scholarly journals Disparity between High Satisfaction and Severe Pain in Patients after Caesarean Section: A Prospective Observational-Controlled Investigation

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Thomas Hesse ◽  
Andreas Julich ◽  
James Paul ◽  
Klaus Hahnenkamp ◽  
Taras I. Usichenko
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Pharmacological Therapy ◽  
University Hospital ◽  
Surgical Patients ◽  
Patients Satisfaction ◽  
High Satisfaction ◽  
High Level ◽  
The University

Objectives. Recent advances in the treatment of postoperative pain (POP) have increased the quality of life in surgical patients. The aim of this study was to examine the quality of POP management in patients after CS in comparison with patients after comparable surgical procedures. Methods. This was a prospective observational analysis in patients after CS in comparison with the patients of the same age, who underwent comparable abdominal gynaecological surgeries (GS group) at the university hospital. A standardised questionnaire including pain intensity on the Verbal Rating Scale (VRS-11), incidence of analgesia-related side effects, and incidence of pain interference with the items of quality of life and patients’ satisfaction with the treatment of POP was used. Results. Sixty-four patients after CS reported more pain on movement than the patients after GS (N=63): mean 6.1 versus 3.6 (VRS-11; P<0.001). The patients after CS reported less nausea (8 versus 41%) and vomiting (3 versus 21%; P<0.001) and demonstrated better satisfaction with POP treatment than the patients after GS: 1.4 (0.7) versus 1.7 (0.7) (mean (SD); VRS-5; P=0.02). Conclusion. The disparity between the high level of pain and excellent satisfaction with POP treatment raises the ethical and biomedical considerations of restrictive pharmacological therapy of post-CS pain.

scholarly journals Health-Related Quality of Life in Stroke Survivors at the University Hospital of the West Indies

2017 ◽  
Vol 7 (3) ◽  
pp. 46-58 ◽  
Author(s):  
Jodian A. Pinkney ◽  
Francene Gayle ◽  
Kathryn Mitchell-Fearon ◽  
Jasneth Mullings
Keyword(s):  
Quality Of Life ◽  
West Indies ◽  
University Hospital ◽  
Stroke Survivors ◽  
Health Related Quality ◽  
The West ◽  
Related Quality ◽  
Health Related ◽  
The University

scholarly journals Quality of life and distress assessed with self and external assessment screening tools in patients with hematologic malignancies attending treatment in an acute hospital

2020 ◽  
Vol 29 (12) ◽  
pp. 3375-3385
Author(s):  
Bianca Senf ◽  
Kirsten Grabowski ◽  
Natascha Spielmann ◽  
Jens Fettel
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Hematologic Malignancies ◽  
Self Report ◽  
Screening Tools ◽  
University Hospital ◽  
Screening Instruments ◽  
Treatment Needs ◽  
Close Link

Abstract Purpose In this study, we examined distress levels and quality of life (QoL) of patients with hematologic malignancies under treatment in an acute setting. We used external- and self-assessment instruments for distress. Additionally, we investigated the relation between distress and QoL as well as whether highly distressed patients differed from less distressed patients concerning their QoL. Methods A cross-sectional study with patients of the Medical Clinic II of the University Hospital Frankfurt was conducted. One hundred and nine patients were assessed with an expert rating scale and completed self-report questionnaires. Data were exploratively analyzed and group comparisons between patients who scored above the cut-off of the respective screening instruments and those who did not were conducted. Results Patients with hematologic malignancies experience high levels of distress and low QoL. Especially, role and social functioning are affected. Patients suffer most from fatigue, appetite loss, and insomnia. Using established cut-offs, all screening instruments were able to differentiate between patients regarding distress and QoL. Patients scoring above the cut-off were significantly more distressed and had a lower QoL. There was a medium-to-strong correlation between distress and QoL indicators. Conclusion Cancer-specific screening instruments seem to be able to identify treatment needs more specifically. They also allowed a better differentiation concerning QoL. The close link between distress and QoL needs to be recognized to enable a holistic approach to treatment and thereby optimize the quality of treatment.

Analysis of factors affecting the quality of life of patients with ulcerative colitis

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Joanna Chrobak-Bień ◽  
Anna Gawor ◽  
Małgorzata Paplaczyk ◽  
Ewa Małecka-Panas ◽  
Anita Gąsiorowska
Keyword(s):  
Quality Of Life ◽  
Ulcerative Colitis ◽  
Medical Surgery ◽  
University Hospital ◽  
Mental Functioning ◽  
Factors Affecting ◽  
Disease Remission ◽  
Inflammatory Bowel ◽  
The University

