American Journal of Nursing Science

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Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis

Received: Dec. 04, 2017    Accepted: Dec. 06, 2017    Published: Dec. 25, 2017
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Abstract

Introduction: Serial large volume paracentesis is the most common treatment option for refractory ascites in patients with decompensated cirrhosis. This treatment aims to relieve symptoms and maximize the functionality of the individual’s everyday life, and to generally improve patient’s QoL to any extent, considering the limits imposed by the course of the diseases and patients health status. Purpose of this study is to assess the QoL of patients with decompensated cirrhosis undergoing serial large volume paracentesis. Material and Method: A cohort of 60 patients attending the 2nd Department of Medicine, Medical School of Athens, Hippokration Hospital was recruited. The data were collected with the help of a two-part anonymous self-reported questionnaire consisting of a sheet containing clinical and demographic information and the SF-36 scale. Mean and standard deviation for continuous data and frequencies, and percentages for categorical data were calculated. Non parametric tests such were applied. For the analysis of the data, the statistical package SPPS20 was employed. Results: Out of the total number of participants in the study, 64.41% were men and 35.59% were women. The average age of the respondents was 70.8, with a standard deviation of 10.9 years. More than half (56.14%) were past smokers, 31.58% were current smokers and the remaining 12.28% were non-smokers. The statistical analysis revealed that patients with higher education (p <0.05) reported better scores in QoL on the scales mental health, functionality, and vitality. Women, according to the results of our research, experienced a better QoL on the scale of physical activity than men (p <0.05). Also, those who were not suffering from another disease and were not smokers had a better QoL. Conclusions: Based on the findings of the present study, it appears that factors such as educational level, marital status, age, gender, hospital readmissions can affect the QoL of patients subject to large volume paracentesis. Implementation and evaluation of health education programs aimed at improving the QoL of these patients and their families is of vital importance.

DOI 10.11648/j.ajns.s.2018070301.21
Published in American Journal of Nursing Science ( Volume 7, Issue 3-1, June 2018 )

This article belongs to the Special Issue Nursing Education and Research

Page(s) 72-76
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cirrhosis, Decompensated Cirrhosis, Paracentesis, Quality of Life

