CÁC YẾU TỐ LIÊN QUAN ĐẾN SỰ THAY ĐỔI CHẤT LƯỢNG CUỘC SỐNG CỦA NGƯỜI BỆNH TRƯỚC VÀ SAU PHẪU THUẬT ĐIỀU TRỊ BỆNH TRĨ

Abstract

Introduction: Hemorrhoids are a common condition that can negatively affect the patients’ quality of life. The treatment of hemorrhoids are various methods, but choosing an inappropriate method can lead to complications that are more severe than the hemorrhoids themselves, further affecting the patients’ quality of life. Therefore, assessing factors related to the patient's quality of life is essential to optimize treatment outcomes and patient management. Objective: To identify factors related to changes in patients' quality of life before and after hemorrhoid surgery. Methods: A cross-sectional study was conducted at the Proctology Department, University Medical Center, Ho Chi Minh City, from November 2022 to December 2023, with 246 patients aged 18 and above whose primary cause was hemorrhoids. The HEMO-FISS QoL questionnaire was used to assess the specific quality of life of hemorrhoid patients before and after surgery at eight weeks. Results: The study revealed statistically significant associations between the following: educational level, occupation, age, and age groups with changes in the quality of life scores in the sexual dimension; income with changes in the quality of life scores in the physical disorder dimension; comorbid medical conditions with changes in the quality of life scores in the psychological dimension. Additionally, the study also showed that the surgical method had a statistically significant relationship with changes in overall quality of life scores, including in the physical disorder, psychological, and bowel function dimensions before and 8 weeks after surgery. Conclusions: Factors such as educational level, occupation, age, income, and surgical method all have statistically significant associations with improvements in patients' quality of life