Department of Anesthesiology and Intensive Care Medicine, Jorvi Hospital, Helsinki University Hospital, Espoo, Finland.
BMC Anesthesiol. 2012 Dec 5;12:30. doi: 10.1186/1471-2253-12-30.
Increasing numbers of elective surgical procedures are performed as day-cases. The impact of ambulatory surgery on health-related quality of life in the recovery period has seldom been described.
We assessed health-related quality of life in 143 adult outpatients scheduled for arthroscopic procedures of the knee and shoulder joints, laparoscopic cholecystectomy and inguinal hernia repair using the RAND 36-Item Health Survey preoperatively and one week after patients had returned to work or comparable normal daily routines.
Postoperatively all patient groups reported significant improvements in bodily pain and vitality. Physical functioning improved significantly in orthopedic and inguinal hernia patients. However, in the orthopedic groups, postoperative scores for physical health were still relatively lower compared to the general population reference values.
Ambulatory surgery has a positive impact on health-related quality of life. Assessment of the recovery process is necessary for recognition of potential areas of improvement in care and postoperative rehabilitation.
越来越多的择期手术作为日间手术进行。日间手术对恢复期健康相关生活质量的影响很少被描述。
我们使用 RAND 36 项健康调查评估了 143 名计划接受膝关节和肩关节关节镜手术、腹腔镜胆囊切除术和腹股沟疝修补术的成年门诊患者的健康相关生活质量，分别在术前和患者恢复工作或类似正常日常活动后一周进行。
术后所有患者群体的身体疼痛和活力均显著改善。骨科和腹股沟疝患者的身体功能显著改善。然而，在骨科组中，术后的身体健康评分仍相对低于一般人群的参考值。
日间手术对健康相关生活质量有积极影响。需要对恢复过程进行评估，以识别护理和术后康复方面潜在的改进领域。