References
[1] Pathology, Pathology sectors’ teaching and research staff, Pashalidis publishing, Athens, 2002.
[2] Tsochatzis E, Bosch J, Burroughs A. Liver cirrhosis. The Lancet. 2014;383(9930):1749-1761.
[3] Runyon BA. Managemeht of adult patiens with ascites caused by cirrhices: Hepatology 1998, 27:264-272.
[4] Avgerinos A, NevensF, RaptisS, etal. Early administration of somatostatin and efficacy of sclerotherapy in acute oesophageal variceal bleeds: the European Acute Bleeting Oesophageal Variceal Episodes randomised trial. Lancet 1997, 350:1495-1499.
[5] Ware JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36), Conceptual framework and item selection. Med Care 1992;30:473-483.
[6] Ware JE, Kosinski M, Keller SD. SF-36 physical and mental health summary scales: A user's manual. Boston MA: The Health Institute, Boston 1994.
[7] Pappa E, Kontodimopoulos N, Niakas D. Psychometric evaluation and normative data for the Greek SF-36 health survey using a large urban population sample. Arch. Hel. Medicine 2006;23:159-166.
[8] Anagnostopoulos F. The patient in a psychological crisis due to the illness. Postgraduate seminars on nursing and psychosocial oncology. Greek anti-cancer company. Athens 2003: 25-27.
[9] Nalbandian M. General principles for the assessment of health-related quality of life by the World Health Organization. 2003: 4-7.
[10] PriscilaLemone, Karen Burke: Medical – surgical nursing (Critical Thinkng in Patients care). 765-767.
[11] CarolTaylor, Carol Lillis, Priscill Le Mone, Fundamental Principles of Nursing (The Science and Art of Nursing Care). 162-165.
[12] Philbin EF., William G., Jenkins PL., DiSalvo TG. Socioeconomic status as an independent risk factor for hospital readmission for heart failure. Am J Cardiol. 2001;87:1367–1371.
[13] Soldatos K., Sakkas P., Bergiannakis D. Psychological reactions of the cancer patient and doctor-patient communication. Inside the Psychological Approach of People With Cancer. Anagnostopoulos F., Papadatou D. ag. Ed. FLOGA, Athens 1986.
[14] Gottlieb SS., Khatta M., Friedmann E., Einbinder L., Katzen S., Baker B., et al. J Am Coll Cardiol. 2004;3(9):1542-9.
[15] Murberg TA., Bru E. Social relationships and mortality in patients with congestive heart failure. J. Psychosom Res. 2001;51:521–527.
[16] Lazarus R. Coping with the stress of illness. WHO RegPublEurSer 44, 1992 pp 11-31.
[17] Sahini-Kardasi. Nursing Research and Nursing. Research methodology. Zimmel publications. Athens, 1991.
[18] Lopez-Navas A, Rios A, Riquelme A, Martinez-Alarcon L, Pons JA, Miras M, Parrilla P. Psychological characteristics of patients on the liver transplantation waiting list with depressive symptoms. Transplantation Proceedings. 2011;43(1):158–160.
[19] Rocca P. Predictors of psychiatric disorders in liver transplantation candidates: Logistic regression models. Liver Transplantation. 2003;9(7):721-726.
[20] Telles-Correia, D., Barbosa, A., Mega, I., & Monteiro, E. (2008). Psychiatric differences between liver transplant candidates with familial amyloid polyneuropathy and those with alcoholic liver disease. Progress in Transplantation, 18(2), 2134-139.
[21] Meltzer, L. J. & Rodrigue, J. R. Journal of Clinical Psychology in Medical Settings (2001) 8: 173.
[22] Burra P, Germani G, Gnoato F, Lazzaro S, Russo F, Cillo U et al. Adherence in liver transplant recipients. Liver Transplantation. 2011;17(7):760-770.
[23] [Internet]. 2017 [cited 17 November 2017]. Available from: http://www.psnrenal.gr/periodiko/29/anemia/piotita.htm
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    Vasiliki Kontou, Maria Kapella, Andriana Theodorakopoulou, Theodoros Katsaras, Spilios Manolakopoulos, et al. (2017). Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis. American Journal of Nursing Science, 7(3-1), 72-76. https://doi.org/10.11648/j.ajns.s.2018070301.21

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    ACS Style

    Vasiliki Kontou; Maria Kapella; Andriana Theodorakopoulou; Theodoros Katsaras; Spilios Manolakopoulos, et al. Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis. Am. J. Nurs. Sci. 2017, 7(3-1), 72-76. doi: 10.11648/j.ajns.s.2018070301.21

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    AMA Style

    Vasiliki Kontou, Maria Kapella, Andriana Theodorakopoulou, Theodoros Katsaras, Spilios Manolakopoulos, et al. Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis. Am J Nurs Sci. 2017;7(3-1):72-76. doi: 10.11648/j.ajns.s.2018070301.21

