Transabdominal Pre-peritoneal Mesh Repair versus Lichtenstein’s Hernioplasty

Background: In the era of minimal invasive surgery, hernia repair has seen a paradigm shift from open to laparoscopic technique. However, superiority of laparoscopic repair over open repair is still controversial. Available literatures have shown laparoscopic technique to be better in term of post-operative pain and early return to work.Methods: In this prospective study, a total of 102 patients aged 21-78 years with inguinal hernia were recruited and enrolled into two comparative groups, namely Lichtenstein’s and Transabdominal pre-peritoneal, and each group containing 51 participants. Hospital ethical committee approval and written informed consent from patients was obtained. Primarily, the duration of operation, post-operative pain and complication, and quality of life after surgery was compared between the two different approaches of hernia repair.Results: The study results demonstrated a statistically significant superiority of trans abdominal pre-peritoneal repair over Lichtenstein’s hernioplasty in terms of post operative pain (2.00±0.63 vs 3.90±0.74 VAS score, P value<0.001), hospital stay (2.33±0.62 vs 2.96±0.20 days, P value <0.001) and quality of life with early return to normal work (13.39±0.60 vs 17.88±0.86 days, P value <0.001); whereas a prolonged operative time was seen in transabdominal pre-peritoneal repair (96.08±27.08 vs 42.55±5.95 mins, P value <0.001). Conclusions: This study has shown that transabdominal pre-peritoneal repair is better than Lichtenstein’s in respect to post-operative pain, quality of life and post-operative complication. However, it has prolonged operative duration than conventional method.

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Faktor demografi dan obstetrik dalam mempengaruhi kualitas hidup postpartum

Jurnal Kebidanan ◽

10.26714/jk.9.2.2020.129-142 ◽

2020 ◽

Vol 9 (2) ◽

pp. 129

Author(s):

Risky Puji Wulandari ◽

Mufdlilah Mufdlilah

Keyword(s):

Quality Of Life ◽

Demographic Factors ◽

Social Needs ◽

P Value ◽

Postnatal Life ◽

Life Questionnaire ◽

Study Results ◽

History Of ◽

Postpartum Mothers

The postpartum period is one of the critical transition periods in women's lives, both physically and psychologically. The low quality of life for women, especially postpartum mothers, is caused by the postpartum period's needs in the form of physical, psychological, and social needs. Women who have an essential role, mature basis and quality of life are important to measure postpartum care accuracy. The purpose of this study was to determine the factors that affect the quality of postnatal life in the work area of Mertoyudan I Health Center, Magelang Regency. This type of research is quantitative research with a cross-sectional research design. The sampling technique used accidental sampling. The number of samples in this study was 60 postpartum mothers. The research instrument was a questionnaire on demographic factors (age, education, residence status, occupation, stage), obstetric questionnaires (parity, type of baby present, history of pregnancy, history of abortion, desired pregnancy, and breastfeeding factors), and the Postpartum Quality of Life questionnaire. (PQOL). The study results with the results of the Chi-Square statistical test prove that there is an influence of demographic factors including age, education, and stage variables on the quality of life postpartum with p-value 0.003 <0.05, p-value 0.001 <0.05, and p-value 0.002 <0.05. Obstetric factors including parity, history of complications, history of abortion, desired pregnancy, and breastfeeding factors influence the quality of life postpartum with p-value <0.050, p-value <003, p-value <0.040, p-value <0.000, p-value value <0.017, and p-value <0.002.

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Hubungan Pemenuhan Kebutuhan Spiritual dengan Kualitas Hidup Pasien Kanker

Jurnal Surya Medika ◽

10.33084/jsm.v7i1.2112 ◽

2021 ◽

Vol 7 (1) ◽

pp. 140-145

Author(s):

Putria Carolina ◽

Hermanto Hermanto ◽

Karmita Sari Yanra Katimenta

Keyword(s):

