scholarly journals COMPREHENSIVE ASSESSMENT THE QUALITY OF LIFE IN PATIENTS WITH ESOPHAGEAL ACHALASIA OF III–IV STAGES AFTER EZOPHAGOCARDIOFUNDOPLASTY IN THE DISTANT POSTOPERATIVE PERIOD

2017 ◽  
Vol 2 (6) ◽  
pp. 124-129
Author(s):  
Юлий Ковган ◽  
Yuliy Kovgan ◽  
Владимир Анищенко ◽  
Vladimir Anischenko ◽  
Альберт Налбандян ◽  
...  
2020 ◽  
Vol 8 (4S) ◽  
pp. 42-50
Author(s):  
L. N. Igisheva ◽  
A. A. Anikeenko ◽  
S. A. Shmulevich ◽  
I. N. Sizova

Aim. To find out the problems in children health in long-time postoperative period after cardiosurgery using the comprehensive method for creating rehabilitation program.Methods. A prospective investigation of group of children was done before (n = 88) and in a year (n = 115), in 2 years (n = 90) and in 3 years (n = 58) after the surgical correction of congenital heart defects on the base of Kuzbass cardiological center. The anamnesis, clinical and hemodynamic aspects were studied as well as the postoperative period, residual problems after the correction, social status of the family and the comprehensive assessment was done in the both groups.Results. Before the correction the most part of children had low and very low levels of physical functioning, but there was a positive dynamic right after the surgery: the most part of children had high and middle levels (13% and 44% in a year), while the amount of children with low and very low data were reduced. Nevertheless, in 3 years after the surgery the amount of children with low and very low data was increased while the hemodynamic became better. Such tendency was mentioned with all aspects of the health.Conclusion. Despite of hemodynamic normalization the quality of life with all aspects still suffers. It predicts dangers in development and quality of life in general.


2021 ◽  
Vol 9 (2) ◽  
pp. 153-162
Author(s):  
Dmitry N. Kokushin ◽  
Michael A. Khardikov ◽  
Sergey V. Vissarionov ◽  
Vera V. Sokolova ◽  
Nikita O. Khusainov ◽  
...  

BACKGROUND: Congenital scoliosis with disorders of the formation of the vertebrae is the most common cause of pronounced deformities of the spine in early childhood. This pathology can be treated surgically using various techniques that differ in invasiveness, severity of the condition in the postoperative period, achieved result of deformity correction, and nature of the long-term prognosis. Numerous studies have assessed the quality of life of patients who underwent surgery for acquired deformities, trauma, and degenerative and neoplastic diseases of the spine in adults. However, features of the childs quality of life following surgical technique for congenital scoliosis have not been sufficiently studied. AIM: This study aimed to compare the quality of life of children with congenital scoliosis of the thoracolumbar localization after extirpation of the hemivertebra from the dorsal and combined approaches. MATERIALS AND METHODS: An intergroup prospective analysis of the results of a survey of 60 patients with congenital deformity of the spine against the background of an isolated violation of the formation of the thoracic or lumbar vertebra was carried out. Patients underwent standard surgical treatment. Patients were divided into two groups according to the surgical approach to the abnormal vertebral body: dorsal group (n = 28) and combined group (n = 32). The average age of the patients was 75 (minmax, 26196) months. The follow-up period was 18 months after surgery. To assess the quality of life, a specialized Russian version of the PedsQL v4.0 questionnaire and a modified visual analog scale were used. RESULTS: After surgical treatment of congenital spinal deformity, quality of life indicators decreased more than two times than the results of a preoperative survey. At 18 months postoperatively, the physical activity and psychoemotional state were restored to the preoperative level, while patients of the combined group had a higher satisfaction score on the quality of life (p 0.05). CONCLUSIONS: The combined approach provides the best correction of congenital deformity of the spine and allows maintaining of the achieved result throughout the observation period. In the early postoperative period, the combined group demonstrated a significant decrease in the level of satisfaction with the quality of life, while the pain syndrome was higher than that in the dorsal group. Dynamic observation revealed the leveling of these differences and a subsequent increase in the level of satisfaction with the quality of life of these patients.


