
@2025 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(3):157-163
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(3):157-163
Quality of Life of the Spouses of War Related Amputees of Hamedan City, Iran
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Naderi A. (1)Sedighi Sh. (2)
Roshanaei Gh. (*)
Ahmadpanah M. (3)
Rostampour F. (4)
Asadi Z. (5)
(*) “Modeling of Noncommunicable Diseases Research Center” and “Biostatistics and Epidemiology Department, Public Health School”, Hamadan University of Medical Sciences, Hamadan, Iran
(1) Student Research Center, Health Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
(2) Student Research Center, Nursing & Midwifery Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
(3) “Behavioral Disorders & Drug Abuse Research Center” and “Psychiatry Department, Medical Faculty”, Hamadan University of Medical Sciences, Hamadan, Iran
(4) Student Research Center, Medical Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
(5) Social Aids Department, Veterans Affairs Foundation of Hamedan, Hamedan, Iran
Correspondence
Address: Biostatistics and Epidemiology Department, Public Health School, Hamadan University of Medical Sciences, Shahid Fahmideh Avenue, Opposite the Mardom Park, Hamadan, IranPhone: +98 (81) 38380090
Fax: +98 (81) 38380090
gh.roshanaei@umsha.ac.ir
Article History
Received: March 15, 2016Accepted: July 24, 2016
ePublished: August 31, 2016
BRIEF TEXT
Life quality is a term used to evaluate individual quality of life and social life and involves different social, cognitive, physical and emotional dimensions [1].
… [2-11]. Since caring of chronic patients increases the physical damages, depression, stress and anxiety in the caregivers, attention to complications of caregivers in their caring of disabilities or chronic patients is very important; The physical and psychological health of the caregivers can be effective on the health, welfare, and success in the rehabilitation of the patients [12]. … [13-27].
The aim of this study was to evaluate the life quality of amputees in the city of Hamedan.
This is a cross-sectional study.
This study was conducted in 2014 on the amputee veterans in Hamedan city.
The information of 140 amputee veterans sponsored by the Foundation of Martyrs and Veterans Affairs in Hamedan City in 2014, was collected by census sampling.
In order to evaluate health-related quality of life, the two part-questionnaire was used. The first part is related to demographic information of patients including age, education, occupation and income. The second part of the questionnaire was related to the life quality that 36 items Short Form Health Survey (SF-36) was used. This questionnaire includes 36 questions and measures 8 dimensions of life quality including general health (with 6 questions), physical health (with 10 questions), psychological health (with 6 questions), social activities (with 2 questions), bodily pain (with 2 questions), the role of physical dimension in role playing (with 4 questions), the role of mental health in role playing (with 3 questions), and vitality (with 3 questions). In this questionnaire, the scores for each related domain is 0 to 100 that the score of zero indicates the worst situation and the score of 100 shows the best condition [4]. Validity and reliability of the SF-36 questionnaire in Iran, have been studied. The reliability of the questionnaire in Iran, in all domains is between 0.65 and 0.90 [28]. The domains of disabilities include damage to eyes, hands, feet, psychiatric, and internal disabilities. Data analysis was performed using SPSS 16 software. At first, normality of data was investigated using Kolmogorov-Smirnov test that normality was not in any of the variables. Therefore, Kruskal- Wallis and Man-Whitney tests were used for investigating the effect of demographic variables on the life quality of the people.
140 amputee veterans` wives were investigated. In the studied people, mental health had the highest score and general health was the lowest score (Table 1). The mean age of the participants was 45.79±6.06. The age of most people was in range of 40 to 50 years. Most of the participants, were low literate, housewives, and middle economic status. The highest rate of injury among veterans was in the leg and the lowest rate was in internal organs. Also, the highest incidence of physical health in the veterans` wives were related to the hypertension and neurological diseases and the lowest was related to respiratory illness. The variables of education level, occupation and economic status had on significant effect on life quality (p>0.05). However the effect of age and injury type was effective in life quality (p<0.05). Although the mean score of life quality in spouses who were suffering from different diseases was lower compared to the spouses without these diseases, the mean of life quality was not significantly different in all studied diseases except heart diseases (p>0.05, Table 2). Also, in cases where there was no significant correlation between total life quality and variables, the relationship between these variables with eight dimensions of life quality including general health, physical health, mental health, social function, bodily pain, the role of physical health in the role playing, the role of mental health in the psychological health and vitality was insignificant.
