Showing 18 results for Quality of Life
S Nedjat, A Montazeri, K Mohammad, R Majdzadeh, N Nabavi, F Nedjat, M Nabavi, K Holakouie Naieni,
Volume 2, Issue 3 (3-2006)
Abstract
Background & Objectives: For those with a chronic illness, suffering may result not only from physical limitations, but also from the psychosocial consequences of having a chronic condition. Therefore, simply measuring physical health is not enough anymore. It is necessary to evaluate quality of life as an important clinical outcome in these patients. We conducted the present study to measure quality of life (QoL) in multiple sclerosis (MS) patients and its predictors in comparison with the general population in Tehran, using a generic and overall QoL instrument, the WHOQOL-BREF (World Health Organization Quality of Life-BREIF). This questionnaire comprises four domains including physical health, mental health, social relationships, and environmental health. For each domain, scores range from 4 to 20, higher scores corresponding to a more favorable QOL.
Methods: This study was of cross-sectional type and involved 145 selected systematically patients registered in the Iranian Multiple Sclerosis Society. The WHOQOL-Questionnaire was filled in for these patients through telephone interviews. The results were compared with quality of life scores from the general population obtained from a population-based study in Tehran. Multiple regression was used for data analysis.
Results: The response rate was 97% 73.8% of participants were female, the mean age of participants was 36.5 (SD = 10.4) years, and the mean years of their formal education was 12.5 (SD=3.6). Mean scores for physical health, psychological health, social relationship and environmental health were 11.5 (SD=3.2), 11.8 (SD=3.2), 12.7 (SD=3.1), and 11.5 (SD=2.7), respectively. In comparison with the general population, the patients' scores in all domains were significantly lower than in the general population. Severity of disease and education level had a relationship with domain scores in regression analysis.
Conclusions: The WHOQOL-BREF questionnaire can discriminate between these patients’ quality of life and that of the general population and show the effect of disease severity and demographic variables on quality of life. Therefore the questionnaire can be used in this group of patients, although it may be necessary to add some specific questions to make the tool more sensitive in evaluating quality of life from a clinical perspective. Educational interventions are recommended to improve quality of life in this group of patients.
A Safaee , B Zeighami , Hr Tabatabaee , B Moghimi Dehkordi ,
Volume 3, Issue 3 (2-2008)
Abstract
Background & Objectives: Today, the quality of life study has an important role in health care especially in chronic diseases, in clinical judgment and in medical resources supplying. Malignancies have a clinical and health importance in the world and Iran. Breast cancer has first order among women’s malignancies. Now, survival rate for this cancer is long. However Breast cancer has several complications that affected patient’s life. It is necessary that we studying the quality of life and related factors among this patients.
Methods: We conducted a cross-sectional study on 119 breast cancer patients that admitted and treated in chemotherapy ward of Namazi hospital in Shiraz.We used QLQ-C30 & QLQ-BR23 to assessment quality of life in these patients. We used univariate nonparametric tests and multiple linear regression model to identify associations between dependent variables and the quality of life and it’s different scales.All calculation performed by using SPSS.V.13.
Results: Mean age of patients was 48.27±11.42 with quality of life total score 64.92±24.28. Univariate analysis showed that occupation,duration of disease,grade of tumor,physical,emotional and cognitive functioning, also, symptoms such as fatigue,pain, nausea and vomiting , insomnia , constipation and financial difficulties, perspective were associated to quality of life. (P< 0.05). But in multivariate analysis, only occupation, menopause status, dyspnea , grade of tumor and financial difficulties perspective were related to quality of life (p<0.05).
Conclusions: With this finding, It is recommended that financial supports, also early detection are necessary for improvement of quality of life in these patients
N Shams Alizadeh , Ar Delavari , A Sheirdel, B Mohsenpour , E Ghaderi,
Volume 5, Issue 2 (9-2009)
Abstract
Background and Objectives: Measuring the quality of life is one of the important indicators in evaluating health. The chronic disease is a one of the main cause of reduction in quality of life. The aim of this study was to assess the quality of life and its influential factors in 15-64 years old people in Kurdistan province, Iran.
