良性气管狭窄症手术切除后的短期感知生活质量:干预前后研究
Vittorio Aprile1,2, Diana Bacchin2, Alessandra Lenzini1,2
1Division of Thoracic Surgery, Cardiac, Thoracic, and Vascular Department, University Hospital of Pisa, Pisa, Italy.
Interdisciplinary cardiovascular and thoracic surgery
|April 11, 2025
概括
良性气管狭窄症的手术治疗显著改善了患者的生活质量 (QoL),特别是在一般功能和心理健康方面. 患有Covid-19病史的患者在手术后报告了更大的QoL恢复.
科学领域:
- 胸部外科手术 胸部外科手术
- 生活质量研究 研究 生命质量研究
- 呼吸系统医学 呼吸系统医学
背景情况:
- 良性气管狭窄是一种罕见但严重的输管或气管切除术的并发症.
- 手术切除与端到端解剖是气管狭窄症的标准治疗方法.
- 呼吸道狭窄手术后主观生活质量 (QoL) 的研究有限.
研究的目的:
- 为了评估接受手术治疗良性气管狭窄症的患者的感知生活质量 (QoL).
- 评估整体功能,器官特定功能和心理健康领域的QoL.
- 为了比较患有和没有Covid-19病史的患者之间的QoL结果.
主要方法:
- 一项为期10年的回顾性研究,对因气管狭窄症而接受治疗的患者进行了研究.
- 使用混合方法问卷来评估感知质量.
- 在手术前 (PRE-期) 和手术后3个月 (POST-期) 测量了QOL.
主要成果:
- 整体QOL在手术后显著改善 (平均总得分减少14.64,P<0.001).
- 在一般功能 (P = 0.015) 和心理健康 (P = 0.046) 方面,人们注意到了显著的改善.
- 患有Covid-19病史的患者在一般功能 (P = 0.042) 和心理健康 (P = 0.043) 中表现出更大的改善.
结论:
- 对气管狭窄的外科手术显著提高了患者感知到的QoL.
- 在一般功能和心理健康方面,改善尤为明显.
- 患有Covid-19的病史可能与手术后更明显的QoL恢复有关.
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