Quality of life Archives - Page 4 of 6 - Revista Brasileira de Ginecologia e Obstetrícia

  • Artigos Originais

    Comparison of quality of life in women with sexual dysfunction

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(6):266-271
    06-01-2015

    Summary

    Artigos Originais

    Comparison of quality of life in women with sexual dysfunction

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(6):266-271
    06-01-2015

    DOI 10.1590/SO100-720320150005254

    Views111

    PURPOSE:

    To investigate the relationship between sexual function and quality of life in
    pregnant women living in two cities of Northeastern Brazil.

    METHODS:

    The sample consisted of 207 pregnant women. The data were collected through a
    questionnaire containing questions about socio-demographic, gynecological and
    obstetrical data, body and sexual knowledge. Quality of life was assessed by
    applying the Ferrans & Powers Quality of Life Index (QLI Ferrans and Power).
    Sexual function was assessed using the Female Sexual Function Index (IFSF). Data
    were statistically analyzed using the Shapiro-Wilk, Mann-Whitney and Wilcoxon
    tests.

    RESULTS:

    The pregnant women studied had a median age of 30 years (quartile 26-33 years)
    and were approximately at the 26th gestational week. A significant
    decrease in the monthly frequency of sexual relations of the couple was observed,
    with a median of 12 to 4 times per month (Z=-10.56; p<0.001). Sexual dysfunction was detected in 35.7% of the pregnant women studied, whose quality of life was lower when compared to women with unchanged sexual function (Z=-2.9; p=0.004).

    CONCLUSION:

    The results of this study show that sexual dysfunction negatively affected the
    quality of life of pregnant women, and this should be an important aspect for
    review during prenatal consultations.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Artigos Originais

    Fatigue and quality of life in breast cancer survivors: a comparative study

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(3):119-126
    03-01-2015

    Summary

    Artigos Originais

    Fatigue and quality of life in breast cancer survivors: a comparative study

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(3):119-126
    03-01-2015

    DOI 10.1590/SO100-720320150005247

    Views77

    PURPOSE:

    To assess fatigue and quality of life in disease-free breast cancer survivors in relation to a sample of age-matched women with no cancer history and to explore the relationship between fatigue and quality of life.

    METHODS:

    A cross-sectional study was conducted in a sample of 202 consecutive disease-free Brazilian breast cancer survivors, all of whom had completed treatment, treated at 2 large hospitals. The patients were compared to age-matched women with no cancer history attending a primary health care center. The Piper Fatigue Scale-Revised and the World Health Organization Quality of Life Instrument (WHOQOL-BREF) were used to measure the fatigue and quality of life, respectively. Socio-demographic and clinical variables were also obtained. The χ2 test, generalized linear model, and Spearman correlation coefficient were used for statistical purposes. The adopted level of significance was 5%.

    RESULTS:

    Breast cancer survivors experienced significantly greater total and subscale fatigue scores than comparison group (all p-values<0.05). In addition, survivors reported a poorer quality of life in physical (p=0.002), psychological (p=0.03), and social relationships (p=0.03) domains than comparison group. No difference was found for the environmental domain (p=0.08) for both groups. For survivors of breast cancer and for comparison group, the total and subscale fatigue scores were related to lower quality of life (all p-values<0.01).

    CONCLUSION:

    The findings of this study highlight the importance of assessing fatigue and quality of life in breast cancer survivors.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Artigos Originais

    Histological classification and quality of life in women with endometriosis

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(2):87-93
    02-01-2015

    Summary

    Artigos Originais

    Histological classification and quality of life in women with endometriosis

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(2):87-93
    02-01-2015

    DOI 10.1590/SO100-720320140004650

    Views102

    PURPOSE:

    To assess the relationship between the histological classification and the quality of life of patients operated for endometriosis. METHODS: A cross-sectional observational study, with assessment of 32 biopsies of the intestine, peritoneum and uterosacral ligament from 40 women with deep endometriosis. The quality of life (QOL) was determined by applying the SF-36 questionnaire pre-operatively and at 6 and 12 months postoperatively. Biopsies were histologically classified into pure stromal (EP), glandular differentiated (GD), glandular undifferentiated (GI) and mixed (GM), remaining in the sample only GI and GM, which are related to eight domains of the SF-36.

    RESULTS:

    According to the histologic type, the following distribution was observed: peritoneum 63% GI and 35% GM; intestine 19% GI and 24% GM; uterosacral ligament with 41% GI and 35% GM. Regarding the QOL and the histological classification, in the intestine only GM was associated with improvement of social and emotional aspects from 0 to 6 months; the domains general health status (p=0.01) and social aspect (p=0.04) were significantly related to improvement of the QOL from 0 to 6 months, and the general health status tended to improve from 0 to 12 months. Regarding pain (p=0.06) and the emotional aspect (p=0.05), the QOL tended to improve from 0 to 6 months and the vital capacity (p=0.1) improved from 0 to 6 months and from 0 to 12 months. Regarding the emotional aspect, evolution of the two histological types was not favorable for improvement in MG from 0 to 6 months. No significant relationships between histologic type and QOL were evident in the uterosacral ligament samples.

