ASSESSMENT OF QUALITY OF LIFE IN PATIENTS WHO UNDERWENT MINIMALLY INVASIVE CARDIAC SURGERY

Authors

  • N. O. Terenda І. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • I. О. Stetsyuk І. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • M. B. Todurov P. Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
  • L. R. Stetsyuk P. Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2021.1.12146

Keywords:

quality of life, minimally invasive, cardiac surgery patients

Abstract

Purpose: to determine the feasibility and effectiveness of aortic valve prosthesis (AVR) with mini-access based on the analysis of the quality of life of patients 12 months after surgery.

Materials and Methods. We interviewed 50 patients who underwent aortic valve prosthetics in 2019. All patients were divided into 2 groups. In the group No 1 – 25 people (20 men (80 %) and 5 women (10 %)) prosthetics were performed with longitudinal median sternotomy (LMS), in the group No 2 –  25 people (20 men (80 %) and 5 women (10 %)) – with a mini J-shaped sternotomy (MIA). Quality of life was assessed 12 months after surgery using the Medical Outcomes Study Short Form C6 (MOS SF-36).

Results. In 25 patients who underwent surgery through a J-shaped minimally invasive sternotomy, we found a statistically significant change in quality of life, by analysing of mental health (73.6 % (m 1.71)) compared with LMS (66.51 % (m 1.40)) (p<0.05). This indicates an improvement in the quality of life of patients in this group.

In the group with mini J-shaped sternotomy in comparison with the LMS, we observed a tendency to better indicators of physical functioning – 83.60±2.05 % vs. 79.80 % (m 2.23); role functioning due to physical condition – 74.00 % (m 4.45) vs 68.00 % (m 3.67); pain intensity –  92.80 % (m 3.36) vs 85.28 % (m 2.97); general health – 64.04 % (m 2.67) vs 61.68 % (m 3.08); vital activity –  75.20 % (m 2.10) vs 72.30 % (m 1.65); social functioning – 90.00 % (m 4.01) vs 83.83 % (m 2.50); role functioning due to emotional state 84.01 % (m 5.22) vs 79.14 % (m 3.90).

Conclusions. Patients with minimally invasive access have statistically better post-intervention mental health than patients with median sternotomy. As a result, these patients have a lower risk of developing depression, anxiety, mental disorders. Other indicators tended to have higher results in patients with mini J-shaped sternotomy compared to the LMS.

Author Biographies

N. O. Terenda, І. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DM (Medicine), Professor of the Department of Public Health and Health Care Management, I. Horbachevsky Ternopil National Medical University

I. О. Stetsyuk, І. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

2nd year student, specialty «Public Health», I. Horbachevsky Ternopil National Medical University

M. B. Todurov, P. Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine

2nd year intern, specialty "Surgery", Shupyk National Medical Academy of Postgraduate Education

L. R. Stetsyuk, P. Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine

1 year intern, specialty "Internal Medicine", Shupyk National Medical Academy of Postgraduate Education

References

Barna, O.M. (2015). Otsinka yakosti zhyttya u patsiyentiv z khronichnymy neinfektsiynymy zakhvoryuvannyamy [Estimation of quality of life in patients with chronic non-communicable diseases]. Liky Ukrayiny – Medicines of Ukraine, 4, 9-12 [in Ukrainian].

Novik, A.A., Ionova, T.I., & Kaynd, P. (1999). Kontseptsiya issledovaniya kachestva zhizni v meditsine. [The concept of research on the quality of life in medicine]. St. Petersburg: Elby [in Russian].

Yahenskyy, A.V., Hofer, S., Sichkaruk, I.M., & Oldridge, N. (2013). Otsinka yakosti zhyttya u patsiyentiv z ishemichnoyu khvoroboyu sertsya: rezultaty validyzatsiyi ukrayinomovnoyi versiyi opytuvalnyka MacNew Heart Disease Health-related Quality of Life [Assessment of quality of life in patients with coronary heart disease: the results of validation of the Ukrainian version of the questionnaire MacNew Heart Disease Health-related Quality of Life]. Ukrayinskyy kardiolohichnyy zhurnal. – Ukrainian Journal of Cardiology, 3, 22-28 [in Ukrainian].

(1996). Cultural Adaptation of QoL Instruments. News Letter QoL, 13, 5.

Cummins, R.A. (2015). Understanding Quality of Life in Medicine: A New Approach. Journal of the American College of Nutrition, 34, 4-9.

Juniper, E.F., Guyatt, G.H., Willan, A., & Griffith, L.E. (1994). Determining a minimal change in a disease-specific quality of life questionnaire. J. Clin. Epidemiol, 47(1), 81-87.

Bonacchi M., Prifti, E., Giunti, G., Frati, G., & Sani, G. (2002). Does ministernotomy improve postoperative outcome in aortic valve operation?A prospective randomized study. Ann Thorac Surg., 73, 460-466.

Tabata, M., Umakanthan, R., Cohn, L.H., Bolman, R.M., Shekar, P.S., & Chen, F.Y. (2008). Early and late outcomes of 1000 minimally invasive aortic valve operations. Eur. J. Cardiothorac Surg., 33, 537-541.

http://www.quality-life.ru/

Juniper, E.F. (1996). From Genetics to QoL. The Optimal Treatment and Manage-ment of Asthma. Hogrete&Huber Publishers.

Brown, M.L., McKellar, S.H., Sundt, T.M., & Schaff, H.V. (2009). Ministernotomy versus conventional sternotomy for aortic valve replacement: a systematic review and meta-analysis. J. Thorac Cardiovasc Surg., 137, 670-679.

Mihрaljevic, T., Cohn, L.H., Unic, D., Aranki, S.F., Couper, G.S., & Byrne, J.G. (2004). One thousand minimally invasive valve operations. Early and late results. Ann Surg., 240, 529-540.

Skevington, S.M., Lotfy, M. & O’Connell, K.A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group. Quality of Life Research, 13, 299-310.

(1996). World Health Organization. Quality of life group. What is it Quality of life? Wid. Hth. Forum., 1, 29.

Downloads

Published

2021-06-02

How to Cite

Terenda, N. O., Stetsyuk I. О., Todurov, M. B., & Stetsyuk, L. R. (2021). ASSESSMENT OF QUALITY OF LIFE IN PATIENTS WHO UNDERWENT MINIMALLY INVASIVE CARDIAC SURGERY. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (1), 50–54. https://doi.org/10.11603/1681-2786.2021.1.12146

Issue

No. 1 (2021)

Section

Organization of medical care

License

Copyright (c) 2021 Bulletin of Social Hygiene and Health Protection Organization of Ukraine

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in this journal agree to the following terms:

1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.

 2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.

3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).