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Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

The impact of chronic disease on orphans’ quality of life living in extended social care services: a cross sectional analysis

Author: Wadi B. Alonazi

Published in: Health and Quality of Life Outcomes | Issue 1/2016

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Abstract

Background

Owing to a scarcity of data or other causes, patient research on the orphan population is lacking in most societies. Consequently, the primary goal of this study was to explore quality of life (QOL) and quality of care (QOC) among orphan patients (OPs) receiving tertiary healthcare services in Saudi Arabia (SA).

Method

This study used a cross-sectional, quantitative survey design. Participants included 216 OPs either currently undergoing or who had undergone treatment for common chronic diseases (CDs) (e.g. cardiovascular disease, cancer, stroke and arthritis) during the past 12 months. The survey utilised the brief form from the World Health Organization Quality of Life (WHOQOL-BREF) tool and evaluated healthcare access and effectiveness domains to scrutinise the socio-medical patterns of OPs based on their current medical episodes.

Results

The descriptive analysis indicated that OPs’ overall QOL reached a moderate level (M = 3.90). Similarly, participants reported relatively high levels of healthcare access and treatment effectiveness (M = 4.14 and M = 4.29, respectively). Stroke patients reported the highest QOL score (M = 3.95), and groups of patients with other CDs reported greater access to healthcare and more effective treatment maintenance compared to the other groups (M = 4.19 and M = 4.43, respectively). Regression analysis was conducted to predict overall QOL based on perceived QOC, and access explained only 6.5 % of the variance. An analysis of variance showed significant differences only between OPs with cardiovascular disease and cancer (P = .001), with the former reporting better access to tertiary healthcare services than the latter.