    CONCLUSION:

    Improvement in the QOL of women undergoing laparoscopic surgery for deep endometriosis is associated with the histologic grade. The peritoneal biopsy of GI revealed improved QOL after surgery.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Artigos Originais

    Quality of life of pregnant women infected with the human immunodeficiency virus (HIV) in the city of São Paulo

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(5):228-232
    05-01-2014

    Summary

    Artigos Originais

    Quality of life of pregnant women infected with the human immunodeficiency virus (HIV) in the city of São Paulo

    Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(5):228-232
    05-01-2014

    DOI 10.1590/S0100-7203201400050008

    Views124

    PURPOSE:

    It was to assess the quality of life (QOL) of HIV-infected pregnant women using the HIV/AIDS - Targeted Quality of Life (HAT-QoL) questionnaire.

    METHODS:

    A descriptive study of 60 pregnant women attended at the Multidisciplinary Nucleus of Infectious Diseases During Pregnancy (NUPAIG) - UNIFESP/EPM and in the referral network of the Municipal Office of São Paulo, conducted from February 2011 to October 2012. Sociodemographic and clinical variables were collected from 60 HIV-infected pregnant women who answered the HAT-QoL questionnaire, which included 34 questions about quality of life.

    RESULTS:

    The average age was 30 years and the average period of HIV infection was 5.7 years. Only 8.3% of patients had a CD4 cell score of ≤200 cells/mm³ and 45% showed undetectable viral load. The average domain scores ranged from 47.5 to 83.7. The domains with the lowest scores were financial concerns and concerns about secrecy. The domains with the highest scores and lower impact on quality of life were concerns about medication and confidence in the professional.

    CONCLUSION:

    In this initial study with 60 pregnant women, we concluded that the HAT-QOL can contribute to the assessment of quality of life in the population of HIV-infected pregnant women in Brazil.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Artigos Originais

    Quality of life and psychosocial aspects of polycystic ovary syndrome: a quali-quantitative approach

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(11):503-510
    01-10-2013

    Summary

    Artigos Originais

    Quality of life and psychosocial aspects of polycystic ovary syndrome: a quali-quantitative approach

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(11):503-510
    01-10-2013

    DOI 10.1590/S0100-72032013001100005

    Views116

    PURPOSE: To evaluate the quality of life of women with polycystic ovary syndrome (POS) and to learn about the experience of these women regarding the symptoms of their disease. METHODS: The study complementarily employed two methodological approaches - quantitative and qualitative ones. The quality of life of 213 women was evaluated (quantitative approach) using the SF-36 questionnaire. Of these, 109 had POS (Case Group: 26.8±5.4 years of age) and 104 were healthy (Control Group: 23.9±6.7 years of age). Data were analyzed statistically by the Student t-test, the chi-square test and the Pearson correlation test, with the level of significance set at 5%. Fifteen women with POS participated in the quantitative study and were interviewed using a semi-structured questionnaire. The qualitative data were analyzed by the technique of categorical thematic analysis. RESULTS: The women with POS showed impaired quality of life compared to Control (functional capacity: 76.5±20.5 and 84.6±15.9, respectively; physical aspects 56.4±43.3 and 72.6±33.3; general health status: 55.2±21.0 and 62.5±17.2; vitality: 49.6±21.3 and 55.3±21.3; social aspects: 55.3±32.4 and 66.2±26.7; emotional aspects: 34.2±39.7 and 52.9±38.2; mental health: 50.6±22.8 and 59.2±20.2). Regarding the qualitative data, thematic categorical analysis revealed that feelings of "abnormality", sadness, fear and anxiety were associated with the main symptoms of POS, i.e., hirsutism, menstrual irregularity, infertility and obesity. These symptoms affected the social, professional and marital life of these women. CONCLUSION: POS compromises the quality of life of affected women, causing them to feel that they are different from other women. Thus, women with POS do not simply require medical treatment regarding the reproductive, aesthetic and metabolic effects of the disease, but also need multiprofessional care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Article

