Quality of Life and its Relationship with Family Functionality Among Older Adults in a Region of Colombia
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Barajas-Lizarazo Mayra, MSc, Escobar-Velásquez Katty, MSc, and Moreno-Bayona Jesús, MSc
Abstract
Introduction: Quality of life and family functionality are key factors that impact the well-being of older adults.
Objective: To identify family functionality, quality of life, and their associated factors among older adults in a region of Colombia.
Methods: A quantitative, cross-sectional, correlational study was conducted, including older adults through probabilistic sampling. Prevalence rates of family dysfunction were estimated. Chi-square tests were used for categorical variables, dichotomization by median, and Spearman correlation to analyze relationships between variables.
Results: Most older adults were married, had children, and had incomplete primary education; 68 % had chronic illness. Family dysfunction was found in 71.2% of cases, which was positively and significantly associated (p < 0.01) with all dimensions of quality of life evaluated in the sample (N = 431): Physical Health: ρ = 0.466, Psychological Health: ρ = 0.515, Social Relationships: ρ = 0.450, Environment QoL: ρ = 0.569, overall quality of life score: ρ = 0.604.
Conclusion: Family functionality is related to quality of life in older adults.
Keywords :
Quality of life, Elderly, Family, Aging, Colombia..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty