Assessment of improvement on quality of life among patients undergoing surgery for treatment of degenerative lumbar spine in Quang Ngai General Hospital

2020 ◽  
pp. 16-22
Author(s):  
Lan Nguyen Hoang ◽  
Thong Truong Dinh

Objectives: To compare quality of life of patients before and one- month after spinal surgery and to identify factors affecting improvement on their quality of life. Materials and Methods: A longitudinal study was conducted in 60 patients who were diagnosed with complicated degenerative lumbar spine and scheduled for surgery of spine at Quang Ngai General Hospital. The SF-36 scale was used to evaluate quality of life of the patients. Results: Findings showed that quality of life after surgery of patients was improved significantly in all components. The better change was found in items of bodily paint and social functioning while the least improvement was reported in physical functioning and role physical. Conclusion: Factors affecting improvement on quality of life of patients after degenerative lumbar surgery were age, BMI and accompanied diseases Key words: degenerative lumbar disease, surgery, quality of life, SF-36, Quang Ngai

2020 ◽  
Vol 10 (2) ◽  
pp. 115-124
Author(s):  
Vladimir V. Protoshchak ◽  
Mikhail V. Paronnikov ◽  
Aleksei A. Sivakov ◽  
Artem O. Kiselev

Relevance. In 2013, the Wisconsin Stone Quality of Life Questionnaire (WISQoL) was developed a specific tool for assessing the quality of life (QoL) in patients with urolithiasis. Aim. To determine the possibility of using the WISQoL and SF-36 questionnaires to study the treatment results of patients with kidney stones. Materials and methods. The study included 218 patients with nephrolithiasis. Patients were divided into 2 groups: the first the size of the stone up to 10 mm and the second from 11 to 20 mm. At the first stage, the efficacy of treatment patients by the extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrolitholapaxy (PNL) 1 week, 1 and 3 months after surgery was compared. Questionnaires were used to study factors affecting the QOL of patients, including: gender, age, number, density and size of stones, hydronephrosis, stone free rate (SFR), type of surgery. At the next stage, the dynamics of changes in scores for the domains of questionnaires at different stages of treatment was evaluated. Results. The efficacy of treating kidney stones up to 1 cm in size after 3 months with ESWL was 86,1% and PNL 94,4 %, while stones up to 20 mm using ESWL 73,4% and percutaneous techniques 90,6%. Gender, age, stone size, SFR affected the QoL of patients with nephrolithiasis, while the number and density of stones, the presence of hydronephrosis and the type of operation were not significant. Patients 1 week after PNL had lower QoL scores in the domains of social impact and impact on vitalyty of WISQoL and mental heals of SF-36. After 1 month, these changes were determined only in the social impact domain and completely regressed by the 3rd month. Conclusion. SFR after ESWL and PNL in the first group is comparable, in the second group, percutaneous operations were 17,2% more effective. Male gender, age up to 40 years, stone size more than 1 cm, and also not reached SFR negatively affects patients with nephrolithiasis. Compared with ESWL and PNL is accompanied by the worst dynamics of QOL scores only 1 week after the operation; upon further observation, negative changes are leveled.


2021 ◽  
Vol 8 (8) ◽  
pp. 176-181
Author(s):  
M Dwiky Yunarko ◽  
Linda Chiuman ◽  
Sri Wahyuni Nasution

An estimated 50,000 Americans are diagnosed with Parkinson's disease each year, according to the National Institutes of Health, and around one million Americans have the condition. To find out the analysis of the factors that influence the quality of life of Parkinson's sufferers at the Neurology Polyclinic at The Royal Prima Hospital in 2019. There is a relationship between age and quality of life and social relations of patients with Parkinson's in the Neurology Polyclinic of The Royal Prima Hospital in 2019. There is no relationship between gender and stadium of Parkinson's disease with the quality of life of patients with Parkinson's in the Neurology Polyclinic of The Royal Prima Hospital in 2019 in Medan. It is expected that the Hospital must continue to pay attention and improve in order to create quality and high-quality services at The Royal Prima General Hospital, Medan, especially regarding the factors that affect the quality of life of Parkinson's sufferers. Keywords: Factors Affecting the Quality of Life of Parkinson's Patients.


2021 ◽  
pp. bmjspcare-2021-003182
Author(s):  
Samira Raoofi ◽  
Fatemeh Pashazadeh Kan ◽  
Sima Rafiei ◽  
Zahra Hoseinipalangi ◽  
Sepide Rezaei ◽  
...  

