جستجوی مقالات مرتبط با کلیدواژه "quality-of-life" در نشریات گروه "پزشکی"

Chronic non-specific neck pain (CNP) is the second most common musculoskeletal disorder. Central sensitization (CS) of pain is likely a contributing factor to the persistence or recurrence of pain cycles in CNP patients. This study aimed to evaluate the effects of pain neuroscience education (PNE) in addition to conventional physical therapy on pain intensity, CS, and quality of life in patients with CNP who have CS.
In this quasi-experimental study, 25 patients with CNP and CS participated in a 4-week intervention program that included conventional physical therapy plus PNE. CS, pain intensity, and quality of life were assessed using the CS inventory, visual analog scale (VAS), and SF-36. All participants were evaluated before and after 12 intervention sessions (three times a week).
The results showed that after the intervention, both pain intensity and CS decreased significantly (pain intensity: mean difference = -58.96 ± 16.35, effect size = -3.61; CS: mean difference = -25.52 ± 7.25, effect size = -3.52). Additionally, the quality-of-life score significantly increased (mean difference = 24.04 ± 12.50, effect size = 1.92). A significant correlation was also found between quality-of-life scores and age.
Adding PNE to conventional physical therapy appears to be more effective than conventional physical therapy alone in improving CS, pain intensity, and quality of life in patients with CNP.

Skin diseases can have a profound negative impact on the lives of adolescents, leading to emotional distress, social isolation, and reduced self-esteem. This study aimed to investigate the relationship between family leisure, mindfulness, and quality of life in adolescents with skin diseases. In this descriptive-correlational study, the statistical population included all adolescents with skin diseases who referred to hospitals and specialized skin centers in Babol city in 2023. A total of 206 adolescents were selected as the sample. The tools used in this study included the Teenagers' Quality of Life (T-QoL) Questionnaire to assess quality of life, the Family Leisure Scale to measure family leisure, and the Five Facet Mindfulness Questionnaire (FFMQ) to evaluate mindfulness. The data were analyzed using the Pearson correlation coefficient and stepwise regression. The study included 206 adolescents with an average age of 16.25 years. The sample was fairly evenly split between genders, with slightly more females (51.46%) than males (48.54%). The results showed that family leisure had a positive and significant relationship with quality of life (P < 0.001). Mindfulness also had a positive and significant relationship with quality of life (P < 0.001). Family leisure and mindfulness predicted 27.0% of the variance in quality of life in adolescents with skin diseases, with mindfulness having a greater influence on predicting their quality of life. The study found that both family leisure and mindfulness positively impact the quality of life of adolescents with skin diseases. However, mindfulness appears to have a stronger influence on their well-being. The researchers suggest incorporating these activities into clinical interventions and therapeutic approaches to improve the overall health and well-being of these adolescents.

Context: 

Acceptance and commitment therapy (ACT) is a cognitive-behavioral psychotherapy method focusing on acceptance and commitment to life values.

This study aimed to evaluate the effectiveness of the ACT method on the life expectancy (LE) of patients with different diseases. Evidence Acquisition: The present study is a literature review that collects findings from past related studies in the last two decades. For this purpose, the essential and common Medical Subject Headings (MeSH) terms were first identified. Then, the desired MeSH terms were searched in the most reliable and essential international databases, including Google Scholar, Scopus, PubMed, Web of Science, and national databases, including Magiran, SID, Iran doc, etc. First, 265 articles were identified, and then 18 were selected as final studies considering the inclusion and exclusion criteria.

The findings of 18 studies were extracted for the present study. Some different types of patients, including those with rheumatoid arthritis, depression, multiple sclerosis, asthma, diabetes, liver transplants, chronic pain, cancer, physical-motor disabilities, drug addiction, and others, were shown to increase LE through the use of the ACT method. The main finding of the present study was that using the ACT method to increase LE in patients with various diseases has a significant effect, which was clearly highlighted in all the selected studies.

Based on the findings, ACT is an effective and high-efficiency method in increasing patients' LE. Acceptance and commitment therapy can improve LE, resilience, quality of life, compliance with treatment, and other patient benefits, thus improving the speed of recovery for patients. Therefore, the ACT method, which is a non-pharmacological method, can be used by specialists and clinical psychology experts for different patients.