Introduction. Ulcerative colitis (UC) is a non-specific inflammatory bowel disease of unknown aetiology. It is characterised by the presence of gastrointestinal and general symptoms that affect the daily functioning of the patient. Aim. The aim of the study was to analyse factors that influence the quality of life in patients with ulcerative colitis. Material and methods. The study was conducted in a group of 50 patients with ulcerative colitis, treated in the Department of General and Colorectal Medical Surgery in Łódź, and remaining under the care of a specialist Gastroenterological Outpatient Clinic at the University Hospital No. 1 in Łódź. The study was conducted as a diagnostic survey using a standardised SF-36v2 questionnaire as well as a questionnaire regarding demographic and clinical data. Results. Analysis of the obtained results showed reduced quality of life among respondents, especially during exacerbations. The respondents showed slightly lower mental functioning compared to physical functioning. The young age of respondents and higher education level significantly improve the quality of life. Conclusions. Chronic disease contributed to decreased quality of life of respondents. The quality of life for men and women was at a similar level. The quality of life improved during disease remission. Chronic intestinal and extraintestinal symptoms reduce the quality of life of patients.

scholarly journals Quality of life of women with postmenopausal pelvic organ prolapse

2017 ◽  
Vol 16 (4) ◽  
pp. 17-23
Author(s):  
Julia Nawrot ◽  
Magdalena Humaj-Grysztar ◽  
Agnieszka Gniadek ◽  
Dorota Matuszyk ◽  
Renata Biernat
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Short Form ◽  
Subjective Assessment ◽  
Pelvic Organ ◽  
University Hospital ◽  
Common Symptom ◽  
Survey Techniques ◽  
The University

AbstractAim. The aim of the study was to evaluate the quality of life of women with pelvic organ prolapse during the postmenopausal period.Material and methodology. The study group consisted of 45 patients of the Department of Gynecology and Oncology at the University Hospital in Cracow The study was conducted as a diagnostic survey using the following survey techniques: author's questionnaire and the Short Form of Health Status Questionnaire (SF-36v2).Results. The results showed that the respondents rated their quality of life as lower than the norm set by the authors of the SF-36v2 questionnaire. A statistically significant (p<0.05) correlation between the age of the subjects and the quality of life was found.Conclusions. The quality of life of the women with the pelvic organ prolapse was low. The reason of the subjective assessment of quality of life was age. The most common symptom associated with pelvic organ prolapse was feeling the urge to urinate.

Quality of Sexual Life after Microsurgical Penile Denervation in Men with Primary Premature Ejaculation

2017 ◽  
Vol 10 (1) ◽  
pp. 46-49
Author(s):  
Pencho P. Genov ◽  
Nikolay H. Kolev ◽  
Rumen P. Kotsev ◽  
Vladislav R. Dunev ◽  
Boyan A. Stoykov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Premature Ejaculation ◽  
University Hospital ◽  
Sexual Life ◽  
The Mean ◽  
The University ◽  
Urology Clinic

SummaryPremature ejaculation (PE) is the most common sexual dysfunction in men, yet it is not well studied. Its frequency reaches 30% for men from 18 to 59 years of age in different countries. The aim of this article was to investigate the quality of sexual life in men with primary PE operated on with microsurgical penile denervation, using the Brief Male Sexual Functional Inventory (BMSFI). From September 2011 to March 2014, 22 patients were operated on with microsurgical penile denervation in the urology clinic of the University Hospital - Pleven and the Department of Urology at UMHAT Ruse AD. The mean result from the BMSFI in patients was 22 points preoperatively, indicating significant worsening of sexual function and quality of life in all five questionnaire domains. After surgery, the results increased to 28, 33 and 39 respectively, at 3, 6 and 12 months, respectively. Premature ejaculation not only leads to problems in controlling ejaculation but also worsens the overall sexual function and quality of life of patients.

Side effects of treatment and quality of life among patients with schizophrenia

2011 ◽  
Vol 26 (S2) ◽  
pp. 1450-1450
Author(s):  
J. Ben Thabet ◽  
I. Feki ◽  
R. Sallemi ◽  
J. Masmoudi ◽  
L. Zouari ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Side Effects ◽  
Negative Symptoms ◽  
Rating Scale ◽  
Treatment Compliance ◽  
University Hospital ◽  
Average Score ◽  
Treatment Side Effects ◽  
Impaired Quality

The aim of our study was to assess the treatment side effects and their implications on quality of life in a population of schizophrenic patients.We included 50 patients with schizophrenia treated at Hthe psychiatry department of the university hospital in Sfax (Tunisia). We used the PANSS, the UKU side effect rating scale and the SF-36 to assess, respectively, the severity of disease, the treatment side effects and the quality of life. The statistical analysis was carried out by software SPSS.The assessment of quality of life revealed a global average score of 59.11 and an alteration in 54% of patients. Impaired quality of life was significantly correlated with irregular follow-up (p = 0.02), bad treatment compliance (p = 0.016) and polytherapy (p = 0.024). The presence of side effects which affect either moderately or severely daily activity was significantly correlated with impaired quality of life (p = 0.007). The presence of side effects was correlated in a significant way with altered quality of life (p = 0,007).Our study showed a relatively high frequency of side effects of treatment in patients with schizophrenia. They were correlated with impaired quality of life. They are also factors of bad compliance. Reduction and prevention of side effects requires the use of atypical antipsychotics which are better tolerated and more active on negative symptoms. However, they pose the problem of high costs. But it must be noted here that the overall cost of disease is higher with conventional antipsychotics than with atypical ones.

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