背景:疾病负担,以及社会和流行病学因素,对患者的生活质量有明显的影响。尤其是在神经外科,患者的生活质量通常会下降.本研究旨在评估神经外科患者的生活质量,并评估流行病学和疾病相关因素的影响。
方法:成人,非创伤神经外科患者被纳入研究,发生在AHEPA大学医院神经外科。包括36项简表调查工具(SF-36)和EQ-5D-5L在内的自我管理问卷用于评估患者的整体生活质量。此外,所有患者均被要求提供有关疾病严重程度的数据以及有关其健康状况的信息范围.流行病学因素,包括性别,年龄,教育水平,还考虑了农村或城市生活环境。进行统计学分析以评估上述参数对患者生活质量的影响。
结果:总计,74名患者被纳入研究(56.9%为男性,平均年龄:51岁)。总的来说,在一般健康感知中观察到更好的平均得分,活力,社会角色功能,和心理健康,而在报告的身体和情绪角色功能中检测到最低值。性别之间没有观察到统计学上的显着差异。发现年龄影响总体健康感知和EQ-VAS(视觉模拟量表)评分,而身体功能表现出显著差异,取决于患者的生活环境和教育水平,农村居民和中学毕业生的分数更高。健康状况的严重程度对EQ-VAS评分有显著的负面影响,虽然它显著影响身体功能,治疗更严重疾病的患者报告的结果更好。最后,在大多数评估的类别中,信息水平似乎提高了报告的生活质量,即使没有统计学意义。
结论:在治疗神经外科患者时,应考虑生活质量,并利用测量工具帮助客观评估他们的福祉。影响患者生活质量的大多数参数是固定的。因此,根据我们的研究结果,医疗保健专业人员应优先提供有关患者疾病和治疗的全面信息,因为信息水平似乎提高了患者的整体生活质量。
BACKGROUND: The burden of disease, as well as social and epidemiological factors, have a clear impact on a patient\'s quality of life. Especially in neurosurgery, patients commonly experience a decline in their quality of life. This study aims to assess the quality of life of neurosurgical patients and evaluate the impact of epidemiologic and disease-related factors.
METHODS: Adult, non-trauma neurosurgical patients were included in the study, which took place in the Neurosurgical Department at AHEPA University Hospital. Self-administered questionnaires including the 36-Item Short Form Survey Instrument (SF-36) and the EQ-5D-5L were used to assess the overall patient\'s quality of life. Additionally, all patients were asked to provide data on the perceived severity of the disease and the extent of information regarding their health condition. Epidemiologic factors including gender, age, education level, and rural or urban living environment were also taken into account. Statistical analysis was performed to assess the impact of the aforementioned parameters on the patient\'s quality of life.
RESULTS: In total, 74 patients were included in the study (56.9% male, mean age: 51 years). In general, better mean scores were observed in general health perception, vitality, social role functioning, and mental health, whereas the lowest values were detected in the reported physical and emotional role functioning. No statistically significant differences were observed among genders. Age was found to impact the general health perception and EQ-VAS (visual analog scale) score, while physical functioning presented significant differences depending on the patient\'s living environment and education level, with better scores for rural residents and secondary education graduates. The perceived severity of the health condition presented a significant negative effect on the EQ-VAS score, while it affected significantly physical functioning, with better outcomes reported by patients dealing with more serious diseases. Finally, in most of the evaluated categories, the level of information seemed to increase the reported quality of life, even though statistical significance was not confirmed.
CONCLUSIONS: Quality of life should be taken into account when treating neurosurgical patients, and utilizing measuring tools assists in objectively evaluating their well-being. Most parameters that influence the patient\'s quality of life are fixed. Therefore, based on our study results, healthcare professionals should prioritize providing comprehensive information regarding the patient\'s disease and treatment, as the level of information seems to improve the overall patient\'s quality of life.