Quality of life and risk factors of the patients undergoing lung resection from the perspective of thoracic surgery
Authors:
K. Bobčíková 1; P. Macounová 2; H. Tomášková 2; R. Bužgová 1; M. Mitták 3,4; R. Maďar 2
Authors‘ workplace:
Ústav ošetřovatelství a porodní asistence, Lékařská fakulta Ostravské univerzity, Vedoucí: prof. PhDr. Darja Jarošová, Ph. D.
1; Ústav epidemiologie a ochrany veřejného zdraví, Lékařská fakulta Ostravské univerzity, Vedoucí: doc. MUDr. Rastislav Maďar, Ph. D., MBA, FRCPS
2; Katedra chirurgických oborů, Lékařská fakulta Ostravské univerzity, Vedoucí: prof. MUDr. Čestmír Neoral, CSc.
3; Chirurgická klinika, Fakultní nemocnice Ostrava, Přednosta: doc. MUDr. Lubomír Martínek, Ph. D.
4
Published in:
Prakt. Lék. 2022; 102(6): 287-294
Category:
Of different specialties
Overview
Objective: The aim of the prospective study is to evaluate the quality of life of patients undergoing lung resection at the University Hospital of Ostrava and to evaluate the occurrence of risk factors associated with lung disease.
Methods: Standardized tools SF-12v2 and WHO Disability Assessment Schedule 2.0 (WHODAS) were used for evaluation of quality of life. Risk factors associated with lung cancer and sociodemographic characteristics were assessed too. The measurement was realized before and 3 months after lung resection. Descriptive statistics, the Fischer exact test, the Wilcoxon signed-rank test and the Chi-square test at the significance level 5% were used for evaluation of the data, Stata v. 16.
Results: The sample was consisted of 32 respondents who were observed from 5/2021 to 3/2022. The average age in the sample was 64.9 years (min. 37; max. 79), 53% were women. Work in the high-risk occupation was detect in 25% of respondents, most often in coal mines. A statistically significant difference was found between gender and high-risk occupation (p = 0.013), more often it was men. Ex-smokers and smokers were comprised approximately 60% of the sample, but no statistically significant difference was found according to gender (p = 0.379). There was a statistically significant deterioration in WHODAS quality of life before and 3 months after resection (p < 0.001). According to SF-12v2, a statistically significant deterioration was found in the domain Role limitations due to physical health (p < 0.001).
Conclusion: Lung resection was associated with reduced quality of life after 3 months of the surgery. In addition to the objective indicators associated with this surgical procedure, it is also important to monitor the patient's quality of life in the long-term view, which could identify problem areas and help to target further care effectively.
Keywords:
risk factor – lung cancer – Quality of life – Lung resection
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