Quality Of Life ◽

Cancer Patients ◽

Sampling Technique ◽

Total Sample ◽

Spiritual Needs ◽

P Value ◽

Cross Sectional ◽

Study Results ◽

The Individual

Patients diagnosed with cancer spend a lot of energy dealing with diagnosis, therapy, and feelings of instability due to possible relapses, death, complications, and financial problems. They often reach the point where they feel that they are very uncertain, very uncertain position, hopeless. Cancer causes loss of hope, affects physical and mental, and results in various disorders such as loneliness, depression, and failure to adapt—the importance of fulfilling the spiritual needs of cancer patients to improve the optimal quality of life. Fulfilling spiritual needs is finding meaning, purpose, the need for hope, belief in life, oneself, and God. Individuals are said to have good spirituality if the individual has full expectations, are optimistic, and think positively. The research design used a cross-sectional approach, the sampling technique was purposive sampling, and the data analysis was tested using the Spearman Rank with a total sample size of 35 respondents. The results obtained by sig. (2-tailed) with a p-value of 0.000 with a degree of significance p ≤ 0.05, which means H1 is accepted. This study shows a relationship between spiritual fulfillment and quality of life for cancer patients. The study results can be used as an intervention in nursing care to improve the quality of nursing services, especially for cancer patients. The better the spiritual needs of cancer patients can be met, the better the quality of life will be about complex matters such as physical health, psychological conditions, level of independence, social relationships, and the individual's relationship with their environment.

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PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

Jurnal Keperawatan ◽

10.32583/keperawatan.v11i1.425 ◽

2019 ◽

Vol 11 (1) ◽

pp. 9-18

Author(s):

Abdul Wakhid ◽

Ana Puji Astuti ◽

Maya Kurnia Dewi

Keyword(s):

Quality Of Life ◽

Renal Failure ◽

Test Group ◽

Sampling Technique ◽

T Test ◽

P Value ◽

Number Of Patients ◽

Post Test ◽

The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit. Kata Kunci: Logoterapi, kualitas hidup IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness. Keywords: Logotherapy, quality of life, kidney failure.

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Penatalaksanaan IMD pada Ibu Postpartum Sectio Caesarea Mempengaruhi Status Gizi dan Kecepatan Produksi ASI

Jurnal Bidan Cerdas (JBC) ◽

10.33860/jbc.v2i2.68 ◽

2020 ◽

Vol 2 (2) ◽

pp. 112-120

Author(s):

Nursari Abdul Syukur ◽

Susi Purwanti

Keyword(s):

Breast Milk ◽

Nutritional Status ◽

Milk Production ◽

Quantitative Research ◽

Milk Protein ◽

Sectio Caesarea ◽

Control Group ◽

P Value ◽

Study Results

Many mothers who give birth to Sectio Caesarea (SC) do not Initiate Early Breastfeeding (IMD), which fails exclusive breastfeeding. This study aimed to determine the effect of IMD management in postpartum SC mothers on nutritional status, speed of milk production, and quality of breast milk protein. Method: quantitative research with quasi approach experiment. The research design used was a pre-post-test control non-equivalent control group. A sampling of this study used the Consecutive method sampling with a sample of 20 mothers who gave birth by cesarean section (SC). Hypothesis testing uses the independent t-test and the Mann-Whitney test. The study results showed an influence on the management of IMD in postpartum SC mothers on the speed of ASI production (p-value=0.004) and nutritional status (p-value=0.028). There was no effect of IMD management on postpartum SC mothers on the quality of breast milk protein (p-value = 0.543). This study recommends that the hospital implement an IMD promotion program before the abdominal wall is closed as a form of intervention to increase milk production and maternal nutritional status

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HUBUNGAN EFIKASI DIRI DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS

Journal of Holistic Nursing Science ◽

10.31603/nursing.v5i2.2430 ◽

2018 ◽

Vol 5 (2) ◽

pp. 56-63

Author(s):

Abdul Wakhid ◽

Estri Linda Wijayanti ◽

Liyanovitasari Liyanovitasari

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Self Efficacy ◽

Healing Process ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Kolmogorov Smirnov

