Evaluation of quality of life after Functional Endoscopic Sinus Surgery (FESS) in chronic rhinosinusitis patients in Menoufia Governorate

Behiry, Essam; El-Shazly, Hewaida M Anwar; Abdelshafy, Ibrahim A; Hussein, Hosam Adel

doi:10.21608/ejentas.2019.12297.1106

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…These results agreed with Qadeer et al (2018) (8) who studied about "Quality of Life after Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis" and reported that more than two fifth diagnosed CRSwNP. Similar to Behiry etal (2019) (20) , who studied "Evaluation of quality of life after Functional Endoscopic Sinus Surgery (FESS) in chronic rhinosinusitis patients in Menoufia Governorate." The study showed that CRSwNP among two third s of the sample.…”

Section: Discussionmentioning

confidence: 89%

Systematic nursing strategy for chronic rhinosinusitis patients with polyps undergoing endoscopic sinus surgery and its effect on their outcomes

Hamed,

Ibrahim

2023

Egyptian Journal of Nursing and Health Sciences

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Context: Chronic rhinosinusitis with polyps is a broad spectrum of infections and inflammatory conditions that impact both the nasal and paranasal sinus mucosa concurrently. This condition greatly influences the quality of life for patients. Aim: evaluate the effect of systematic nursing strategy for chronic rhinosinusitis patients with polyps undergoing endoscopic sinus surgery on their outcomes. Methods: the study employ a quasi-experimental (pre/posttest) research design to achieve the study aim. The study was conducted in Benha University Hospital at the ENT department and ENT outpatient clinic on a purposive sample of 105 the study used the following tolls: Structured patients' interviewing questionnaire, Visual Analogue Pain Scale, Sino Nasal Outcome Test 22, and Sleep Quality Scale. Results: Showed that that 79.1% of the participants had poor knowledge level pre systematic nursing strategy implementation. In comparison, 97.2% of them had good knowledge after one week of implementation, which declined to 91.4% at follow up after systematic nursing strategy implementation. The mean score of pain was 7.142±2.054 pre systematic nursing strategy implementation which decrease significantly to 5.647±1.726, and 2.000±1.808 post one week and follow up respectively. The SNOT 22 total mean score pre implementation was 49.704±6.111, decreased significantly to 38.428±6.723 post one weeks and 30.104±4.406 follow up post two weeks of nursing strategy implementation, which indicates better QoL (p <0.001). Besides, a significant decrease in sleep quality the total mean score after one week to 30.838±7.424 and at follow up post two weeks systematic nursing strategy implementation to 25.638±5.255 compared to 69.438±6.369 pre implementation. Conclusion: The application of a systematic nursing strategy for individuals undergoing endoscopic sinus surgery due to chronic rhinosinusitis with polyps was successful in enhancing the outcomes and well-being of the patients. Recommendations: Systemic nursing strategy should be applied in all departments in hospital to improve patients' outcomes.

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Section: Discussionmentioning

confidence: 89%

Systematic nursing strategy for chronic rhinosinusitis patients with polyps undergoing endoscopic sinus surgery and its effect on their outcomes

Hamed,

Ibrahim

2023

Egyptian Journal of Nursing and Health Sciences

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“…Primarily, with FESS, the disease-specific QOL can be significantly improved. Three separate studies demonstrate this finding in Egypt by Behiry et al [ 15 ], Iran by Aghdas et al [ 16 ], and Morocco by Laababsi et al [ 17 ]. A significant improvement has been observed in the QOL scores between preoperative and postoperative observations [ 17 ].…”

Section: Reviewmentioning

confidence: 93%

“…Therefore, patients with CRS often complain of excessive sleepiness and fatigue during the day. Since CRS affects the local area and the body as a whole, and FESS reduces the burden of the disease by improving systemic cytokine levels, it is reasonable to assume that FESS would also lead to improved sleep outcomes [ 15 ]. These symptom improvements inform the overall QOL of the patients under treatment.…”