Methods: In this cross-sectional study EUROHIS-QOL 8-item questionnaire was employed. Data was analyzed by SPSS statistical package.
Results: After adjusting the possible confounders, the mean score of quality of life was less in smoker 1.41 score versus non-smoker, in women 1.52 score versus men, in hypertension patients 1.41 score versus non-hypertension. The mean score of quality of life was reduced 0.05 per each year.
Conclusions: It is recommended to implement some interventions to manage properly current chronic diseases in order to increase the quality of life. It also seems that EUROHIS-QOL (8-item) is a suitable tool to measure the QOL in Iranian culture.
S Asgari, S Nedjat, H Hashemi, A Shahnazi, A Fotouhi,
Volume 7, Issue 4 (3-2012)
Abstract
Background & Objectives: To assess vision related quality of life and determinants in patients afflicted with chronic eye disease.
Methods: In this analytical cross-sectional study, consecutive sampling was performed at Noor Eye Hospital between 2008 and 2009. A valid and standard 39-item visual functioning questionnaire (National Eye Institute visual functioning questionnaire, NEI-VFQ 39) was completed. The questionnaire consists of 11 domains related to vision and one domain about general health. The total score range from zero (0) to 100, where a higher score reflects better vision related quality of life. The independent t-test, pearson correlation coefficient as well as simple and multiple linear regression models were employed for statistical analysis.
Results: The mean overall score in patient and control groups were 54.5 [95% confidence interval (CI) 57.3 - 71.8] and 96.0 [95% CI: 88.2-103.9], respectively. Patients with cataracts had the highest score (64.6 95%CI: 57.3 - 71.8) and those with visual acuity of 20/70 or worse showed lowest scores (41.9 95%CI: 30.7 - 53.1). Age (P=0.006) and education level (0.001) were associated with quality of life score.
Conclusion: Based on our study findings, it could be concluded that low vision patients with a visual acuity of 20/70 or worse hardly received half of the total scores. Diabetic retinopathy, age related macular degeneration, glaucoma, and cataract stand in ascending rank order. The relatively lower scores as compared to results from other countries warrant further research into the causes of such differences.
L Salehi, S Salaki, L Alizadeh,
Volume 8, Issue 1 (7-2012)
Abstract
Background & Objectives: Aging and elderly population growth has been increased
in Iran. Quality of life of older persons is important as a consideration in
medical decisions and as a clinical outcome measure. Health related quality of
life (HRQoL) is not well understood in this group therefore we designed this
study to determine the quality of life among elderly populations of Tehran,
Iran.
Methods: This
cross-sectional study was conducted on a random sample of elderly people
selected from the elderly centers in Tehran. The Iranian version of short-form
Health survey (SF-36) and perceived social support questionnaires were employed
as standard tools.
Results: Overall,
400 elderly people with the mean age of 64.07(SD =4.49) took part in this
study. Of all participants, 298 individuals were women. The mean score of PCS
(Physical Component summery) and MCS (Mental Component Summery) were 64.62 (SD=
12.68) and 63.35 (SD=4/7) respectively. The results of this study revealed that
women compared to men had significantly higher scores in different dimensions
of health related quality of life as physical function, social function, body
pain and general health. Additionally, participants with lower body mass
indexes, higher education level, married elderly, healthy aged participants and
richer ones had higher scores of health related quality of life.
Conclusion: According
to this study, there was correlation between mean PCS and social support as
well as MCS and social support. Quality of life in female, individuals with
higher education and socioeconomic status were higher than male, persons with
lower education and socioeconomic status.
Normal
M Bakhtiyari, M Salehi, F Zayeri, F Mobasheri, P Yavari, A Delpishe, M Karimlou,
Volume 8, Issue 2 (9-2012)
Abstract
Background & Objectives: The aim of this study was to identify the quality of life (QOL) measures
commonly used to assess disabled people compared to healthy individuals.
Methods: A cross-sectional study was conducted in 1000 disabled and
healthy individuals aged between 15 to 75 years old during 2009 year. These
groups were selected by random sampling method multistage cluster sampling from
Crescent Comprehensive Rehabilitation Center located in Tehran. WHO's Quality
of Life (WHOQOL-100) questionnaire was used to measure quality of life.
