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Health Related Quality of Life of Stroke Survivors: Experience of a Stroke Unit  [cached]
S. A. Abubakar1,S. A. Isezuo
International Journal of Biomedical Science , 2012,
Abstract: Background: Stroke has a major impact on survivors including Health related Quality of life (HRQoL). HRQoL measurements are potentially more relevant to patients than measurements of impairments or disability and are an important index of outcome after stroke that can facilitate a broader description of disease and outcome. This study examined the factors associated with HRQoL of stroke survivors. Methods: In a cross-sectional and descriptive correlational design, 62 patients were prospectively enrolled and interviewed 3 months post stroke in neurology out-patient clinic. After case identification, functional status (handicap) was determined using the Modified Rankin Scale (MRS), while Zung Depression Self-Rating Scale (ZDS) was used to determine presence of depression. HRQoL was assessed using the Stroke Impact Scale-16 (SIS-16). Age, sex, duration of formal education, depression and degree of disability were correlated with HRQoL in multiple logistic regressions. Results: The mean age of patients was 54.4 ± 9.9 years. Mean duration of formal education was significantly higher in males than females (p value=0.007). About one third (29%) of the stroke survivors were depressed and more than half (54.8%) had good recovery. Function status measured by modified Rankin Scale and depression were independent determinants of poor HRQoL. Conclusion: Functional status and depression were identified as independent factors affecting HRQoL of stroke survivors.
Hospital-based Health Technology Assessment: the experience of Agostino Gemelli University Hospital’s HTA Unit  [cached]
Cesare Catananti,Americo Cicchetti,Marco Marchetti
Italian Journal of Public Health , 2005, DOI: 10.2427/5980
Abstract: The Italian National Health Care Service, as many other industrialised countries’, has to cope with increasing health care needs in spite of the limited resources available. Therefore, it is necessary to assess diagnostic-therapeutic procedures, technologies and organizational standards, in order to allocate the available resources appropriately. Methodologies developed by the area of research known as Health Technology Assessment, provide scientific support for the policies that all countries have adopted in order to rationalize, and sometimes to ration, health care services. Within this context Health Technology Assessment plays a key role in establishing appropriate health care policy decisions. If in the past Health Technology Assessment’s areas of applications have involved mainly macro health care policies, HTA’s methods are now becoming imperative also on an organizational level, as a valuable tool to support managerial decisions. This article outlines the 4 year - experience of A. Gemelli University Hospital of applying HTA methodologies.
Use and development of health information systems: the experience of an organizational unit responsible for the technological services at a public hospital
Oliveira, Sonia Valle W. Borges de;Arroyo, Cristiane Sonia;Oliveira, Marcio Mattos Borges de;Ferreira, Alessandra Henriques;
JISTEM - Journal of Information Systems and Technology Management , 2011, DOI: 10.4301/S1807-17752011000100008
Abstract: the goal of this work is to present an overview of the use and development of health information systems (his) reporting the experience of the information management department of a public hospital. recently, the implementation of his has received great prominence. the patient's improvement process can be enriched with the introduction of the patient's history by electronic means, among other technologies. a descriptive study with interviews conducted between the years 2004 and 2007 provided the experience obtained by the center for information and analysis of hc-fmrp-usp. it can be concluded that the success of the his implementation can lead to cost reduction and improve the work quality of health care professionals as well as patient care services.
USE AND DEVELOPMENT OF HEALTH INFORMATION SYSTEMS: THE EXPERIENCE OF AN ORGANIZATIONAL UNIT RESPONSIBLE FOR THE TECHNOLOGICAL SERVICES AT A PUBLIC HOSPITAL
Sonia Valle W. Borges de Oliveira,Cristiane Sonia Arroyo,Marcio Mattos Borges de Oliveira,Alessandra Henriques Ferreira
JISTEM - Journal of Information Systems and Technology Management , 2011,
Abstract: The goal of this work is to present an overview of the use and development of health informationsystems (HIS) reporting the experience of the information management department of a publichospital. Recently, the implementation of HIS has received great prominence. The patient’simprovement process can be enriched with the introduction of the patient’s history by electronicmeans, among other technologies. A descriptive study with interviews conducted between theyears 2004 and 2007 provided the experience obtained by the Center for Information andAnalysis of HC-FMRP-USP. It can be concluded that the success of the HIS implementation canlead to cost reduction and improve the work quality of health care professionals as well aspatient care services.
Processo de (re)constru??o de um grupo de planejamento familiar: uma proposta de educa??o popular em saúde
Pereira, Queli Lisiane Castro;Silva, Cláudia Beatriz Degani Cardoso de Aguiar da;Pelzer, Marlene Teda;Lunardi, Valéria Lerch;Siqueira, Hedi Crecencia Heckler de;
Texto & Contexto - Enfermagem , 2007, DOI: 10.1590/S0104-07072007000200016
Abstract: this study is an experience report whereby the (re)building of a family planning group in a basic health unit clinic in a neighborhood within the city of rio grande, rs, brazil is processed, based on popular education in health. the work was developed through an operative group. its objective is to increase awareness in women towards family planning, in its entirety, mobilizing these women towards a shared commitment with their partners in joint construction of daily family planning. thus, each user as the subject of their own story was valued, contributing in order to benefit their quality of life, in tune with the benefits of popular education in health.