Section: Reviewmentioning

confidence: 99%

Outcomes of Functional Endoscopic Sinus Surgery in Chronic Rhinosinusitis: A Systematic Review and Meta-Analysis

Algahtani,

Alhajlah,

Abuharb

et al. 2024

Cureus

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Chronic rhinosinusitis (CRS) is a prevalent health problem that affects many people around the world and can require surgical intervention if conservative therapy fails. Functional endoscopic sinus surgery (FESS) is a minimally invasive surgical procedure commonly used to manage CRS. The success of FESS depends on various factors, and larger studies are necessary to determine its efficacy in managing CRS in this population. This systematic review and meta-analysis of the available literature aims to provide a comprehensive assessment of the effectiveness of FESS in the Middle East. We followed the standards outlined by PRISMA and the Cochrane Handbook for systematic reviews. The primary outcome of interest was the quality of life (QOL), and the secondary outcome was the recurrence of CRS. This systematic review and meta-analysis was conducted, and sensitivity analysis was performed to examine the robustness of the results. Six studies were included. The review found that the QOL significantly improved (p < 0.001). Two studies reported recurrence of CRS after FESS, and data showed that the recurrence of CRS after surgery was 6%. FESS is an effective intervention for CRS, but further research is needed on recurrence rates.

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A Systematic Review and Meta-analysis of SNOT-22 Outcomes After Sinus Surgery

Fu,

Liu,

Huang

et al. 2023

Ear Nose Throat J

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Background: All stakeholders in the healthcare system have prioritized and will continue to prioritize enhancing care quality. The measurement of sinus-specific quality of life (QOL) is potentially the most commonly used QOL parameter for chronic rhinosinusitis (CRS). Objective: A systematic review and meta-analysis were used in this study to determine the mean change in patients’ scores on the 22-item Sino-Nasal Outcome Test (SNOT-22) before and after endoscopic sinus surgery (ESS) for CRS. Methods: PubMed, Google Scholar, and ScienceDirect were searched for articles that compared SNOT-22 scores before and after ESS in adult patients with CRS and were published between January 2000 and March 2023. The mean post-op change, 95% confidence interval (CI), forest plot, and inverse variance weighting were all generated using a random effects model. A mixed-effects meta-regression was used to analyze the effect of patient-specific characteristics across studies. Results: Fifteen prospective patient cohorts published from 2009 to 2023 were included in this meta-analysis. At an average follow-up of 25.5 months, all studies demonstrated a statistically significant difference in mean SNOT-22 scores between baseline and post-op time periods ( P < .05), ranging from 5.1 to 55.4. Across all studies, the mean SNOT-22 changed significantly by 26.02 (95% CI: 12.83-38.60). According to a stepwise multivariate analysis, studies with higher mean age and mean pre-op SNOT-22 scores had greater changes in SNOT-22 scores following ESS, whereas trials with longer mean follow-up duration had smaller changes in SNOT-22 scores. Conclusion: Research utilizing the SNOT-22 instrument has demonstrated that endoscopic sinus surgery (ESS) leads to enhanced quality of life (QOL) outcomes. The literature reports that improvement is influenced by the initial SNOT-22 score, the mean age of the patients, and the duration of the follow-up period.

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Evaluation of quality of life after Functional Endoscopic Sinus Surgery (FESS) in chronic rhinosinusitis patients in Menoufia Governorate

Cited by 3 publications

References 14 publications

Systematic nursing strategy for chronic rhinosinusitis patients with polyps undergoing endoscopic sinus surgery and its effect on their outcomes

Systematic nursing strategy for chronic rhinosinusitis patients with polyps undergoing endoscopic sinus surgery and its effect on their outcomes

Outcomes of Functional Endoscopic Sinus Surgery in Chronic Rhinosinusitis: A Systematic Review and Meta-Analysis

A Systematic Review and Meta-analysis of SNOT-22 Outcomes After Sinus Surgery

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