2021 ◽  
Vol 4 (164) ◽  
pp. 220-233
Author(s):  
O. Rybalova ◽  
O. Bryhada ◽  
O. Ilinskyi

The work examines modern methodological approaches to assessing the quality of life using environmental indicators. Analysis of the existing methods in Ukraine for determining the environmental component when measuring the quality of life showed the need to develop a new method for a comprehensive assessment of the state of the environment. This is due to the fact that the existing methodology for assessing the quality of life does not take into account the ecological component as a separate block of indicators, and also contains some inaccuracies in the formulas for calculating the final indicator. In this regard, a new method is proposed for determining the ecological component in the general system for assessing the quality of life of the population, which is the scientific novelty of the work. Based on the analysis of monitoring data on the quality of air, surface waters and soils of Ukraine, statistical reporting on environmental indicators of the development of regions of Ukraine, intermediate indicator indicators are calculated, and then the final complex indicator of the state of the environment is determined. Calculation formulas and assessment scales in points of the state of environmental components are proposed. The proposed method is based on the processing of data from official state statistics and environmental monitoring, which determines the reliability of the initial data. The proposed technique can easily be used as an algorithm for computerized calculations of the indicator of a comprehensive assessment of the state of the environment. The calculation of the indicator of the ecological state was made on the basis of current statistical data, which showed the need for immediate environmental protection measures in the industrially developed regions of Ukraine: Donetsk, Zaporozhye, Dnepropetrovsk and Lugansk regions.


2019 ◽  
Vol 13 ◽  
Author(s):  
Larissa Faquim Bazaga ◽  
Gisele Martins

Quality of life of children submitted to cystentoplasty and caregiversObjective: to evaluate the quality of life (QOL) of children with myelomeningocele who underwent cystenteroplasty in 2006-2016 and their caregivers. Method: this is a descriptive mixed study, conducted in a rehabilitation hospital, with a final sample of 16 participants, using the generic Pediatric Quality of Life Inventory instrument and a structured interview for the specific condition. The results were presented in tables and statements. Results: eight dyads participated in the study, being that “physical capacity” and “social aspect” were the domains with the most divergent perspective, whereas “emotional aspect” and “school activity” were more convergent. QoL was affected negatively in the immediate postoperative period due to prolonged fasting and the use of nasogastric tube and, in the late postoperative period, was positively attributed to the acquisition of social continence, lower frequency of urinary tract infection and greater independence of children. Conclusion: it is concluded that the perception of QOL of patients submitted to cystenteroplasty and their caregivers was improved after this surgery. Descriptors: Child; Adolescent; Quality of Life; Pediatric Nursing; Neurogenic Urinary Bladder; Nursing.RESUMO Objetivo: avaliar a qualidade de vida (QV) de crianças com mielomeningocele submetidas à cistoenteroplastia, nos anos de 2006-2016, e de seus cuidadores. Método: trata-se de um estudo misto, descritivo, realizado em um hospital de reabilitação, com uma amostra final composta por 16 participantes, utilizando-se o instrumento genérico Pediatric Quality of Life Inventory e uma entrevista estruturada para a condição específica. Apresentaram-se os resultados em forma tabelas e depoimentos. Resultados: elencaram-se para participar do estudo oito díades, sendo que “capacidade física” e “aspecto social” foram os domínios com a perspectiva mais divergente, ao passo que “aspecto emocional” e “atividade escolar” foram mais convergentes. Afetou-se a QV no pós-operatório imediato negativamente devido ao jejum prolongado e ao uso de sonda nasogástrica e, no pós-operatório tardio, foi positivamente atribuída à aquisição da continência social, menor frequência de infecção do trato urinário e maior independência das crianças. Conclusão: conclui-se que a percepção da QV de pacientes submetidos à cistoenteroplastia e seus cuidadores foi melhorada após a realização dessa cirurgia. Descritores: Criança; Adolescente; Qualidade de Vida; Enfermagem Pediátrica; Bexiga Urinária Neurogênica; Enfermagem.RESUMENObjetivo: evaluar la calidad de vida (CV) de los niños con mielomeningocele sometidos a cistenteroplastia en los años 2006-2016 y sus cuidadores. Método: este es un estudio descriptivo mixto, realizado en un hospital de rehabilitación, con una muestra final de 16 participantes, utilizando el instrumento genérico Pediatric Quality of Life Inventorye una entrevista estructurada para la condición específica. Los resultados se presentaron en tablas y declaraciones. Resultados: ocho díadas participaron en el estudio, ya que la "capacidad física" y el "aspecto social" fueron los dominios con la perspectiva más divergente, mientras que el "aspecto emocional" y la "actividad escolar" fueron más convergentes. La calidad de vida se vio afectada negativamente en el postoperatorio inmediato debido al ayuno prolongado y el uso de sonda nasogástrica y, en el postoperatorio tardío, se atribuyó positivamente a la adquisición de continencia social, una menor frecuencia de infección del tracto urinario y una mayor independencia de los niños. Conclusión: se concluye que la percepción de la calidad de vida de los pacientes sometidos a cistenteroplastia y sus cuidadores mejoró después de esta cirugía. Descriptores: Niño; Adolescentes; Calidad de Vida; Enfermería Pediátrica; Vejiga Urinaria Neurogénica; Enfermería.


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