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EN
To assess the quality of life of patients with chronic end-stage renal failure under hemodialysis, and to determine its main generators in hemodialysis patients. This is a descriptive and analytical cross-sectional study carried out at the regional hospital of Kénitra (Morocco) in the level of the hemodialysis unit during a period of 3 months with 70 hemodialysis patients diagnosed and treated for chronic renal failure. Data were collected using a questionnaire comprising the socio-demographic, clinical, and nutritional characteristics of Hemodialysis patients and a KDQOL scale (Kidney Disease Quality Of Life) that assesses the quality of life. The scores of the KDQOL-36 were used to assess family, social support, and social support from caregivers. The average age was 51.66± 15.96 years with 57.1% of patients who are female. The components of the quality of life studied show an alteration in the quality of life with a decrease in the scores of the “component of physical health” dimensions with a score of 27.64 ± 29.13,“Component of mental health” with a score of 37.81 ± 22.99, “effects of kidney disease on daily life” with a score of 48.41 ± 21.22 and “burdens of kidney disease” with a score of 28.47 ± 21.50. While the dimension “Symptoms / problems of kidney disease” remains close to normal with a score of 64.61 ± 17.98. Our results showed that certain dimensions of the quality of life correlate with age, sex, family situation, level of education, the presence of a transplant plan, the presence of comorbidities and the duration of hemodialysis. Our study also found a correlation between family social support and quality of life in its “Burdens of Kidney Disease”, “Effects of Kidney Disease on Daily Living”, and the overall quality of life score. On the other hand, there is no significant relationship with support from caregivers. The quality of life of hemodialysis patients is deteriorating. It is influenced by several parameters including family and caregiver social support. The involvement of the family and the health care team in the psychological support process is paramount.
EN
The aim of this study was to determine the influence of place of living, type of school, and family background on the physical activity and sedentary behavior of adolescents. 1,280 adolescents took part in the research: 694 boys and 586 girls aged 16–19 from Poland. Physical activity (PA) and sedentary behavior (SB) were evaluated by IPAQ-long version. A multiple regression analysis was used to evaluate the influence of socio-economic factors on physical activity and sedentary behavior. The results suggested a difference between boys and girls in all domains of physical activity and sedentary behavior. The results also indicated that social factors influence physical activity and sedentary behavior in different ways. After adjusting the model to BMI and age tested, the key determinants for boys’ physical activity were: type of leisure time in the family and place of living, while for girls – type of school and type of leisure time in the family. Sedentary behavior of both sexes were strongly dependent on type of school, and – for boys – parents’ education and type of leisure time in the family were also important. The results suggest the need for continuous monitoring of physical activity and seated behavior as well as taking into account a wide spectrum of social factors in which adolescents grow. Interventions and strategies to promote physical activity should focus on family involvement and uniting family and educational institutions operating in local environments.
