Articles presenting treatment outcomes of stapled hemorrhoidopexy are rarely based on detailed analyses of the quality of life.The aim of the study was the assessment of changes within one year of treatment in the quality of life of patients who underwent stapled hemorrhoidopexy using QLQ-C30 form (version 3).Material and methods. 120 patients with grade III and IV internal hemorrhoidal disease treated with stapled hemorrhoidopexy were enrolled in the study. They answered questions from QLQ-C30 form and were subjected to examination a day before surgery and 1 day, 7 days, 4 weeks, 6 and 12 months after surgery. Assessment included operation site inspection, pain intensity measurement in VAS scale and parameters incorporated in QLQ-C30 form evaluation.Results. The overall quality of life decreased immediately after surgery (a day after 50% vs. 60% before surgery), but rapidly improved in one week and in one month periods (60% and 80% consecutively) reaching a plateau one month after surgery. Early complications occurred in 6 patients (5%). Recurrence of the disease was not observed. Bleeding from anastomosis site and severe pain in anal area immediately post surgery as a result of improper purse-string suture placement were the main complications.Conclusions. In patients with grade III or IV hemorrhoidal disease, stapled hemorrhoidopexy ensures a rapid improvement in the quality of life after surgery to the level experienced prior to the operation. 7-day convalescence period is sufficient. After one month, the overall quality of life improves significantly and reaches a plateau.
Malignant tumors of head and neck regions usually need wide radical resections and may cause significant functional and aesthetic deficits. When a surgeon has to deal with extensive 3-D defect in lower or middle face region, double or multiple free flaps can be used.The aim of the study was to present own methods modifications and results of double free flaps techniques in patients with extensive defects of head and neck region. The authors present quality of life evaluation related to different flaps reconstructions.Material and methods. Clinical material consists of 33 patients with locally advanced cancer of lower or middle face region, who underwent surgical treatment in Departmant of Surgical and Reconstructive Surgery, Cancer Center Maria Skłodowska-Curie Instytute, Gliwice, Poland. In all patients double free flaps were chosen.Results. Whole group good functional and aesthetic results have been achieved. The QOL analysis show that the use of double flap in middle of lower face reconstruction gives generally very good results.Conclusions. The use of double free flaps after extensive resections of head and neck tumors is an efficient solution. The above-mentioned technique enables to reconstruct several different anatomical structures, restore optimal functioning, and assure a satisfactory psychosocial effect.
The aim of the study was the comparison of quality of life as a result of multiple injury in the aspect of disability.Material and methods. The study group comprised 1259 patients treated effectively in the years 1989-2003 whose degree of injuries amounted to at least 18 scores in the Injury Severity Scores (ISS). The prospective study included 827 (65.9%) patients. Their quality of life as a disability was determined.Results. The results of the treatment in the successive 5-years periods were compared and statistically analyzed. In the first 5 years 71.8% persons were assessed as disable. In the second 5-years period 51.5% were found to be disabled. In the third 5-years period 47.3% of people present disability. The decrease in the number of individuals disable and increase in quality of life were observed.Conclusions. The highest quality of live improvement and the decrease in the amount of the disabled people was noted in the second 5-years period and was statistically significant related to first 5 years. The improvement of quality of life was decreased also in the third 5-years period related to second 5-years period, but the difference was not statistically significant. The increase of injuries severity and age was one of reasons of reduction positive changes in the last 5-years period.
The issue of the quality of life considering patients with a temporary or permanent intestinal stoma, as well as the necessity for chronic parenteral nutrition at home remain a poorly understood problem. Daily care of the intestinal stoma and the need to comply with sterile procedures required for parenteral nutrition require such patients to commit their time, which secondarily is associated with the broad aspects of social and personal life. The aim of the study was to analyse the quality of life considering patients with intestinal stomas subjected to chronic parenteral nutrition, before and after gastrointestinal tract continuity restoration. Material and methods. The survey was conducted between May and July, 2014 on a group of 71 patients (33 female and 38 male) who were under the care of the Department of General Surgery and Clinical Nutrition, Warsaw Medical University, operated during the period between 2007 and July, 2014 with a present stoma (32 patients - 45%), as well as after stoma closure (39 patients - 55%). The analysed questionnaire contained 31 questions, and the SF-36 questionnaire was additionally used, determining the quality of life. Results. Analysis of the study material showed differences in the quality of life, considering three most important determinants. Significantly worse assessment of the quality of life was reported by patients with a stoma and subject to intravenous nutrition (83.2±30.5), as compared to those after stoma closure subject to normal nutrition (52.3±33.8). Based on the SF-36 questionnaire differences between patients with a stoma and those without amounted to t(69)=2.84 (p=0.006) demonstrating that those with a stoma reported a lower quality of life. Analysis between younger and older patients, based on the SF-36 questionnaire (t(62.87)=2.49; p=0.016) showed that younger patients achieved lower results, considering dissatisfaction with life (61.55±27.5), as compared to the elderly (80.8±36.9). Conclusions. The group of patients without a stoma seem to be more independent- the vast majority do not use the help of family members (43.6%), or friends (64.1%). Patients with a stoma more often withdraw from social life. The factor that mostly reduces the quality of life is the presence of a stoma, which impairs daily functioning a lot more than the sterile procedures associated with parenteral nutrition. All patients after stoma closure consider that their overall functioning has significantly improved.
