scholarly journals Expectations and Reality in Surgical Rehabilitation of Cataract Patients

2021 ◽  
pp. 66-77
Author(s):  
N. S. Lutsenko ◽  
O. A. Isakova ◽  
O. A. Rudycheva ◽  
T. S. Kyrylova
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Night Vision ◽  
Patient Questionnaire ◽  
Life Questionnaire ◽  
Subjective Data ◽  
Multifocal Iol ◽  
Quality Of Vision ◽  
Distance Vision

The aim. To study the effect of surgical treatment of cataracts on the quality of life of patients and assess satisfaction with the results after implantation of a monofocal or multifocal intraocular lens (IOL), depending on the initial refraction. Materials and methods. We examined 140 patients (280 eyes) who underwent phacoemulsification with IOL (bilateral) according to the standard technique using multimodal anesthesia. The observation groups were divided depending on the initial type of refraction and the type of intraocular correction (mono- or multifocal IOL). The analysis of the results of surgical treatment of cataracts with IOL was assessed taking into account the initial refraction according to objective data, i.e. determination of distance and near visual acuity, and subjective data, i.e. the NEI-VFQ-25 quality of life questionnaire, patient questionnaire survey and assessment of the quality of vision in general, as well as distance, near, and night vision. Results and discussion. Before surgery, the mean values of indicators by all scales of the questionnaire of the quality of life related to the quality of vision ranged from 40 to 60 points and averaged 47 ± 0.5 points. After cataract surgery, the numerical indicator by each of the scales shifted to the range of 85 to 100 points. The difference in values by the scales “activity associated with distance vision” and “driving a car” was obtained. In patients with multifocal IOL, these indicators were lower compared with monofocal implantation. Dissatisfaction with distance vision was observed during the implantation of a multifocal IOL only in patients with hyperopia (12.5%), dissatisfaction with near vision was noted only in patients with myopia (16.7%), and no cases of dissatisfaction were observed in the group of patients with emmetropia. Analysis of night vision in patients with emmetropia also revealed the minimum percentage (2.5%) of cases of dissatisfaction in patients with hyperopia (5.0%) and the maximum in those with myopia (16.7%). Conclusions. IOL implantation is a single cataract treatment option that provides a high level of the patient’s satisfaction with the quality of life and visual functions. However, careful individual approach is required to select the type of implantable IOL, taking into account the patient’s needs and baseline refraction.

scholarly journals Impact of illness acceptance on the quality of life in cancer patients after surgical treatment

2020 ◽  
Vol 148 (5-6) ◽  
pp. 338-343
Author(s):  
Barbara Budna ◽  
Zofia Bolanowska ◽  
Jan Juzwiszyn ◽  
Mariusz Chabowski
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Cancer Patients ◽  
Social Relationships ◽  
Life Questionnaire ◽  
Strong Conclusion ◽  
Repeated Surgery ◽  
Acceptance Of Illness ◽  
Acceptance Levels

Introduction/Objective. In Poland, cancers are the second most common cause of death. One in four Poles will have cancer in their life, and one in five will die from it. The purpose of the study was to assess the acceptance of illness and its impact on the quality of life in surgically treated cancer patients. Methods. The study included 123 cancer patients who had undergone surgical treatment between April and May of 2017. The most common were colon (33.3%) and breast cancer (31.7%). Sixty-five percent of the patients were only treated surgically. The Acceptance of Illness Scale, the WHOQOL-BREF quality of life questionnaire, and an original survey were used. Results. Sixty-two patients (50.4%) presented high illness acceptance levels. More than half of the patients rated their quality of life as good (41.5%) or very good (13%). A positive correlation was found between the acceptance of illness and the quality of life scores in the physical health (R = 0.351, p < 0.001), psychological (R = 0.422, p < 0.001), social relationships (R = 0.525, p < 0.001), and environment (R = 0.533, p < 0.001) domains. In the physical and psychological domains, the correlation had moderate strength, while correlations with the social relationships and environment domains were strong. Conclusion. Higher illness acceptance levels were associated with higher quality of life. Acceptance of illness was not associated with patient age, type of treatment, or repeated surgery. Patients who lived alone had significantly lower quality of life and significantly lower acceptance of illness. Patients who had undergone their first surgery perceived their quality of life in the environment domain significantly lower.