Conclusions

Although some CD patients reported relatively acceptable levels of access to healthcare and receipt of effective treatment, the improvement of OPs’ QOL and QOC poses a serious challenge for health policymakers.
Literature
1.
3.
go back to reference Stevens AJ, Longson C. At the center of health care policy making: the use of health technology assessment at NICE. Med Decis Making. 2013;33(3):320–4.CrossRefPubMed Stevens AJ, Longson C. At the center of health care policy making: the use of health technology assessment at NICE. Med Decis Making. 2013;33(3):320–4.CrossRefPubMed
4.
go back to reference Khullar V. Patient-reported outcomes and different approaches to urinary parameters in overactive bladder: what should we measure? Int Urogynecol J. 2012;23(2):179–92.CrossRefPubMed Khullar V. Patient-reported outcomes and different approaches to urinary parameters in overactive bladder: what should we measure? Int Urogynecol J. 2012;23(2):179–92.CrossRefPubMed
5.
go back to reference Tamanini JTN, Dambros M, D’Ancona CAL, Palma PCR, Netto Jr R. Validation of the"international consultation on incontinence questionnaire-short form"(ICIQ-SF) for Portuguese. Rev Saude Publica. 2004;38(3):438–44.CrossRefPubMed Tamanini JTN, Dambros M, D’Ancona CAL, Palma PCR, Netto Jr R. Validation of the"international consultation on incontinence questionnaire-short form"(ICIQ-SF) for Portuguese. Rev Saude Publica. 2004;38(3):438–44.CrossRefPubMed
6.
go back to reference Moinpour CM, Lovato LC, Yee M, Blumenstein BA, Savage MJ, Troxel A, Eisenberger M, Veith RW, Higgins B, Skeel R. Quality of life in advanced prostate cancer: results of a randomized therapeutic trial. J Natl Cancer Inst. 1998;90(20):1537–44. Moinpour CM, Lovato LC, Yee M, Blumenstein BA, Savage MJ, Troxel A, Eisenberger M, Veith RW, Higgins B, Skeel R. Quality of life in advanced prostate cancer: results of a randomized therapeutic trial. J Natl Cancer Inst. 1998;90(20):1537–44.
9.
go back to reference Mobaraki A, Soderfeldt B. Gender inequity in Saudi Arabia and its role in public health. East Mediterr Health J. 2010;16(1):113–8.PubMed Mobaraki A, Soderfeldt B. Gender inequity in Saudi Arabia and its role in public health. East Mediterr Health J. 2010;16(1):113–8.PubMed
10.
go back to reference Ashaalan L, Al-zeiby I. Methods of care for children living in orphanages in Saudi Arabia. J Int Educ Res. 2015;11(1):21–8. Ashaalan L, Al-zeiby I. Methods of care for children living in orphanages in Saudi Arabia. J Int Educ Res. 2015;11(1):21–8.
12.
go back to reference Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469–75.CrossRefPubMed Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469–75.CrossRefPubMed
13.
go back to reference Aljaman S, Aljaman S, Hamoud A. Orphan problems inside and outside the country. Albasrah Res J. 2012;37(3):319–44. Aljaman S, Aljaman S, Hamoud A. Orphan problems inside and outside the country. Albasrah Res J. 2012;37(3):319–44.
15.
go back to reference Williams SD, Hansen K, Smithey M, Burnley J, Koplitz M, Koyama K, Young J, Bakos A. Using social determinants of health to link health workforce diversity, care quality and access, and health disparities to achieve health equity in nursing. Public Health Rep. 2014;129 Suppl 2:32–6. Williams SD, Hansen K, Smithey M, Burnley J, Koplitz M, Koyama K, Young J, Bakos A. Using social determinants of health to link health workforce diversity, care quality and access, and health disparities to achieve health equity in nursing. Public Health Rep. 2014;129 Suppl 2:32–6.
16.
go back to reference Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children’s oral health related quality of life. Health Qual Life Outcomes. 2014;12:41.CrossRefPubMedPubMedCentral Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children’s oral health related quality of life. Health Qual Life Outcomes. 2014;12:41.CrossRefPubMedPubMedCentral
17.
18.
go back to reference Al Robaee AA. Assessment of quality of life in Saudi patients with vitiligo in a medical school in qassim province, Saudi Arabia. Saudi Med J. 2007;28(9):1414–7.PubMed Al Robaee AA. Assessment of quality of life in Saudi patients with vitiligo in a medical school in qassim province, Saudi Arabia. Saudi Med J. 2007;28(9):1414–7.PubMed
20.
go back to reference Benatar SR. Health care reform and the crisis of HIV and AIDS in south Africa. N Engl J Med. 2004;351(1):81–92.CrossRefPubMed Benatar SR. Health care reform and the crisis of HIV and AIDS in south Africa. N Engl J Med. 2004;351(1):81–92.CrossRefPubMed
21.
go back to reference Corrigan JM, Donaldson MS, Kohn LT, editors. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001. Corrigan JM, Donaldson MS, Kohn LT, editors. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
22.
go back to reference Skevington SM, Lotfy M, O’Connell KA. The world health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13(2):299–310.CrossRefPubMed Skevington SM, Lotfy M, O’Connell KA. The world health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13(2):299–310.CrossRefPubMed
24.
go back to reference MacGuire JM. Putting nursing research findings into practice: research utilization as an aspect of the management of change. J Adv Nurs. 2006;53(1):65–71.CrossRefPubMed MacGuire JM. Putting nursing research findings into practice: research utilization as an aspect of the management of change. J Adv Nurs. 2006;53(1):65–71.CrossRefPubMed
26.
go back to reference Norekval TM, Wahl AK, Fridlund B, Nordrehaug JE, Wentzel-Larsen T, Hanestad BR. Quality of life in female myocardial infarction survivors: a comparative study with a randomly selected general female population cohort. Health Qual Life Outcomes. 2007;5(1):58.CrossRefPubMedPubMedCentral Norekval TM, Wahl AK, Fridlund B, Nordrehaug JE, Wentzel-Larsen T, Hanestad BR. Quality of life in female myocardial infarction survivors: a comparative study with a randomly selected general female population cohort. Health Qual Life Outcomes. 2007;5(1):58.CrossRefPubMedPubMedCentral
28.
go back to reference Williamson J, Greenberg A. Families, not orphanages. New York: Better Care Network; 2010. Williamson J, Greenberg A. Families, not orphanages. New York: Better Care Network; 2010.
29.
go back to reference Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag. 2005;1(3):189–99.PubMedPubMedCentral Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag. 2005;1(3):189–99.PubMedPubMedCentral
30.
go back to reference Al-saadi MM, Al Zamil FA, Bokhary NA, Al Shamsan LA, Al Alola SA, Al Eissa YS. Acute septic arthritis in children. Pediatr Int. 2009;51(3):377–80.CrossRefPubMed Al-saadi MM, Al Zamil FA, Bokhary NA, Al Shamsan LA, Al Alola SA, Al Eissa YS. Acute septic arthritis in children. Pediatr Int. 2009;51(3):377–80.CrossRefPubMed
31.
go back to reference Al-jobair AM, Al-Sadhan SA, Al-Faifi AA, Andijani RI. Medical and dental health status of orphan children in central Saudi Arabia. Saudi Med J. 2013;34(5):531–6.PubMed Al-jobair AM, Al-Sadhan SA, Al-Faifi AA, Andijani RI. Medical and dental health status of orphan children in central Saudi Arabia. Saudi Med J. 2013;34(5):531–6.PubMed
32.
go back to reference Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet. 2014;384(9937):45–52.CrossRefPubMed Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet. 2014;384(9937):45–52.CrossRefPubMed
33.
go back to reference McCalman J. Silent witnesses: child health and well-being in England and Australia and the health transition 1870–1940. Health Sociol Rev. 2009;18(1):25–35.CrossRef McCalman J. Silent witnesses: child health and well-being in England and Australia and the health transition 1870–1940. Health Sociol Rev. 2009;18(1):25–35.CrossRef
34.
go back to reference Badley EM, Wang PP. Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031. J Rheumatol. 1998;25(1):138–44.PubMed Badley EM, Wang PP. Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031. J Rheumatol. 1998;25(1):138–44.PubMed
Metadata
Title
The impact of chronic disease on orphans’ quality of life living in extended social care services: a cross sectional analysis
Author
Wadi B. Alonazi
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0459-x

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