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急诊剖腹手术后的生活导航:关于生活质量结果的叙述性综述

Navigating Life Post-emergency Laparotomy: A Narrative Review on Quality-of-Life Outcomes.

作者信息

Hatewar Akansha, Mahakalkar Chanrashekhar, Kshirsagar Shivani, Dixit Sparsh, Reddy Srinivasa

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 May 19;16(5):e60583. doi: 10.7759/cureus.60583. eCollection 2024 May.

DOI:10.7759/cureus.60583
PMID:38894770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11184536/
Abstract

An emergency laparotomy is a life-saving surgical procedure performed to address acute abdominal conditions. While crucial for immediate survival, this procedure can have significant long-term implications for patients' quality of life. This comprehensive review examines the physical, psychological, and social outcomes following emergency laparotomy, highlighting the importance of addressing quality-of-life concerns in this patient population. Key findings reveal that patients may experience complications, psychological distress, and challenges in social functioning post-procedure. Age, gender, and access to support networks influence outcomes. Recommendations for clinical practice include routine assessment of quality of life, multidisciplinary care, and patient education. Further research is needed to understand predictors of poor outcomes and evaluate interventions to improve quality of life post-emergency laparotomy. Healthcare providers can enhance patient care and outcomes in this vulnerable population by addressing these issues.

摘要

急诊剖腹手术是一种用于治疗急性腹部疾病的挽救生命的外科手术。虽然该手术对于立即挽救生命至关重要,但它可能会对患者的生活质量产生重大的长期影响。这篇全面综述考察了急诊剖腹手术后的身体、心理和社会结果,强调了在这一患者群体中解决生活质量问题的重要性。主要研究结果表明,患者在术后可能会出现并发症、心理困扰以及社交功能方面的挑战。年龄、性别和获得支持网络的情况会影响结果。临床实践建议包括对生活质量进行常规评估、多学科护理以及患者教育。需要进一步开展研究以了解不良结果的预测因素,并评估改善急诊剖腹手术后生活质量的干预措施。通过解决这些问题,医疗保健提供者可以改善这一弱势群体的患者护理及治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89c/11184536/2ec3cec67a5d/cureus-0016-00000060583-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89c/11184536/2ec3cec67a5d/cureus-0016-00000060583-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89c/11184536/2ec3cec67a5d/cureus-0016-00000060583-i01.jpg

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本文引用的文献

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Novel Textbook Outcomes following emergency laparotomy: Delphi exercise.新型教科书式结局:剖腹术后的德尔菲法实践。
BJS Open. 2024 Jan 3;8(1). doi: 10.1093/bjsopen/zrad145.
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Quality of life after emergency laparotomy: a systematic review.急腹症手术后的生活质量:系统评价。
BMC Surg. 2024 Feb 26;24(1):73. doi: 10.1186/s12893-024-02337-y.
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Novel Textbook Outcomes following emergency laparotomy: Delphi exercise.术后新发疾病教科书结局:德尔菲法研究。
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Patient-reported impact of emergency laparotomy on employment and health status 1 year after surgery.患者报告的急诊剖腹手术后 1 年对就业和健康状况的影响。
Langenbecks Arch Surg. 2023 Sep 26;408(1):378. doi: 10.1007/s00423-023-03104-y.
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The Association of Mental Illness With Outcomes of Emergency Surgery for Bowel Obstruction.精神疾病与肠梗阻急诊手术结局的关联。
J Surg Res. 2023 Nov;291:611-619. doi: 10.1016/j.jss.2023.06.038. Epub 2023 Aug 3.
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Enhanced recovery after emergency laparotomy.急诊剖腹手术后的加速康复
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Tools to assess quality of life in adults with chronic conditions in India: A scoping review.评估印度慢性病成人生活质量的工具:范围综述。
WHO South East Asia J Public Health. 2022 Jul-Dec;11(2):102-127. doi: 10.4103/WHO-SEAJPH.WHO-SEAJPH_151_21.
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Predictors of Postoperative Outcome in Emergency Laparotomy for Perforation Peritonitis; a Retrospective Cross-sectional Study.穿孔性腹膜炎急诊剖腹手术术后结局的预测因素;一项回顾性横断面研究。
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The Impact of Depression in Patients Undergoing Emergency Abdominal Surgery: An Exploratory Study.抑郁症对接受急诊腹部手术患者的影响:一项探索性研究。
World J Surg. 2023 Apr;47(4):835-842. doi: 10.1007/s00268-022-06837-x. Epub 2022 Nov 19.