Wójcik Barbara, Majewski Włodzimierz D
Samodzielna Pracownia Pielegniarstwa Chirurgicznego Pomorskiej Akademii Medycznej w Szczecinie, Szczecin.
Ann Acad Med Stetin. 2007;53(3):74-81.
Inguinal hernia repair is a common surgical intervention in elderly which can affect quality of life in the future of these patients. Aim of the study is to assess the quality of life of elderly males after inguinal hernia repair compared with a similar group of male patients without any operation.
A group of 40 male patients between the age of 60-80, in time up to 2 years after Lichtenstein hernia repair was compared with the same age 50 healthy males not operated in previous 2 years by 2 questionnaires: international Gastrointestinal Quality of Life Index (GQLI) and national Gerontologic Society Investigation Questionnaire to assess possible differences in their quality of life. Both groups were comparable and operation techniques were identical.
Hernia repair resulted in 12 complications (30%): wound infections - 3, serous exudate - 1, chronic pains - 2, inflammatory infiltration - 4, loose sutures - 2. Overall GQLI score in hernia operation group reached mean 123.5 +/- 10.3 and in control group was 121.2 +/- 8.7 (p > 0.37). Gerontologic Society Investigation Questionnaire did not reveal any significant differences between both groups, however it presented rather sad existence of elderly men in our country, who being pensioners are self-limiting their activity on all fields. However, the profile of the hernia group seemed to comprise of people, who keep better physical activity, thus are motivated to be operated for inguinal hernia to keep them in a good physical shape. Some limitations of their postoperative activity were noted, probably because of medical advice or in fear of recurrence of hernia.
Elderly patients operated for inguinal hernia have similar long term quality of life as a healthy population of the same age. Medical prescription to restrict the physical activity after hernia repair with a mesh should be limited to short necessary time especially in elderly. Further investigations are needed to elaborate methods of increasing activity of old men in Poland to moderate medical costs for this group.
腹股沟疝修补术是老年人常见的外科手术，可能会影响这些患者未来的生活质量。本研究的目的是评估老年男性腹股沟疝修补术后的生活质量，并与一组未进行任何手术的类似男性患者进行比较。
选取40名年龄在60 - 80岁之间、接受Lichtenstein疝修补术时间达2年的男性患者，通过两份问卷与50名年龄相仿、过去2年未接受手术的健康男性进行比较：国际胃肠道生活质量指数（GQLI）和国家老年学会调查问卷，以评估他们生活质量的可能差异。两组具有可比性，手术技术相同。
疝修补术导致12例并发症（30%）：伤口感染 - 3例，浆液性渗出 - 1例，慢性疼痛 - 2例，炎性浸润 - 4例，缝线松动 - 2例。疝手术组的总体GQLI评分平均为123.5 +/- 10.3，对照组为121.2 +/- 8.7（p > 0.37）。老年学会调查问卷未显示两组之间有任何显著差异，但它揭示了我国老年男性相当悲惨的生存状况，这些退休人员在各个方面都自我限制活动。然而，疝组的情况似乎是由那些保持较好身体活动的人组成，因此他们因腹股沟疝而接受手术，以保持良好的身体状态。他们术后活动存在一些限制，可能是由于医嘱或担心疝复发。
接受腹股沟疝手术的老年患者与同年龄段健康人群的长期生活质量相似。用补片修补疝后限制身体活动的医嘱应限于短时间的必要阶段，尤其是对老年人。需要进一步研究以制定增加波兰老年男性活动量的方法，从而降低该群体的医疗成本。
