4,392,535 research outputs found

    Quality of Life (QoL) in Patients with Traumatic Brain Injury (TBI): a Literature Review

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    Purpose: To describe the definition of quality of life (QoL) and identify the most appropriate tool for QoL assessment used in patients with TBI.Method: Searching was conducted from PubMed, CINAHL, EBSCO, and ProQuest during 2000-2011. A total of 33 studies were analyzed for this review consisting of 9 review studies, 2 intervention studies, and 22 descriptive studies.Result: Two important definitions of QoL were used in studies related to TBI namely achievement and subjective well-being. Although varieties of generic measurements have been used to measure QoL in TBI patients, there was a lack of TBI-specific Health-related Quality of Life (HRQoL) instrument. Despite the different approach and time measured either short or long outcomes, appropriate domains of QoL tool seem essential particularly among those with moderate and severe TBI.Conclusion: QoL is a wide concept which can be defined in several dimensions. The QOLIBRI as a new disease-specific QoL measurement in TBI seems a feasible and valid approach for the assessment of QoL in TBI. However, the application across cultural remains a challenge and needs a validation

    Evaluation of Quality of Life Using Short Form-36 and Visual Analogue Scale After Posterior Instrumentation and Fusion in Tuberculous Spondylitis Patients at Cipto Mangunkusumo Hospital

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    Introduction.Tuberculous spondylitis is a devastating health problem in Indonesia. The goal of treatment is to relieve pain, so the patients can do their daily activities. The instrument used to assess quality of life and perceived pain scale is Short Form-36 and visual analogue scale. The objective of this study is to comprehend the changes in quality of life and pain scale in tuberculous spondylitis patients before and after surgery. Materials and methods. Forty five patients with tuberculous spondylitis in Cipto Mangunkusumo Hospital were asked to fill Short Form-36 and visual analog scale before and after surgery. The data was analyzed and compared before and after surgery in 8 aspects, which is physical function, physical health, bodily pain, general health, vitality, social function, emotional problems, and mental health.Results.Surgery significantly improved patients' quality of life in all aspects with average physical component summary from 23 to 70 and mental component summary from 35 to 75 (p < 0.001). There was significant decrease in visual analog scale from seven to one. Significant correlations were seen between American Spinal Injury Association status and physical component summary, between American Spinal Injury Association status and mental component summary after surgery (r = 0.46 and r = 0.48). We categorized the patients into three groups based on duration follow up. There was increased physical component summary and mental component summary for each group. Increased quality of life was shown by improvement of Short Form-36 score. VAS score decreased significantly in post-operative group.Conclusions.Fusion and posterior instrumentation surgery improves patient's quality of life and decrease the perceived pain scale

    SC Palliative Care and Quality of Life Study Committee report

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    In 2018, joint resolution H. 4935 created the South Carolina Palliative Care and Quality of Life Study Committee. The study committee was tasked with creating a report on the state of palliative care in South Carolina with findings and recommendations to submit to the Governor and General Assembly by the end of 2019. This is that report

    The Quality of Life of Gay Community in Tulungagung, East Java, and its Associated Biopsychosocial Factors

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    Background: Little is known about the quality of life of gay men and lesbians living in Indonesia. Recent research has shown that lesbian, gay, and bisexual (LGB) adults have greater psychiatric morbidity and therefore lower quality of life than their heterosexual counterparts. This excess morbidity and lower quality of life are related to exposure to stressors, such as prejudice, discrimination, and violence. Stigma and discrimination that are experienced by gay community have long been documented to occur in Indonesia, including Tulungagung District, East Java. This study aimed to examine the quality of life of gay community in Tulungagung, East Java, and its associated biopsychosocial factors. Subjects and Method: This was a cross-sectional study conducted in Pelangi Gay Community, Tulungagung District, from October to November 2017. A total sample of 181 gays was selected by stratified random sampling. The exogenous variables were sexual behavior, family income, peer support, stigma, and discrimination. The endogenous variables were family support and quality of life. The data were collected by questionnaire and analyzed by path analysis. Results: Better quality of life was positively affected by safe sexual behavior (b= 1.32; 95% CI= 0.18 to 2.46; p= 0.023) and strong family support (b= 1.47; 95% CI= 0.42 to 2.51; p= 0.006). Strong family supportwas positively affected by family income (b= 1.62; 95% CI= 0.97 to 2.27; p= 0.001). Better quality of life was positively affected by participation in peer support program (b= 2.84; 95% CI= 1.77 to 3.91; p= 0.001), freedom of stigma (b= 1.11; 95% CI= -0.04 to 2.26; p= 0.060), and freedom of discrimination (b= 1.43; 95% CI= 0.37 to 2.48; p= 0.008). Conclusion: Safe sexual behavior and strong family support have direct positive effect on the quality of life of gay community. Stigma and discrimination have indirect effect on lower quality of life of gay community Keywords: quality of life, sexual behavior, family support, stigma, discrimination, ga
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