Reading and Quality of Life Differences between Tecnis ZCB00 Monofocal and Tecnis ZMB00 Multifocal Intraocular Lenses

2017 ◽  
Vol 27 (4) ◽  
pp. 443-453 ◽  
Author(s):  
Francisco de Asís Bartol-Puyal ◽  
Paula Talavero ◽  
Galadriel Giménez ◽  
Irene Altemir ◽  
José M. Larrosa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cataract Surgery ◽  
Intraocular Lenses ◽  
Life Questionnaire ◽  
Near Vision ◽  
Multifocal Iol ◽  
Multifocal Intraocular Lenses ◽  
Optical Correction ◽  
Monofocal Iol

Purpose To compare the NEI-RQL-42 quality of life questionnaire and the Radner Vissum reading test outcomes after bilateral cataract surgery with implantation of Tecnis ZCB00 monofocal and Tecnis ZMB00 multifocal intraocular lens (IOL). Methods Forty-two eyes of 21 patients who had phacoemulsification were implanted with Tecnis ZCB00 IOL and 82 eyes of 41 patients were implanted with Tecnis ZMB00 IOL. They answered the NEI-RQL-42 questionnaire before cataract surgery and 3 months after it. The Radner Vissum test was performed 3 months after the surgery with optical correction for near vision in patients with monofocal IOL, but without it in patients with multifocal IOL. Results Regarding the NEI-RQL-42 test, the multifocal group obtained better results in items 2, 7, 8, 11, 13, 31, and 40, and in the following categories: near vision, dependence on correction, and suboptimal correction (p<0.05). The monofocal group only showed better results in item 17. As for the Radner Vissum test, the multifocal group obtained significantly better results in phrases 1, 3, 4, and 5, and in the number of incorrect syllables (p<0.05). Conclusions Patients with Tecnis ZMB00 multifocal IOL report a higher quality of life regarding the lack of need for optical correction for near vision in their daily activities, but halos in vision at night. Additionally, patients with multifocal IOL achieve similar or better reading quality at near vision and under photopic lighting conditions than patients with monofocal IOL with near vision optical correction.

scholarly journals Reliability and validity of simplified Chinese version of the Italian spine youth quality of life questionnaire in adolescents with idiopathic scoliosis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Shanshan Liu ◽  
Junyang Liang ◽  
Nanfang Xu ◽  
Shuo Mai ◽  
Qi Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Idiopathic Scoliosis ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Treated Group ◽  
Patient Questionnaire ◽  
Life Questionnaire ◽  
Simplified Chinese ◽  
Ceiling Effects

Abstract Background The Italian Spine Youth Quality of Life (ISYQOL) questionnaire is used to evaluate health-related quality of life in adolescents with Idiopathic Scoliosis. The study aimed to undertake the process of cultural adaptation of the ISYQOL questionnaire into Simplified Chinese. Methods Translate from Italian into Simplified Chinese. It involved 138 adolescents whose Cobb angle ranged between 20 and 40 degrees, 50 wearing the brace and 88 not wearing the brace. Statistical analysis calculated the reliability, floor effects, and ceiling effects of the ISYQOL. After that, construct validity was measured by analyzing the ISYQOL relationship Scoliosis Research Society-22 patient Questionnaire (SRS-22). Results There were no floor or ceiling effects in the ISYQOL questionnaire. Cronbach’s alpha coefficient evaluated for Internal consistency was 0.75 in the no-treated group and 0.88 in the brace-treated group. Intraclass correlation coefficients assessed with the use of the test-retest method were 0.72 in the no-treated group and 0.80 in the brace-treated group. A strong relationship exists between the ISYQOL measure and SRS-22 scores (rho = 0.62; p < 0.01), reflecting the high validity of the questionnaires. Both ISYQOL and SRS-22 scores showed no statistical difference between groups wearing and not wearing the brace (p > 0.05). Conclusions Trans-cultural validation in Chinses language showed the reliability and validity of the ISYQOL.

