The psychiatric and Quality of life Profile of Users of a Psychogeriatric Service in Cairo

من ويكيتعمر
اذهب إلى: تصفح، ابحث

تصنيف[عدل]

ديوى: 616.89

المؤلف[عدل]

Abdel-Moneim Mahmoud Abido,Rasha

العنوان[عدل]

The psychiatric and Quality of life Profile of Users of a Psychogeriatric Service in Cairo بيان المسئولية : Rasha Abdel-Moneim Mahmoud Abido؛supervisor Abdel Moneim Mahmoud Ashour,Alaa El-Din Mohamed Ali Soliman,Abeer Mahmoud Ahmed

عنوان موازي[عدل]

صورة عرضية شاملة التقييم النفسي و نوعية الحياة لمستخدمي خدمة الطب النفسي للمسنين بالقاهرة .

تاريخ النشر[عدل]

2006 . الحجم: 264.p؛ ابعاد الوعاء: 30.cm.

درجة الرسالة[عدل]

thesis(m-d)-Faculty of Medicine .Ain Shams University.Psychiatry

ملخص[عدل]

The increasing attention being given to prolongation of life has resulted in insufficient attention to protecting the quality of life of elderly population. Thus, for most older adults, the promise of longevity presents serious concerns about the future quality of a life that has been prolonged by medical advances. As a result, for older adults, quality of life is becoming much more a rating of physical health status as reflected in illness, disease, physical and functional decline, and infirmity. Quality of life (Q.O.L.) is difficult to measure but has a great impact upon patient decision making and medical care. Many patients with severe mental disease prefer to trade off life expectancy for improved symptoms and Q.O.L. Over time and as Q.O.L. changes, these decisions may also change. Thus, Q.O.L. assessment, while imprecise, caries importance in the management of the elderly with psychiatric illness. Lower Q.O.L. scores have been used to predict morbidity and mortality in geriatric patients. There are two main types of Q.O.L. measures: generic instruments (health profiles and health indices) and disease specific instruments (domain-, disease-, population- and symptom-specific). Many factors affect elderly’s Q.O.L. as: health status (physical, mental and cognitive function), life style factors, functional independence, participation in the community, religious influences, economic resources, sense of subjective wellbeing, family support, social contact and structure, impact of technology and environmental resources. Two models underlie efforts to maintain the elderly Q.O.L. The first, a medical model (health-related Q.O.L.), is based on a medical management of disabling chronic conditions. The second is a social model (life-span model). It analyzes two models: (a) selective optimization with compensation model, which focuses on establishing the limits and possibilities of function in old age; and (b) stress model, which emphasizes people’s capacity for coping with changing or difficult situations that may appear in old age. The aim of this work was to correlate the Q.O.L. of a population of users of a psychogeriatric service in Cairo with their psychosociobiological profile in order to highlight clusters of factors associated with poor Q.O.L. in those users, which enables psychogeriatric services to meet these patients’ needs. This study included 300 psychogeriatric patients attending Boulak General Hospital outpatient clinics. For each participant, the following were obtained: sociodemographic data (age, gender, religion, marital status, socio-economic status, level of education, occupation), psychiatric history, medical history, evaluation of caregiver status, Rosenberg self esteem scale, Katz Index of A.D.L., GMS/AGECAT scale, Q.O.L. profile “brief form”. The results of our study showed that female subjects had lower Q.O.L. compared to males. There was a negative association between age and Q.O.L. in both male and female subjects. Religion and self-esteem had no significant association with Q.O.L. in both genders. There was no significant association between socio-economic status and Q.O.L. in male subjects, but it had a significant negative association with Q.O.L. in female subjects. Marital status had a significantly positive association in male subjects and a negative association in female subjects. Need for caregiver had a significant positive association with female Q.O.L., but a negative association with male Q.O.L. Sleep disturbances, memory disorders and sad feeling all had negative impact on both male and female subjects’ Q.O.L. Inability to carry out the A.D.L. and I.A.D.L. had a significant negative association with Q.O.L. in both male and female subjects. We couldn’t establish an association between physical illnesses (D.M., hypertension, pulmonary, cardiac, and hepatic dysfunction) and elderly Q.O.L. in both genders. Patients who had cerebrovascular stroke, both male and female, had significantly lower Q.O.L. profile. Patients who had GMS diagnosis of anxiety, depression and dementia had significantly lower Q.O.L. profile compared to others.

الموضوع[عدل]

Performance of activities of daily living (ADL) in the studied subjects.

مؤلف فرعي[عدل]

Mohamed Ali Soliman,Alaa El-Din ، / supervisor. مؤلف فرعي: Mahmoud Ahmed ,Abeer ، / supervisor. مؤلف فرعي: Moneim Mahmoud Ashour,Abdel ، / supervisor.