Results: The Mean age were 35.9±12.9 and 35.1±12.7 years
amongst disabled and non disabled groups, respectively. There was a significant
difference between two groups in terms of somatic health and independence of
quality of life (P<0.001), in which the mean score in both domains were high
in healthy individuals. No significant difference was observed between two
groups in other scopes.
Conclusion: Findings of this study highlighted the lower
quality of life in disabled people in Tehran, Therefore this group should be
targeted for any relevant intervention in order to improve their care.
Z Hashemi , M Keikha, R Keikhaee, A Ansari Moghadam , M Salehi Marzijarani , A Nasiri,
Volume 9, Issue 2 (10-2013)
Abstract
Background & Objectives: Relationship between jobs and different aspects of health, including quality of life has been considered by researchers however the employment aim has risen in Iranian women in Iran but there is little known about the quality of life in this group, therefore the aim of this study was to investigate the relationship between employment and quality of life of women in the city of Zabol.
Methods: This cross-sectional study was carried out during 2009-2010 in Zabol, Iran. The sample consisted of 420 women selected randomly from health care centers. Health-related quality of life was assessed using the SF-36 and classified using k-means clustering method. The relationship between the independent variables with the quality of life was assessed by multinomial logistic regression.
Results: The mean age of participants was 30.46 ± 8.75 years. Quality of life indicated as low (35.4%), medium (33.7%) and high classes (30.9%), respectively. The results indicated that employed women were more likely than housewives to hadhigher quality of life. An increase age, significantly reduced respectively five and four percent of chance to had moderate and high level of quality of life.
Conclusion: More than half of women had medium and low quality of life. Increasing age was associated with decreased quality of life, but employment was an independent predictor for higher quality of life.
P Bagheri, Aa Haghdoost, E Dortaj Rabori,
Volume 9, Issue 3 (2-2014)
Abstract
Background & Objectives: Nowadays, human values for example quality of life has important place to be considered as health index along with other measurements like morbidity and mortality indexes. This study intended to compare the quality of life for residents living in apartment’s flats more than 15 years with residents living in non-apartment housing in Shiraz.
Methods: The World Health Organization Quality of Life (WHOQOL_BREF) standard questionnaire was completed by participants. This population was chosen by a multi-stage sampling method in Shiraz city. Type of living accommodation, physical, psychological, social, and environmental health factors were adjusted in the linear model.
Results: The mean score of health aspects in people who lived in apartment vs non apartment living were: physical 13.57 and 16.41, psychological 10.71and 14.87, social 8.57and 13.84 and in environmental 13.59 and 10.18 respectively, however after adjustment for gender, education, marital status, age, job, family size, income, type of disease (chronic, acute, chronic- acute), possession of house and area of house, changed to 14.41 for physical and 15.61, psychological 12.6 and 14.47, social 8.74 and 13.72 and environmental 15.42 and 9.23 (P<0.0001).
Conclusion: The results of this study show that the health of apartment-living residents even after adjustment of some other influencing factors, in major of domains was less than non apartment-living residents which indicating this issue should be considered in urban-living health.
S Zaeri, S Asgharzadeh, M Zaeri, K Holakouie Naeini , A Rahimi Foroushani ,
Volume 9, Issue 4 (3-2014)
Abstract
Background & Objectives: The world population is growing old. The rising proportion of the elderly is creating new health care challenges in the current century. This study aimed to determine the quality of life and the associated factors in the elderly population of Azerbaijan district in the city of Tehran, Iran.
Methods: This cross-sectional study was conducted on 287 elderly persons aged 60 and older. Participants were selected through systemic random sampling. The WHOQOL-BREF questionnaire, the Activities of Daily Living (ADL) questionnaire, and a questionnaire for demographic characteristics were used for data collection. Each domain was given a score between 0 to100 based on the WHO manual. The final variables were determined in a multivariate linear regression model using SPSS16.
Results: The mean score of the 4 domains of quality of life (physical, psychological, environmental, and social health) of the elderly population living in Azerbaijan district was 58.41, 53.13, 59.53, and 42.82, respectively.
