Calidad de vida percibida de los pacientes complejos en un programa de gestión de casos en atención primaria de salud

Zamora-Sánchez, Juan José; Pérez-Tortajada, Gemma; Paredes, Maria; Guerrero-Gancedo, María Milagros

doi:10.1016/j.enfcli.2012.04.009

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…Our results for the influence of age were not so conclusive. Previous studies [ 7 , 13 ] were consistent with our finding that older people obtain higher scores on the EQ-VAS (59.47 vs. 59.07) and lower scores on the EQ-Index (0.63 vs. 0.67). We also found a lower prevalence of problems in the EQ-Index anxiety/depression dimension among older people, even although the prevalence was higher in other dimensions.…”

Section: Discussionsupporting

confidence: 92%

“…The other characteristics of our study population associated with a lower quality of life were consistent with those described in the literature: low educational level [ 31 , 38 ], social risk [ 33 , 37 ], low socioeconomic status [ 38 ], living alone [ 7 , 33 ], anxiety and depression [ 14 , 39 ], functional dependency and cognitive impairment [ 11 , 40 ]. In this regard, we note that even slight differences in functional or cognitive ability significantly influenced quality of life.…”

Section: Discussionsupporting

confidence: 72%

“…Schumaker defines health-related quality of life (HRQoL) as "the subjective perception influenced by the current health status of the ability to perform activities important for the person" [ 5 , 6 ]. Efforts to assess HRQoL are becoming increasingly important in response to needs to examine the health status of the population and analyze the efficacy and effectiveness of health care interventions [ 7 ]. Consequently, a range of questionnaires and instruments has been developed to measure and characterize HRQoL [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Medication-related factors associated with health-related quality of life in patients older than 65 years with polypharmacy

et al. 2017

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In the current public health framework, the importance of medication as a determinant of citizens’ health has emerged as a factor warranting special attention. Most studies investigating the relationship between medication and quality of life do so from the perspective of adherence. However, other medication-related factors identified at home visits may be associated with health-related quality of life.Methods and designObjective: To describe the relationship between medication-related factors and the health-related quality of life in patients older than 65 years who use multiple medications (polypharmacy).Design: Cross-sectional descriptive study.Setting: Primary care.Participants: Patients older than 65 years who use multiple medications (n = 375).Measurements: The main outcome measure was health-related quality of life according to the EuroQol-5D instrument. Sociodemographic, clinical and medication-related variables were recorded during home interviews.ResultsMean age was 74.72 ± 5.59 years, and 65.5% of our participants were women. The global level of health-related quality of life according to the EQ-5D visual analog scale was 59.25 ± 20.92. Of the five EuroQol dimensions, anxiety/depression and pain were the most frequently reported, while mobility and self-care were the dimensions with the greatest impact on self-reported quality of life. Multivariate analysis indicated that functional independence was the factor most strongly associated (β = 14.27 p < 0.001) with better health-related quality of life, while illiteracy (β = −13.58 p < 0.001), depression (β = −10.13 p < 0.001), social risk (β = −7.23 p = 0.004) and using more than 10 medicines (β = −4.85 p = 0.009) were strongly associated with a poorer health-related quality of life.ConclusionsFactors inherent within the patient such as functional incapacity, cognitive impairment and social and emotional problems were the main constraints to quality of life in our study population. The number of medicines taken was negatively related with quality of life.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

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Medication-related factors associated with health-related quality of life in patients older than 65 years with polypharmacy

et al. 2017

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“…Similar to previous studies, our research demonstrated that there were significant differences of health status in terms of sex, 32 , 39 – 41 women generally had lower scores in both EQ-VAS (69.79±10.93 vs 74.85±13.47) and EQ-5D index (0.71±0.08 vs 0.74±0.10) than men. Especially in terms of pain/discomfort (85.5% vs 64.9%) and anxiety dimensions (18.7% vs 5.2%), the prevalence of women experiencing these problems was higher than that of men.…”

Section: Discussionsupporting

confidence: 90%

“…Also, our findings indicated that age had a negative effect on the quality of life, the EQ-5D index declined with age increase, and this highlights that aging has an impact on a person’s health status. 32 , 39 , 41 …”

Section: Discussionmentioning

confidence: 99%

Medication-related risk factors associated with health-related quality of life among community-dwelling elderly in China

Zhang¹,

Meng²,

Qiu³

et al. 2018

PPA

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BackgroundPrevious studies have demonstrated that medication adherence has an impact on health-related quality of life (HRQoL). However, other medication-related factors that may influence HRQoL have not been extensively studied, especially factors based on the Medication-Risk Questionnaire (MRQ), and such studies are mostly done in Western countries. Our objective was to explore risk factors associated with HRQoL among community-dwelling elderly with chronic diseases in mainland China, especially the medication-related risk factors regarding MRQ.MethodsThe study was conducted in a community health service center through surveys to eligible patients. The main outcomes of HRQoL were assessed by the EuroQol-5D (EQ-5D) scale and EQ-visual analog scale (EQ-VAS). Medication-related risk factors according to MRQ associated with HRQoL were identified using a multiple linear regression.ResultsA total of 311 patients were analyzed, averaging 71.19±5.33 years, and 68.8% were female. The mean EQ-5D index was 0.72±0.09, and the mean EQ-VAS score was 71.37±11.97. The most prevalent problem was pain/discomfort, and 90.0% believed that they could take care of themselves without any problems. Sex, age, educational level, frailty, function status, and certain medication-related factors regarding MRQ were found to be significant factors impacting the HRQoL. A multivariate analysis showed that MRQ factors of polypharmacy, multimorbidity, feeling difficultly with taking medicines as prescribed, and taking medicines with narrow therapeutic index had negative impacts on the quality of life.ConclusionPatient’s internal characteristics and medication-related risk factors according to MRQ were associated with quality of life. The results of the MRQ is an indicator of quality of life that can identify patients who need interventions.

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Rehabilitación pulmonar en la enfermedad pulmonar obstructiva crónica

Alcaraz

2015

Enfermería Clínica

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Calidad de vida percibida de los pacientes complejos en un programa de gestión de casos en atención primaria de salud

Cited by 5 publications

References 20 publications

Medication-related factors associated with health-related quality of life in patients older than 65 years with polypharmacy

Medication-related factors associated with health-related quality of life in patients older than 65 years with polypharmacy

Medication-related risk factors associated with health-related quality of life among community-dwelling elderly in China

Rehabilitación pulmonar en la enfermedad pulmonar obstructiva crónica

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