P. 1
group 2 survey

group 2 survey

|Views: 6|Likes:
Published by api-3710926

More info:

Published by: api-3710926 on Nov 27, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

03/18/2014

pdf

text

original

Tanta University Faculty Of Medicine Public Health Department

Supervised by: Prof. Nashwa Radwan ,Prof. Nehal Salah 2008/2009

Impact of chronic diseases on the elders quality of life ((QOL

Introduction
Elderly is defined as chronological age of 65 years old or older while those from 65 through 74 years old are referred as “early elderly” and those over 75 years old as “late elderly.” However, the evidence on which this definition is based is unknown. We have attempted to review the definition of elderly by analyzing data from long-term longitudinal epidemiological studies, and clinical and pathological studies. Advances in medicine have prolonged the life of many people with chronic diseases. Chronic diseases are diseases of long duration and generally slow progression. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the leading cause of mortality in the world, representing 60% of all deaths especially among elderly. Out of the 35 million people who died from chronic disease in 2005, half were under 70 and half were women. However, chronic diseases may not kill but they consume a lot of health care resources and threaten the quality of life of the sufferers. The ultimate goal of modern health care for patients with chronic disease is not only to delay death but also to promote health and quality of life. Quality of life is the degree to which a person enjoys the important possibilities of his/her life. Possibilities result from the opportunities and limitations each person has in his/her life and reflect the interaction of personal and environmental factors. Enjoyment has two components: the experience of satisfaction and the possession or achievement of some characteristic. Unlike standard of living, quality of life is not a tangible thing, and so cannot be measured directly. It consists of two components: physical and psychological. The physical aspect includes things such as health, diet, and protection against pain and disease. The psychological

aspect includes stress, worry, pleasure and other positive or negative emotional states. Researchers concluded that, chronic diseases cause medical, social and Psychological problems that limit the activities of elderly People in the community and decrease their quality of life. They affect QOL Of elderly people and contribute to disability and reduce their ability to live independent. Most results confirm that quality of life in elderly outpatients with chronic disease is a multidimensional construct involving health, as well as social and other factors

:Aim of work
:This work aims at Studying the impact of the different chronic diseases among the subject .elders on their quality of life

:Subjects and Methods
Study design:This study is observational cross-Sectional study. Target population & setting:This study was conducted in Tanta city (Community based- hospital based) during one month (December 2008). Elder Subjects 60 years and above were our target population (N=b30) Data collection:An interview was carried out with each elder using a pre-designed questionnaire to collect the fallowing data:1-Demographic data - Age <70 years (183) >70 years (447)

- sex - Education - Residence - Social level :

male (309) law (282) Urban(360) Intermediate(185)

female (321) high(163) Rural(270)

2-Life Style characteristics:not enough (206) Enough not saving (223) enough & saving (201) - Marrital status : Single (47) - Smoking habits : non smoker(190) smoker(38) 3-Chronic disease : No disease (16) one disease (331) More than one disease (283) Married(327) others(256) Ex Smokers(402)

:(Measuring the quality of life (QOL) (Appendix B
This was done by the English Version of the COOP/WONCA charts. It was translated into Arabic and took 15 to 30 minutes on the average to be completed with each subject. It is an instrument that measured subjected health status on six dimensions, where as the subject elders were asked

:about the last two weeks as follows
A- Physical fitness:-what was the hardest physical activity he could do for at least 2 minutes (5 grades). B-Feelings: any emotional problems as depression, anxiety, irritability .(or sadness (5 grades C-Daily activities: limitations in daily activity either inside or outside .(house (5 grades D- Changes in health: how he could rate his overall health now (compared to 2 weeks ago (5 grades E-General health perception: how he would rate his health in general .((5 grades

F- Social activities: did his physical and emotional health limit his .(social activities with family, friends or neighbors (5grades :Scoring of the COOP/WONCA :Each item in the sheet is scored as follows .(Limited activity or poor(2 points-1 .(only little limitation(1 point-2 .(no limitation or well(0 point-3 The sum of the total scores was calculated to deduce the general QOL :for each subject. The total QOL score was divided into .low score (good QOL): the score<15-1 .High score (poor QOL): the score ≥ 15-2 .The results were tabulated and analyzed

:Results
The sample included six hundreds and thirty (630) elder subjects (70.95%) of them were 70 years or more and the remaining (29.05) were below 70 years. Male & female percentage were nearly equal 49.05%, 50.95% respectively. About half of Subjects were married while 7.46% only were Single. Concerning education, 44.76% of the sample were low educated compared to 25.87%, highly educated. It was observed that Slightly more than half of cases (57.14%) were urban and the rest 42.82% were from rural one. As regard Social status (86.1%) had sufficient income compared to (31.9%) with insufficient income. Table (1), fig (1), Showed the quality of life of subject elders regarding to their socio demographic characteristics.

