EVALUATION OF THE LEVEL OF QUALITY OF LIFE IN PATIENTS WITH BULLOUS EMPHYSEMA OF THE LUNGS AFTER SURGICAL TREATMENT
Evgeniy Aleksandrovich DROBYAZGIN1, Yuriy Vladimirovich CHIKINEV1, Vitaliy Fanurovich KHUSAINOV1, Konstantin Igorevich SHCHERBINA2, Aleksey Stanislavovich POLYAKEVICH3
1Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk State Regional Clinical Hospital evgenyidrob@inbox.ru 2Novosibirsk State Regional Clinical Hospital 3Novosibirsk State Medical University of Minzdrav of Russia randonier@inbox.ru
Keywords: буллезная эмфизема легких, спонтанный пневмоторакс, качество жизни, торакоскопия
Abstract
The purpose of the study
was to assess the level of quality of life in the postoperative period
in patients with bullous emphysema of the lungs operated on by «open»
access and using minimally invasive technologies using the SF-36
questionnaire. Material and methods. The results of a survey of 50
patients with bullous emphysema were analyzed. The patients were
separated into 2 groups depending on the method of access. The first
group (main) consisted of the patients underwent video-assisted
thoracoscopy, resection of a bulla-modified lung tissue, subtotal
parietal pleurectomy. The second group (comparison) consisted of the
patients underwent thoracotomy, resection of a bulla-modified lung
tissue, subtotal parietal pleurectomy. The survey was conducted using
the SF-36 quality of life questionnaire for 1, 3, 6 and 12 months.
Results and discussion. The main indicators of the quality of life of
respondents in terms of 1, 3 and 6 months after the intervention were
statistically significantly higher in the group of patients who
underwent thoracoscopy. Only a year after the operation, the main
indicators of the questionnaire were not statistically significantly
different between groups of patients, but the indicators of vital
activity, social functioning, mental health and psychological component
of health remained significantly higher in patients of group 1. The
results indicate the need for long-term postoperative rehabilitation of
patients with bullous emphysema lungs, operated in an «open» way.
Follow-up survey with the specific questionnaires is required for more
detailed assessment of the level of quality of life in patients with
thoracic organs pathology.
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