Quality of postoperative recovery and health status in patients scheduled for elective surgery

Author(s):  
Leonor Mendes
2018 ◽  
Vol 68 (6) ◽  
pp. 577-583
Author(s):  
Sofia M. Ferraz ◽  
João P. Moreira ◽  
Leonor C. Mendes ◽  
Tania M. Amaral ◽  
Ana R. Andrade ◽  
...  

2020 ◽  
Vol 1 (8) ◽  
pp. 508-511 ◽  
Author(s):  
James Alexander Morris ◽  
Jonathan Super ◽  
Daniel Huntley ◽  
Thomas Ashdown ◽  
William Harland ◽  
...  

Aim Restarting elective services presents a challenge to restore and improve many of the planned patient care pathways which have been suspended during the response to the COVID-19 pandemic. A significant backlog of planned elective work has built up representing a considerable volume of patient need. We aimed to investigate the health status, quality of life, and the impact of delay for patients whose referrals and treatment for symptomatic joint arthritis had been delayed as a result of the response to COVID-19. Methods We interviewed 111 patients referred to our elective outpatient service and whose first appointments had been cancelled as a result of the response to the COVID-19 pandemic. Results Patients reported significant impacts on their health status and quality of life. Overall, 79 (71.2%) patients reported a further deterioration in their condition while waiting, with seven (6.3%) evaluating their health status as ‘worse than death’. Conclusions Waiting lists are clearly not benign and how to prioritize patients, their level of need, and access to assessment and treatment must be more sophisticated than simply relying on the length of time a patient has been waiting. This paper supports the contention that patients awaiting elective joint arthroplasty report significant impacts on their quality of life and health status. This should be given appropriate weight when patients are prioritized for surgery as part of the recovery of services following the COVID-19 pandemic. Elective surgery should not be seen as optional surgery—patients do not see it in this way.


2020 ◽  
Vol 103 (11) ◽  
pp. 1185-1193

Background: The systemic lupus erythematosus (SLE) patients oftentimes suffer from both physical and psychosocial challenges that may lead to low health-related quality of life (HRQoL). However, limited research has been done in this area. Objective: To examined mental health status and HRQoL among SLE patients in Thailand. Materials and Methods: The present study was a cross-sectional study conducted at the rheumatology clinic of four major hospitals in Thailand. The paper-based questionnaire consisted of demographic, health history such as depression, anxiety, stress Scale (DASS-21), and the Rosenberg self-esteem scale (RSE), and the disease-specific Lupus Quality of Life scale (LupusQoL). Depending on the variable’s level of measurement such as categorical or continuous, Spearman’s Rho or Pearson’s product moment correlation coefficients were used to explore the relationships among the variables. Hierarchical multiple regression was used to identify the predictors of LupusQoL. Results: Among the 387 participants, many might have experienced depression, anxiety, and stress (30%, 51%, and 29%, respectively). Self-esteem among the participants was good (31.8 out of 40). All eight domains of LupusQoL were affected with intimate relationship domain being impacted the most. The overall LupusQoL was significantly associated with the number of prescribed medications (r=–0.23), depression (r=–0.70), anxiety (r=–0.58), stress (r=–0.67), and self-esteem (r=0.59), p<0.001. Significant predictors of the overall LupusQoL were mental health status (depression, anxiety, and stress) and self-esteem, F (3, 81)=43.10, p<0.001, adjusted R²=0.60. Conclusion: SLE patients should be holistically assessed in both physical and psychological aspects. In addition to proper medical treatments, healthcare providers should use a multidisciplinary team approach to resolve the patients’ psychosocial issues, which in turn, may increase the patients’ quality of life. Self-care education may be necessary to help the patients manage the condition and decrease the number of medications. Keywords: Mental health, Quality of life, SLE, Thailand


2020 ◽  
Vol 13 ◽  
Author(s):  
Manyat Ruchiwit ◽  
Kanjanee Phanphairoj ◽  
Tipsuda Sumneangsanor ◽  
Jinpitcha Mamom

Background: Holistic health is important to life, perhaps especially for elders. Focus should not only be placed on illness or the physical part of their lives, but the whole person should also be considered, emphasizing the connection of their mind, body, and the environment. Objective: The aims of this research were to study the factors of the holistic health status (HHS) of the Thai elderly in the 21st century, and to predict the factors affecting the development of HHS in 3 aspects; physical health status, mental and emotional health status, and the social and environmental health status. Method: The data were collected from 928 Thai elderly aged 60 and over in the central part of Thailand. The research instrument was a questionnaire whose reliability was confirmed using a Cronbach alpha coefficient of .904. Multiple regression analysis was used for predicting the factors of HHS. Results: The results indicated that stress, increased age, gender, and social participation can predict the HHS of Thai elders, and stress can predict each 3 aspects. Therefore, stress prevention activities are very important for enhancing the HHS of Thai elders. Conclusion: The findings of this research can be used to improve the quality of life of elders in the 21st century.


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