Selection of the treatment method in breast cancer patients and its consequences may affect their quality of life through somatic, psychical, and social factors. The aim of the study was early evaluation of the quality of life of women after mastectomy vs. breast conserving surgery. Material and methods. The study included 100 women aged 31 to 79 years (mean: 57) who underwent surgery due to breast cancer (amputation: 52; breast conserving surgery: 48 women) at the Cancer Centre in Bydgoszcz in 2014. The QLQ C-30 and QLQ BR-23 questionnaires were used to evaluate the quality of life of the patients 3 months after surgery. Results. In the Global Health Status/QoL domain, the mean score for women after amputation and breast conserving surgery was 49 and 53, respectively; for Physical Functioning, the scores were 70 and 75, and for Role Functioning, 62 and 68, respectively. For Cognitive Functioning, the mean score was 74 and 73; for Emotional Functioning - 62 and 68, and for Social Functioning 64 and 60, respectively. The difference in the arm symptoms domain was significant at 46 and 33 points, respectively (p = 0.004). The patients treated with breast conserving surgery had a better body image than women after amputation - the mean score was 52 and 66, respectively (p = 0.01). Conclusions. With respect to Global Health Status/QoL and Physical Functioning, the quality of life of women in the early postoperative period was similar in women after breast amputation and those who underwent breast conserving surgery. Patients treated with breast conserving surgery had a better score for body image, while those who underwent amputation more often suffered from arm symptoms, such as pain, oedema, and problems with raising of the limb.
The aim of this study was to assess the quality of life and health behaviours and to analyse the relationship between the quality of life and health behaviours in the group of patients with low back pain (LBP). Material and methods: The research was conducted on a sample of 52 patients with LBP (29 female and 23 male, M(age) = 48.96±15.86). The tool used for assessing the quality of life was the Quality of Life Questionnaire (WHOQoL-BREF, Polish version), whereas the methodological basis for investigating health behaviours was the Health Behaviour Inventory (HBI). Results: The analysis revealed that the General Index of Intensity of Health Behaviours (GIIHB) was high in 30.8%, average in 40.4% and low in 28.8% of the respondents. Statistically significant positive relationships were observed between: (1) Positive Thinking (HBI) and: Overall Quality of Life (R=0.42), General Health (R=0.29), Psychological domain (R=0.46) and Environmental domain (R=0.44); (2) between Proper Nutritional Habits (HBI) and Overall Quality of Life (R=0.38), Psychological domain (R=0.28), Environmental domain (R=0.30); (3) between Health Practices (HBI) and: Overall Quality of Life (R=0.31) and Psychological domain (R=0.28); (4) between Preventive Behaviours (HBI) and two domains: Psychological domain (R=0.34) and Environmental domain (R=0.34). GIIHB for the respondents in general was a factor that significantly differentiated quality of life in Psychological domain (p=0.031) and Environmental domain (p=0.026). Conclusion: In general, positive correlations concerning quality of life and health behaviours of the respondents were observed between the Psychological domain and all categories of health behaviours (HBI). Furthermore, positive correlations were found for Overall Quality of Life and Environmental domain with most of HBI categories. In light of these findings, it should be indicated that the focus during therapies for patients with LBP aimed to improve their quality of life should be on education in the field of health behaviours.
