quality of life after surgery in candidates of laparoscopic and open cholecystectomy: a comparison study

نویسندگان

leila sadati faculty of paramedicine, alborz university of medical sciences, karaj, ir iran; minimally invasive surgery research center, iran university of medical sciences, tehran, ir iran

abdolreza pazouki minimally invasive surgery research center, iran university of medical sciences, tehran, ir iran

zeinab tamannaie minimally invasive surgery research center, iran university of medical sciences, tehran, ir iran; minimally invasive surgery research center, iran university of medical sciences, tehran, ir iran. tel/fax: +98-2166555448

mohadeseh pishgahroudsari minimally invasive surgery research center, iran university of medical sciences, tehran, ir iran

چکیده

results two weeks after the operation, in the lc group, the qol scores decreased significantly in physical functioning, physical status, body pain and emotional status (for all of them p ≤ 0.01), whereas, in the oc group all the aspect of qol decreased (for all of them p < 0.01), with the exception of body pain (p = 0.982) and social functioning (p = 0.502). four weeks after the operation, the qol scores of the lc group, in every aspect increased and became significantly higher than the preoperative baseline (p < 0.001 for all parameters); while in the oc group only in the aspects of body pain (p < 0.001), general health (p = 0.003), and social functioning (p < 0.001) exceeded the preoperative level. between-group analysis indicated that the lc group had significantly better outcome scores after four weeks compared to the oc group, in all aspects (p < 0.05 for all of them) with the exception of general health (p = 0.052). the results of the repeated measures analysis showed that there was a significant difference between the two groups during the three follow-up periods in the aspect of physical status (p = 0.008), vitality (p = 0.015), general health (p = 0.048) and emotional status (p = 0.003). conclusions quality of life is an important factor affecting medical and surgical treatment, as well as decision-making. improvement of short-term quality of life after laparoscopic cholecystectomy in comparison to open cholecystectomy proves the obvious superiority of lc over oc. background nowadays quality of life (qol) is an important part of health and measuring health-related qol after surgery is necessary for decision-making by patients and surgeons. to assess post cholecystectomy qol, documentation of high quality care has been subjected to extended discussions, and the use of patient-reported outcome satisfaction for quality improvement has been advocated for several years. patients and methods this study was an optional part of a longitudinal study for comparison of quality of life in candidates of laparoscopic (lc) and open cholecystectomy (oc). one hundred consecutive cases of hospitalized patients, aged 20 to 65 years, at two hospitals of karaj, iran (imam khomeini and alborz), were recruited in the study from may to december 2011. patients were divided to two groups based on the order of admission and the surgeons’ and patients’ preference. patients were evaluated with the medical outcomes study 36-item short-form health survey (sf-36). quality of life was measured at three points of time (the baseline was two and four weeks after surgery) using this health questionnaire. differences between baseline time periods of two and four weeks were compared by independent-samples t-test and within groups the time periods were compared by the paired-sample t-test. objectives the aim of this study was to compare quality of life after surgery in candidates of laparoscopic and open cholecystectomy.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Quality of Life After Surgery in Candidates of Laparoscopic and Open Cholecystectomy: A Comparison Study

Background: Nowadays quality of life (QOL) is an important part of health and measuring health-related QOL after surgery is necessary for decision-making by patients and surgeons. To assess post cholecystectomy QOL, documentation of high quality care has been subjected to extended discussions, and the use of patient-reported outcome satisfaction for quality improvement has been advocated for se...

متن کامل

this study investigated the relationship between quality of work life and organization citizenship behavior from the viewpoint of teachers in high schools in tehran city.

چکیده هدف از پژوهش حاضر بررسی رابطه کیفیت زندگی کاری و رفتار شهروندی سازمانی در مدارس مقطع متوسطه پسرانه شهر تهران از دیدگاه دبیران بود. روش پژوهش حاضر توصیفی و از نوع همبستگی بود. از بین دبیران مدارس شهر تهران تعداد 380 نفر به روش نمونه گیری خوشه ای چند مرحله ای به عنوان نمونه پژوهش انتخاب شدند و با تکمیل پرسشنامه ی کیفیت زندگی کاری والتون(1975) و پرسشنامه ی رفتار شهروندی سازمانی پودساکو...

15 صفحه اول

An investigational study about the conversion risk factors of laparoscopic cholecystectomy to open surgery

Background: Knowing the conversion risk factors of laparoscopic cholecystectomy to open surgery, helps the surgeon to plan for surgery accordingly. This study aimed to determine the risk factors for converting laparoscopic cholecystectomy to open surgery. Methods: In this analytical study, the case information of 1104 patients who underwent laparoscopic cholecystectomy in Shahid Beheshti Hospi...

متن کامل

assessment of deep word knowledge in elementary and advanced iranian efl learners: a comparison of selective and productive wat tasks

testing plays a vital role in any language teaching program. it allows teachers and stakeholders, including program administrators, parents, admissions officers and prospective employers to be assured that the learners are progressing according to an accepted standard (douglas, 2010). the problems currently facing language testers have both practical and theoretical implications but the first i...

a contrastive study of rhetorical functions of citation in iranian and international elt scopus journals

writing an academic article requires the researchers to provide support for their works by learning how to cite the works of others. various studies regarding the analysis of citation in m.a theses have been done, while little work has been done on comparison of citations among elt scopus journal articles, and so the dearth of research in this area demands for further investigation into citatio...

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian red crescent medical journal

جلد ۱۹، شماره ۲، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023