Conclusion: A variety of correlates affect the quality of life of the elderly. Recognizing and considering these factors are important for planning more effective programs for the elderly and empowering them.
Z Asadollahi, P Jafari, M Rezaeian,
Volume 10, Issue 1 (6-2014)
Abstract
Background & Objectives: Due to the increasing tendency to measure the quality of life in recent years and the extensive quality of life questionnaires, it is important to determine the appropriate method of analyzing data derived from these studies. The aim of the present study was to introduce ordinal logistic regression models as an appropriate method for analyzing the data of quality of life.
Methods: The data was derived from a cross-sectional study on quality of life survey of 938 students. For data analysis, two binary logistic regression models and ordinal logistic regression models were used and the results of these models were compared.
Results: The results of goodness of fit showed that all three models were fitted well. Based on the ordinal logistic regression models, the three variables out of the explanatory variables were statistically associated with the response while based on the binary logistic regression model, after combining two categories of response variable, only two variables were significant. Therefore, combining the categories of the response variable should be avoided as much as possible because it may lead to data loss due to ignoring some of the response categories.
Conclusion: It is concluded that to analyze quality of life data, due to the nature of the response variable, ordinal logistic regression models are recommended considering the fewer parameter estimates and easier interpretation of the results
Sh Rimaz, M Dastoorpoor, S Vesali Azar Shorbeyani, N Saiepour, Z Beigi, S Nedjat,
Volume 10, Issue 2 (9-2014)
Abstract
Background & Objectives: Households governed by women have become an important phenomenon worldwide in the second half of the twentieth century. The study of female-headed households shows that this vulnerable social group faces many financial, physical, mental, and emotional problems and experiences stress and anxiety more than men-headed households. This study aimed to determine the quality of life in these households supported by District 9 of Tehran Municipality.
Methods: This cross- sectional study was performed on female-headed households supported by District 9 of Tehran municipality during 14 months. Data collection tools included a demographic questionnaire, the Iranian version of World Health Organization Quality of Life (WHOQOL-BREF-BREF). The data was analyzed using SPSS software version 16 and descriptive- analytic tests such as mean, standard deviation, and a multiple regression analysis. The significance level in this study was considered α < 5% .
Results : The mean age of the participants was 50.8 ± 13.8 years, and the majority of the female-headed households were unemployed (71.1 %). The findings in the four domains of quality of life showed that the domains of environment health and social relation received the lowest (9.87) and the highest (12.61) score, respectively. Using multiple regression models, it was shown that the only variables that affected the overall quality of life were age (P< 0.013) and current disease (P< 0.001).
Conclusion : Findings demonstrated that the authorities should consider planning for effective interventions to improve the quality of life in this vulnerable group of society.
Z Cheraghi, S Nejat, L Haghjoo, F Salehi,
Volume 12, Issue 3 (10-2016)
Abstract
Background and Objectives: The main question that arises in ‘Quality of Life’ (QOL) studies is how people assess this phenomenon and what factors affect it. Using these answers, we can better analyze the findings of QOL studies in our country.
Methods: In this content analysis, we carried out semi-structured interviews, and applied maximum variation opportunistic sampling in terms of gender, age, education, ethnicity, and economic status. First, we asked the participants to answer the question on QOL by thinking aloud. Then, they were asked to discuss the factors that affected their choice a posteriori. Finally, the inductive qualitative analysis was done and the mental model of the participants was extracted.
Results: We extracted five main categories and 33 themes. These categories included physical factors, psychological factors, socioeconomic factors, family issues, and environmental factors. Physical health, expectations, satisfaction, community engagement, financial problems, environmental pollution, leisure and recreation, family environment, family relationships and the role of the wife were the most important factors affecting the QOL in the participants’ opinions.
Conclusion: In addition to the health status, family issues such as the family environment and financial problems affected the QOL. Moreover, the participants believed environmental health was an integral part of QOL.