Objectives To assess the impact of patient education on medication adherence and quality-of-life (QoL) in Hungarian subjects with chronic obstructive pulmonary disease (COPD). Study Design Longitudinal, non-interventional study conducted at three pulmonology outpatient centers in and around Budapest, Hungary. Experimental Subjects visiting the center with COPD were invited to participate in the study. Data collected at baseline included subject demographics, medical history, and responses to the adherence (Morisky Medication Adherence Scale-8 (MMAS-8)) and QoL (EuroQoL-5D-5L (EQ5D), St. George’s Respiratory Questionnaire (SGRQ), and COPD Assessment Tool (CAT)) scales. Subjects were also provided with patient education designed with standardized content. Subjects were asked to provide responses to adherence and QoL scales again at the 3-month follow-up visit. Medication was left unchanged during the course of study. Statistical analysis included independent and paired-samples t-tests, one-way ANOVA, mixed-measures ANOVA and ANCOVA. Results Mean (± standard deviation (SD)) overall adherence score on MMAS-8 scale increased from 6.72 (± 1.46) at baseline to 7.01 (± 1.15) at follow-up (P = .040). A similar increase in mean (± SD) score was observed for question 4 on the MMAS-8 which deals with remembering to carry COPD medication when leaving house (baseline = 0.81 (± 0.40) versus follow-up = 0.89 (± 0.31); P = 0.018). Conclusions Patient education has a positive outcome on medication adherence in subjects with COPD. Further studies will be required to assess if these benefits are translated to patients’ QoL.
Introduction: The paper presents the results of the interaction analysis between physical activity (PA), joy of movement (PACES) and areas of quality of life (SQUALA) of high school students with different levels of sport performance and different ages. These factors have wider background. Phenomenon of the subjective assessment “PACES” is stepping to the foreground. “PACES” proves high frequency of interactions with the areas of SQUALA, more than a single volume of PA. Despite of enough PA in week and high level of PACES, no expected interactions with areas of SQUALA in high school students were demonstrated. The low number of positive interactions points to the necessity of monitoring this construct, also in the relation to gender, to different sports level, type of school, region, country and age. Material and Methods: The survey was attended by 16-19 years old (n = 1302) high school students. The quality of life was examined through SQUALA questionnaire, enjoyment of physical activities by the PACES questionnaire and the level of physical activity in hours per week (PAQ) and by sport level. The data are presented by the descriptive characteristics and statistical significance of the differences, respectively the interactions were evaluated by nonparametric methods. Results: The interactions between PA, PACES and SQUALA in high school students with different sports level with different ages have been proven very sporadically. Positive correlations of PA with areas of SQUALA prevails in 18 and 19 years old students. The joy of movement correlates with spiritual well-being in groups of students who carry out the physical activities occasionally and regularly. Positive interactions of joy of movement with physical well-being have not been proven. Negative interactions between the PA, PACES and SQUALA prevails between 16 and 17 years old students. Conclusion: The higher age factor and factor of the regular movement in high school students appears to be very important in this study. The results reaffirm the importance of voluntary and organized physical activities which have potential to raise the level of the joy from the movement in life of high school students.
Acute appendicitis is one of the most common diseases requiring rapid surgical intervention. The disease occurs most often in people between 10 and 30 years of age, the risk of acute appendicitis during the whole life is 6-20%. The aim of the study was to assess the impact of BMI on the quality of life of patients operated for acute appendicitis according to the method of operation (LA- Laparoscopical Appendectomy OA - Open Appendectomy) and follow-up time after surgery. Material and methods. The study was conducted on a group of 86 randomly selected patients- 40 operated conventionally (18 women and 22 men) and from 46 patients undergoing laparoscopy (33 women and 13 men), which were operated during the period between 15 July 2007 and 27 February 2009. Each patient was assessed by BMI, recognizing the value of > 25 kg/m2 as overweight. In this study the basis of quality of life was a form Medical Outcomes Study36 -the Short Form or SF-36v.2. Results. Patients operated on in LA for 6 months observation to better assessed general health (GH) independently of BMI, while those with BMI ≤ 25 better assessed social functioning (SF) (p =0.027), an overall assessment of Physical Component Summary (PCS) (p = 0.048),Mental Component Summary (MCS) (p = 0.022) as well as an overall indicator of quality of life (p =0.025). The relationships that was not found in observations of more than 6 months after surgery (ns). Conclusions. Questionnaire SF-36v.2 facilitated an objective assessment of quality of life of patients operated on for acute appendicitis. Patients operated on by laparoscopic in observation for 6 months above assessed the quality of life regardless of BMI. The relationships that was not found in observations of more than 6 months after surgery (ns).
