Quality of life in patients with pituitary adenomas in the pre- and postoperative period

2019 ◽  
Vol 83 (2) ◽  
pp. 11 ◽  
Author(s):  
V. Yu. Cherebillo ◽  
M. Yu. Kurnukhina
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.


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.


2017 ◽  
Vol 2 (6) ◽  
pp. 124-129
Author(s):  
Юлий Ковган ◽  
Yuliy Kovgan ◽  
Владимир Анищенко ◽  
Vladimir Anischenko ◽  
Альберт Налбандян ◽  
...  

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.


10.12737/6454 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Антонов ◽  
A. Antonov

Use elixir Altai ("Vitavis") in combination with ion-activated with water by means of such a complex contingent cancer patients as patients with metastatic bone fractures of the upper and lower limbs can reduce the early postoperative period, and to reduce to a minimum infectious complications and improve quality of life. The problem of postoperative complications, until now, is not solved. In oncologic patients, and those more in by III and As IV stages occurs it immunnodefitsit, which is caused not only by basic disease, but also by conse-quences of khimio- beam therapy. In connection with this appears the difficulty in the surgical treatment, caused by postoperative complications. As a result surgical treatment appears surgical injury, oxidizing stress, disturbance of homeostasis and oppression of immunity, which leads to an even larger disturbance of immunity in oncologic patients, which decreases the unspecific resistibility of organism. The application of adaptogena of the elixir of Altai (“Vitavis”) in combination with the ionic- activated aqueous means makes it possible to level and to reduce on no oxidizing stress, to increase the unspecific resistibility of the organism of oncologic patient and to increase immuni-ty. Moreover, powerful antioxidant - the ionic- activated aqueous means strengthens the action of adaptogena of the elixer of Altai (“Vitavis”), which leads to the decrease of postoperative infectious complications, reduces postoperative period, improves the quality of life and enlarges indications to the surgical treatment in oncologic patients with III it and IV by the stages of diseases.


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