Indian Journal of Palliative Care
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 ORIGINAL ARTICLE
Year : 2012  |  Volume : 18  |  Issue : 3  |  Page : 219--225

The effect of community-managed palliative care program on quality of life in the elderly in rural Tamil Nadu, India


1 Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
2 Independent Consultant in Health Systems Research, Director and Team Lead, Professional Healthcare Consulting Division, Four X4 Consulting Pvt. Ltd, New Delhi, India
3 Institute of Palliative Medicine, Pain and Palliative Care Society, WHO Collaborating Centre for Community Participation in Palliative Care and Long Term Care, Medical College, Calicut, Kerala, India
4 Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India

Correspondence Address:
Amol R Dongre
Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry
India
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Source of Support: HelpAge India and Coraid, Netherlands., Conflict of Interest: None


DOI: 10.4103/0973-1075.105694

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Background: HelpAge India has been facilitating community-managed palliative care program in the villages of Tamil Nadu, India. Objective: To evaluate the effect of perceived quality of life in the elderly in the project villages in rural Tamil Nadu. Materials and Methods: It was a community-based evaluation study. Considering the mean difference of 0.6, design effect-2, precision-5%, power 80%, and 10% non-response, a sample size of 450 elderly persons (more than 60 years) was adequate. Sample was selected by two-stage cluster sampling. Tamil version of "WHO-Quality of Life-brief questionnaire" was used. Trained interviewers made house-to-house visits and obtained information by personally interviewing the subjects. Results: The mean score for perceived physical quality of life in the project area was (10.47 ± 1.80 SD) high than the mean score (10.17 ± 1.82 SD) in the control area ( P = 0.013) and the mean score for psychological support (10.13 ± 2.25 SD) in project area was high than the mean score (9.8 ± 2.29 SD) in control area ( P = 0.043). There was no effect on domain of social relationship and environment. Conclusions: In the project villages, the perceived physical quality of life and psychological support among elderly persons was significantly better than the control villages.






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