Search results for "qualité de vie"
showing 10 items of 16 documents
Évaluation de l’impact de l’intervention d’un travailleur social auprès d’aidants informels de personnes âgées atteintes d’une pathologie chronique. …
2018
Introduction L’amelioration des conditions de vie et les progres medicaux ont permis un allongement de la duree de vie a des âges tres eleves, lequel a genere l’apparition et le developpement de maladies chroniques associees a des comorbidites. Dans ce contexte, la problematique de la dependance est devenue un enjeu majeur pour les politiques publiques. Depuis de nombreuses annees, elles traduisent leur volonte de faciliter le maintien au domicile le plus longtemps possible a des personnes âgees en perte d’autonomie. Ainsi, cette volonte de continuer a vivre a domicile, directement exprimee par les aines, repose en grande partie sur un reseau d’aides informelles (famille, amis, voisins). Le…
Servicios educativos y sanitarios elementales en el medio rural: percepción social e influencia sobre la calidad de vida
2012
One of the main characteristics of rural areas is a higher quality of life. However, the basic aspects of the social structure, e.g. the basic education and health-care services, are barely responsible for the wellbeing of the society, although the necessity of improving their offer is continually emphasised. Consequently, it is interesting to discover how the rural population actually values the capacity of these services to intervene in their quality of life. Logically, because of the diversity of spaces that constitute the rural areas, the results vary; at least that is what the analysis of the interviews of various key actors shows: while the services are crucial for the municipalities …
Evaluation of the impact of therapeutic management on the survival and quality of life of patients with follicular lymphoma or diffuse large B cell l…
2014
In France, hematologic malignancies, which are the sixthmost common cancers, are amajor public healthproblem. This work aimed to study the impact of the therapeutic management on survival and healt-relatedquality of life (HRQoL) in patients with these hematologic malignancies. The first objective of this work is topresent an overview of the epidemiology of lymphoid malignancies with a study of changes in the incidenceand net survival in the Côte d’Or department between 1980 and 2009. The incidence, which has increased since1980, seems to have stabilized since the 2000s for some entities, including follicular lymphoma (FL) and diffuselarge B-cell lymphoma (DLBCL). Overall, we observed an imp…
Identification of patterns og change on mongitudinal data, illustrated by two exemples : study of hospital pathways in the management of cancer. Cons…
2014
Context In healthcare domain, data mining for knowledge discovery represent a growing issue. Questions about the organisation of healthcare system and the study of the relation between treatment and quality of life (QoL) perceived could be addressed that way. The evolution of technologies provides us with efficient data mining tools and statistical packages containing advanced methods available for non-experts. We illustrate this approach through two issues: 1 / What organisation of healthcare system for cancer diseases management? 2 / Exploring in patients suffering from metastatic cancer, the relationship between health-related QoL perceived and treatment received as part of a clinical tr…
Estimation and prognosis value of elderly colorectal cancer patients' quality of life. : A population-based study
2014
Colorectal cancer is one of the most common malignancies in France and predominantly affects older patients. Few studies evaluating baseline quality of life of those patients, its short term evolution and its prognosis value on patients' survival have been performed in the context of a population-based study. This work is based on a prospective longitudinal cohort study performed by the Burgundy Digestive Cancer Registry. All patients aged 65 and over, diagnosed with a new colorectal cancer and registered by the Registry between 2003 and 2005 were eligible. Among the 401 eligible patients, 246 fulfilled at least one questionnaire. Non-respondents were older and diagnosed with a more advance…
Impact de l'âge dans le cancer du sein : du diagnostic à la qualité de vie des patientes
2014
Numerous studies have shown that older women with breast cancer are undertreated in comparison with the youngest. Although several reports suggest strong socio-economic and geographic inequalities in the disease stage at diagnosis and in quality of life in breast cancer patients, the effects of these factors according to age are largely unknown in France. The objectives of this work were to determine the impact of socio-economic and geographic disparities on disease stage in breast cancer patients according to age, to describe treatments and relative survival factors in breast cancer patients according to age, and to identify age-related socioeconomic and clinical determinants of quality of…
La contribution de la spiritualité à la qualité de vie au travail
2018
National audience; L’objectif de ce papier consiste à comprendre la manière dont la spiritualité permet de développer la qualité de vie au travail. Pour atteindre notre objectif, une étude a été effectuée auprès de 16 salariés de métiers assez distincts. Le choix des interviewés s’est fait sur la base du volontariat. Après avoir exposé les notions de qualité de vie au travail et de spiritualité, l’article pré-sente les répondants, la méthodologie et la technique de collecte des données, de même que les résultats. Ces derniers permettent de mettre en avant un modèle à quatre quadrants sur la perception de la spiritualité. Dans le quadrant 1 c'est la conception athéiste de la spiritualité qui…
Improving management of patients with head and neck cancer
2022
The management of cancer patients aims at ensuring the best treatment for the patient but also a better preservation of his quality of life. In this thesis work, we aimed to highlight how the implementation of patient-reported parameters such as quality of life into management could contribute to improve the management of head and neck cancer patients.Our first work, which aimed to study the impact of routine assessment of health related quality of life based on data from 200 patients who received radiotherapy as first-line treatment included in a randomized phase 3 trial, showed that assessing health related quality of life in daily clinical practice could lead to a clinically relevant imp…
Uncertainty at Work How to Regulate it through Leadership in order to improve the Quality of Work Life?
2022
This thesis manuscript focuses on factors able to regulate the uncertainty of people at work. Due to the constant evolution of the organizational world, uncertainty is increasingly becoming a factor with which to combine in different contexts about work. This factor constitutes a risk for individuals due to its aversive nature. In this perspective we have been interested, on the one hand, about theories concerning the concept of uncertainty. This allowed us to better understand and delimit the concept. On the other hand, we looked for ways to regulate uncertainty through the concept of leadership. This led us to consider this regulation as being either potentially possible through a directi…
Validité et fiabilité des questionnaires d'évaluation de la qualité de vie : une étude appliquée aux accidents vasculaires cérébraux
1996
This article deals with various means, which could be used by designers in order to estimate error terms in questionnaire tests results, thanks to psychometry. The study must be conceived so as to minimize systematic errors (validity) and random errors (reliability). Methods settled to test the validity of a study are very subjective, even if some of them seem to be more "scientific", being based on the principle of correlation. However the last-mentined don't stand up to some theoretic weakness and other explicit subjective methods should be chosen instead : for instance experts consensus.Methods of reliability evaluation have been developed under strong hypothesis to estimate a reliabilit…