In this paper, we will discuss the consequences of secondary conditions and their impact on rehabilitation outcomes and quality of life for persons with disabilities. Health promotion as a preventive method for second...In this paper, we will discuss the consequences of secondary conditions and their impact on rehabilitation outcomes and quality of life for persons with disabilities. Health promotion as a preventive method for secondary conditions for persons with disabilities has not been a significant area of interest on the part of the general health care and rehabilitation services community in Western societies. In the U.S., after years of careful evaluation a shift in scientific and advocacy thinking has encouraged researchers, funding agencies, health care providers, rehabilitation professionals and persons with disabilities, as well as the consumers of health care services to prioritize future studies in this specific area and establishing quality health care and the best possible rehabilitation outcomes for millions of individuals with disabilities.展开更多
Objective:To identify factors related to quality of life in post myocardial infarction patients.Methods:The subjects were 150 post myocardial infarction patients who were receiving follow up care at Hajar Hospital.Sel...Objective:To identify factors related to quality of life in post myocardial infarction patients.Methods:The subjects were 150 post myocardial infarction patients who were receiving follow up care at Hajar Hospital.Self-administered questionnaires consisting of physical-and mental health-quality of life(QoL)during a 14-month follow-up were designed.A χ2 test was used to determine relationships between variables.Results:There was significant correlation between demographic variables such as insurance and retirees between the subjects tested.In addition,a significant relationship between the pain intensity,fatigue,reducing or losing job performance and QoL was found.Conclusion:The role of nurses to fulfill all social,psychotically and mental requirements of the patients with myocardial infarction is highly appreciated.展开更多
Objective:To explore the effects of standardized rehabilitation on quality of life (QOL) of stroke patients at convalescence and sequelae stages. Method:A total of 251 stroke patients were randomly divided into a stan...Objective:To explore the effects of standardized rehabilitation on quality of life (QOL) of stroke patients at convalescence and sequelae stages. Method:A total of 251 stroke patients were randomly divided into a standardized rehabilitation group and a control group. The simplified Fugl-Meyer assessment(FMA) scale, the 36-item short-form health survey questionnaire (SF-36) and functional comprehensive assessment (FCA) were administered before as well as after 3, 6 and at 12 months a follow-up study respectively. Statistical analysis was conducted based on the evaluations at 4 testing time points. Result:There was no significant difference in FMA,SF-36 and FCA scores of the two groups before and after 3 months treatments, while FMA,SF-36 and FCA scores of the rehabilitation group were obviously higher than those of the control group either after 6 months treatments or of followup study. Moreover, after 6 months treatments FMA score was apparently higher than the score at the beginning and after 3 months treatments. The FMA, SF36 and FAC scores during the followup visit decreased when compared with scores after 6 months treatments, but increased significantly when compared with the scores at the beginning and after 3 months treatments. Conclusion:Standardized tertiary rehabilitation (STR) at convalescence and sequelae stages can significantly improve motor functions and QOL of stroke patients.展开更多
Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problem...Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problems such as poor compliance and uneven allocation of medical resources,making it difficult to meet individualized health management needs.Remote follow-up provides a novel solution to optimize long-term management,improve health literacy,and enhance clinical outcomes.This study aims to evaluate the effect of remote follow-up under an intelligent medical collaborative model on quality of life and health-promoting lifestyle in patients with urinary calculi,and to assess its short-term impact on clinical outcomes.Methods:A total of 118 patients with urinary calculi admitted to a tertiary hospital in Hunan Province