Comparative analysis of the quality of life of patients with some methods of surgical treatment of vasomotor rhinitis

2018 ◽  
pp. 32-38
Author(s):  
Alexey Rasulov ◽  
Saifutdin Arifov
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Nasal Cavity ◽  
Postoperative Period ◽  
Long Term Results ◽  
Laser Coagulation ◽  
Life Questionnaire ◽  
Vasomotor Rhinitis ◽  
Special Equipment

Quality of life (abbr. – QOL) is a category with which it characterizes the essential circumstances of the life of the population, determining the degree of dignity and freedom of the personality of each person and a subjective indicator when evaluating the results of treatment of chronic diseases. To determine the quality of life of patients with cavity problems and SNPs, such as rhinitis and sinusitis, special questionnaires have been created, translated into Russian and adapted. The purpose of this study is to examine in a comparative aspect the indicators of the quality of life of patients with vasomotor rhinitis with various treatment methods. Materials and Methods: The study was conducted in the clinic of the Department of Otorhinolaryngology of the Tashkent institute of postgraduate medical education on 43 patients with vasomotor rhinitis in age from 20 to 46 years, average age 28±1.3 years. All patients with BP included in our study, after collecting complaints and anamnesis, underwent an endoscopic examination of the nasal cavity and nasopharynx, a computerized tomogram of the nose and paranasal sinuses, standard laboratory tests and microscopy of a smear from the nasal cavity on eosinophils. Evaluation of QOL was performed according to a special questionnaire Mini Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ). Results: Studies have shown the highest efficiency of laser coagulation with vasomotor rhinitis. After laser surgery, a rapid improvement in QOL was observed, and there was no adverse effect on the mucous membrane of the nasal cavity. Given the well-tolerated laser coagulation, the lack of the need for observation and care of the nasal cavity in the postoperative period, the possibility of outpatient treatment, allows us to recommend this type of exposure as the method of choice in the surgical treatment of patients with vasomotor rhinitis. However, the need for special equipment and the availability of trained personnel who have access to work with laser systems somewhat limits the widespread use of this method. The simplicity of submucosal vasotomy, the availability of tools for carrying out, the rather rapid restoration of QOL, puts it on a par with the laser effect on efficiency. The need to use nasal tampons after surgery, hospital stay and patient monitoring in the early postoperative period reduces the patients' QL and makes this operation strictly inpatient. In our study, electrocautery demonstrated the lowest rate of improvement in QOL than during laser irradiation and submucous vasotomy. The most slow and incomplete restoration of QOL in this method of treatment emphasizes the disadvantage of this method from the point of view of the patient's QOL. Conclusion: Evaluation of the long-term results of surgical treatment of QL and clinical manifestations of BP makes it possible to recommend laser coagulation as the most optimal method providing a long-lasting effect in treating patients with BP. An alternative is to take a submucous vasotomy of the inferior nasal concha.

scholarly journals Health-related quality of life measurement in asthma and chronic obstructive pulmonary disease: review of the 2009-2014 literature

2016 ◽  
Vol 11 ◽  
Author(s):  
Fabio Arpinelli ◽  
Mauro Carone ◽  
Riccardo Gioacchino ◽  
Giorgio Bertolotti
Keyword(s):  
Quality Of Life ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Life Questionnaire ◽  
Obstructive Pulmonary Disease ◽  
Subjective Data ◽  
Number Of Patients ◽  
The Impact

Background: Asthma and chronic obstructive pulmonary disease (COPD) are frequent in the general population. These diseases can worsen the quality of life of people suffering from them, limiting their daily activities and disrupting their sleep at night. Some questionnaires to measure the impact of the diseases on the daily life of patients are available. The measurements of subjective outcomes have become a part of clinical practice, and are used very frequently in clinical trials. Our aim was to describe how data on HRQoL in asthma and COPD are reported in papers published in the medical literature. Methods: We identified papers on the recent respiratory drugs (chemical, not biological), that reported the HRQoL measurement and that were published from 2009 to April 2014. We planned to describe data about HRQoL, and we had no intention of comparing the degree of efficacy of drugs. Results: The most used questionnaires are the Asthma Quality of Life Questionnaire (AQLQ) and the Saint George's Respiratory Questionnaire (SGRQ). These tools, administered at the baseline and at the end of the study (and interim evaluations in the longer studies) allowed for the identification of improvements as perceived by the patient after the treatment, even if in some cases these improvements were limited and not clinically relevant. Subjective measurements have always been placed among the secondary endpoints and the number of patients (estimated for the main endpoint) has often statistically overestimated the result. In addition, it is clear that subjective data is normally reported, but rarely commented on. Conclusions: There are some methodology aspects that should be discussed in more depth, for example the necessity to express variations in the subjective perception, not as p-value but as effect-size.