Gynecological cancers, due to their location and relation to the aspects of femininity, reproductive ability and body image, are associated not only with the physical dimension of cancer, but also with the mental sphere. The loss of fertility may lead to feelings of sadness and grief that remain for a very long time after the treatment. In patients with gynecological cancers, the increased risk of early menopause, loss of femininity, decreased libido, or distorted body image can affect their quality of life. The distress emerging in this situation may further worsen the health condition and negatively affect the quality of life and ability to mobilize the organism to fight against the disease. For this reason, it is important to monitor the level of distress and quality of life using available questionnaires and measurement tools. Psychological interventions and psychotherapy can help women with gynecological cancers raise their self-esteem related e.g. to corporeality, improve the overall quality of life and reduce the psychological distress caused by the disease and the treatment itself.
Introduction: In the general population, nasal obstruction is a common complaint. However, an objective evaluation of nasal obstruction is difficult. Nose examination, computed tomography (CT), acoustic rhinometry, and anterior rhinomanometry do not accurately reflect the discomfort reported by patients with nasal obstruction. In patients with nasal obstruction, this study evaluated nasal breathing with a unique device for continuous nasal-oral spirometry – a nasal-oral flow analyzer (NOFA); moreover, quality of life was compared between patients with normal nasal breathing on NOFA and of those with impaired nasal breathing on NOFA.Methods: Of 181 adult patients admitted to an ENT department due to nasal obstruction that were enrolled in the study, 97 (53.6%) completed all per-protocol assessments, including the SF-36 questionnaire and 3-hour, continuous nasal-oral spirometry with NOFA. Based on the presence of normal nasal breathing defined as ≥95% of nasal flow, the 97 patients were divided into those with normal nasal breathing (n=31) and impaired nasal breathing (n=66).Results: Patients with normal nasal breathing differed from those with impaired nasal breathing with respect to all SF-36 subscales (physical functioning, p=0.004; role-physical, p=0.009; bodily pain, p<0.001; general health, p=0.007; vitality, p=0.002; social functioning, p=0.008; mental health, p=0.009; physical component summary, p<0.001; mental component summary, p=0.02), except for the role-emotional subscale (p=0.1).Conclusions: Among patients with symptoms of nasal obstruction, compared to patients with normal nasal breathing, those with impaired nasal breathing had significantly lower quality of life in the physical and mental domains. Further research needs to determine whether NOFA can be used to diagnose nasal obstruction.
Introduction: Profound hearing loss significantly affects the quality of life of deaf people as well as their families. Observation of the benefit from the use of cochlear implants in deaf patients allows to assess the success of treatment with this method and its impact on the quality of life of these patients. The aim of this study was to determine the quality of life in patient after the cochlear implantation in the material of Department of Phoniatrics and Audiology of the Medical University in Poznań. Material and methods: The study involved implanted patients who voluntarily joined to the project entitled "Observational study of the implanted patient (Cochlear-IROS)". It has a prospective character, it is an international and long-term study, covering the observation of patients up to three years after implantation. Standardized HUI and SSQ questionnaires were used. 70 patients were included in the analysis, the mean age at the time of the cochlear implantation was 47.6 years. In the research group there were 33 men and 37 women. In the whole group, the patients' age at implantation was at least 18 years, max. 80 years. Results: The results of the SSQ questionnaire, which deals with the self-assessment of hearing ability in everyday situations, indicate that in the subjective assessment of patients one year after surgery the speech hearing improved by 77%, spatial hearing by 84%, and the quality of hearing by 49%. The general quality of life before the first connection of the sound processor according to the HUI questionnaire, the patients rated at 0.49 (0-1 scale, where 0 - corresponds to the death condition and 1 - full health). After one year from the implantation, this rating increased to 0.56. Conclusions: The implantation of the cochlear implant significantly increases the patient's quality of life, its physical and emotional functioning. Statistically significant better self-assessment of patients mainly concerned hearing speech and spatial hearing - especially after 1 year of connecting the speech processor.
One of the manifestations of physical activity are martial arts. Modern research also concerns the problem of treating martial arts not only as a means of self defence, sport or how one spends their free time, but also as a therapy. Therapy throu gh traditional martial arts can help treat many medical disorders. It was acclaimed that participation in the traditional martial arts promotes mental health. It was noted that the sense of self - worth and self - esteem of competence is directly related to th e time spent doing training. Current studies show that the traditional martial arts are largely effective, complementary strategy of medical care and rehabilitation of chronic diseases. By watching yet another MMA event on the TV, seeing players’ faces bei ng hit and blood flowing on their bodies, it is worth to be aware that it’s just a spectacular event. The everyday life of people concerned with martial arts is different. Often times they undertake these exercises to improve their physical fitness and the quality of life. It is followed by taking responsibility for their health and not giving it exclusively to the doctor. This results in an active and rational fight agains any disease.
