Assessing the quality of life of patients after splenectomy
Introduction. To date, studies of quality of life is a convenient and informative method to assess the health of patients as well as the effectiveness of any type of treatment and rehabilitation. Assessment of quality of life allows to determine the differential impact of disease and treatment on the patient's condition, taking into account both related and unrelated to disease factors. The participation of the patient in assessing his condition — the most important and meaningful, allowing along with traditional medical report, which made the doctor, consider the opinion of the patient and make the most complete and objective picture of the disease and its consequences.
Purpose of work. Examine and evaluate the quality of life in patients who underwent splenectomy because of her traumatic injury, depending on the period after surgery.
Materials and methods. To study and evaluate the quality of life was questioned 45 patients who underwent splenectomy about her traumatic injury. Among the men questioned was 73,3 % and their mean age was — 37,4 ± 2,6 years, women respectively — 26,7 % and 38,2 ± 4,1 years. Depending on the period after the surgery, all the respondents were divided as follows: I group — patients operated for 10 years and under and II group — patients operated for more than 11 years ago. The majority of respondents included in group II. In group II the average age of the patients was 38,2 ± 2,3 years. This group dominated by men (75,7 %), age 37,6 ± 2,6 years. Women are, respectively, 24,3 % and 40,2 ± 5,3 years. In group I the average age of the patients was 34,8 ± 6,2 years, with the vast majority of men – 62,5 %, mean age 36,4 ± 10,1 years; pursuant women – 37,5 % under the age 32,0 ± 2,5 years. Assessment of quality of life assessment at the individual and population levels was carried out according to the following scale: minimum — up to 40,0%, satisfactory — from 41,0% to 70,0%, and optimal – 71,0% or more. To estimate the population of Assessment of quality of life of patients was calculated based on the arithmetic mean of individual parameters.
Results and discussion. Performance on all blocks restrictions in various sectors of the surveyed respondents are mainly within satisfactory except block physical functioning (82,9 %) — the best standard of living and daily functioning unit (38,9 %) — the minimum standard of living. In the study of quality of life of patients undergoing splenectomy, depending on the period after surgery found that patients who underwent surgery 10 years and under rated their quality of life higher than the other group. Intergroup statistical differences in Assessment of quality of life indicators and second groups were calculated by using the U — Mann-Whitney.
In the calculation of key indicators:physical and mental health component found that the group index and the physical component of health – 82,3 %, and psychological – 76,1 %; In the second group, respectively, 61,9 % and 57,0 %.
Conclusions. Quality of life of the group on all clusters restrictions in various sectors of the respondents were mainly within the satisfactory level , except for unit physical functioning (82,9 %) — the best standard of living and daily functioning unit (38,9 %) — the minimum standard of living. In analyzing the quality of life of patients who underwent splenectomy does not have a statistically significant difference by gender (p > 0,05).
Comparing the two groups on the main indicators of quality of life , such as physical and mental health component was found of a statistically significant difference (p≤0,05).Thus, the more remote period after surgery , the lower the quality of life of patients.
Full Text:PDF (Українська)
Новик А. А. Руководство по исследованию качества жизни в медицине / А.А. Новик, Т.И. Ионова. – СПб.: Нева, 2002. – 320 с.
Популяционные показатели качества жизни по опроснику SF-36 (результаты многоцентрового исследования «Мираж» / В.Н. Амирджанова [и др.] // Научно-практическая ревматология. – 2008. – № 1. – С. 36-48.
Исследование качества жизни больных в хирургии / С.P. Добровольский, Ю.X. Абдурахманов, Э.К. Джамынчиев [и др.] // Хирургия. – 2008. – № 12. – С. 73-76.
Лехан В.М. Якість життя як критерій якості медичної допомоги / В.М. Лехан, О.Л. Зюков, А.В. Іпатов // Вісник соціальної гігієни та організації охорони здоров'я України. – 2006. – № 3. –С. 95-99.
Pais-Ribeiro J.L. Quality of life is a primary end-point in clinical settings / J.L. Pais-Ribeiro // Clinical Nutrition. – 2004. – № 23. – P. 121-130.
Construction and validation of a quality of life instrument for young adults / H. Chen, P. Cohen, S. Kasen [et al.] // Qual. Life Res. – 2004. – Vol. 13, № 4. – P. 747-759.
Ягенський А.В. Оцінка якості життя у сучасній медичній практиці / А.В. Ягенський // Внутрішня медицина. – 2007. – № 3. – С. 46-49.
Ware J. SF-36 Physical and Mental Health Summary Scales: A User’s Manual / Ware J., Kosinski M., Keller S. – Boston, Mass: The Health Institute, New England Medical Center, 1993.
- There are currently no refbacks.
Copyright (c) 2016 UKRAINIAN JOURNAL OF SURGERY
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Publishing House Zaslavsky, 1997-2017