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

Received: 4 December 2017     Accepted: 6 December 2017     Published: 25 December 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.

Published in American Journal of Nursing Science (Volume 7, Issue 3-1)

This article belongs to the Special Issue Nursing Education and Research

DOI 10.11648/j.ajns.s.2018070301.21
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), 2017. Published by Science Publishing Group

Keywords

Cirrhosis, Decompensated Cirrhosis, Paracentesis, Quality of Life

References
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  • APA Style

    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://article.sciencepublishinggroup.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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