Purpose. To define how extensive is the use of the vignettes method for quality of life assessment. Methods. An internet search of different databases was performed to identify and enumerate the publications involving studies in which the vignettes method is employed in relation to quality of life assessment (QoL). PubMed-Medline and Cochrane were scrutinized for publications based on the same search criteria. Results. Our search found that 6 Cochrane and 105 Medline publications, as well as 28 articles were published between 2011-2014. However, only 7 match the objective of the search. Conclusion. The rating of vignettes is a promising additional technique to measure changes in QoL and utilities, however, it is not very often employed by the researchers. It can be considered for use as supplementary method to standard QoL measurement methods.
Introduction The occurrence of chronic diseases, like heart failure (HF) or chronic obstructive pulmonary disease (COPD),significantly influences both seniors’ nutritional status and the quality of their life. Aim of the study Determination of the relationship between a nutritional status and a life quality among patients with HF and/or patients with COPD aged over 65. Material and methods The study group consisted of 120 hospitalized people aged over 65, suffering from NS and/or COPD. Tools used in the study: own construction questionnaire, MNA scale and SF-36v2®Health Survey. Results 55.8% of patients were in danger of malnutrition, 10.0% were undernourished. An average value of the quality of life index was62.54±13.15pt, physical dimension – 72±13.67 pt and mental – 44.58±18.87 pt. Quality of life index and its physical and mental dimensions dependedon nutritional status assessed by MNA scale (p<0.001). Conclusions 1) The nutritional status of the majority of respondents was unsatisfactory. 2) The quality of life in the study group was not high. 3) The general level of lifequality, as well as its physical and mental dimensions, were significantly different depending on the nutritional status of the subjects.
Background: Breast cancer is the most common cancer in females worldwide. Young women with breast cancer are treated with chemotherapy, which may exhibit gonadotoxicity thus inducing chemo- induced menopause with a risk of deterioration in their quality of life. Method: A prospective study first of its kind in Algeria was carried out on 57 patients aged between 30 and 49 years that went for consultation at the oncology department of Pierre and Marie Curie Medical Centre Algiers. The medical files obtained and criteria of questionnaires: Quality of Life Questionnaire for Breast Cancer (QLQ-BR23) and the Quality of Life Questionnaire-Core 30 (QLQ-C30) were used to assess the quality of life in patients. Results: From the medical files, patients had a dominant histological type of invasive ductal carcinoma at 96% and Scarff-Bloom-Richardson (SBR) II grade and luminal B profile were the most frequent. The (QLQ-C30) having averages of global health status, symptom score, and functional score with 56.34, 63.7, and 45.75 respectively. QLQ-BR23 having averages for symptom, functional score of 61.6 and 49.71 respectively. Conclusion: Chemotherapy induces gonadotoxicity, which results in chemo-induced menopause that has a negative impact on the quality of life of young women. QLQ-BR23 is more suitable than QLQ-C30 to access the context of this study.
Introduction Asthma is a chronic inflammatory disease of the respiratory system that results in a reduced airflow exhaled by respiratory tract, accompanied by a group of characteristic clinical symptoms: cough, dyspnoea, chest tightness and wheezing. Asthma, due to the course and treatment process, may modify the quality of life (QoL). Assessment of the quality of life in patients with asthma, including the degree of disease control, Body Mass Index (BMI) and ciggaret smoking. Material and methods The research was carried out among 124 patients with asthma. Data were collected by Internet using a diagnostic survey method consisting of the author’s questionnaire, the Asthma Control Test (ACT) and Saint George’s Hospital Questionnaire (SGRQ). The results were processed in the R program. In statistical analysis Spearman’s rho, Anderson-Darling test (Test AD), Mann-Whitney U test and the Kruskal-Wallis test were used. Statistical significance was accepted for p ≤ 0.05. Results Research results showed a deterioration in the quality of life of asthmatics. People with better disease control had a significantly higher quality of life. Patients with a higher BMI had a significantly lower quality of life (“Symptoms”, “Impact on life” domain, global score). Smoking cigarettes did not influence the quality of life. Conclusions Determinants of worse quality of life in asthma patients are primarily: poor control of the disease and a high BMI.