… [29-32] Illness or disability was seen in some of veterans` wives that had no significant effect on the life quality of these participants. The study by Khani et al. [26] and Rukwong et al. [33] showed that the mean scores of life quality of people has no significant relationship with different underlying diseases [34-37].
The increase of awareness and understanding of caregivers in different ways can have profound and important influence on the caregivers of veterans that can improve the caregivers` and veterans` life quality.
One of the limitations of this study was the limited researches conducted on the life quality of the veterans` families. Also, the population of the study included only amputee veterans` wives of Hamedan city that there was no the possibility of generalizing the results to other cities and other veterans groups such as chemical veterans. Also, in this study, there was no possibility of using other tools for collecting data such as interview except questionnaire.
The life quality of amputee veterans` wives qualities in Hamedan city is low and even the most of life quality that is related to mental health is at low level as well.
The Deputy of Research and Technology of Hamedan University of Medical Health and Sciences is appreciated.
Non-declared
This study has the confirmation from the ethics committee of Hamedan University of Medical Sciences.
This study has been conducted with the financial support from Hamedan University of Medical Sciences.
TABLES and CHARTS
Show attach fileCITIATION LINKS
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[2]Dehdari T, Haashemifard T, Heidarnia A, Kazemnejad A. The longitudinal effect of health education on health-related quality of life in patients with coronary artery bypass surgery. Med Sci J Islamic Azad Univ. 2005;15(1):41-6. [Persian]
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[5]Parandeh A, Sirati M, Khaghanizadeh M, Karimi Zarchi AA. The effect of training conflict resolution on quality of life’s on spouses of war veterans post Traumattic stress disorder. Mil Med. 2006;(8)1:45-51. [Persian]
[6]Mousavi B, Montazeri A, Soroush MR. Quality of life in war related spinal cord injured women. Payesh. 2008;7(1):75-81. [Persian]
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[8]Nabatian E, Ghamarani A, Zakerian M, Mahdizadeh I. Relationship between spiritual health with quality of life veterans and disabled Birjand. Iran J War Public Health. 2013;5(2):35-9. [Persian]
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[10]Canam C, Acorn S. Quality of life for family caregivers of people with chronic health problems. Rehabil Nurs. 1999;24(5):192-200.
[11]Moalosi G, Floyd K, Phatshwane J, Moeti T, Binkin N, Kenyon T. Cost-effectiveness of home-based care versus hospital carefor chronically ill tuberculosis patients, Francistown, Botswana. Int J Tuberc Lung Dis. 2003;7(Suppl 1):S80-5.
[12]Han B, Haley WE. Family caregiving for patients with stroke review and analysis. Stroke. 1999;30(7):1478-85.
[13]Rees J, O'Boyle C, MacDonagh R. Quality of life: Impact of chronic illness on the partner. J R Soc Med. 2001;94(11):563-6.
[14]Jones DA, Peters TJ. Caring for elderly dependents: Effects on the carers' quality of life. Age Ageing. 1992;21(6):421-8.
[15]Dougherty PJ. Long-term follow-up study of bilateral above-the-knee amputees from the Vietnam War. J Bone Joint Surg Am. 1999;81(10):1384-90.
[16]Northouse LL, Swain MA. Adjustment of patients and husbands to theinitial impact of breast cancer. Nurs Res. 1987;36(4):221-5.
[17]Haley WE, Levine EG, Brown SL, Bartolucci AA. Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. Psychol Aging. 1987;2(4):323-30.
