify the factors associated to HRQOL\'s components. Results: The prevalence of violence against the elderly was 10,1% (IC 95% 8,4 12) and the psychological violence was the most common (9,3%). The cohabitation and age variables did not significantly differentiate the elderly exposed and those non- exposed to violence. Female sex, insufficient income, low education, dysfunctional family, health perceived as poor, multimorbidity, referred pain, depressive symptoms, cognitive impairment and difficulty to perform ABVD ou AIVD were the features presented with higher proportion in the group of elderly exposed to violence, compared to the unexposed ones. Furthermore, elderly exposed to violence achieved lower scores in HRQoL\'s CF(44,4, SD=10,8 vs. 49,1, SD=9,3) and CM(50,1, SD=12 vs. 55,8, SD=7,5) compared to unexposed ones, with p<0,001 in both components. In multiple analysis, the violence against the elderly remained significantly associated to HRQOL\'s CM (=-2,69; p<0,001), independent of demographic, economic, health, family support and functional disability covariables. Conclusion: The prevalence of violence against elderly identified in this investigation was high; the elderly exposed to violence, compared to non-exposed ones, presented differences concerning their demographic, economic, health, family support and functional disability features; and the exposion to violence undermined the HRQOL\'s CM of elderly. Prevention and control actions for this health hazard should be considered as a priority for the elderly
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Giacomini, Rodrigo Albuquerque [UNESP]. "Avaliação do apoio social em idosos em município do inteiror paulista." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/98427.
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Este trabalho surgiu a partir da constatação de que o aumento da população idosa vem ocorrendo em proporções cada vez maiores e de que ha uma relação positiva entre o apoio social e melhores condições de vida e saúde. Em face dessas considerações, faz se necessário o conhecimento das necessidades e condições de vida deste segmento etário para que possamos estar melhor preparados para oferecer serviços que possam garantir melhor qualidade de vida a esta população. Este estudo é um trabalho epidemiológico do tipo transversal, populacional, com o objetivo de descrever as características demográficas e de apoio social relativamente aos idosos, no município de Botucatu – SP. Utilizou-se para tanto de perguntas da escala Medical Outcome Study (MOS). A população caracterizou-se por um percentual maior de mulheres do que de homens, o percentual de homens casados foi maior do que o de mulheres casadas. Tanto homens quanto mulheres têm baixo nível de escolaridade, em geral ate a 4. série do 1. grau. A maioria dos idosos que ainda trabalhavam eram homens, e, um terço, não importando o gênero, tinha renda menor que um salário mínimo. A análise dos dados demonstrou que o idoso do município de Botucatu conta com apoio social razoável. Entretanto, os idosos não casados são os que apresentam menor apoio social e a categoria de apoio social “interação social positiva” pode ser incrementada através de políticas sociais, que, como sugestão, deveriam ser organizadas através da atenção básica em saúde.
The present work started with the verification that the increase of the aged population has been taking place in higher and higher proportions and there is a positive relation among social support and better life and health conditions. According to these considerations, it’s necessary the knowledge of necessities and life conditions of this age group to provide better quality of life to this population. This study is an epidemiological work of the transversal type, populational with the goal of describing demographic characteristics and social support to the aged in the municipality of Botucatu - SP. To measure social support, questions from the Medical Outcome Study(MOS) were used. The population was characterized by a higher percentage of women than men, by married men than married women, on the whole, both with elementary school (4. grade). Most aged that worked were men, and 30.1% of men and women earned less than one minimum wage. A data analysis has basically shown that the aged in the municipality of Botucatu present a reasonable level of social support. However, the “not married” elderly are those who have less social support and the category of social support “ positive social interaction” could be increased through social policy that, as suggestion should be organized through a basic attention of health.
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Monteiro, Mayla Myrina Bianchim 1985. "Qualidade de vida em idosos com baixa visão adquirida : pré e pós intervenção terapêutica." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310192.
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Orientador: Keila Miriam Monteiro de CarvalhoTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Estudos sobre o envelhecimento e sobre qualidade de vida vêm ganhando espaço nas ultimas décadas, devido ao aumento da expectativa de vida da população, não sendo diferente na Oftalmologia. Esta pesquisa procurou conhecer e avaliar a qualidade de vida de idosos deficientes visuais após participarem de uma Intervenção Terapêutica. Foi realizado um estudo longitudinal, através de dois questionários de qualidade de vida para doenças oculares: Low Vision Quality of Live e Vision Function Questionaire- 25. A população deste estudo foi constituída por sujeitos idosos, portadores de baixa visão adquirida, atendidos no Ambulatório de Visão Subnormal/HC/UNICAMP no período de fevereiro de 2011 a junho de 2012. Os dois questionários eram aplicados pela pesquisadora, e após, os sujeitos foram convidados a participarem da Intervenção Terapêutica que foi realizada em três encontros mensais e consecutivos, abordando os seguintes temas: atividades do dia a dia, auxílios ópticos e não ópticos e leitura e escrita. Após participarem dos três encontros, os sujeitos respondiam novamente aos questionários. Análises estatísticas foram utilizadas na análise dos dados. Cinquenta e dois sujeitos participaram da pesquisa. A faixa de idade participante do estudo deu-se entre 60 e 91 anos. As degenerações maculares foram as principais causas da perda visual (38%). A maioria dos sujeitos (80%) tem o primário como grau de escolaridade. Estatisticamente, não houve melhora significativa no grau de dificuldade na realização de atividades do dia a dia após Intervenção Terapêutica nos dois questionários (VEM=3.2 pré intervenção e VEM=3.1 pós Intervenção). Houve aumento do uso de auxílios ópticos pós intervenção (de 37 (61%) para 45 (86%) sujeitos fazendo uso do auxílio óptico) devido à abordagem da necessidade do uso do mesmo e também explanações acerca de seu funcionamento. As dificuldades na realização de tarefas do dia a dia pode influenciar diretamente a qualidade de vida das pessoas com baixa visão, ponto este que deve ser abordado amplamente nos serviços de reabilitação
Abstract: Studies on elderly and quality of life have been gaining ground in recent decades, due to increased life expectancy of the population, not being different in Ophthalmology. This research sought to understand and evaluate the quality of life of low vision elderly after participating in a Therapeutic Intervention. A longitudinal study, using two questionnaires on quality of life for eye diseases was conducted: Low Vision Quality of Live and Vision Function Questionnaire - 25. The study population consisted of elderly subjects, with acquired low vision at the Outpatient Low Vision / HC / UNICAMP from February 2011 to June 2012. The subjects responded to both questionnaires, and after, were invited to participate in the Therapeutic Intervention which was carried out in three consecutive monthly meetings, addressing the following topics: activities of daily life, optical and non-optical aids and reading and writing. After participating in the three meetings, the subjects answered the questionnaires again. Statistical analyzes were used to analyze the data. Fifty-two subjects participated in the study. The age of the study participants was between 60 and 91 years. Macular degeneration was the main causes of visual loss (38 %). Most subjects (80 %) has the primary as schooling. Statistically, there was significant improvement in the degree of difficulty in performing activities of daily life after Therapeutic Intervention in the two questionnaires (VEM=3.2 pre intervention e VEM=3.1 post Intervention). There was increased use of optical aids post-intervention (37 (61 %) to 45 (86 %) subjects making use of optical aids) because of the need to use it and also explanations about their operation approach. The difficulties in carrying out everyday tasks can directly influence the quality of life for people with low vision, a point that should be addressed extensively in rehabilitation services
Doutorado
Ciencias Biomedicas
Doutora em Ciências Médicas
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Monteiro, Antonio. "Idosos usuários do SUS do município de Alambarí-SP : Quem são? Como vivem? O que sentem?" Botucatu : [s.n.], 2002. http://hdl.handle.net/11449/98487.