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  • @article{10.11648/j.ajns.s.2018070301.21,
      author = {Vasiliki Kontou and Maria Kapella and Andriana Theodorakopoulou and Theodoros Katsaras and Spilios Manolakopoulos and Dimitris Pectasidis and John Koskinas},
      title = {Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis},
      journal = {American Journal of Nursing Science},
      volume = {7},
      number = {3-1},
      pages = {72-76},
      doi = {10.11648/j.ajns.s.2018070301.21},
      url = {https://doi.org/10.11648/j.ajns.s.2018070301.21},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.s.2018070301.21},
      abstract = {Introduction: Serial large volume paracentesis is the most common treatment option for refractory ascites in patients with decompensated cirrhosis. This treatment aims to relieve symptoms and maximize the functionality of the individual’s everyday life, and to generally improve patient’s QoL to any extent, considering the limits imposed by the course of the diseases and patients health status. Purpose of this study is to assess the QoL of patients with decompensated cirrhosis undergoing serial large volume paracentesis. Material and Method: A cohort of 60 patients attending the 2nd Department of Medicine, Medical School of Athens, Hippokration Hospital was recruited. The data were collected with the help of a two-part anonymous self-reported questionnaire consisting of a sheet containing clinical and demographic information and the SF-36 scale. Mean and standard deviation for continuous data and frequencies, and percentages for categorical data were calculated. Non parametric tests such were applied. For the analysis of the data, the statistical package SPPS20 was employed. Results: Out of the total number of participants in the study, 64.41% were men and 35.59% were women. The average age of the respondents was 70.8, with a standard deviation of 10.9 years. More than half (56.14%) were past smokers, 31.58% were current smokers and the remaining 12.28% were non-smokers. The statistical analysis revealed that patients with higher education (p <0.05) reported better scores in QoL on the scales mental health, functionality, and vitality. Women, according to the results of our research, experienced a better QoL on the scale of physical activity than men (p <0.05). Also, those who were not suffering from another disease and were not smokers had a better QoL. Conclusions: Based on the findings of the present study, it appears that factors such as educational level, marital status, age, gender, hospital readmissions can affect the QoL of patients subject to large volume paracentesis. Implementation and evaluation of health education programs aimed at improving the QoL of these patients and their families is of vital importance.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Quality of Life of Patients with Decompensated Cirrhosis Who Undergoing Serial Large Volume Paracentesis
    AU  - Vasiliki Kontou
    AU  - Maria Kapella
    AU  - Andriana Theodorakopoulou
    AU  - Theodoros Katsaras
    AU  - Spilios Manolakopoulos
    AU  - Dimitris Pectasidis
    AU  - John Koskinas
    Y1  - 2017/12/25
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajns.s.2018070301.21
    DO  - 10.11648/j.ajns.s.2018070301.21
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 72
    EP  - 76
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.s.2018070301.21
    AB  - Introduction: Serial large volume paracentesis is the most common treatment option for refractory ascites in patients with decompensated cirrhosis. This treatment aims to relieve symptoms and maximize the functionality of the individual’s everyday life, and to generally improve patient’s QoL to any extent, considering the limits imposed by the course of the diseases and patients health status. Purpose of this study is to assess the QoL of patients with decompensated cirrhosis undergoing serial large volume paracentesis. Material and Method: A cohort of 60 patients attending the 2nd Department of Medicine, Medical School of Athens, Hippokration Hospital was recruited. The data were collected with the help of a two-part anonymous self-reported questionnaire consisting of a sheet containing clinical and demographic information and the SF-36 scale. Mean and standard deviation for continuous data and frequencies, and percentages for categorical data were calculated. Non parametric tests such were applied. For the analysis of the data, the statistical package SPPS20 was employed. Results: Out of the total number of participants in the study, 64.41% were men and 35.59% were women. The average age of the respondents was 70.8, with a standard deviation of 10.9 years. More than half (56.14%) were past smokers, 31.58% were current smokers and the remaining 12.28% were non-smokers. The statistical analysis revealed that patients with higher education (p <0.05) reported better scores in QoL on the scales mental health, functionality, and vitality. Women, according to the results of our research, experienced a better QoL on the scale of physical activity than men (p <0.05). Also, those who were not suffering from another disease and were not smokers had a better QoL. Conclusions: Based on the findings of the present study, it appears that factors such as educational level, marital status, age, gender, hospital readmissions can affect the QoL of patients subject to large volume paracentesis. Implementation and evaluation of health education programs aimed at improving the QoL of these patients and their families is of vital importance.
    VL  - 7
    IS  - 3-1
    ER  - 

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Author Information
  • Department of Nursing Specialities, Hippokration General Hospital, Athens, Greece

  • Director of Nursing, Hippokration General Hospital, Athens, Greece

  • Hemodynamic Laboratory, Hippokration General Hospital, Athens, Greece

  • Psychiatric Department, Sotiria Hospital, Athens, Greece

  • 2nd Department of Medicine, Medical School of Athens, National and Kapodistrian University of Athens, Hippokration General Hospital, Greece

  • 2nd Department of Medicine, Medical School of Athens, National and Kapodistrian University of Athens, Hippokration General Hospital, Greece

  • 2nd Department of Medicine, Medical School of Athens, National and Kapodistrian University of Athens, Hippokration General Hospital, Greece

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