PL
Wstęp. Jeden z systemów wsparcia społecznego uzyskuje się od rodziny, członkowie rodziny odgrywają bardzo ważną rolę we wpływaniu lub zmianie własnego stylu życia w kierunku dążenia do poprawy zdrowia, w tym samoopieki osób z nadciśnieniem tętniczym. Cel. W badaniu tym zidentyfikowano rolę wsparcia rodziny dla samokontrolujących się osób z nadciśnieniem tętniczym w wiosce Sindangasih, Kab. Ciandżur. Metody badawcze. Projekt tego badania opiera się na analizie korelacji z przekrojem. Dobór próby metodą celowego doboru próby na łącznej próbie 106 osób. Dane Pierwotne uzyskane z kwestionariuszy i wyników obserwacji. Badania przeprowadzono w wiosce Sindangasih w okresie listopad 2022 – maj 2023. Wyniki. Wyniki testu statystycznego z wykorzystaniem ilościowych badań korelacyjnych o poziomie istotności (a) s0,05, wskazujące na istnienie związku pomiędzy rolą wsparcia emocjonalnego rodziny a zachowaniami samoopiekuńczymi osób z nadciśnieniem tętniczym (p=0,000), istnieje korelacja między rolą wsparcia poczucia własnej wartości rodziny a zachowaniami samoopiekuńczymi osób z nadciśnieniem tętniczym (p=0,001), istnieje korelacja między rolą wsparcia informacyjnego rodziny a zachowaniami samoopiekuńczymi osób z nadciśnieniem tętniczym (p =0,001), istnieje korelacja między rolą wsparcia instrumentalnego rodziny a zachowaniami samoopiekuńczymi osób z nadciśnieniem tętniczym (p=0,000), istnieje korelacja między rolą wsparcia rodziny a zachowaniami samoopiekuńczymi osób z nadciśnieniem tętniczym (p=0,000) w wiosce Sindangasih, Kab. Ciandżur. Wnioski. Wsparcie rodziny może być strategią, którą można zastosować w leczeniu nadciśnienia tętniczego i innych chorób, ponieważ jest ono uwzględnione w obu przypadkach i ma pozytywny wpływ na nawyki samoopieki pacjenta.
EN
Introduction. One of the social support systems is obtained from the family, family members play a very important role in influencing or changing their own lifestyle towards efforts to improve health including self-care for people with hypertension. Aim. This study identified the role of family support on self-control individuals with hypertension in Sindangasih Village, Kab. Cianjur. Research Methods. The design of this study is correlation analytic with the cross-sectional. Sampling using purposive sampling with a total sample of 106 people. Data Primary obtained from questionnaires and observation results. The research was conducted in the village Sindangasih with a timeframe of November 2022 - May 2023. Results. The results of the statistical test using quantitative correlation research with a significance level (a) s0.05, indicating that there is a correlation between the role of family emotional support and the self-care behavior of people with hypertension (p=0.000), there is a correlation between the role of family esteem support and the self-care behavior of people with hypertension (p=0.001), there is a correlation between the role of family information support and the self-care behavior of people with hypertension (p=0.001), there is a correlation between the role of family instrumental support and the self-care behavior of people with hypertension (p=0.000), there is a correlation between the role of family support and self-care behavior of hypertension sufferers (p=0.000) in Sindangasih Village, Kab. Cianjur. Conclusion. Family support can be a strategy that can be used to manage hypertension and other diseases because it is included in both and positive impact on patient self-care habits.
EN
Introduction: Lack of physical activity has become a tremendous health problem in young people, notably in the digital communication era. Due to burdensome academic tasks, the situation may be more rigorous for medical students. The family structure is supposed to influence children’s physical activity patterns. Aim of the study: This study aimed to investigate the effect of family structure on physical activity levels in medical students. Methods: This cross-sectional study was followed by 109 students; 75 (68.8%) were female. Gender, family structure, parents’ level of physical activity, number of families, and the presence of grandparents were included as independent variables. In contrast, students’ level of physical activity was a dependent variable. Data on independent variables were obtained through a guided interview. The International Physical Activity Questionnaire (IPAQ) was applied to assess students’ level of physical activity. Variables were dichotomously categorized to simplify statistical testing. Chi-square was applied to reveal the relationship between the dependent and independent variables. A p-value of less than 0.05 was considered significant. Results: 39 (35.8%) students had low IPAQ score, 47 (43.1%) moderate, and 23 (21.1%) high. Most students (61.4%) lived in a nuclear family. There were 55 students (50.5%) who lived with family members less than 5; only 31 (28.4%) reported the presence of grandparents in their homes. Most students’ parents reported doing sufficient regular exercise (73.1%). Students’ IPAQ score was associated with the family type (OR 3.56, 95% CI 1.53–8.20, p = 0.002) and the presence of grandparents (OR 3.76, 95% CI 1.57–9.00, p = 0.002). Conclusion: Medical students who lived in a nuclear family and lived without their grandparents had higher physical activity levels.
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