scholarly journals Refractive and Quality of Vision Outcomes with Toric IOL Implantation in Low Astigmatism

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Eduardo Scaldini Buscacio ◽  
Lia Florim Patrão ◽  
Haroldo Vieira de Moraes
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Correlation Coefficients ◽  
Life Questionnaire ◽  
Toric Iol ◽  
Iol Implantation ◽  
Quality Of Vision ◽  
Uncorrected Visual Acuity ◽  
Before And After

Purpose. To evaluate the refractive and the quality of vision outcomes of toric IOL implantation in patients with low astigmatism. Design. Prospective study of single-arm. Methods. Patients with corneal astigmatism range from 0,75 D to 1,5 D and cataract that underwent cataract surgery with toric IOL. The measurements were performed preoperatively and 6 weeks after the surgery. Patients were evaluated for visual acuity with and without correction, contrast sensitivity, static and dynamic refraction, and quality of life questionnaire. Pre- and postoperative values were compared and their variations were evaluated for linear correlation. Results. 21 eyes of 21 patients. Postoperative mean uncorrected visual acuity was 0.80±0.19, and the best corrected visual acuity was 0.97±0.15. p<0.001 compared to preoperative values. The average postoperative refractive cylinder was -0.34±0.39. The questionnaire’s total value before and after surgery was, respectively, 43.20±15.76 and 79.70±10.11 (p<0.001). The correlation coefficients between the values of the questionnaire variation and the UCVA, BCVA, and CS variation were, respectively, 0.548 (p=0.005), 0.508 (p=0.009), and 0.409 (p=0.033). Conclusion. Patients with low astigmatism who underwent phacoemulsification with toric IOL implantation experienced significant decrease in refractive astigmatism and improvement in their quality of life.

scholarly journals Surgical and medical treatments for discogenic low back radiculopathy

2019 ◽  
Vol 11 (2S) ◽  
pp. 40-45 ◽  
Author(s):  
M. A. Ivanova ◽  
V. A. Parfenov ◽  
A. O. Isaikin
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Surgical Treatment ◽  
Medical Treatment ◽  
Pain Intensity ◽  
Rating Scale ◽  
Leg Pain ◽  
Life Questionnaire ◽  
Low Back

Objective: to compare the efficiency of medical and surgical treatments for discogenic low back radiculopathy.Patients and methods. 32 patients (including 13 men; mean age, 39.1±11.8 years) received inpatient medical treatment with epidural glucocorticoids; 32 patients (including 19 men; mean age. 42.3±12.1 years) had surgical treatment (removal of a herniated disk). A questionnaire [numerical pain rating scale (NPRS), Oswestry disability index, and quality of life questionnaire (QOL), SF-12] survey was carried out on admission to the clinic, after 7–14 days during treatment (pain intensity and functional status), and after 3, 6, and 12 months.Results and discussion. There were no clinical differences between the patient groups at baseline. Both groups showed a significant decrease in pain intensity and reduced disability after 7–14 days of treatment, with a persistent positive effect over 12 months (p < 0.01). During a year, both groups exhibited better quality of life (p < 0.01). In the surgical treatment group, leg pain intensity was noted to become lower in the early stages (NPRS scores were 0.97 vs 2.41 after 7–14 days and 0.84 vs 1.56 scores after 3 months; p < 0.05); however, this advantage did not persist in the long-term. No significant differences were found between the groups in back pain intensity, disability, and QOL indicators throughout the follow-up period.Conclusion. There were no significant clinical differences between patients with discogenic low back radiculopathy who are referred to hospital for surgical or medical treatment. Surgery makes it possible to reduce more rapidly the intensity of leg pain; however, no benefits of surgical treatment in terms of back pain intensity, disability, and QOL are noted. It is advisable to inform patients about the favorable course of the disease and the possibility of natural regression of disc herniation. 

scholarly journals Quality of life and degree of satisfaction with surgical treatment in patients with dentoskeletal deformity

2021 ◽  
Vol 10 (3) ◽  
pp. e24410313245
Author(s):  
Itanielly Dantas Silveira Cruz ◽  
Reginaldo Fernandes da Silva ◽  
Rafaela Monteiro de Araújo ◽  
José Sandro Pereira da Silva ◽  
Kenio Costa de Lima ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Family Income ◽  
Surgical Patient ◽  
Life Questionnaire ◽  
Surgical Time ◽  
Dependent Variables ◽  
Civil Status ◽  
Degree Of Satisfaction

Objective: To evaluate the quality of life and degree of satisfaction of patients submitted to orthodontic-surgical treatment after orthognathic surgery. Methodology: thirty ortho-surgical patients responded two specific questionnaires (Portuguese versions) -one on quality of life (Orthognathic Quality of Life Questionnaire – OQLQ) and another on degree of satisfaction (Post-Surgical Patient Satisfaction Questionnaire - PSPSQ) - and responded to a form containing socioeconomic-educational data and post-surgical time. The associations between the independent (age, gender, civil status, educational level, family income and post-surgical time) and dependent variables (quality of life and degree of satisfaction) were submitted of the Mann-Whitney test (significance of 5%). Spearman correlation test (significance of 5%) was applied to analyze the relationship between the dependent variables. Results: The OQLQ had a mean of 16.17 (±19.17) and median of 12, characterizing the sample with a good quality of life profile. The PSPSQ obtained a mean of 26.6 (±1.99) and median of 27, evidencing a high degree of satisfaction after surgical treatment. There was a significant correlation between the OQLQ x PSPSQ of the moderate negative type (0.40 to 0.69) and there was no significant correlation between socioeconomic-educational variables and post-surgical time with OQLQ and PSPSQ. Conclusion: The study indicated that the high satisfaction with the surgical treatment is directly related to the good quality of life presented after the treatment, demonstrating the importance of the ortho-surgical treatment.

scholarly journals Reliability and validity of Simplified Chinese version of the Italian Spine Youth Quality of Life questionnaire in adolescents with idiopathic scoliosis

2020 ◽  
Author(s):  
Shanshan Liu ◽  
Junyang Liang ◽  
Nanfang Xu ◽  
Shuo Mai ◽  
Qi Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Idiopathic Scoliosis ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Patient Questionnaire ◽  
Life Questionnaire ◽  
Scoliosis Research Society ◽  
Simplified Chinese ◽  
Ceiling Effects

Abstract Background: The Italian Spine Youth Quality of Life (ISYQOL) questionnaire is a tool used to evaluate health-related quality of life in adolescents with Idiopathic Scoliosis. The study aimed to undertake the process of cultural adaptation of the ISYQOL questionnaire into Simplified Chinese. Methods: The translation from Italian into Simplified Chinese was performed. It involved 138 adolescents whose Cobb angle ranged between 20-40 degrees, 50 wearing the brace and 88 not wearing the brace. Statistical analysis calculated the reliability, floor and ceiling effects of the ISYQOL. After that, construct validity was measured by analyzing the ISYQOL relationship Scoliosis Research Society-22 patient Questionnaire (SRS-22). Results: There were no floor or ceiling effects in ISYQOL questionnaire. Cronbach’s alpha coefficient evaluated for Internal consistency was 0.75 without the brace and 0.88 with the brace. Intraclass correlation coefficients assessed with the use of the test-retest method was 0.72 without the brace and 0.80 with the brace. A strong relationship exists between the ISYQOL measure and SRS-22 scores (rho=0.63; p< 0.01), reflecting the high validity of the questionnaires. Both ISYQOL and SRS-22 scores showed no statistical difference between groups with and without the brace (p>0.05). Conclusions: Trans-cultural validation in Chinses language showed the reliability and validity of the ISYQOL

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