BackgroundPatients with end-stage renal disease undergoing haemodialysis experience a variety of stressors leading to decreased level of quality of life (QoL). Thus, in this study, we aimed to review the current literature and identify factors affecting the health-related QoL (HRQoL) in these patients.MethodsA total of 147 studies were extracted from databases of Web of Science, PubMed, Scopus, Google Scholar, and Embase published between January 2000 and December 2020. Data were analysed using R software and results were reported with reference to Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards.ResultsA total of 623 728 patients undergoing dialysis participated in 147 studies in which QoL was assessed by means of two valid questionnaires, including Short-Form 36 (SF-36) and Kidney Disease Quality of Life (KDQOL)-short form V.1.3. Total HRQoL score for patients undergoing dialysis measured by KDQOL was 64.25 (95% CI 55.67 to 72.82). Based on SF-36, the mean score of mental health items was higher than the mean score of physical health condition. Furthermore, meta-regression based on the geographical place of residence revealed that the highest QoL in patients was observed in Japan, 66.96 (95% CI 63.65 to 70.28) and Brazil, 58.03 (95% CI 53.45 to 62.6).ConclusionStudies conducted on HRQoL among patients undergoing dialysis recommend useful strategies to clinicians, letting them assess patients’ QoL in terms of a wide range of physical, mental and environmental aspects.


Author(s):  
Lyudmila Ilyinichna Kaspruk ◽  
Elizaveta Vladislavovna Mitrofanova

The presented study sets out the results of an assessment of a sociological survey of middle-level medical personnel of the Orenburg Region in morphological connection with their quality of life. Information on the factors influencing the quality of medical care provided by medical personnel is provided. The assessment of the main indicators of the quality of life was carried out, revealing minor deviations of the lower limit of normal of the mean values on the SF-36 scales. The authors describe social stress factors affecting the social and hygienic «portrait» of middle-level medical professionals as recipients of medical services.


2021 ◽  
Vol 26 (3) ◽  
pp. 535-538
Author(s):  
Ruhsen Öcal ◽  
Ilkin Iyigündogdu ◽  
Nazli Gursoy Kirnap ◽  
Irem Talu ◽  
Defne Alkislar ◽  
...  

Background & Objective: Headache is a common symptom in the general population. The aim of this study was to investigate the frequency of headache among a university students population in Ankara, Turkey; and to evaluate the factors affecting the headache and the effect of headache on students’ quality of life. Methods: A face-to-face questionnaire was applied to all participants in the study. In the questionnaire, demographic data, personal background and family history of the participants as well as the presence of headache were collected. The characteristic features of the headache, accompanying symptoms and medication use for the headache were evaluated. The 36-Item Short Form Survey (SF-36), Beck depression and Beck anxiety scales were administered to all participants. Results: Three hundred and sixty six university students participated in the study. Three hundred and thirty one participants (90.4%) had experienced headache at least once in their lifetime. Headache was more common in women (p˂0.01). Depression was found in 135 (36.9%) students with the Beck depression scale, and anxiety was found in 236 (64.5%) students with the Beck anxiety scale. There was no relationship between depression or anxiety and the presence of headache (p>0.05). Emotional role difficulties, social function, pain and general health scores were significantly lower on SF-36 in the group with headache (p˂0.05) than without headache. Conclusion: Headache adversely affects the quality of life and is a common symptom among university students, independent of depression and anxiety.


2020 ◽  
Vol 13 (1) ◽  
pp. 20-25
Author(s):  
Budi Achmad M. Siregar ◽  
Pranajaya Dharma Kadar ◽  
Aga Shahri Putera Ketaren

Introduction : Spinal cord injury is a damaging situation related to severe disability and death after trauma.And the term spinal cord injury refers to damage of the spinal cord resulting from trauma. Spinal injuries treatment is still in debate for some cases, whether using conservative or surgical methods. Material and Methods : The study was a retrospective, unpaired observational analytic study with a crosssectional approach. It was conducted at Haji Adam Malik General Hospital, Medan from January 2016 to December 2018. Clinical outcome of patientswere calculated using SF 36, ODI, and VAS.Data would be tested using the Saphiro-Wilk test. We were using the significance level of 1% (0.01) and the relative significance level of 10% (0.1). Results : Clinical outcomes of patients with spinal cord injuries before posterior instrumentation rated using ODI and VAS were 75.93±6.75 and 4.75±0.98 respectively. Meanwhile, the scores were 10.75±3.29 (ODI) and 1.77±0.72 (VAS) post-operatively. Using SF-36, the scores were 72.9±16.5 (PF); 58±23.1 (PH); 63.1±21.8 (EP); 62.5±12 (ENE); 84.1±14.8 (EMO); 79.6±23.5 (SF); 62±125.3 (PAIN); 49.5±3.4 (GH); and 72±7.8 (HC) pre-operatively. After posterior instrumentation, the scores were 94.5±6.7 (PF); 100±0 (PH); 79.9±32.9 (EP); 88.6±13.7 (ENE); 92.3±1.7 (EMO); 100±0 (SF); 99.9±10.4 (PAIN); 89.3±14.9 (GH); and 92.4±9.7 (HC). Discussion : In this study, patients with thoracal, thoracolumbar and lumbar injuries who underwent surgery experienced significant improvements in quality of life. This is indicated by the significant difference in ODI, VAS, and SF-36 scores before and after surgery. The results of this study were consistent with other studies conducted by Hao et al, which showed that there was an improvement in the quality of life of patients after surgery. Conclusion : There are significant improvements in patient’s quality of life after posterior instrumentation of the spinal cord injury in thoracal, thoracolumbar, and lumbar regions based on the clinical outcomes.


