Investigation of the effect of perioperative nutritional risk index on quality of life, wound healing, and well-being of patients: Perioperative nutritional risk index

Fazıl Avcı; Belma Gözde Özdemir; Günay Safarova; Kübra Sevinç; Memduha Aydın; Çetin Çelik; Ahmet Bilgi

doi:10.5281/zenodo.17508775

Authors

Fazıl Avcı Şırnak State Hospital, Department of Obstetrics and Gynecology, Şırnak, Turkey https://orcid.org/0000-0002-9244-9168
Belma Gözde Özdemir Selçuk University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey https://orcid.org/0000-0002-7025-4087
Günay Safarova Selçuk University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey https://orcid.org/0009-0007-3956-7214
Kübra Sevinç Selçuk University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey https://orcid.org/0009-0004-6275-8041
Memduha Aydın Selçuk University Faculty of Medicine, Department of Psychiatry, Konya, Turkey https://orcid.org/0000-0001-7679-6568
Çetin Çelik Selçuk University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey https://orcid.org/0000-0001-6165-5092
Ahmet Bilgi Selçuk University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey https://orcid.org/0000-0001-8682-1739

DOI:

https://doi.org/10.5281/zenodo.17508775

Keywords:

Hospital anxiety and depression scale, nutrition risk screening, perioperative nutrition, quality of life, well-being, wound healing

Abstract

Objective: To investigate the effect of the perioperative nutritional risk index on the quality of life, wound healing, and well-being of patients.

Methods: Patients diagnosed with gynecological conditions and gynecologic oncology malignancies and who underwent surgery were included in this prospective study. The study groups were categorized as low-risk and high-risk according to Nutrition Risk Screening (NRS 2002). Demographic, clinical, and preoperative laboratory data of the patients were recorded. Patients were asked to complete the Hospital Anxiety and Depression Scale (HAD), EORTC QLQ-C30, and NRS 2002 forms.

Results: A total of 262 patients—205 categorized as low-risk and 57 as high-risk—were included. The low-risk group had thicker triceps skinfold (p=0.044), shorter wound healing time (p=0.001), greater upper arm circumference (p=0.021), fewer wound complications (p=0.001), higher hemoglobin (p=0.001), ferritin (p=0.028), and albumin (p=0.001) levels, as well as lower HAD scores (p=0.001), and better EORTC QLQ-C30 scores (p<0.05) than the high-risk group. A positive correlation was found between NRS 2002 and wound complications, wound healing time, and HAD scores, while a negative correlation was found with triceps skinfold thickness, hemoglobin levels, upper arm circumference, albumin, and ferritin levels (p<0.05).

Conclusion: The low-risk nutritional status of patients in the preoperative period positively affects their well-being, wound healing, and quality of life in the perioperative period.

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