Generally about (69.05%) of elders had poor quality of life compared to (30.95%) with good quality of life. About 88.05% of those with poor QOL were above 70 years whereas 11.95% of them were below 70years. Male & female percentage with poor QOL were 46.9%, 53% respectively. It was observed that (48.74%) of subjects elder with poor QOL were married, 6.21% and 45.05% of them were single and (widaw or divorced) respectively. Concerning educational level, (56.78%) of those with poor QOL were law educated, (16.09%) of them were highly educated compared to (17.95%) and (47.69%) among those with good of QOL respectively . In this study, Subjects with poor QOL had almost closely related percentage regarding to their occupation wither {Unemployed – Unskilled –skilled - Professional} they were {20.69% - 21.59% - 22.31% - 29.42%} respectively, compared with{25.64%, 22.05%, 24.62%, 27. 69%} among those with good QOL respectively. Regarding residence, 60.51% with good QOL were from rural Areas while 39.49% were from urban one. As regard to Social Status, 40.46% with insufficient income had poor QOL Compared to 24.6% with good QOL. Table (2) Showed that (65.05%) of elders with poor quality of life were smokers compared with (61.02%) among those with good QOL. Table (3), fig (2) Shaw the relation between health status of Subjects elder & their QOL. About half of Subjects with poor QOL (50.8%) had more thane one disease compared to only 1.38% who didn't have any disease. Table (1) Socio-demographic characteristics of the subject elders (associated with their Quality of life (QOL

QOL socio-demographic characteristics

(Good (n= 195 .No %

(Poor (n= 435 .No %

(Total (n= 630 .No %

Age * 70> 70≤ Sex * Males Females Marital status * Single Married Others Education * Low Intermediate High Occupation * Unemployed Unskilled skilled Professional Residence * Urban Rural Family income * Not enough Enough & not Enough & saving 105 90 20 115 60 35 67 93 50 43 48 54 77 118 30 saving 71 94 53.85 46.15 10.26 58.97 30.77 17.95 34.36 47.69 25.64 22.05 24.62 27.69 39.49 60.51 15.38 36.41 48.21 204 231 27 212 196 247 118 70 90 120 97 128 283 152 176 152 107 46.9 53.1 6.21 48.74 45.05 56.78 27.13 16.09 20.69 27.59 22.3 29.42 65.06 43.94 40.46 34.94 24.6 309 321 47 327 256 282 185 163 140 163 145 182 360 270 206 223 201 49.05 50.95 7.46 51.9 40.64 44.76 29.37 25.87 22.22 25.87 23.02 28.89 57.14 42.86 32.7 35.4 31.9 131 64 67.18 32.82 52 383 11.95 88.05 183 447 29.05 70.95

. Table (2): smoking among the studied elders in association wit QOL QOL Smoking Good ( no = ( 195 % No Poor ( no = ( 435 % No Total ( no = 630 ) No %

non smoker* smoker* ex. smoker*

65 119 11

33.3 3 61.0 2 5.65

125 283 27

28.7 5 65.0 5 6.20

190 402 38

30.1 6 63.8 1 6.03

Table (3): Chronic diseases among elders and their association with . QOL Chronic disease QOL Good ( n = Poor ( n = (195 (435 % % NO NO 10 123 62 5.12 63.0 8 31.8 0 6 208 221 1.38 47.8 2 50.8 0 Total ( no = 630 ) NO 16 331 283 % 2.54 52.4 5 44.9 2

no disease* one disease* more than* one

100

Good QOL % poor QOL % Total %

90

80

70

60

50

40

30

20

10

0
*S ex M al e Fe s m *M ale ar s ita ls ta tu s Sin gle M ar rie d O th * E ers du ca tio n *F am Ru ra ily l in co En N m ot e ou en gh ou & gh no En ts ou av gh in g & sa vin g * O Hig h cc up at U ne io n m pl oy ed U ns kil le d sk ille Pr d of es s io na *R l es id en ce U rb an ris tic s ge Lo In te rm w ed ia te *A < 70

so cio -d em og ra ph ic

Fig (1) Socio-demographic characteristics of the subject elders associated with their QOL.

ch ar ac te

70 60 50 % 40 30 20 10 0 5.12 1.38
No Poordisease QOL chronic disease
One disease one disease <

63.08 47.82 go o 50.8

31.8

good QOL

poor QOL

Fig (2):Chronic diseases among elders and their association with QOL

:Summery and conclusion

This study concluded that, more than two thirds of elders had poor quality .of life compared to (30.95%) with good QOL Poor QOL was more recorded among females (53.1%), those aged > 70 & years (88.05%), low educated compared to highly educated (56.78% respectively). Urban residence and low income were associated 16.09% .with lower scores of QOL among the subject elders Regarding smoking habit, It seemed to be not associated with QOL in this work. As nearly two thirds (65.05%) among elders with poor QOL were .smokers compared to (61.02%) of smoking elders with good QOL As concern the impact of chronic disease on QOL among elders; the study documented that the more the number of chronic diseases, the . poorer QOL among them

References
1- http://www.wisegeek.comdisease.htm.
2- http://www.ispub.com 3- http://www.ingentaconnect.com 4-http://www.gdrc.org 5-http://www.mdconsult.com 6- http://www.who.int.com

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->