Quality of life in patients early after surgery

Žarko L Krivokapic; Goran Stojanović; Negra  Terzić; Ljiljana  Jovčić; Gora Miljanović; Jaroslav Bojović; Slobodan M. Janković

doi:10.2298/VSP160801353K

Žarko L Krivokapic Visoka zdravstvena škola, Beograd, Srbija
Goran Stojanović High Medical College of Professional Studies in Belgrade, Belgrade, Serbia
Negra Terzić High Medical College of Professional Studies, Belgrade, Serbia
Ljiljana Jovčić High Medical College of Professional Studies
Gora Miljanović High Medical College of Professional Studies in Belgrade, Belgrade, Serbia
Jaroslav Bojović Medical Military Academy, Clinic of Rheumatology, Belgrade, Serbia
Slobodan M. Janković Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia

DOI: https://doi.org/10.2298/VSP160801353K

Ključne reči: hirurgija, operativne procedure;, kvalitet života;, bol, postoperativni;, postoperativni period;, upitnici

Sažetak

Uvod/Cilj. Kvalitet života bolesnika u ranom postoperativnom toku posle elektivnih operacija povezan je sa postoperativnim bolom i brzinom oporavka. Cilj ove studije bio je da uporedi kvalitet života bolesnika u neposrednom postoperativnom periodu posle tri česte elektivne hirurške intevencije u bolničkim uslovima. Metod. Populaciju ove prospektivne kohortne studije činili su bolesnici podvrgnuti jednoj od sledećih hirurških intervencija: elektivna laparoskopska holecistektomija (n = 40), otvorena operacija preponske kile (n = 40) ili ekscizija pilonidalnog sinusa (n = 40). Primarni ishod studije bio je kvalitet života meren svakodnevno, počev od dana koji prethodi operaciji, a zatim svakog postoperativnog dana. Kvalitet života bio je meren vizuelnom analognom skalom (VAS) i prevodom na srpski Kratke forme upitnika za kvalitet života Svetske zdravstvene organizacije. Rezultati. Postoperativni kvalitet života opao je na najniži nivo prvog postoperativnog dana, bez obzira na vrstu hirurške intervencije. Pad je bio najizraženiji u fizičkom i psihološkom domenu upitnika (npr. posle holecistektomije sa 15,4 ± 2,5 na 12,5 ± 2,0 i sa 15,9 ± 2,0 na 14,9 ± 2,1, po redosledu), dok su socijalni i domen okruženja bili najmanje pogođeni operacijom (npr. posle ekscizije pilonidalnog sinusa sa 16,3 ± 2,6 na 15,7 ± 2,1, i sa 14,3 ± 2,6 na 14,1 ± 2,2, po redosledu). Kvalitet živora se brzo vratio na početni nivo drugog postoperativnog dana, da bi poslednjeg dana pred otpust iz bolnice postigao viši nivo od preoperativnog (npr. posle otvorene operacije preponske kile sa 14,6 ± 3,6 na 15,2 ± 3,0). Zaključak. Manje elektivne hirurške intervencije su praćene umerenim (ispod 25%) i kratkim (jedan dan) neposrednim postoperativnim smanjenjem kvaliteta života, za kojim sledi porast sve do nivoa višeg od preoperativnog, na otpustu iz bolnice.

Reference

Tripathy S, Hansda U, Seth N, Rath S, Rao PB, Mishra TS, et al. Validation of the EuroQol Five-dimensions: Three-Level Quality of Life Instrument in a Classical Indian Language (Odia) and Its Use to Assess Quality of Life and Health Status of Cancer Patients in Eastern India. Indian J Palliat Care 2015; 21(3): 282 ̶ 8.

Ramos EC, Santos Ida S, Zanini Rde V, Ramos JM. Quality of life of chronic renal patients in peritoneal dialysis and hemodialy¬sis. J Bras Nefrol 2015; 37(3): 297 ̶ 305.

Collado Mateo D, García Gordillo MA, Olivares PR, Adsuar JC. Normative Values of EQ-5D-5L for Diabetes Patients from Spain. Nutr Hosp 2015; 32(4): 1595 ̶ 602.