[18]Vedhara K, Shanks N, Anderson S, Lightman S. The role of stressors and psychosocial variables in the stress process: A study of chronic caregiver stress. Psychosom Med. 2000:62(3):374-85.
[19]Edwards B, Ung L. Quality of life instruments for caregivers of patients with cancer: A review of their psychometric properties. Cancer Nurs. 2002;25(5):342-9.
[20]Dadkhah B, Valizade S, Mohammadi E, Hassankhani H, Mozaffari N, Mohammadi M. Life style reviewing in Corresponding with amputation in tramatic patients; a qualitative study. Iran J War Public Health. 2014;6(3):115-24. [Persian]
[21]Mousavi B, Soroush MR, Montazeri A. Quality of life in chemical warfare survivors with ophthalmologic injuries: The first results from Iran Chemical Warfare Victims Health Assessment Study. Health Qual Life Outcomes. 2009;7(2):149-55. [Persian]
[22]World Wide Wounds [Internet]. Harker J. Wound healing complications associated with lower limb amputation [Published 2006; Cited 2016, 2 March]. Available from: http://www.worldwidewounds.com.
[23]Pasquina PF. Optimizing care for combat amputees: Experiences at Walter Reed Army Medical Center. J Rehabil Res Dev. 2004;41(3B):vii-xii.
[24]Kawana N, Ishimatsu S, Kanda K. Psycho-physiological effects of the terrorist sarin attack on the Tokyo subway system. Mil Med. 2001;166(Suppl 12):23-6.
[25]Jafari F, Moien L, Soroush M, Mosavi B. Quality of life in chemical warfare victims with ophthalmic damage’s spouses. Iran J War Public Health. 2011;3(3):8-12. [Persian]
[26]Khani H, Joharinia S, Kariminasab MH, Ganji R, Azad Marzabadi E, Shakeri M, et al. An evaluation of quality of life in amputee veterans in Mazandaran. J North Khorasan Univ Med Sci. 2011;3(1):49-56. [Persian]
[27]Maleki M, Khayeri F, Haghani H. Factors associated with quality of life in people with lower limb amputations. Iran J Nurs. 2012;25(75):32-44. [Persian]
[28]Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82. [Persian]
[29]Schumacher KL, Dodd MJ, Paul SM. The stress process in family caregivers of persons receiving chemotherapy. Res Nurs Health. 1993;16(6):395-404.
[30]Alves LC1, Quinet Leimann BC, López Vasconcelos ME, Sá Carvalho M, Godoi Vasconcelos AG, Oliveira da Fonseca TC, et al. The effect of chronic diseases on functional status of the elderly living in the city of São Paulo, Brazil. Cadernos de saude publica. 2007;23(8):1924-30. [Portuguese]
[31]Kemp BJ, Adkins RH, Thompson L. Aging with a spinal cord injury: What recent research shows. Top Spinal Cord Inj Rehabil. 2004;10(2):175-97.
[32]Sörensen LE, Pekkonen MM, Männikkö KH, Louhevaara VA, Smolander J, Alén MJ. Associations between work ability, health-related quality of life, physical activity and fitness among middle-aged men. Appl Ergon. 2008;39(6):786-91.
[33]Rukwong P, Chirawatkul S, Markovic M. Quality of life perceptions of middle-aged women living with a disability in Muang district, Khon Kaen, Thailand: WHOQOL perspective. J Med Assoc Thai. 2007;90(8):1640-6.
[34]Dekel R, Enoch G, Solomon Z. The contribution of captivity and post-traumatic stress disorder to marital adjustment of Israeli couples. J Soc Pers Relatsh. 2008;25(3):497-510.
[35]Amiriani T, Haqiqi H, Roshandel G, Haftsavar M, Moradi A, Semnani S. Effects of chemical warfare on hematological indices in chemical agents victims. Iran J War Public Health. 2009;2(1):50-5. [Persian]
[36]Payami Bousari M, Ghafourifard M, Heydari A. Paper: Emotinal and social adjustment among warfare veterans with Blindness. Payesh. 2013;12(5):497-503. [Persian]
[37]Toozandeh Jani H, Seddigi K, Najat H, Kamal poor N. An investigation of relative effectiveness of cognitive-behavioral trainings of self-esteem on social adjustment of male juniors of high school. Res Curric Plan. 2008;1(16):41-56. [Persian]
[2]Dehdari T, Haashemifard T, Heidarnia A, Kazemnejad A. The longitudinal effect of health education on health-related quality of life in patients with coronary artery bypass surgery. Med Sci J Islamic Azad Univ. 2005;15(1):41-6. [Persian]
[3]Mandani B, Rostami H, Hosseini MS. Comparison of the health related quality of life in out-patient and in-patient war veterans with post-traumatic stress disorder. Iran J War Public Health. 2012;4(4):35-42. [Persian]
[4]Mousavi B, Soroush M, Masoumi M, Ganjparvar Z, Montazeri A. Quality of life in spouses of war related bilateral lower limb amputees. Daneshvar. 2010;17(84):11-18. [Persian]
[5]Parandeh A, Sirati M, Khaghanizadeh M, Karimi Zarchi AA. The effect of training conflict resolution on quality of life’s on spouses of war veterans post Traumattic stress disorder. Mil Med. 2006;(8)1:45-51. [Persian]
[6]Mousavi B, Montazeri A, Soroush MR. Quality of life in war related spinal cord injured women. Payesh. 2008;7(1):75-81. [Persian]
[7]Behdani F, Fayyazi Bordbar MR, Hebrani P, Talebi M, Kohestani L. Psychiatric symptoms in chemical and somatic combat veterans. J Mil Med. 2009;11(1):31-5. [Persian]
[8]Nabatian E, Ghamarani A, Zakerian M, Mahdizadeh I. Relationship between spiritual health with quality of life veterans and disabled Birjand. Iran J War Public Health. 2013;5(2):35-9. [Persian]
[9]Mardani Hamouleh M, Borimnejad L, Seyyed Fatemi N, Taghavi T. Correlation between general health and quality of life in caregivers of veterans with spinal cord injury. Iran J War Public Health. 2014;6(3):81-6. [Persian]
[10]Canam C, Acorn S. Quality of life for family caregivers of people with chronic health problems. Rehabil Nurs. 1999;24(5):192-200.
[11]Moalosi G, Floyd K, Phatshwane J, Moeti T, Binkin N, Kenyon T. Cost-effectiveness of home-based care versus hospital carefor chronically ill tuberculosis patients, Francistown, Botswana. Int J Tuberc Lung Dis. 2003;7(Suppl 1):S80-5.
[12]Han B, Haley WE. Family caregiving for patients with stroke review and analysis. Stroke. 1999;30(7):1478-85.
[13]Rees J, O'Boyle C, MacDonagh R. Quality of life: Impact of chronic illness on the partner. J R Soc Med. 2001;94(11):563-6.
[14]Jones DA, Peters TJ. Caring for elderly dependents: Effects on the carers' quality of life. Age Ageing. 1992;21(6):421-8.
[15]Dougherty PJ. Long-term follow-up study of bilateral above-the-knee amputees from the Vietnam War. J Bone Joint Surg Am. 1999;81(10):1384-90.
[16]Northouse LL, Swain MA. Adjustment of patients and husbands to theinitial impact of breast cancer. Nurs Res. 1987;36(4):221-5.
[17]Haley WE, Levine EG, Brown SL, Bartolucci AA. Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. Psychol Aging. 1987;2(4):323-30.
[18]Vedhara K, Shanks N, Anderson S, Lightman S. The role of stressors and psychosocial variables in the stress process: A study of chronic caregiver stress. Psychosom Med. 2000:62(3):374-85.
[19]Edwards B, Ung L. Quality of life instruments for caregivers of patients with cancer: A review of their psychometric properties. Cancer Nurs. 2002;25(5):342-9.
