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        Pectus Excavatum and Pectus Carinatum: Associated Conditions, Family History, and Postoperative Patient Satisfaction

        Pinar Kuru, M.D.,Aylin Cakiroglu, M.I.,Aynur Er, M.S.,Hincal Ozbakir, M.I.,Ali Emin Cinel, M.S.,Busra Cangut, M.S.,Merve Iris, M.S.,Berkay Canbaz, M.S.,Ebru Pıçak, M.S.,Mustafa Yuksel, M.D. 대한흉부외과학회 2016 Journal of Chest Surgery (J Chest Surg) Vol.49 No.1

        Background: Pectus excavatum (PE) and pectus carinatum (PC) are the most common chest wall deformities. In this study, we aimed to characterize how patients obtained information about these deformities, as well as patients’ family history, associated medical problems, and postoperative satisfaction after the Nuss and Abramson procedures. Methods: This cross-sectional retrospective study included patients who were operated by a single surgeon between 2006 and 2013. Follow-up calls were made after approval of our institution’s ethics committee. We reached 207 of the 336 PE patients (61.6%) and 73 of the 96 PC patients (76%). Results: The majority of the patients were male (85% of the PE patients and 91.8% of the PC patients). The age of diagnosis of PE was 14.52±0.51 years and the age at the time of operation was 17.89±0.42 years; for PC patients, the corresponding ages were 15.23±0.55 years and 16.77±0.55 years, respectively. A total of 70% of the PE patients and 63.8% of the PC patients obtained information about pectus deformities through the Internet. In 27.1% of the PE patients with an associated anomaly, 57.1% (n=13) had scoliosis, while 41.1% of the PC patients with an associated anomaly had kyphosis (n=5). Postoperative satisfaction, as evaluated on a scale from 0 to 10, was 8.17±0.15 for PE patients and 8.37±0.26 for PC patients. The postoperative pain duration was 51.93±5.18 days for PE patients and 38.5±6.88 days for PC patients. Conclusion: In this study, we found that most patients with pectus deformities were male. The Internet was an important resource for patients to learn about their deformities. Family history and associated anomalies were identified as important aspects for consideration in the clinical setting. The patients reported high levels of postoperative satisfaction, and pain management was found to be one of the most important elements of postoperative care.

      • KCI등재

        Validity and Reliability of the Turkish Version of the Nuss Questionnaire Modified for Adults

        A. Tugba Bahadir,Pinar Kuru,Ceyda Afacan,Nezih Onur Ermerak,Korkut Bostanci,Mustafa Yuksel 대한흉부외과학회 2015 Journal of Chest Surgery (J Chest Surg) Vol.48 No.2

        Background: Pectus excavatum (PE) is the most common chest wall deformity. The Nuss Questionnaire modifiedfor Adults (NQmA) is a disease-specific health-related quality of life assessment tool for patients with pectusdeformities. The aim of this study is to adapt the NQmA into Turkish. Methods: Two hundred and sixty-five patientswith PE were participated, with an age range of 14 to 29 years. All patients underwent a physical examinationand had not undergone corrective surgery. The Turkish version of the NQmA was completed by patients andtheir parents. Results: The content validity index based on expert opinions was 91% for the patient questionnaireand 96% for the parent questionnaire. The Cronbach’s alpha value for the NQmA was found to be 0.805 for thepatient questionnaire and 0.800 for the parent questionnaire. Exploratory factor analysis was used to assess constructvalidity. Two factors explained 51.1% of the total variance in the patient questionnaire (psychosocial:31.145%, Cronbach’s alpha=0.818; physical: 19.955%, Cronbach’s alpha=0.862). In the parent questionnaire, two factorsexplained 51.422% of the total variance (psychosocial: 26.097%, Cronbach’s alpha=0.743; physical: 25.325%,Cronbach’s alpha=0.827). Construct validity was confirmed by confirmatory factor analysis. Conclusion: The Turkishversion of the NQmA was found to be valid and reliable for the assessment of quality of life in patients with PE.

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