    Quality of life and menopausal symptoms in women with liver transplants

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(3):103-110
    03-25-2013

    Summary

    Article

    Quality of life and menopausal symptoms in women with liver transplants

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(3):103-110
    03-25-2013

    DOI 10.1590/S0100-72032013000300003

    Views126

    PURPOSE: To assess quality of life and climacteric symptoms in women with and without liver transplants. METHODS: This was a cross-sectional study of 52 women undergoing follow-up at a university hospital in southeastern Brazil from February 4th, 2009 to January 5th, 2011. Twenty-four of these women were 35 years old or older and had undergone liver transplantation at least one year before study entry. The remaining 28 women had no liver disease and were matched by age and menstrual patterns to the patients with transplants. The abbreviated version of the World Health Organization (WHOQOL-BREF) questionnaire was used to assess quality of life. Menopausal symptoms were assessed using the Menopause Rating Scale (MRS). Statistical analysis was carried out by Student's t-test, Mann-Whitney test and analysis of variance. Correlations between MRS and the WHOQOL-BREF were established by correlation coefficients. RESULTS: The mean age of the women included in the study was 52.2 (±10.4) years and the mean time since transplantation was 6.1 (±3.3) years. Women with liver transplants had better quality of life scores in the environment domain (p=0.01). No difference was noted between the two groups in any domain of the MRS. For women in the comparison group, there was a strongly negative correlation between somatic symptoms in the MRS and the physical domain of the WHOQOL-BREF (p<0.01; r=-0.8). In contrast, there was only a moderate association for women with liver transplants (p<0.01; r=-0.5). CONCLUSIONS: Women with liver transplants had better quality of life scores in the domain related to environment and did not exhibit more intense climacteric symptoms than did those with no liver disease. Climacteric symptoms negatively influenced quality of life in liver transplant recipients, although less intensely than in women without a history of liver disease.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Artigos Originais

    Quality of file in breast cancer survivors compared to healthy women

    Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(10):453-458
    12-20-2012

    Summary

    Artigos Originais

    Quality of file in breast cancer survivors compared to healthy women

    Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(10):453-458
    12-20-2012

    DOI 10.1590/S0100-72032012001000004

    Views65

    PURPOSES: To assess the quality of life of breast cancer survivors compared to a sample of age-matched healthy women. METHODS: A cross-sectional design was conducted on 199 consecutive breast cancer survivors, one year or more after diagnosis, treated at two large hospitals. The patients were compared to age-matched healthy women consisting of employees and volunteers of the two hospitals. Quality of life was evaluated using the World Health Organization Quality of Life Questionnaire, version Bref (WHOQOL-bref) and socioeconomic, clinical, and treatment data were obtained. The χ² test and a generalized linear model were used for statistical analysis. The adopted level of significance was 5%. RESULTS: The mean age of breast cancer survivors was 54.4 years (SD=10.4) and the average length of time since diagnosis was 5.0 years (SD=4.6). The survivors reported a poorer overall quality of life (p=0.001), and for the physical (p<0.001), psychological (p=0.002) and environment (p=0.029) domains than the comparison group, after adjusting for potential confounders. There was no significant difference in the social relationships domain (p=0.929) between groups. CONCLUSION: The results suggest that many breast cancer survivors experienced worse quality of life assessment than healthy women. This information may be useful to establish strategies to improve the quality of life of women with breast cancer.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Artigos Originais

    Sexual function and quality of life of low-risk pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(9):409-413
    11-26-2012

    Summary

    Artigos Originais

    Sexual function and quality of life of low-risk pregnant women

    Revista Brasileira de Ginecologia e Obstetrícia. 2012;34(9):409-413
    11-26-2012

    DOI 10.1590/S0100-72032012000900004

    Views127

    PURPOSE: To evaluate, in healthy women in the second trimester of pregnancy, a possible association between sexual function and quality of life, and between sexual function and sexual satisfaction. METHODS: This cross-sectional study involved 51 pregnant women managed at a low-risk antenatal care clinic. Sexual function was evaluated through the Sexual Quotient - Female Version (QS-F) questionnaire. Quality of life and sexual satisfaction were evaluated though the brief version of the World Health Organization Quality of Life questionnaire (WHOQOL-bref). Inclusion criteria were pregnancy between 15-26 weeks, maternal age 20 or more years, at least five years of scholling, in a relationship with a single partner for the last 6 months, having sexual intercourse with vaginal penetration in the last 15 days. We excluded women with a history of sexual violence, previous or current depression, habitual abortion or obstetric complications in the index pregnancy (premature rupture of membranes, preterm labor or hemorrhage). The χ² and Fisher exact tests were used for statistical analyses and p<0.05 was considered significant. RESULTS: Most of the participants (64.8%) obtained "regular to excellent" grades on the QS-F and 58.8% classified their quality of life as "good". As to sexual satisfaction, 35.3 and 15.7% declared that they were "satisfied" and "very satisfied" with their sexual life, respectively. The study detected significant associations between "bad to poor" QS-F grades with a "poor" quality of life (p=0.002), and with "regular to good" and "good to excellent" QS-F grades with "satisfaction" or "high" sexual satisfaction" (p<0.001). CONCLUSIONS: Sexual function is associated with quality of life and with sexual satisfaction in healthy women in the second trimester of pregnancy.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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