The experience of aging: voices of an elderly group
Cibelly Aliny Siqueira Lima Freitas,Francisca Emanuelle Sales Eugênio,Maria Josefina da Silva,Francisca Elisangela Teixeira Lima
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objectives: to analyze the perception of an elderly social group in Sobral-CE city on the aging process, knowing the feelings and expectations of older adults, and examine the difficulties experienced by the elderly in old age. Methods: this is a descriptive study from qualitative approach, carried out with 10 elderly who participated in a semistructured interview from May to June 2009. This study has been approved by the Ethics Committee in Research of University of State Vale do Acaraú (protocol number 512). Results: regarding the experience of old age was apparent that older people reported great satisfaction in participating in the living group, due to improvement in quality of life characterized by happiness, comfort and the desire to live. About the difficulties experienced in old age, were reported to constraints in developing remunerated activities the difficulty of achieving retirement and health issues. Conclusion: the study shows the importance of professional of health to develop educational strategies that promote the autonomy of the elderly to ensure human dignity. It is also that the participation of people living in groups, with a view to empowerment, positive self translated into the lives of the elderly.
Educa??o popular em saúde a partir de um jogo: gest?o e cuidado em uma unidade de Saúde da Família
Maxta, Bruno Souza Bechara;Almeida, Aline Barreto de;Silveira, Lucas Bronzatto;Soleman, Carla;Ogata, Márcia Niituma;
Trabalho, Educa??o e Saúde , 2010, DOI: 10.1590/S1981-77462010000100009
Abstract: this report presents the 'big health bingo' activity as a differentiated proposal for participatory management and care, at a health care unit, in the context of the family health strategy. the experience is combined with the assumptions of the humanization and popular health education policy, focusing on the democratization and decentralization of management and care, recognizing the citizen-users and subject-employees as agents of collective practices within the community. value is given to cooperation and collective willingness, which allow the sharing of knowledge and health practices. by means of the game called 'bingo,' themes, speeches, thoughts, and interactions are highlighted as a common means of community expression and meanings about the moments of health unit. this process has allowed the strengthening of the professional-user bond and the exchange of knowledge on health management in their local councils.
Health and widowhood: Meanings and experience of elderly women in Chile  [PDF]
Paulina Osorio-Parraguez
Health (Health) , 2013, DOI: 10.4236/health.2013.58173
Abstract:

Aging and widowhood signal a real and symbolic landmark of change toward new vital experiences of elderly people. In the aging experience of women, there are three social age markers that participate directly in the construction of their identity as women during old age: menopause, work and widowhood. The present paper reports the results of a research on widowhood in old age and the experience of aging in elderly women in Chile. Through a qualitative methodological strategy, in depth biographic interviews were held with elderly people who were widowed after reaching 60 years of age, centering the analysis on its meanings on the body, health and death in old age, highlighting sociocultural aspects of the aging and widowing processes. Approaching widowhood in old age shows us not only a person who has lost a husband, but also what it means to be an elderly woman in a life experience continuum that also brings about key changes to understand the aging process of people, because marital relations can get to be determining factors for the construction of the identity of women and their experience of the aging process.

The experience of aging: a phenomenological perspective
Silva, Maria da Gra?a da;Boemer, Magali Roseira;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000300016
Abstract: this qualitative study with a phenomenological approach looked at elderly people (60 years of age or more) who attend two elderly community centers located in a state capital in central-western brazil. the goal was to understand the experience of aging through the experience of people who are aging and its meaning for nursing practice. phenomenological interview resources were used, with the following guiding question: "what is it like to reach this age? to live so many years?" the results showed that these people's main concerns are: to show that they do not lose their identity because they age and that, sometimes, in spite of their chronological age, they do not feel aged; they expect acknowledgement as citizens; they reinforce that being healthy is essential and grants them autonomy in their lives; they emphasize the importance of family support, life and care; they value financial independence and avoid talking about the finite nature of human beings.
Public Health and the Aging Family  [PDF]
Toni C. Antonucci,Kristin M. Wong
Public Health Reviews , 2010,
Abstract: The role of the family in the health of its members is critical from birth to death. This review focuses on the aging family, recognizing that the family is one of the earliest and longest lasting contexts infl uencing health. In particular, we emphasize the changing demographics of the family including the increased numbers of older family members and the decreased number of children. We consider how best to adapt to the changing family so that its critical role in maintaining individual and public health can be retained and enhanced. We begin by highlighting the importance of taking both a life span and life course perspective, recognizing that individuals develop and change over their lifetime. At the same time, they are members of groups and organizations, which shape their life course. We next consider the dramatically changing demographics of the population generally and within families specifically. We reflect on how these changes impact public health both positively and negatively, taking into account the potential of the family as a resource and a risk factor. We next consider five life course epidemiological models of health: the immediate effects model, the social trajectory model, the cumulative biological model, the sensitive period or latency model and the physiological effects of trajectory model. We explicitly consider the relevance of these models for the family and its aging members. Finally, we highlight what we consider the most important implications of these issues for the health and well-being of older adults and families in an aging society.
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