Kvaliteta života nakon rinoloških operacija

master's thesis

• Title (english): Quality of life after rhinosurgery
• Author: Andrea Rupčić
• Mentor: Marko Velimir Grgić (mentor)
• Committee member: Jakov Ajduk (predsjednik povjerenstva)
• Committee member: Mihael Ries (član povjerenstva)
• Committee member: Marko Velimir Grgić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Otorhinolaryngology

Abstract

UVOD: Postoje brojne definicije kvalitete života i svaka u definiciju uvodi nešto novo, ali u suštini u svakoj od njih se spominje pojam subjektivne procjene zadovoljstva životom. Pošto nema točne definicije, ne postoje ni standardi mjerenja kvalitete života. Mjerenje kvalitete života u posljednje vrijeme u medicini je dobilo na značaju. To je posebno vidljivo u otorinolaringologiji pošto se brojni operativni zahvati rade upravo zbog poboljšanja kvalitete života pacijenata. Kvaliteta života mjeri se raznim upitnicima za procjenu općeg i za bolest specifičnog stanja. Mnogi su faktori u rinološkoj kirurgiji koji utječu na rezultate operacija od onih zdravstvenih, funkcionalnih, psiholoških pa sve do očekivanja i informiranosti pacijenata. ----- CILJ: Pomoću upitnika SNOT- 22 opisati promjene u kvaliteti života nakon rinoloških operacija te opisati utjecaj informiranosti i očekivanja pacijenata na ishod (promjene u kvaliteti života). ----- ISPITANICI I METODE: 36 pacijenata na Klinici za otorinolaringologiju i kirurgiju glave i vrata
KBC „Sestre milosrdnice“ ispunilo je upitnik SNOT-22 prije i nakon operacije. Ispitanicima su postavljena pitanja o informiranosti
o njihovom stanju prije operacije i o njihovim očekivanjima nakon operacije. ----- REZULTATI: Rezultat upitnika SNOT-22 prije operacije bio je 34,29 +/- 4,733, dok je nakon operacije bio 20+/- 7,681, što daje prosječno smanjenje od 14,29 (41,67 %). Najveći prosječni rezultat prije operacije imala je stavka „začepljen nos“ (3,59), a nakon operacije stavka „buđenje tijekom noći“ (1,941). Najviše informacija ispitanici su dobili od operatera, a najmanje od drugih poznanika. Većina ispitanika označila je da im je kvaliteta života nakon operacije iznad očekivanja. ----- ZAKLJUČAK: Kvaliteta života nakon rinoloških operacija u velike većine ispitanika se poboljšala. Primijećeno je da su ispitanici koji su bili najbolje informirani imali najveće poboljšanje u kvaliteti života, ali premali je broj ispitanika da rezultat bude statistički značajniji. Ispitanici su svoju kvalitetu života nakon operacije označili da je iznad očekivane.

Abstract (english)

INTRODUCTION: There are numerous definitions of quality of life and each introduces something new into the definition, but essentially in each of them the notion of subjective assessment of life satisfaction is mentioned. Since there is no exact definition, there are no standards for measuring quality of life. Measuring the quality of life has recently gained in importance in medicine. This is especially visible in otorhinolaryngology, as numerous surgical procedures are performed precisely to improve the quality of life of patients. Quality of life is measured by various questionnaires to assess the general and disease-specific condition. There are many factors in rhinological surgery that affect the results of operations from medical, functional, psychological to the patient expectations and information given to the patients. ----- OBJECTIVE: Using the SNOT-22 questionnaire, describe changes in the quality of life after rhinological operations and describe the impact of information and expectations of patients on the outcome (changes in the quality of life). ----- PATIENTS AND METHODS: 36 patients at the Clinic for Otorhinolaryngology and Head and Neck Surgery of the Clinical Hospital Centre „Sisters of Mercy“ completed the SNOT-22 questionnaire before and after surgery. Respondents were asked questions about being informed about their conditions before surgery and about their expectations after surgery. ----- RESULTS: The result of the SNOT-22 questionnaire before surgery was 34.29 +/- 4.733, while after surgery it was 20 +/- 7.681, which gives an average reduction of 14.29 (41.67%). The highest average result before the operation was for the item "nasal blockage" (3.59), and after the operation the item "waking up at night" (1,941). Respondents received the most information from the operator and the least from other acquaintances. Most respondents indicated that their quality of life after surgery was above expectations. ----- CONCLUSION: The quality of life after rhinological surgeries in the vast majority of subjects improved. It was observed that the respondents who were best informed had the greatest improvement in quality of life, but the sample was too small for the result to be statistically significant. Respondents indicated their quality of life after surgery was above expectations.

• Keywords: kvaliteta života; SNOT-22; informiranost pacijenata; očekivanja pacijenata
• Keywords (english): quality of life; SNOT-22; patient information; patient expectation
• Language: croatian
• URN:NBN: urn:nbn:hr:105:998390
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-04-14 07:51:39