Abstract
Aims: The aim of the work was to evaluate the effect of acute surgical performance associated with the ICU on the subsequent quality of life. Methodology: The research sample consisted of patients undergoing acute surgery associated with intestinal resection and ICU stay.
The quality of life was assessed before hospitalization and 3 months after release from ICU. The period before hospitalization, including regular daily activities, was evaluated using SF 36, ADL, IADL questionnaires.
He filled the ICU with a diminutive questionnaire / HADS depression questionnaire, MAF fatigue questionnaire and physical activity assessment by 6 minute walk and 30 second sed / stand test. After the third month of convalescence, the patients completed the questionnaires: SF-36, IADL, ADL, HADS, MAF, FACT-C and 6 minute walk and sit / stand test.
Results: 38 patients were evaluated. The development was recorded mainly in the area of pain, psyche and physical fitness.
Physical pain occurred during the 3rd month of convalescence improvement in men after acute performance by 60%, in men after performance from vital indication, pain decreased by 43%. A decrease in anxiety was observed in men with a stoma of 54%, depression decreased by 64%.
In men without stoma, depression decreased by 82%, anxiety by 59%. Women with stoma were anxiety 63% less.
Physical fitness is significant. After 3 months there is a sharp improvement in both physical tests.
Conclusion: 3 months of convalescence have a significant impact on the improvement of the observed life areas, which were diminished at the time of the dimension.