Feder K, Michaud DS, Keith SE, Voicescu SA, Marro L, Than J, et al. An assessment of quality of life using the WHOQOL-BREF among participants living in the vicinity of wind tur¬bines. Environ Res 2015; 142: 227 ̶ 38.

Ač-Nikolić E, Čanković S, Dragnić N, Radić I. Assessment of va-lid¬ity and reliability of the WHOQOL-BREF questionnaire for the elderly population in Vojvodina. Zbornik Matice srpske za drustvene nauke 2010; 131: 211–20.

Abelha FJ, Botelho M, Fernandes V, Barros H. Outcome and qual¬ity of life after aorto-bifemoral bypass surgery. BMC Cardio¬vasc Disord 2010; 10: 15.

Abelha FJ, Quevedo S, Barros H. Quality of life after carotid en-darterectomy. BMC Cardiovasc Disord 2008; 8: 33.

Yazicioglu D, Caparlar C, Akkaya T, Mercan U, Kulaçoğlu H. Tiza¬nidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial. Eur J Anaesthesiol 2016; 33(3): 215 ̶ 22.

Lee BH, Park JO, Suk KS, Kim TH, Lee HM, Park MS, et al. Pre-emptive and multi-modal perioperative pain management may improve quality of life in patients undergoing spinal sur-gery. Pain Physician 2013; 16(3): E217 ̶ 26.

Tabesh H, Tafti HA, Ameri S, Jalali A, Kashanivahid N. Evalua-tion of quality of life after cardiac surgery in high-risk patients. Heart Surg Forum 2014; 17(6): E277 ̶ 81.

Kurfirst V, Mokráček A, Krupauerová M, Canádyová J, Bulava A, Pešl L, et al. Health-related quality of life after cardiac surgery: The effects of age, preoperative conditions and postoperative complications. J Cardiothorac Surg 2014; 9: 46.

Gjeilo KH, Wahba A, Klepstad P, Lydersen S, Stenseth R. Recovery patterns and health-related quality of life in older patients un¬dergoing cardiac surgery: A prospective study. Eur J Cardio¬vasc Nurs 2012; 11(3): 322 ̶ 30.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Resh Methods 2007; 39(2): 175 ̶ 91.

Acar C, Bilen C, Bayazit Y, Aslan G, Koni A, Basok E, et al. Qual¬ity of life survey following laparoscopic and open radical nephrectomy. Urol J 2014; 11(6): 1944 ̶ 50.

Saadati K, Razavi MR, Nazemi-Salman D, Izadi S. Postoperative pain relief after laparoscopic cholecystectomy: Intraperitoneal sodium bicarbonate versus normal saline. Gastroenterol Hepatol Bed Bench 2016; 9(3): 189 ̶ 96.

Ciftci F, Abdulrahman I, Ibrahimoglu F, Kilic G. Early-Stage Quan¬titative Analysis of the Effect of Laparoscopic versus Conven¬tional Inguinal Hernia Repair on Physical Activity. Chirurgia (Bucur) 2015; 110(5): 451 ̶ 6.

Tavassoli A, Noorshafiee S, Nazarzadeh R. Comparison of exci-sion with primary repair versus Limberg flap. Int J Surg 2011; 9(4): 343 ̶ 6.

Lezana-Pérez MA, Carreño-Villarreal G, Fresnedo-Pérez R, Lora-Cum¬plido P, Padín-Alvarez H, Alvarez-Obregón R. Laparoscopic cholecystectomy performed as ambulatory major surgery in a regional hospital. Initial results of a series of 110 cases. Cir Esp 2010; 87(5): 288 ̶ 92. (Spanish)

Pierides G, Mattila K, Vironen J. Quality of life change in elderly patients undergoing open inguinal hernia repair. Hernia 2013; 17(6): 729 ̶ 36.

Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Kilic M. Does technique alter quality of life after pilonidal sinus surgery? Am J Surg 2005; 190(3): 388 ̶ 92.