To comprehend the complex interplay between autism symptoms, family well-being, and maternal coping abilities, it is essential to delve into the relationship between these factors. This study aimed to investigate how maternal resilience influences the connection between the severity of autism symptoms and the overall quality of life (QoL) for families with autistic children. A cross-sectional correlational study was designed to investigate the correlation between variables. The study population consisted of mothers of autistic children aged 4 to 12 years residing in Mashhad, Iran. A convenience sample of 372 mothers was recruited from rehabilitation, educational, and therapeutic centers catering to autistic individuals in Mashhad, Iran between January and March 2023. For data analysis, Pearson correlation and SEM were used, with the aid of SPSS and Amos 24. The mean score for the severity of autism symptoms was 160.26 (±11.66). The mean resilience score was 49.98 (±6.55). Also, the mean score for family QoL was 75.33 (±9.81). The results showed significant direct relationships among the severity of autism symptoms, family QoL, autism symptoms, and maternal resilience in mothers of autistic children (P=0.001). Additionally, the study demonstrated that maternal resilience played a significant mediating role in the connection between autism symptoms and family QoL (P=0.001). The study uncovered a negative connection between the severity of autism symptoms and family QoL, suggesting that more pronounced symptoms can negatively impact family well-being. Additionally, the study found a positive link between maternal resilience and family QoL, indicating that fostering resilience in mothers of autistic children can enhance family dynamics.

The Covid-19 pandemic affected all aspects of people’s personal lives and gave rise to the increase major issues such as physical, psychological, and social problems. The literature has reported a relationship between covic-19 anxiety and quality of sexual life. Therefore, the present research was designed to investigate the relationship between Covid-19 anxiety and the quality of sexual life among women of reproductive age during the lockdown.

This is a cross-sectional study. It was designed and conducted on 750 women of reproductive age during the Covid-19 pandemic. Using cluster sampling at comprehensive health centers in Urmia, Iran in 2020. The data collection tools comprised three questionnaires: a demographic questionnaire, a Sexual Quality of Life-Female questionnaire (SQOL-F) and a Corona Disease Anxiety Scale (CDAS), which was completed on a self-report basis. The nonparametric statistical test, ANOVA test, t-students and Pearson correlation test were used.

The results revealed a reveres and significant correlation between Covid-19 anxiety and SQOL-F. Furthermore, several demographic characteristics including age, duration of the marriage, having children and education level had a significant relationship with Covid-19 anxiety and the SQOL-F.

Taking into account the Covid-19 anxiety and its effect on the quality of sexual life, professional specialists in the field of preventive medicine and health should pay more attention to these dimensions of life and take crucial and effective measures to improve the sexual life quality and reduce the Covid-19 anxiety.

Mothers of children with disabilities experience significant psychological and emotional stress, necessitating a valid and reliable tool to assess their quality of life. This study aimed to determine the psychometric properties and standardize the Quality of Life Questionnaire for mothers of children with disabilities. A cross-sectional study was conducted among mothers of children with disabilities residing in Kermanshah, Iran, in 2022, to evaluate the reliability and validity of the Persian version of the quality of Life Questionnaire. The target population encompassed all mothers meeting these criteria, from which a simple random sample of 379 participants was drawn. The Quality of Life Questionnaire and a perceived social support measure were administered to the study participants. The psychometric properties of the Quality of Life Questionnaire were evaluated using SPSS version 26. Internal consistency was assessed using Cronbach’s alpha, while content validity was determined through expert judgment and calculated using the Content Validity Ratio and Content Validity Index. The results indicated satisfactory internal consistency, as demonstrated by Cronbach’s alpha (α=0.955) and composite reliability (0.965). All 16 items exhibited excellent item-total correlations (Cohen’s kappa >0.60), suggesting strong internal consistency. Content validity was established through experts panel review (content validity index range: 0.86-1.00). Confirmatory factor analysis confirmed the construct validity of the questionnaire, and normative data were successfully established. The findings demonstrated that the questionnaire possesses adequate psychometric properties, including reliability and validity, thus supporting its suitability for assessing the quality of life among mothers of children with disabilities.