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Orientador: Tania RuizResumo: O acelerado processo de envelhecimento populacional, principalmente nos países em desenvolvimento constitui-se num dos grandes desafios a serem equacionados nas próximas décadas. No Brasil ainda são poucos os estudos epidemiológicos sobre a população idosa, principalmente em municípios de pequeno porte. Este é um estudo epidemiológico multidimensional que avaliou o universo dos idosos de 60 anos e mais, usuários do SUS num pequeno município paulista (3650 habitantes). Foram feitas entrevistas domiciliares a 322 idosos (92,8% da população idosa total do município), onde foram colhidas informações sobre características pessoais; condições socio-econômicas; condições de saúde, hábitos e percepção da qualidade de vida. Os resultados mostraram uma população de baixa escolaridade (87% com até primário incompleto); classe econômica baixa (82,3%); grande prevalência de edentulismo (89,1%); com pouco acesso a serviços preventivos básicos: 41% das mulheres nunca fez um Papanicolaou; 67,3% dos homens nunca fez um exame de próstata e 27% nunca consultaram um oftalmologista. Apesar dessas carências e seqüelas, a maioria dos entrevistados (88,8%) disseram estar felizes com suas vidas atuais. Conclui-se que essa população apresenta carências e seqüelas que necessitam ser atendidas visando a melhoria da qualidade de suas vidas. São apresentadas algumas recomendações para o desenvolvimento de ações a nível local, que visem atender algumas dessas necessidades e feita a recomendação para que se invista em ações de prevenção primária preparando as gerações mais novas para que quando sejam idosos tenham mais autonomia, maior produtividade, mais saúde e menor número de seqüelas evitáveis de doenças crônico-degenerativas e, portanto tenham melhores condições para serem mais felizes com qualidade de vida melhor. Palavras chave: Epidemiologia de idosos, Idosos do SUS, Idosos e qualidade de vida.
Abstract: The accelerated process of population aging, mainly in developing countries, consist in one of the greatest challenges to be faced during the next decades. In Brazil there are still very few epidemiological studies about old aged population, especially living in small municipal districts. This is an epidemiological and multidimensional study which evaluated the universe of sixty years old and elder people, users of the SUS in a small municipal district of the state of São Paulo ( 3,650 inhabitants ).322 domiciliary interviews have been done with old people ( 92,2 percent from total of old aged population in that municipal district ), when informations were collected about: personal characteristics; socio-economical conditions; health conditions; customs and perception of life quality. Results have shown : low school level ( 87 percent with incomplete primary school/grade school ); low economical class ( 83,2 % ); high predominance of toothless persons ( 89,1 % ); quiet little access to basic preventive services; 40 % of the women never have done a Pap smear; 67,3 percent of the men never have dons a prostate examination and 27 percent never have seen an ophtalmologist. Despite these needfulnesses and their sequels, the majority of inquired people ( 88,8 % ) has told that they were happy with their present life conditions. Thus it follows that this population shows needfulnesses and their sequels which ought to be solve in order to improve their life quality. Some suggestions are presented to promote local actions which aim is to attend some of those necessities and also an advice is made to invest into primary preventive measures, so that younger generations, when they will become old, should be more independent, should have more productivity, a better health and a lower level of avoidable chronical degenerative diseases. Thus they might have more conditions to be happy with a better life quality.
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Abell, Jessica. "Quality of life at older ages and marital status : gender and welfare regime variation." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/25529.
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Background: Evidence of an association between marital status and well-being has been demonstrated, with married people reporting higher levels of well-being. However, the strength of this relationship in later life may be influenced by both societal context and gender. This thesis will examine the association between marital status and quality of life in older people and consider if this relationship varies by welfare arrangements and if gender moderates these associations. This research will also explore how quality of life is experienced within married couples. Methods: Quality of life was measured using CASP-12. The relationship with both current and past marital status was examined. Analyses were conducted using data from The Survey of Health, Ageing and Retirement in Europe (SHARE) and the English Longitudinal Study of Ageing (ELSA). A welfare state regime approach was used to examine societal context and due to feminist criticisms of these approaches, two further methods of comparison were used. A dyadic data technique was also used to examine the interdependence of quality of life for married people. Results: Current marital status was found to be a predictor of quality of life at older ages. However, variation in this association was observed across the welfare state regimes. When health and socio-economic circumstances were taken into account, the advantage of marriage for quality of life was often attenuated. Gender differences in this relationship were also observed; especially when gender focused methods were examined. Spousal interdependence of quality of life was also observed within married couples. Conclusions: This research expands our understanding of the association between marriage and well-being by suggesting that societal context is important and that marriage may offer men and women different kinds of protection as they age. It also suggests that for older married couples, quality of life is not just an individual experience.