Background: Self efficacy can optimize the quality of life of clients who undergo the healing process due to chronic diseases. Individuals with higher self-efficacy move their personal and social resources proactively to maintain and improve the quality and length of their lives so that they experience a better quality of life. Objectives: the purpose of this study was to find the correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency. Metode: This type of research was descriptive correlation with cross sectional approach. The samples in this study more 76 people with total sampling technique. The data collection tool for self efficacy was measured by General Self-Efficacy scale, for quality of life with WHOQoL-BREF. Statistical test used Kolmogorov-smirnov. Result: The result showed that self efficacy in patients with chronic kidney disease was mostly in moderate category (53,9%), quality of life in patients with chronic kidney disease was mostly in good category (68,4%). There was a correlation between self efficacy and quality of life of patients with chronic kidney disease who undergo hemodialysis at RSUD Semarang Regency, the result obtained p-value of 0.000 <α (0,05). Suggestion: Patients with chronic kidney disease can maintain good quality of life by helping to generate positive self-esteem and high self efficacy.

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PERAN WARGA PEDULI AIDS CAHAYA CARE TUREN DALAM MENINGKATKAN KUALITAS HIDUP ODHA

Jurnal Kesehatan Mesencephalon ◽

10.36053/mesencephalon.v3i1.37 ◽

2017 ◽

Vol 3 (1) ◽

Author(s):

Tri Nurhudi Sasono

Keyword(s):

Quality Of Life ◽

Antiretroviral Drugs ◽

P Value ◽

People Living With Hiv ◽

Purposive Sampling ◽

Significant Difference ◽

Development Goals ◽

Living With Hiv ◽

Hiv Aids

Abstract : Indicator of the health welfare through Sustanable Development Goals (SDGs) is to reduce the incidence of HIV-AIDS, decrease the rate of the epidemic and maintain the quality of life of people living with HIV-AIDS (PLWHA). Trend cases of HIV-AIDS is the most recent spread among people, especially housewives. In Malang until 2015 found 278 Housewife of 409 cases of AIDS. The prevalence of HIV-AIDS in Malang Regency is ranked second after Surabaya city in East Java. For the importance of public participation and citizen care AIDS Cahaya Care Turen take responsibility for the condition. Determination Rule Goverment number 2 2015 year on the Participation of the community response to HIV-AIDS in Malang as a legal rule. Concerned Citizens activities AIDS (WPA). WPA Cahaya Care Turen is increases HIV risk and quality of life PLWHA. The purpose of this study was to determine the role of Citizens AIDS Cahaya Care Quality of Care Turen against people living with HIV in Puskesmas Turen Malang. The study design using a quasi-experimental, with purposive sampling using a sampling technique. Total number of research subjects 23. Based on test results obtained with the Wilcoxon p value <0.005, which means that there is a significant difference before and after PLWHA joining participated in the WPA Cahaya Care Turen. The conclusion of this study is WPA activities involving people living with HIV and at risk groups can optimize compliance with antiretroviral drugs that have an impact on improving the quality of life of PLHIV. Suggestions in this research is done WPA Program activities are structured and ongoing cross-sector in order to improve the quality of life and empower PLWHA.Keywords : WPA Cahaya Care Turen, Quality of life, PLWHA Abstrak : Salah satu indikator kesejahteraan kesehatan melalui Sustanable Development Goals (SDGs) adalah menekan angka kejadian HIV-AIDS, menurunkan laju epidemik dan mempertahankan kualitas hidup Orang dengan HIV-AIDS (ODHA). Trend kasus HIV-AIDS terkini terbanyak adalah menjangkit dikalangan masyarakat khususnya pada ibu rumah tangga. Kabupaten Malang sampai dengan tahun 2015 ditemukan 278 Ibu Rumah Tangga dari 409 kasus AIDS. Prevalensi HIV-AIDS di Kabupaten Malang ini merupakan peringkat kedua di Jawa Timur setelah Kota Surabaya. Untuk itu pentingnya peran serta masyarakat dan warga peduli AIDS Cahaya Care Turen ikut bertanggung jawab terhadap kondisi tersebut. Penetapan Peraturan Bupati Malang no.2 th.2015 tentang Peran serta masyarakat penanggulangan HIV-AIDS di Kabupaten Malang diharapkan dapat mengurangi risiko penularan HIV dan meningkatkan kualitas hidup ODHA. Tujuan dari penelitian ini adalah untuk mengetahui Peran Warga Peduli AIDS Cahaya Care Turen terhadap Kualitas ODHA Di Wilayah Kerja Puskesmas Turen Kabupaten Malang. Desain penelitian menggunakan quasi eksperimen, dengan teknik sampling menggunakan purposive sampling. Jumlah subyek penelitian sejumlah 23. Berdasarkan hasil uji dengan Wilcoxon didapatkan nilai p value < 0.005 yang berarti bahwa terdapat perbedaan bermakna sebelum dan sesudah ODHA bergabung mengikuti kegiatan WPA Cahaya Care Turen. Kesimpulan dalam penelitian ini adalah kegiatan WPA dengan melibatkan ODHA dan kelompok beresiko dapat mengoptimalkan kepatuhan obat ART sehingga berdampak terhadap peningkatan kualitas hidup ODHA. Saran dalam penelitian ini adalah dilakukannya Program kegiatan WPA yang terstruktur dan berkesinambungan lintas sektor guna meningkatkan kualitas hidup dan memberdayakan ODHA. Kata kunci : WPA Cahaya Care Turen, kualitas hidup, ODHA