Ma Soleimani, S Zarabadi Pour , Y Yaghoobzadeh, S Pahlevan Sharif , H Sharif Nia ,
Volume 14, Issue 1 (6-2018)
Abstract
Background and Objectives: The effect of heart diseases on the quality of life is the issue needs attention of health care providers. Improving quality of life is considered as the goals of rehabilitative therapies. This study conducted to evaluate the McGill Quality of Life Questionnaire in patients with heart diseases.
Methods: In this cross-sectional study, 500 patients with heart diseases were recruited from BooAli Sina Hospital and Velayat Hospital affiliated with Qazvin University of Medical Sciences from May to August 2016. The participants completed the McGill Quality of Life Questionnaire. The construct validity (including convergent and discriminant validity) and Reliability using the Cronbach’s alpha, theta, and McDonald's Omega of the McGill Quality of Life Questionnaire were evaluated. The structure of the Questionnaire was assessed using factor analysis.
Results: Three factors, including overall view of the quality of life, physical aspect, and psychological dimension, were extracted. Model fit indexes confirmed a good fit of he McGill Quality of Life Questionnaire (Comparative of Fit Index: CFI=.918, incremental fit index: IFI=.919, Adjusted Goodness of Fit Index: AGFI=.844, RMSEA=.079, Minimum Discrepancy Function by Degrees of Freedom divided: CMIN/DF=2.97, Parsimonious Normed Fit Index: PNFI=.681, Parsimonious Comparative Fit Index: PCFI=.709). Convergent and divergent validity, internal consistency, and construct reliability of the questionnaire were confirmed.
Conclusion: The findings revealed that the three-factor model of the McGill Quality of Life Questionnaire has satisfactory validity and reliability. Thus, this questionnaire can be used in future studies to assess the quality of life of patients with heart diseases.
M Khademosharie, V Tadibi , N Behpor , Mr Hamedinia ,
Volume 14, Issue 1 (6-2018)
Abstract
Background and Objectives: Muscle weakness and fatigue decrease the functional capacity and quality of life of multiple sclerosis patients. Although routine exercise is acceptable in these patients, its impact has not been proven. The aim of this study was to assess the effect of exercise on muscular performance and function, degree of disability, fatigue, and quality of life of patients with MS.
Methods: Twenty-four women aged 20-50 years old with multiple sclerosis and an expanded disability status scale (EDSS) of 2- 5 were randomly divided into two groups of control (12 patients) and case (12 patients). The training program included three sessions per week, lasting for 12 weeks (two sessions of aerobic training and one session of resistance training).
Results: The results showed that 12 weeks of combined training caused a significant improvement in lower body strength (P=0.019), upper body strength (P=0.001), dynamic balance (P=0.025), gait speed (P=0.008), endurance (P=0.0001), quality of life (P=0.007) and a significant decrease in the degree of disability (P=0.007) and fatigue (P=0.001).
Conclusion: In general, a combined training program, including aerobic and resistance training, in three non-consecutive days per week is helpful for women with MS and improves their sensorimotor function. The relevant specialists can use these exercises along drug therapy to reduce the clinical complications of MS.
M Asghari Jafarabadi , L Karimi, F Rahimi Bashar , A Vahedian Azimi ,
Volume 15, Issue 4 (1-2020)
Abstract
Background and Objectives: Progressive muscle relaxation (PMR) training as part of an educational program for patients involved in pathologic and physiological events (PPE) can have important physiological and psychological benefits for the patients, and can affect various dimensions of their lives including the quality of life. This systematic review and meta-analysis was conducted to determine the effect of PMR on the quality of life of patients involved in PPE.
Methods: Through searching the words “PMR” and “quality of life (QOL)” in Persian databases including SID, MagIran, IranMedex, and IranDoc and international databases including Google Scholar, Scopus, PubMed, Web of Science, ProQuest, and ScienceDirect, all studies published on the effect of PMR on the QOL were extracted. The methodological quality of the papers was examined using Cochrane risk of bias. Data analysis was carried out using a random-effects model and heterogeneity was assessed by I2. The data were analyzed using the STATA software version 14.0.
Results: Of 495 studies, only 10 explored the effect of PMR on the QOL of patients. The pooled mean of the QOL and all dimensions were statistically significant, including physical functioning (0.339), physical role limitation (0.378), bodily pain (0.341), general health (0.598), social functioning (0.873), mental health (0.736), emotional role limitation (0.791), vitality (0.706), total physical dimensions (0.652), total mental dimensions (1.316), and total QOF score (0.480). Only one study had a low risk of bias.