between August and November 2024 were recruited and randomly assigned to a control group(n=59)or an intervention group(n=59).The control group received routine departmental follow-up,while the intervention group underwent remote follow-up based on an intelligent medical collaborative model for one month.Assessments were conducted before discharge(T0),15 days after discharge(T1),and one month after discharge(T2),using the Wisconsin Stone Quality of Life Questionnaire and the Health-Promoting Lifestyle Profile.At T2,the incidence of forgotten ureteral stents(FUS),ureteral stent-related complications,unplanned readmissions,and patient satisfaction were evaluated.Results:No significant differences were observed between groups at T0 in baseline characteristics or outcome measures(all P>0.05).At T1 and T2,the intervention group had significantly higher health-related quality of life scores than the control group(P<0.05).Generalized estimating equation(GEE)analysis showed significant between-group effects(Wald's χ^(2)=22.961,P<0.001),time effects(Wald's χ^(2)=23.065,P<0.001),and interaction effects(Wald's χ^(2)=6.930,P<0.05).Similarly,at T1 and T2,the intervention group scored significantly higher on health-promoting lifestyle than the control group(P<0.05),with significant between-group effects(Wald's χ^(2)=22.936,P<0.001),time effects(Wald's χ^(2)=10.694,P<0.001),and interaction effects(Wald's χ^(2)=18.921,P<0.05).No significant differences were found between groups in the incidence of FUS,ureteral stent-related complications,or unplanned readmissions(all P>0.05).Patient satisfaction was significantly higher in the intervention group(t=4.089,P<0.001).Conclusion:Remote follow-up under an intelligent medical collaborative model helps improve quality of life,promote health-oriented lifestyles,and enhance patient satisfaction among individuals with urinary calculi.展开更多
目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状...目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状况、在岗情况、血压控制情况、心功能、心血管系统合并症及家庭人均月收入对患者QOL总得分有显著影响。多元逐步线性回归分析显示,年龄、血压控制情况、心功能、心血管系统合并症及家庭人均月收入是主要影响因素,偏回归系数分别为-4.266、86.237、-48.048、-45.071和36.011。结论关注老龄及低收入高血压患者,积极控制血压、改善心功能、治疗心血管系统合并症对提高患者QOL有重要意义。展开更多
目的探讨由美国国家医学中心和贝克曼研究所研制的癌症患者照顾者生活质量量表(Quality of LifeFamily Version,QOLScale-FAMILY)用于中国喉癌患者照顾者生活质量测量的可能性,为喉癌患者照顾者生活质量的评定提供一个量化工具。方法通...目的探讨由美国国家医学中心和贝克曼研究所研制的癌症患者照顾者生活质量量表(Quality of LifeFamily Version,QOLScale-FAMILY)用于中国喉癌患者照顾者生活质量测量的可能性,为喉癌患者照顾者生活质量的评定提供一个量化工具。方法通过对QOLScale-FAMILY量表的翻译、回译、文化调试制定出中文版的QOL Scale-FAMILY量表,并采用信访、电话访谈、面对面问卷访谈的方法,对100例喉癌患者照顾者(主要是患者配偶和子女)的生活质量进行测定,考核QOL Scale-FAMILY的可行性以及信度与效度。结果中文版的QOL Scale-FAMILY具有良好的内部一致性,总量表的Cronbach′sα系数为0.794,除了精神健康维度α=0.649外,其他3个维度满足群组比较的要求;重测信度γ=0.841。因子分析产生的4个公共因子与理论结构基本一致,结构效度的累积方差贡献率为60.2%。结论QOLScale-FAMILY中文版具有较好的信度和效度,对部分条目进行调整后,可以应用于喉癌患者照顾者生活质量的测定。展开更多
文摘In this paper, we will discuss the consequences of secondary conditions and their impact on rehabilitation outcomes and quality of life for persons with disabilities. Health promotion as a preventive method for secondary conditions for persons with disabilities has not been a significant area of interest on the part of the general health care and rehabilitation services community in Western societies. In the U.S., after years of careful evaluation a shift in scientific and advocacy thinking has encouraged researchers, funding agencies, health care providers, rehabilitation professionals and persons with disabilities, as well as the consumers of health care services to prioritize future studies in this specific area and establishing quality health care and the best possible rehabilitation outcomes for millions of individuals with disabilities.
文摘Objective:To identify factors related to quality of life in post myocardial infarction patients.Methods:The subjects were 150 post myocardial infarction patients who were receiving follow up care at Hajar Hospital.Self-administered questionnaires consisting of physical-and mental health-quality of life(QoL)during a 14-month follow-up were designed.A χ2 test was used to determine relationships between variables.Results:There was significant correlation between demographic variables such as insurance and retirees between the subjects tested.In addition,a significant relationship between the pain intensity,fatigue,reducing or losing job performance and QoL was found.Conclusion:The role of nurses to fulfill all social,psychotically and mental requirements of the patients with myocardial infarction is highly appreciated.