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Would you be more satisfied with your life if you travel more frequently?

Tourism Analysis ◽

10.3727/108354220x16072200013427 ◽

2020 ◽

Author(s):

Chun-Chu Chen ◽

Sui-Wen (Sharon) Zou ◽

James F. Petrick

Keyword(s):

Quality Of Life ◽

Relevant Information ◽

Life Domain ◽

Travel And Tourism ◽

Study Results ◽

Personal Importance

This research intends to examine whether frequent travelers are more satisfied with their life as well as why these individuals travel more frequently than others. Derived from a sample of 500 Taiwanese respondents, the study results show that respondents attaching personal importance to tourism are more likely to gather travel-relevant information, resulting in more frequent travels. It is also found that frequent travelers are more satisfied with their life. These findings suggest that travel and tourism can be an important life domain affecting how people evaluate their overall quality of life.

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Self Management Menentukan Kualitas Hidup Pasien Diabetes Mellitus

Jurnal Endurance ◽

10.22216/jen.v4i2.4026 ◽

2019 ◽

Vol 4 (2) ◽

pp. 402

Author(s):

Iskim Luthfa ◽

Nurul Fadhilah

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Correlation Study ◽

Self Management ◽

Rank Test ◽

P Value ◽

Cross Sectional ◽

Spearman Rank ◽

Consecutive Sampling

People with diabetes mellitus are at risk of developing complications, so that it affects the quality of life. These complications can be minimized through self-care management. This study aims to determine the relationship between self management with the quality of life for people with diabetes mellitus. This research is a kind of quantitative research with correlation study. This research used cross sectional design. The sampling technique uses non probability with estimation consecutive sampling. The number of respondents in this research are 118 respondents. Instrument for measuring self management used diabetes self management questionnaire (DSMQ), and instruments to measure quality of life used quality of life WHOQOL-BREEF. The data obtained were processed statistically by using spearman rank test formula and p value of 0,000 There is a significant relationship of self management with the quality of life of people with diabetes mellitus. Penderita Diabetes mellitus beresiko mengalami komplikasi yang dapat mempengaruhi kualitas hidupnya. Komplikasi tersebut dapat diminimalkan melalui manajemen perawatan diri (self management). Penelitian ini bertujuan untuk menganalisis hubungan self management dengan kualitas hidup pasien diabetes melitus. Jenis penelitian ini adalah deskriptif korelasi dengan desain cross sectional. Teknik pengambilan sampel menggunakan non probability sampling dengan pendekatan consecutive sampling. Jumlah sampel sebanyak 118 responden. Instrumen penelitian untuk mengukur self management menggunakan diabetes self management questionnaire (DSMQ), dan instrumen untuk mengukur kualitas hidup menggunakan quality of life WHOQOL-BREEF. Analisis data menggunakan spearman rank dan didapatkan hasil nilai p value 0,000 dan r 0,394.Terdapat hubungan antara self management dengan kualitas hidup pasien diabetes mellitus dengan arah korelasi positif.