Conclusion: Implementation of PMR has a significant effect on the quality of life of patients involved in PPE. PMR is recommended to improve the QOL of the patients.
N Moghimi, Gh Moradi, Sh Amiri, A Saeedi,
Volume 16, Issue 1 (6-2020)
Abstract
Background and Objectives: Rheumatoid arthritis is a chronic, progressive disease of the joints that presents with articular and systemic symptoms. The purpose of this study was to determine the quality of life in patients with rheumatoid arthritis and its relationship with body mass index.
Methods: This descriptive-analytical study was performed in 195 patients with rheumatoid arthritis in Tohid Hospital, Sanandaj, Iran. The data collection tool was a questionnaire including demographic and clinical characteristics. The SF-36 instrument was used to evaluate the quality of life.
Results: In the study, 40% of men and 58% of women had a disease severity higher than 2.6 according to the Disease Activity Score 28. There was a significant difference in all dimensions of quality of life including physical function, energy / fatigue and general health between men and women (P <0.05). All dimensions of quality of life were inversely correlated with BMI. There was a significant relationship between the disease severity and each of the dimensions of pain, general health and general changes (P <0.05).
Conclusion: Quality of life in patients with rheumatoid arthritis is correlated with body mass index and severity of rheumatoid arthritis; therefore, it seems that health policy makers or clinical practitioners need to pay more attention to these two factors to increase the patients’ quality of life.
Z Naghibifar, H Soori, S Eskandari, A Razzaghi, S Khodajarim,
Volume 17, Issue 1 (5-2021)
Abstract
Background and Objectives: Quality of life is a valuable indicator for measuring people's health. The purpose of this study was to determine the predictors of quality of life in the staff of Shahid Beheshti University of Medical Sciences, Tehran, Iran using the path analysis model.
Methods: This cross-sectional study was performed on subjects participating in the Health Cohort Study of Shahid Beheshti University of Medical Sciences, Tehran, Iran in 2018. A demographic information form and standard quality of life, general health, physical activity and burnout scales were used for data collection. The SPSS version 24 and Amos version 24 were used for data analysis.
Results: A total of 770 individuals were selected for the study, of whom 345 (44.8%) were male. The mean age ± standard deviation of the participants was 42.6±8.4. Analysis of the quality of life pathway of the participants showed an appropriate model (RMSEA= 0.014, CFI=0.999, NFI = 0.991, TLI = 0.994, CMIN/DF = 1.146). In addition, general health (0.560) and physical activity (0.078) had a direct correlation and occupational burnout (-0.178) and age (-0.082) had an inverse correlation with quality of life.
Conclusion: The results of this study suggest that factors such as general health, physical activity, and burnout have an impact on the participants. Therefore, it is necessary to consider the factors affecting the quality of life.
Fereshteh Eidy, Hoosein Fallahzadeh, Rahman Panahi, Jamshid Jamali,
Volume 18, Issue 3 (12-2022)
Abstract
Background and Objectives: Today, overweight and obesity are among the significant challenges in the world. They can have adverse effects on quality of life. Quality of life is determined by social and physical environment. The present study investigated the construct validity of the Persian version of the Impact of Weight on Quality of Life (IWQOL-lite) questionnaire using multilevel confirmatory factor analysis.
Methods: The present study was conducted on 310 people over 18 years old living in Yazd city. The data were analyzed using m-plus6.2 software.
Results: The mean age of the participants in this study was 33.97± 4.70 years. Sixty percent (N=183) of subjects were male. The indices of the one-level model were more appropriate than those of the two-level model, and the one-level confirmatory factor analysis model had a good fitting to the data (CLI: 0.98, TLI: 0.98, RMSEA: 0.038).
Conclusion: The results of this study indicated the need for more effectiveness of urban areas on quality of life. The one-level confirmatory factor analysis model confirmed the construct validity of the IWQOL-lite questionnaire. This questionnaire can be used in the Iranian population.