Divorced women often experience emotional dysregulation, increased rumination, and a decline in quality of life. Cognitive-emotional regulation training (CERT) and Transcranial Direct Current Stimulation (tDCS) have been explored as potential interventions to address these challenges. This study aimed to compare the effectiveness of CERT and tDCS in reducing difficulties in regulating emotions, decreasing rumination, and improving the quality of life among divorced women. This was a semi-experimental study involving three groups across three phases: pre-test, post-test, and follow-up. The statistical population includes all divorced women who visited counseling and psychotherapy centers in Ardabil, Iran during the Winter of 2024. A total of 45 participants were purposefully sampled and then randomly assigned to three groups. The research tools include Gratz and Roemer’s Difficulty Regulation Scale (2004), John Weir’s Short-Form Quality of Life Questionnaire (1992), and Nolen-Hoeksma and Morrow’s Rumination Questionnaire (2008), along with interventions such as an 8-session (60 minutes each) emotional regulation training protocol and Transcranial Direct Current Stimulation. In the post-test, the mean±standard deviation for difficulty in emotion regulation, rumination, and quality of life in the CERT group were 48.21±8.44, 27.38±9.19, and 55.34±10.98, respectively. In the tDCS group, the scores were 51.34±10.37, 33.67±11.47, and 52.37±11.81, showing significant differences compared with the control group where the scores were 59.09±12.64, 39.12±9.82, and 48.90±12.24 (P=0.001). The results indicated that both CERT and tDCS have reduced difficulty in emotion regulation and rumination and increased quality of life (P<0.001). This study demonstrated that both (CERT) and (tDCS) effectively improved emotion regulation, reduced rumination, and enhanced quality of life in divorced women, with CERT showing slightly superior results. These findings support the use of CERT as a non-pharmacological intervention to improve psychological well-being in this population.

Elderliness is a special physical, mental, and psychological situation, which affects the quality of life (QoL) of the elderly. Those who are hospitalized or staying in nursing homes need ample interaction with nurses, who can have an effect on the QoL of the elderly. Hence, the current review study was conducted to assess the impact of nursing care on the QoL of the elderly. In this review study, articles published in domestic and foreign journals that were available in PubMed, ProQuest, Google Scholar, Scopus, and IranMedex information banks were investigated by utilizing the title search method. The search was performed without any limit in publishing time (up to 2023) using keywords such as elderly, older adult, QoL, and nursing. It was revealed that nurses can improve the symptoms of anxiety, depression, and loneliness in the elderly through their attention and care. It has been stated that by improving mental and psychological state, nurses can improve therapeutic compliance in the elderly. Moreover, it has been demonstrated that through their care, nurses not only prevent their collapse or other physical problems but also improve the physical performance of the elderly by encouraging them to exercise. The result of reviewing the articles demonstrated that nurses are able to improve the mental and psychological state as well as the motor performance of the elderly and enhance their QoL through conscious performance, care, and kindness.

Cerebral palsy (CP) is a neurological motor disability, and children with CP should receive rehabilitation services to achieve their full potential.

The purpose of this study was to explore the quality of life (QOL) of children with CP across various domains and to assess the role of access to rehabilitation services on their QOL.

We conducted a cross-sectional study involving all 126 children aged 4 - 12 with CP and their parents in Saqqez county, Kurdistan province, Iran. The "Physical Rehabilitation Accessibility Assessment Questionnaire" and the "Parental Proxy CP QOL-Child questionnaire" were used to measure the main variables. The analysis performed separately for two subpopulations: 27 children aged 4 - 6 years and 99 children older than six, using SPSS version 23. After prforming Kolmogorov-Smirnov test, the Spearman correlation coefficient was employed to identify correlations.

The average age of the participants was 8 ± 2.36 years, with 51 (40.5%) being girls. Of the 126 children with CP, 45 (35.7%) had independent mobility function (GMFCS levels I and II). The mean CP QOL-Child domain scores ranged from 35.3 ± 25.1 in the 'access to services' domain to 74.5 ± 16.1 in the 'Emotional well-being and self-esteem' domain. The average accessibility score was 53.8 ± 22.1. Among children older than 6 years, access to rehabilitation services showed a significant correlation with all CP QOL-Child domain scores (P < 0.05), except for 'social well-being and acceptance.' In children aged 4 - 6 years, only the Family Health domain score was significantly correlated with access to rehabilitation services (r = 0.44, P = 0.021).

Access to rehabilitation services is a significant predictor of QOL in children older than 6 years. Further experimental research is needed to examine changes in various aspects of QOL in children with CP following improved access to rehabilitation services.

Chronic renal failure is a progressive and irreversible disease that significantly affects the quality of life in its final stage.

This study was conducted to determine the effect of an educational program based on the PRECEDE-PROCEED Model on improving the quality of life and laboratory indicators of hemodialysis patients.