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Quality of life of schizophrenic patients in a tertiary care hospital in Bangladesh

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v29i1.32749 ◽

2017 ◽

Vol 29 (1) ◽

pp. 30-34 ◽

Cited By ~ 4

Author(s):

Mir Hasan Shakil Mahmud ◽

Bushra Yeasmin ◽

Shipra Mandal

Keyword(s):

Quality Of Life ◽

Physical Health ◽

Environmental Health ◽

Social Relationship ◽

World Health ◽

P Value ◽

Health Domain ◽

Schizophrenic Patients ◽

Physical Health Domain

Schizophrenia is one of the major mental disorders which affect individuals thinking ability, social interaction or attention. It affects persons entire quality of life. The purpose of the study was to find out the quality of life of schizophrenic patient in Bangladesh. Cross sectional study design was used to conduct this study. The convenient sampling procedure was used throughout the process of participants selection and the numbers of respondents were 83. The study was carried out at National Institute of Mental Health and Hospital (NIMH), Dhaka. Data was collected by using face to face interview with a structured questionnaire WHOQOL-BREF (The World Health Organization Quality of Life- BREF) scale. It was found that most of the participants lead poor to moderate quality of life in four domains of the WHOQOL-BREF scale. Results showed that mean scores were for physical health (mean 2.7, SD+0.106); psychological health (mean 2.108, SD +0.0787); social relationship (mean 2.226; SD+0.116) and environmental health (mean 2.47; SD+0.077).This study indicated that, quality of life poor on psychological domain. It was also found statistically significance with age and social relationship domain (p value 0.005< 0.05); marital status and physical health domain (p value 0.004<0.05); educational level and physical health domain (p value 0.005<0.05) and environmental health domain (p value 0.025<0.05). There were no statistically significant difference between gender and other variables. Schizophrenia affects all aspects of persons life such as physically, psychologically, socially and economically. Schizophrenic patients as well as their family members led very poor quality of life.Bang J Psychiatry June 2015; 29(1): 30-34

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Advantages of a mini right axillary thoracotomy for congenital heart defect repair in children

Cardiology in the Young ◽

10.1017/s1047951121001979 ◽

2021 ◽

pp. 1-6

Author(s):

Jannika Dodge-Khatami ◽

Ali Dodge-Khatami

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Global Health ◽

Congenital Heart ◽

Surgical Repair ◽

Median Sternotomy ◽

Axillary Approach ◽

Post Operative Pain ◽

The Right

Abstract Objectives: The mini right axillary thoracotomy is an alternative surgical approach to repair certain congenital heart defects. Quality-of-life metrics and clinical outcomes in children undergoing either the right axillary approach or median sternotomy were compared. Methods: Patients undergoing either approach for the same defects between 2018 and 2020 were included. Demographic details, operative data, and outcomes were compared between both groups. An abbreviated quality of life questionnaire based on the Infant/Toddler/Child Health Questionnaires focused on the patient’s global health, physical activity, and pain/discomfort was administered to all parents/guardians within two post-operative years. Results: Eighty-seven infants and children underwent surgical repair (right axillary thoracotomy, n = 54; sternotomy, n = 33) during the study period. There were no mortalities in either group. The right axillary thoracotomy group experienced significantly decreased red blood cell transfusion, intubation, intensive care, and hospital durations, and earlier chest tube removal. Up to 1 month, parents’ perception of their child’s degree and frequency of post-operative pain was significantly less after the right axillary thoracotomy approach. No difference was found in the patient’s global health or physical activity limitations beyond a month between the two groups. Conclusions: With the mini right axillary approach, surrogates of faster clinical recovery and hospital discharge were noted, with a significantly less perceived degree and frequency of post-operative pain initially, but without the quality of life differences at last follow-up. While providing obvious cosmetic advantages, the minimally invasive right axillary thoracotomy approach for the surgical repair of certain congenital heart lesions is a safe alternative to median sternotomy.

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