[20]Dadkhah B, Valizade S, Mohammadi E, Hassankhani H, Mozaffari N, Mohammadi M. Life style reviewing in Corresponding with amputation in tramatic patients; a qualitative study. Iran J War Public Health. 2014;6(3):115-24. [Persian]
[21]Mousavi B, Soroush MR, Montazeri A. Quality of life in chemical warfare survivors with ophthalmologic injuries: The first results from Iran Chemical Warfare Victims Health Assessment Study. Health Qual Life Outcomes. 2009;7(2):149-55. [Persian]
[22]World Wide Wounds [Internet]. Harker J. Wound healing complications associated with lower limb amputation [Published 2006; Cited 2016, 2 March]. Available from: http://www.worldwidewounds.com.
[23]Pasquina PF. Optimizing care for combat amputees: Experiences at Walter Reed Army Medical Center. J Rehabil Res Dev. 2004;41(3B):vii-xii.
[24]Kawana N, Ishimatsu S, Kanda K. Psycho-physiological effects of the terrorist sarin attack on the Tokyo subway system. Mil Med. 2001;166(Suppl 12):23-6.
[25]Jafari F, Moien L, Soroush M, Mosavi B. Quality of life in chemical warfare victims with ophthalmic damage’s spouses. Iran J War Public Health. 2011;3(3):8-12. [Persian]
[26]Khani H, Joharinia S, Kariminasab MH, Ganji R, Azad Marzabadi E, Shakeri M, et al. An evaluation of quality of life in amputee veterans in Mazandaran. J North Khorasan Univ Med Sci. 2011;3(1):49-56. [Persian]
[27]Maleki M, Khayeri F, Haghani H. Factors associated with quality of life in people with lower limb amputations. Iran J Nurs. 2012;25(75):32-44. [Persian]
[28]Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875-82. [Persian]
[29]Schumacher KL, Dodd MJ, Paul SM. The stress process in family caregivers of persons receiving chemotherapy. Res Nurs Health. 1993;16(6):395-404.
[30]Alves LC1, Quinet Leimann BC, López Vasconcelos ME, Sá Carvalho M, Godoi Vasconcelos AG, Oliveira da Fonseca TC, et al. The effect of chronic diseases on functional status of the elderly living in the city of São Paulo, Brazil. Cadernos de saude publica. 2007;23(8):1924-30. [Portuguese]
[31]Kemp BJ, Adkins RH, Thompson L. Aging with a spinal cord injury: What recent research shows. Top Spinal Cord Inj Rehabil. 2004;10(2):175-97.
[32]Sörensen LE, Pekkonen MM, Männikkö KH, Louhevaara VA, Smolander J, Alén MJ. Associations between work ability, health-related quality of life, physical activity and fitness among middle-aged men. Appl Ergon. 2008;39(6):786-91.
[33]Rukwong P, Chirawatkul S, Markovic M. Quality of life perceptions of middle-aged women living with a disability in Muang district, Khon Kaen, Thailand: WHOQOL perspective. J Med Assoc Thai. 2007;90(8):1640-6.
[34]Dekel R, Enoch G, Solomon Z. The contribution of captivity and post-traumatic stress disorder to marital adjustment of Israeli couples. J Soc Pers Relatsh. 2008;25(3):497-510.
[35]Amiriani T, Haqiqi H, Roshandel G, Haftsavar M, Moradi A, Semnani S. Effects of chemical warfare on hematological indices in chemical agents victims. Iran J War Public Health. 2009;2(1):50-5. [Persian]
[36]Payami Bousari M, Ghafourifard M, Heydari A. Paper: Emotinal and social adjustment among warfare veterans with Blindness. Payesh. 2013;12(5):497-503. [Persian]
[37]Toozandeh Jani H, Seddigi K, Najat H, Kamal poor N. An investigation of relative effectiveness of cognitive-behavioral trainings of self-esteem on social adjustment of male juniors of high school. Res Curric Plan. 2008;1(16):41-56. [Persian]