2016 ◽  
Vol 98 (5) ◽  
pp. 334-338 ◽  
Author(s):  
HA Owen ◽  
GN Buchanan ◽  
A Schizas ◽  
R Cohen ◽  
AB Williams

Introduction Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life (QOL). We assessed the QOL of patients with cryptoglandular anal fistula. Methods Newly referred patients with anal fistula completed the St Mark’s Incontinence Score, which ranges from 0 (perfect continence) to 24 (totally incontinent), and Short form 36 (SF–36) questionnaire at two institutions with an interest in anal fistula. The data were examined to identify factors affecting QOL. Results Data were available for 146 patients (47 women), with a median age of 44 years (range 18–82 years) and a median continence score of 0 (range 0–23). Versus population norms, patients had an overall reduction in QOL. While those with recurrent disease had no difference on continence scores, QOL was worse on two of eight SF–36 domains (p<0.05). Patients with secondary extensions had reduced QOL in two domains (p<0.05), while urgency was associated with reduced QOL on five domains (p<0.05). Patients with loose seton had the same QOL as those without seton. No difference in urgency was found between patients with and without loose seton. In primary fistula patients, 19.4% of patients experienced urgency versus 36.3% of those with recurrent fistulas. Conclusions Patients with anal fistula had a reduced QOL, which was worse in those with recurrent disease, secondary extensions and urgency. Loose seton had no impact on QOL.


2017 ◽  
Vol 31 (2) ◽  
pp. 29-38
Author(s):  
Justyna Redlicka ◽  
Maciej Jewczak ◽  
Sergiusz Miller ◽  
Elżbieta Miller

Abstract Introduction: Osteoarthritis constitutes one of the main reasons fora lower quality of life among theelderly. The aim of the work was to analyse factors affecting functional skills in the group ofpatients with coxarthrosis. Material and methods: The study was conducted on 50 patients with diagnosed coxarthrosis (M16.0). Patients were selected in purposive samplingand underwent one examination. The quality of life was assessed with the use of EQ-5D-3L instrument and 36-Item Short FormHealth Survey (SF-36). Pain intensity was evaluated with the use of the Visual Analogue Scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)and the authors’ own questionnaire. The research was carried out at the Rehabilitation Ward of the 3rdMunicipal Hospital in Lodz. The results were analysed in six age groups: 50-55, 55-60, 60-65, 65-70, 70-75 and 75-80. Results: Coxarthrosis was prevalent in the group of patients aged 75-80 (13 participants). Patients aged 50-55 subjectively assessed their quality of life at the highest level. Body mass index (BMI) did not affect the quality of life or pain intensity. Conclusions: The quality of life of patients with coxarthrosis is related to age but it does not correlate with body mass.


2019 ◽  
Vol 29 (2) ◽  
pp. 349-359 ◽  
Author(s):  
Arthur Wagner ◽  
Youssef Shiban ◽  
Corinna Wagner ◽  
Kaywan Aftahy ◽  
Ann-Kathrin Joerger ◽  
...  

2019 ◽  
Vol 77 (8) ◽  
pp. 536-541
Author(s):  
Ruy Gil Rohrmoser ◽  
Albert V. Brasil ◽  
Guilherme Gago ◽  
Marcelo P. Ferreira ◽  
Paulo Valdeci Worm ◽  
...  

ABSTRACT Objective: To study the impact of surgery on pain, disability, quality of life, and patient satisfaction in a sample of patients with Degenerative Lumbar Disease (DLD). Methods: Retrospective analysis of prospectively collected data. Comparison between pre and postoperative (6 – 12 months) ODI and SF-36, plus postoperative Patient Satisfaction Index. Results: From a total of 216 patients included, improvement was observed in average scores of pain (201.2%), disability (39.7%), physical quality of life (42%), and mental quality of life (37.8%). Among these patients, 57.7% reached or surpassed the minimal clinically important difference (MCID) for ODI, 57.7% for the SF-36 pain component, 59.7% for the SF-36 physical component summary, and 50.5% achieved or surpassed the MCID for the SF-36 mental component summary. Conclusions: Surgery produced a significantly positive impact on pain, disability, and quality of life of patients. Overall, 82.5% of the patients were satisfied.


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