[Care patterns and resumption of social and occupational activities after exeresis surgery in Crohn's disease. Study of 58 patients].

J F Hamon, L Beaugerie, R Parc, M Malafosse
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Abstract

The aim of this retrospective study was to describe care patterns and conditions surrounding the resumption of social and work activities after intestinal resection for Crohn's disease. Fifty-eight patients were evaluated regarding their stay in the department of surgery, use of care and resumption of social and work activities within the first year after intestinal resection. Data were obtained from medical records and answers to a medical questionnaire. Forty patients replied to the questionnaire. Mean length of stay in the department of surgery was 16 +/- 9 days. Length of stay was positively correlated to non-elective surgery, colonic resection, presence of fistulae or abscesses, and to the creation of a stoma. Main interval between surgery and resumption of work was 11 +/- 8 weeks. Only one patient was unable to return to work because of the disease. Seventy per cent of the patients who went back to work said that their quality of life was improved after surgery in comparison with their preoperative status. In conclusion, this study suggests that most of the patients undergoing intestinal resection for Crohn's disease can go back to work without particular difficulties, and consider that their quality of life has been improved by surgery.

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克罗恩病运动手术后的护理模式及社会和职业活动的恢复。58例患者的研究]。
本回顾性研究的目的是描述克罗恩病肠切除术后恢复社会和工作活动的护理模式和条件。对58例患者在肠切除术后一年内在外科的住院时间、护理的使用以及社会和工作活动的恢复情况进行评估。数据来自医疗记录和对医疗问卷的回答。40名患者回答了调查问卷。平均住院时间为16±9天。住院时间与非选择性手术、结肠切除、有无瘘管或脓肿以及造口呈正相关。手术至恢复工作的主要间隔时间为11±8周。只有一名患者因这种疾病无法重返工作岗位。70%重返工作岗位的患者表示,与术前相比,手术后他们的生活质量得到了改善。综上所述,本研究提示,大多数克罗恩病患者行肠切除术后可以恢复工作,没有特别困难,可以认为手术改善了患者的生活质量。
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