Cerrahi Tedavi Uygulanan Skolyoz Hastalarının Postoperatif Yaşam Kalitelerinin Değerlendirilmesi
Üst veriTüm öğe kaydını göster
On plain X- ray scenes, 10 degrees or above lateral curves on frontal plane are defined as scoliosis. Scoliosis is a three dimensional deformity of vertebral column that consist of lateral deviation on frontal plane, torsion on horizontal plane and irregularity on sagittal plane. One of the most important factors for patients is socio-psychological effect of scoliosis. These may affect quality of life of patients. Although there is no clear definition, quality of life is defined as point of view of patient to his life; it is accepted as equal as life satisfaction, happiness and pleasure from the life. The study that is approved by Hacettepe University Non-interventional Researches Ethical Committee, is carried out between 1st December 2012 to 31th May 2013 at Hacettepe University Faculty of Medicine, Department of Anesthesiology and Reanimation. Between 1st January 2010 to 31th December 2012, 40 scoliosis patients that treated surgically by Hacettepe University Faculty of Medicine, Department of Orthopedics and Traumatology, evaluation of postoperative quality of life and affects of their demographic features or illness to these patients is aimed in this retrospective.study. Information and demographic data were obtained from retrospective screening of patients records. Quality of life evaluation was carried out by phone interviewing of the researcher with the patient himself/herself or with one of the first degree relatives if he/she is not capable of interviewing, by using questionnaire of Scoliosis Research Society Health Related Quality of Life-22 (SRS-22). In our study, SRS-22 questionnaire that is used, especially evaluates scoliosis patients quality of life. SRS?22 questionnaire is a confidential way to evaluate quality of life of scoliosis patients who underwent surgery and it consists of 5 subgroups as pain, image, function, mental health and treatment. Data were evaluated by SPSS version 17. Out of 26 of 40 patients were women (%65), 14 were men (%35). Ages at operation were 13,5 ± 6,4 years. Questionnaires were applied at least 6 months following surgery. Mean vertebra level that fixed were 11,7 ± 4,2. This level was 11,73 ± 4,045 in women and 11,64 ± 4,668 in men. Intra-operative blood loss was 1164 ± 884,177 ml. Neurological damage was not noticed following surgery in this study group. Other results such as pain subgroup, mean score was 4,390 ± 0,49604 (4,4/ 3,2/ 5 (med/ min/ max)), whereas in image subgroup, mean score was 3,3787 ± 0,62315 (3,4/ 2/ 4,6 (med/ min/ max)). Other subgroups such as function subgroup, mean score was 3,67 ± 0,81089 (3,8/ 1,8/ 5 (med/ min/ max)), and mental health subgroup mean score was 3,665 ± 0,58246 (3,8/1,8/4,6 (med/ min/ max)). Treatment satisfaction subgroup mean score was 4,6625 ± 0,51125 (5/ 3/ 5 (med/ min/ max)) and quality of life total mean score was 3,84042 ± 0,446627 (3,909/ 2,636/ 4,681 (med/ min/ max)). Our findings were compatible with the literature and scores were high as expected and these are favorable findings for patients. Data from this study show that surgical procedure applied for scoliosis with good intra-operative follow-up and well post-operative care in the ICU, positively effect patients? quality of life.