This study is an educational intervention study. The research was conducted in the hemodialysis departments of Imam Khomeini and Ayatollah Boroujerdi hospitals in Boroujerd city. In this 2021 study, 80 hemodialysis patients who met the inclusion criteria were randomly divided into two groups: Intervention and control (40 people in each group). The educational content was taught face-to-face by the researcher in four sessions over four weeks, according to the initial needs assessment. Information and laboratory indicators were collected and analyzed based on a researcher-made questionnaire and the standard quality of life questionnaire for kidney patients, both before and one month after the intervention.

The average age in the intervention and control groups was 56.55 ± 15.99 and 56.12 ± 15.99, respectively. The average quality of life score one month after the educational intervention was significantly higher in the intervention group than in the control group (P < 0.001). The constructs of awareness, attitude, and self-efficacy were significant predictors of behavioral factors. The average scores for awareness, attitude, self-efficacy, behavioral factors, and reinforcing factors one month after the educational intervention were higher in the intervention group than in the control group (P < 0.001). Additionally, the average laboratory indices of hemoglobin (P < 0.001) and hematocrit (P < 0.001) were higher in the intervention group than in the control group one month after the educational intervention. Fasting blood sugar (P < 0.005), sodium (P < 0.020), and cholesterol (P < 0.007) showed a significant decrease after the educational intervention compared to before the intervention.

The results of this study showed that the implementation of an educational program based on the PRECEDE-PROCEED model can improve the quality of life and laboratory indicators in hemodialysis patients. These findings can be utilized by researchers to enhance the quality of life of hemodialysis patients.

Persons with End Stage Renal Disease (ESRD) experience poor quality of life due to poor physical function. After the transplant, his physical fitness did not improve, ultimately creating a vicious cycle of inactivity, increasing the risk of cardiovascular and other causes of death. A 39-year-old man was diagnosed with ESRD and underwent a renal transplant from a living donor. He underwent early post-operative rehabilitation from day one and continued until he was discharged. The study was conducted at Dr. Cipto Mangunkusumo National Hospital. Persons with ESRD showed significant improvement during the rehabilitation program. On the sixth day, he took a 4-meter walk test in 17.58 seconds and made a good impression. He was then discharged and continued remote rehabilitation until day 14. Physical inactivity leads to decreased survival, increased morbidity, and increased mortality. Early rehabilitation for post-renal transplantation may become a potential intervention to improve a person with ESRD's physical activity and quality of life, especially in Indonesia.

The growing number of aging people, ensuring their quality of life (QoL), and the social services designed for this population group are becoming increasingly significant concerns. This study explored how socioeconomic status and self-care affect older adults’ QoL.  This cross-sectional study included 322 older people living in Tabriz in 2021. The subjects were recruited using a multi-stage sampling method. Older persons were asked to complete the Socio-Economic Status (SES) questionnaire, the Self-Care Behavior Questionnaire, and the Iranian version of the 12-item Short Form Health Survey (SF-12).  A hierarchical logistic regression analysis model was used to investigate the factors influencing QoL. The regression analysis showed that marital status, social self-care, and self-care during illness significantly impacted the older person’s quality of life (p < 0.05). Twenty-nine and twenty-seven percent of the variance in the mental and physical health dimensions, respectively, were predicted by the variables included in the model. Promoting social self-care and self-care during illness had a positive relationship with the QoL of older persons. These results can serve as a reference for future studies pertinent to self-care for older adults.

As the population is aging, concerns are raised regarding the quality of life of elderly people. Men and women tend to experience aging differently due to socioeconomic differences. Therefore, this study aims to investigate the state of health-related quality of life and its gender-related discrepancies in the elderly population in Mashhad, Iran.

This cross-sectional study was conducted on 200 elderly population in Mashhad, Iran. Following a multi-staged stratified sampling, participants were selected, and in order to complete the questionaries interviewed at their homes or the Health Center according to the participants’ priorities using the RAND 36-Item Health Survey (RAND-36). The survey consists of 8 scales of physical functioning (PF), role limitations caused by physical health problems (RP), role limitations caused by emotional problems (RE), social functioning (SF), emotional well-being (EW), energy/fatigue (EF), pain (P), and general health (GH). Data were analyzed using Chi-Square test.

Men exhibited significantly higher scores on PF (71.38 ( ± 24.13) vs 57.63 ( ± 24.75), p =0.00), SF (74.22 ( ± 17.99) vs 67.27 ( ± 18.61), p =0.01), and p (77.38 ( ± 23.76) vs 64.79 ( ± 27.77), p =0.00) dimensions compared to women. Post-hoc analyses revealed that the main factors influencing the differences were variations between ages (60-65) with (70-75) and over 80 regarding PF, ages (60-65) with over 80 in RP, and finally, the difference attributed to ages (60-65) with (65-70) in GH. The comparison between the states of employment revealed that the employed individuals ranked higher in all dimensions except pain.