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SOLEIMANI, GHAZAL. "A RETROSPECTIVE STUDY OF THE RELATIONSHIP BETWEEN CHRONOLOGICAL AGE AND THE SELF-PERCEIVED QUALITY OF LIFE AMONG RENAL DIALYSIS PATIENTS THROUGH ADMINISTRATION AND MEASUREMENT BY THE SF-36 QUALITY OF LIFE QUESTIONNAIRE." University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1123615963.
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Carneiro, Patrícia Silva. "Efeitos de um programa de atividade física não supervisionada sobre a pressão arterial, aptidão física e qualidade de vida em idosos hipertensos." Universidade Federal de Goiás, 2016. http://repositorio.bc.ufg.br/tede/handle/tede/6110.
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BACKGROUND: Regular physical activity reduces the risk of diseases, including high blood pressure, however, in order to achieve the benefits it is necessary that the population leave the sedentary lifestyle and become physically active. As this regard, it is necessary to undertake safe and economically viable strategies that help the population to adopt healthy habits that favor an active life, and hence avoid the harms that sedentary lifestyle entails. AIMS: To verify the interference of an unsupervised exercise program on blood pressure, physical fitness, quality of life and safety in elderly hypertensive patients. METHODOLOGY: Randomized controlled clinical trial. Participants were divided into the study group or control group. They undergo clinical evaluation, and anthropometric measurements, blood pressure (casual and ambulatory blood pressure monitoring), physical tests and laboratory control were taken at the beginning and the end of the study. We also evaluate the quality of life by the SF-36 questionnaire. After a period of 12 weeks of unsupervised walking program in which participants were asked to do it three times a week at least, at a moderate intensity (40 to < 60% of heart rate reserve), all participants underwent a complete re-evaluation to compare the results obtained with the proposed program. Data were analyzed using SPPS, v.23.0. Qualitative variables were presented in absolute numbers and percentages and the analysis of association between then was carried out by Qui-Square test or Fisher exact test, where applicable. After that, the comparison of proportions intragroup was made with Wilcoxon test. Shapiro –Wilk test was used to analyze quantitative variables concerning its distribution and the comparison of means of variables with normal distribution was carried out with T-Student test for unrelated or paired samples. The results were presented as mean and standard deviation and the value of p<0.05 was considered statistically significant. RESULTS: Blood pressure did not change significantly in both groups, but no complications were seen during the follow-up period. In relation to physical fitness, the participants in the intervention group showed a significant improvement in cardiorespiratory fitness (p=0,016) and abdominal strength (p=0,046) when both groups were compared. Regarding the quality of life, it has been a significant increase in the scores of domains related to functional capacity (p=0,012), vitality (p=0,039) and emotional aspect(p=0,023) in the intervention group. CONCLUSIONS: The data in this study provide a good indication that an unsupervised exercise program is safe, helps maintain blood pressure, and improves physical fitness and quality of life in elderly hypertensive patients.
Introdução: A atividade física (AF) reduz o risco de doenças, incluindo a hipertensão arterial. Para que esses benefícios sejam alcançados é necessário que a população deixe o sedentarismo e se torne fisicamente ativa. Nesse sentido, faz-se necessário empreender estratégias seguras e viáveis economicamente para que a população adote hábitos que privilegiem uma vida ativa, evitando os males que o sedentarismo acarreta. Objetivos: Verificar os efeitos de um programa de atividade física não supervisionada sobre a pressão arterial (PA), aptidão física, qualidade de vida (QV) e segurança de idosos hipertensos. Método: Ensaio clínico randomizado e controlado com idosos hipertensos. Os participantes foram alocados em grupo intervenção (GI) e grupo controle (GC). Realizou-se avaliação clínica, medidas antropométricas, da pressão arterial (casual e através de monitorização residencial), testes físicos para avaliar a aptidão física e controle laboratorial no início e ao final do estudo. A qualidade de vida foi aferida pelo questionário SF-36. Para avaliar a segurança as seguintes variáveis foram analisadas: necessidade de interrupção do treinamento por lesões, quedas, dores limitantes ou ainda eventos agudos relacionados ao treinamento que necessitassem de atendimento médico. Os participantes foram orientados a caminhar 30 a 60 min, pelo menos 3 vezes por semana, a uma intensidade moderada (40 a 60% da FCreserva) e após 12 semanas de caminhada não supervisionada, eles foram submetidos a uma reavaliação completa para comparação dos resultados obtidos com o programa proposto. O grupo controle foi orientado a seguir com a rotina de tratamento da Liga de Hipertensão Arterial. Análises das variáveis qualitativas comparativas foram realizadas com aplicação do teste Qui quadrado ou Exato de Fisher. A comparação de proporções intragrupos foi feita com aplicação do teste de Wilcoxon. A comparação das médias foi realizada com o teste T - Student para amostras não pareadas e pareadas. O valor de p<0,05 foi considerado estatisticamente significante. Resultados: A PA não apresentou diferenças significativas em ambos os grupos (p>0,05). Houve melhora significativa no condicionamento cardiorrespiratório (p=0,016) aferida pelo teste de Cooper para o GI em comparação com o GC e da força abdominal medida pelo teste de resistência abdominal (p=0,046) para o GI entre os MI e MF. Foi também observado aumento significativo nos escores capacidade funcional (p=0,012), vitalidade (p=0,039) e aspecto emocional (p=0,023) da QV. Não houve qualquer intercorrência durante o período de seguimento. Conclusões: Os dados desse estudo oferecem uma boa indicação de que um programa de atividade física não supervisionada auxilia na manutenção da pressão arterial, melhora o condicionamento cardiorrespiratório, a força abdominal, a qualidade de vida e é seguro para idosos hipertensos.
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Liao, Yueh-Hsia, and 廖月霞. "Sleep Quality and Health-Related Quality of Life in School- Aged Children With Atopic Dermatitis." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/48191416107589174530.
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碩士臺北醫學大學
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Abstract Title of Thesis: Sleep Quality and Health-Related Quality of Life in School- Aged Children With Atopic Dermatitis Institution: Graduate Institute of Nursing, Taipei Medical University Author: Liao, Yueh-Hsia Thesis directed by: Chang, Pi-Chen, PhD., Associate Professor Atopic dermatitis (AD) is a chronic inflammatory skin disease that mainly affects children’s quality of sleep and health-related quality of life. Research results showed that poor sleep quality in adult chronic patient affected physical function, emotion, and mental health of health-related quality of life. Since there is no research about the correlation between sleep quality and health-related quality of life among school-aged children with atopic dermatitis. The aim of our study was to adopt objective measurement to study the relation between sleep quality and health-related quality of life in school-aged children with atopic dermatitis. This study is a cross-sectional descriptive correlational design. A purposive sampling was used to recruit forty-eight children aged between 9 to 12 with AD and forty- eight children age and gender matched health children. During the research, Actigraphy and sleeping diary were used to record sleep of three days. Children’s Sleep Habits Questionnaire (CSHQ), and Child Health Questionnaire-Parent Form (CHQ-PF50), Child Health Questionnaire-Children Form (CHQ-CF87) were used to assess children’s sleep behavior and health-related quality of life. The results of this study were as below: (1) AD children’s sleep time and sleep efficiency were significantly lower than healthy children; then waking minutes, waking episodes, and sleep disturbance were significantly higher than healthy children. (2) AD children’s CHQ-PF50 scores on physical function, bodily pain/discomfort, parental impact-time and emotional, and psychosocial summary were significantly lower than healthy children. AD children’s CHQ-CF87 scores on bodily pain/discomfort, behavior, and mental health were significantly lower than healthy children. (3) Sleep lantency, wake minutes, and CSHQ total score explained 37.2% of the variances of AD children’s CHQ-PF50- ‘psychosocial summary ’. Wake minutes explained 9% of the variances of AD children’s CHQ-PF50- ‘parental impact-time’. CSHQ total score explained 15.9 % of the variances of AD children’s CHQ-PF50- ‘parental impact-emotional’. CSHQ total score and wake minutes explained 34.6% of the variances of AD children’s CHQ-PF50- ‘family activity’. The results of this study found that quality of sleep mainly affects AD children’s mental demension of health-related quality of life. This study will help health professional understanding of school-age children with AD’s sleep problem, and its effect get further on their health related.
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Ryee, Mi-Young. "Health-related quality of life in school-aged children with type 1 diabetes /." 2006. http://wwwlib.umi.com/dissertations/fullcit/3189348.
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