Our study aims to assess the long-time effects of group therapy intervention on marriage communication between fluent and non-fluent aphasic patients and their spouses. From the initial cohort of 150 couples four experimental groups have been selected, each comprising 20 subjects: (1) patients with fluent aphasia (FAP) (2) patients with fluent aphasia spouses (FAPS) (3) patients with non-fluent aphasia (NFAP) (4) patients with non-fluent aphasia spouses (NFAPS). All aphasic patients had mild or moderate fluent or nonfluent aphasia, as confirmed by the Cracow Neuropsychological Battery for Aphasia Examination – CNBA (Pąchalska, 1999). To assess the 3 aspects of interactions between spouses: support, engagement and depreciation we use the Communication in Marriage Questionnaire – KKM scores (Kaźmierczak, Plopa, 2008). These patients attended the groups sessions administered according to Pąchalska’s Model of Aphasia Group Therapy (1991a; 1991b) . It was found that after the long-time group intervention the experimental and the control groups of aphasic patients as well as their spouses differ one from another. NFAP as well as FAP therapy patients had higher KKM scores in the support received from their spouses and their spouses engagement in communication and lower scores in depreciation in their spouses’ behavior than did the controls. Also NFAPS evaluated support and engagement expressed by their aphasic partner higher than the control group. However FAPS and the control group KKM scores were quite similar, except for the support expressed by their aphasic partner. Long-time group therapy for patients with aphasia with the presence of caregivers not only improves the communication with significant others but also it is associated with better marital interactions and communication after therapy as reflected in the KKM scores than in the case of the controls, and improves the patient’s and caregivers’ perception of quality of life.
Quality of life (QOL) is associated with factors such as health, physical functioning, life satisfaction, a sense of happiness, and others. In case of disabled people, much attention is paid to their QOL rather than only the improvement of physiological variables. In a group of blind and visually impaired people, the effect of physical activity (PA) on the socialization process, the ability to explore own personality traits, developing creativity, and more motivation and desire to overcome the difficulties associated with visual impairment were observed. The study involved 53 people: visually impaired (NT) sedentary lifestyle people (n=18; 51±12 years) and visually impaired tandem cycling athletes (N) (n=17; 42±13 years). Properly sighted people (P) (n=18; 38±12 years) were partners in tandem with visually impaired athletes. To determine the level of PA, the International Physical Activity Questionnaire (IPAQ) was used. The WHO-Quality of Life (WHO-QOL-BREF), the National Eye Institute 25-item Visual Functioning Questionnaire (NEI VFQ-25, version 2000), and the Retina AMD Poland Association questionnaire were used to assess QOL. In visually impaired athletes, significantly greater PA with moderate intensity, moving by bike, and energy expenditure for vigorous recreational exercise and sport in leisuretime was found. Sedentary lifestyle people mainly participated in moderate physical activity around the house. Significant greater satisfaction with health was observed in the case of visually impaired athletes in comparison with NT. All disabled groups rarely had negative feelings such as despair, depression, and anxiety. Moderate correlations between variables according to physical activity and quality of life in all participants were observed. The meaningfulness of life and life satisfaction also depended on cycling training and moderate physical activity around the house. The obtained data indicate that all available forms of regular PA in visually impaired people could have a beneficial effect on their quality of life.
One of the elements of treatment considering inflammatory bowel diseases is nutritional therapy. The duration of the above-mentioned depends on the prevalence of such symptoms as fever, bowel move-ments, length of the functioning gastrointestinal tract, stoma and intestinal fistula presence. Nutritional therapy is an essential element of successful treatment alongside pharmacological, surgical, and biological therapy, as well as other methods. Crohn's disease and ulcerative colitis considered as chronic diseases, lead towards physical and biopsychosocial disability, being responsible for the reduction in the quality of life. The aim of the study was to determine the quality of life after surgical procedures in case of patients diagnosed with Crohn's disease and ulcerative colitis, subjected to natural and parenteral nutrition. Material and methods. The study group comprised 52 patients from the Department of Gastroen-terology, Military Medical Institute, and Department of Surgery and Clinical Nutrition, Clinical Hospital in Warsaw. The study was performed between October, 2011 and April, 2012. The World Health Organization Quality of Life Instrument - Bref (WHOQOL-BREF) questionnaire was used to deter-mine the patients’ quality of life. conclusions. A lower quality of life was observed in case of patients subjected to parenteral nutrition, poor education, disease symptoms exacerbation, in the majority-rural inhabitants. The quality of life does not depend on gender, type of disease, family status, and additional medical care.
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