This study provides an overall description of the state of the health-related quality of life of the elderly in Mashhad underscoring the differences that genders exhibit in each dimension which calls for a broader gender-based assessment of quality of life in this population in Mashhad and Iran.

As the world population ages, hip fractures in the elderly are rising, leading to decreased mobility, quality of life (QOL), and independence in daily activities.

The aim of the present study was to determine the impact of femoral neck fractures on the physical function and QOL of elderly people one year after the injury.

This retrospective observational study was conducted on 77 elderly people over 65 years old referred to Shahid Beheshti Hospital during 2020-2021. The necessary information was collected through the patient's file (sociodemographic and clinical data at the time of admission), a shortened form of the SF-36 questionnaire, and the Barthel questionnaire.

In the present study, women constituted 50.6% of the patients. The mean age of the patients was 78.78±9.54 years. The mean function scores of patients based on the Barthel Index and QOL score were 11.71±2.14 and 57.60±11.02, respectively. Nearly 60% of patients received the maximum QOL score and function score. According to the results of the multiple linear regression analysis, the average level of physical functions decreased significantly with an increase in patients’ age, and patients who had undergone physiotherapy had a significantly higher average level of function than those who had not undergone physiotherapy. Additionally, the results showed that an increase in patients’ age was associated with a significant decrease in their QOL, while patients who had undergone surgery had a QOL that was 6.19 times higher than those who had not undergone surgery (p<0.05).

The research findings suggest that function and QOL are significantly reduced after femoral fractures, especially in older patients. Effective care during hospitalization, post-surgery, and early mobilization through physiotherapy programs can greatly improve patients' QOL and functional outcomes.

Parkinson's disease (PD) is one of the most common diseases of the central nervous system, primarily affecting the elderly. Its symptoms include tremors, slow movement, muscle stiffness (rigidity), and postural instability.This study aimed to investigate the effect of eight weeks of rebound therapy on balance and quality of life in people with PD. This was a quasi-experimental research study with pre-test and post-test. Among patients with PD, 24 individuals with severity levels 2 to 3 according to the Unified Parkinson Disease Rating Scale (UPDRS)  were selected using convenience and judgmental sampling and randomly divided into two groups: a rebound therapy group (n=12) and a control group (n=12). The Parkinson's Disease Quality of Life Questionnaire (PDQL) was used to evaluate quality of life levels. The Single Leg Stance (SLS) and Y-Balance Test (YBT-LQ) were used to evaluate static and dynamic balance, respectively. Theintervention group performed eight week exercises (two one-hour weekly sessions Data were analyzed using repeated measures ANOVA at a significance level of 0.05. The post-test quality of life scores in the rebound therapy group significantly higher than the pre-test scores, indicating an increase in quality of life (QoL) for patients (P ≤ 0.05). Additionally, patients' static and dynamic balance in the rebound therapy group significantly improved from the pre-test to the post-test (P ≤ 0.05). The results indicate that eight weeks of rebound therapy can effectively improve balance and quality of life in patients with PD. There fore rebound therapy can be recommended as a complementary rehabilitation method in medical centers to enhance the health of PD patients.

Parkinson's disease (PD) is a degenerative neurological illness characterized by various motor and non-motor symptoms that can lead to varying degrees of functional impairment. This study aims to investigate the effects of a multimodal exercise program (MEP) on functional capacity and quality of life in elderly patients with PD.

Thirty elderly patients with PD were randomly divided into two equal groups of MEP and control, with no significant differences in age, weight, and height. The variables of Functional Factors and Quality of Life were assessed in pre- and post-tests. MEP was performed five days a week for twelve weeks. Data were analyzed using repeated measures ANOVA at a significance level of p < 0.05.

The study observed significant differences in quality of life, static balance, dynamic balance, wrist strength, and walking performance between the two groups of PD patients (p <0.001). The mean scores of quality of life, static balance, dynamic balance, and wrist strength in the MEP group were significantly higher compared to the control group (p <0.001). Additionally, after the intervention, the walking speed in the MEP group showed a significant improvement, with a lower completion time compared to the control group (p <0.001).

MEP can be used as a useful and effective method to improve quality of life, static balance, dynamic balance, wrist strength and walking performance of PD patients. Therefore, MEP (resistance, aerobic, and balance) is recommended as the most effective complementary therapeutic strategy for PD.