基金supported by the Key Projects of Shanghai Science and Technology on Biomedicine(NO.10DZ1950800)the 12th Five-year Plan supporting project of Ministry of Science and Technology of the Peo-ple's Republic of China (NO: 2013BAI10B03)the Major project of Shanghai Zhabei District Health Bureau(No. 2011ZD01)
文摘Objective:To explore the effects of standardized rehabilitation on quality of life (QOL) of stroke patients at convalescence and sequelae stages. Method:A total of 251 stroke patients were randomly divided into a standardized rehabilitation group and a control group. The simplified Fugl-Meyer assessment(FMA) scale, the 36-item short-form health survey questionnaire (SF-36) and functional comprehensive assessment (FCA) were administered before as well as after 3, 6 and at 12 months a follow-up study respectively. Statistical analysis was conducted based on the evaluations at 4 testing time points. Result:There was no significant difference in FMA,SF-36 and FCA scores of the two groups before and after 3 months treatments, while FMA,SF-36 and FCA scores of the rehabilitation group were obviously higher than those of the control group either after 6 months treatments or of followup study. Moreover, after 6 months treatments FMA score was apparently higher than the score at the beginning and after 3 months treatments. The FMA, SF36 and FAC scores during the followup visit decreased when compared with scores after 6 months treatments, but increased significantly when compared with the scores at the beginning and after 3 months treatments. Conclusion:Standardized tertiary rehabilitation (STR) at convalescence and sequelae stages can significantly improve motor functions and QOL of stroke patients.
基金supported by the Innovation Platform’s Open Foundation of Education Department of Hunan Province(18K004)the Natural Science Foundation of Hunan Province(2025JJ50508),China.
文摘Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problems such as poor compliance and uneven allocation of medical resources,making it difficult to meet individualized health management needs.Remote follow-up provides a novel solution to optimize long-term management,improve health literacy,and enhance clinical outcomes.This study aims to evaluate the effect of remote follow-up under an intelligent medical collaborative model on quality of life and health-promoting lifestyle in patients with urinary calculi,and to assess its short-term impact on clinical outcomes.Methods:A total of 118 patients with urinary calculi admitted to a tertiary hospital in Hunan Province between August and November 2024 were recruited and randomly assigned to a control group(n=59)or an intervention group(n=59).The control group received routine departmental follow-up,while the intervention group underwent remote follow-up based on an intelligent medical collaborative model for one month.Assessments were conducted before discharge(T0),15 days after discharge(T1),and one month after discharge(T2),using the Wisconsin Stone Quality of Life Questionnaire and the Health-Promoting Lifestyle Profile.At T2,the incidence of forgotten ureteral stents(FUS),ureteral stent-related complications,unplanned readmissions,and patient satisfaction were evaluated.Results:No significant differences were observed between groups at T0 in baseline characteristics or outcome measures(all P>0.05).At T1 and T2,the intervention group had significantly higher health-related quality of life scores than the control group(P<0.05).Generalized estimating equation(GEE)analysis showed significant between-group effects(Wald's χ^(2)=22.961,P<0.001),time effects(Wald's χ^(2)=23.065,P<0.001),and interaction effects(Wald's χ^(2)=6.930,P<0.05).Similarly,at T1 and T2,the intervention group scored significantly higher on health-promoting lifestyle than the control group(P<0.05),with significant between-group effects(Wald's χ^(2)=22.936,P<0.001),time effects(Wald's χ^(2)=10.694,P<0.001),and interaction effects(Wald's χ^(2)=18.921,P<0.05).No significant differences were found between groups in the incidence of FUS,ureteral stent-related complications,or unplanned readmissions(all P>0.05).Patient satisfaction was significantly higher in the intervention group(t=4.089,P<0.001).Conclusion:Remote follow-up under an intelligent medical collaborative model helps improve quality of life,promote health-oriented lifestyles,and enhance patient satisfaction among individuals with urinary calculi.
文摘目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状况、在岗情况、血压控制情况、心功能、心血管系统合并症及家庭人均月收入对患者QOL总得分有显著影响。多元逐步线性回归分析显示,年龄、血压控制情况、心功能、心血管系统合并症及家庭人均月收入是主要影响因素,偏回归系数分别为-4.266、86.237、-48.048、-45.071和36.011。结论关注老龄及低收入高血压患者,积极控制血压、改善心功能、治疗心血管系统合并症对提高患者QOL有重要意义。
