Indus Hospital, Karachi, Pakistan.
Fellow, Surgical Oncology The Cancer Foundation Hospital, Karachi, Pakistan.
Pol Przegl Chir. 2021 Mar 31;93(3):1-5. doi: 10.5604/01.3001.0014.8218.
Inguinal hernias are the most commonly presented abdominal hernias with approximately 20 million people operated annually throughout the world. Severe chronic pain after hernia repair effects social life, daily activity and overall quality of life. The Short Form-36 is (SF-36) a validated indicator of overall health status. Studies have shown that the reliability of the SF-36 is exceeding 0.80. This study aims to determine the severity of pain and quality of life after open inguinal hernia repair at a tertiary care hospital using SF-36. METHODS This cross-sectional study was carried out at Indus Hospital Karachi from 1st April 2018 to 10th September 2018.88 Patients were enrolled in this study according to the inclusion and exclusion criteria. A written and informed consent was taken from all of them. After surgery they were sent home on painkillers. They were called at 4 weeks and were required to fill a pre designed questionnaire Short form -36. RESULTS Results showed that out of the 88 patients enrolled in this study 35 (39.8%) experienced mild pain, 37(42%) experience moderate pain and only 16 (18.2%) experienced severe pain. Quality of life was satisfactory in 72(81%) and unsatisfactory in 13(14.7%).
Hence it is concluded that post operatively patients experienced better physical functioning and emotional role functioning whereas their perceptions about their general health and energy were satisfactory. Hernia surgery should be offered to all the patients with a clinically detectable hernia.
腹股沟疝是最常见的腹部疝，全世界每年约有 2000 万人接受手术治疗。疝修补术后严重慢性疼痛会影响社交生活、日常活动和整体生活质量。36 项简短健康调查问卷（SF-36）是一种整体健康状况的有效指标。研究表明，SF-36 的可靠性超过 0.80。本研究旨在使用 SF-36 评估三级护理医院开放式腹股沟疝修补术后的疼痛严重程度和生活质量。
这是一项在 2018 年 4 月 1 日至 2018 年 9 月 10 日期间在卡拉奇的 Indus 医院进行的横断面研究。根据纳入和排除标准，共招募了 88 名患者。所有患者均签署了书面知情同意书。手术后，他们在家中服用止痛药。在 4 周时，对他们进行电话随访并要求填写预先设计的问卷-36 简短形式。
结果显示，在这项研究中，88 名患者中有 35 名（39.8%）经历了轻度疼痛，37 名（42%）经历了中度疼痛，只有 16 名（18.2%）经历了重度疼痛。72 名（81%）患者的生活质量满意，13 名（14.7%）患者的生活质量不满意。
因此，我们得出结论，术后患者的身体功能和情绪角色功能更好，而他们对一般健康和精力的看法是满意的。对于所有有临床可检测疝的患者，都应提供疝手术。
