Ispitivanje promene kvaliteta života i stepena depresivnosti bolesnika kod različitih metoda lečenja kamena u urinarnom traktu
The examination of the quality of life and degree of depression among patients with urinary tract stones treated by different methods
Докторанд
Gvozdić, Branka N.Ментор
Milenković Petronić, DragicaЧланови комисије
Lađević, NebojšaVuksanović, Aleksandar
Durutović, Otaš
Bančević, Vladimir
Метаподаци
Приказ свих података о дисертацијиСажетак
Urolitijaza je jedno od najčešćih oboljenja u urologiji sa stalnim porastom
incidence i prevalence u populaciji. Patogeneza ovog oboljenja je multifaktorijalna, a
za posledicu ima veoma ozbiljne probleme koje mogu imati značajan uticaj na
kvalitet života ovih bolesnika. Hronicitet urolitijaze ima za rezultat višu incidencu
depresije kod ovih bolesnika. Tokom prethodnih godina hirurški modaliteti lečenja
urolitijaze pretrpili su evolutivne promene u korist minimalno invazivnih tehnika
lečenja ove bolesti u cilju postizanja bolje efikasnosti lečenja i poboljšanja kvaliteta
života bolesnika. Cilj studije bio je ispitati i proceniti kvalitet života i stepena
depresivnosti bolesnika sa urolitijazom u odnosu na pimenjenu metodu lečenja.
Metode: Ispitivanje je dizajnirano kao panel studija (kombinacija studije preseka i
kohortne studije). U studiju su bili uključeni bolesnici sa urolitijazom lečeni ESWL
ili Ureterorenoskopskom litotripsijom ( URSL aparatom Lithoclast) u periodu od
01.02.2017-...01.02-2018. godine od kojih je sto ispitanika ispunilo kriterijume za
uključivanje u studiju. Oni su podeljeni u dve grupe: Grupa 1 ili Lithoclast grupa
(URSL) i Grupa 2 ili ESWL grupa . U svakoj grupi bilo je 50 ispitanika. Kao
instrument za merenje kvaliteta života korišćen je SF 36 upitnik i za procenu stepena
depresivnosti korišćena je Bekova skala depresivnosti koju su bolesnici popunjavali
neposredno preoperativno i jedan mesec postoperativno, prilikom dolaska na
kontrolni pregled. Za obradu podataka korišćen je SPSS program.
Rezultati: Statističkom obradom i analizom skora SF 36 upitnika preoperativno,
utvrdili smo da postoji smanjenje kvaliteta života kod bolesnika sa urolitijazom u
gotovo svim dimenzijama života (uloga fizičkog funkcionisanja, telesni bol, vitalnost,
opšte zdravlje, uloga emocija i mentalno zdravlje).Nije bilo statistički značajne
razlike u preoperativnom SF skoru između dve grupe bolesnika izuzev domene uloge
fizičkog zdravlja u kojoj je URSL (Lithoclast) grupa imala statistički značajno viši SF
skor od ESWL grupe i mentalnog zdravlja u kojoj je ESWL grupa imala statistički
značajno viši skor od Lithoclast grupe...
Urolithiasis is one of the most common urological illnesses
with a continual rise in incidence and prevalence in the population. Its pathogenesis is
multi-factor; hence, its consequences are serious problems that can significantly
impact the quality of life of the patients. Patients with urolithiasis have higher
incidence of depression because its chronicity. In the last years, operational modes of
urolithiasis treatment had undergone evolution changes towards minimally invasive
treatment techniques aimed at improving its efficacy and patients' life quality. The
purpose of the study is to examine and evaluate the quality of life and degree of
depression of the patients with urolithiasis depending on the applied treatment
method.
Methods:This research is designed as a panel study – a combination of a crosssectional
and cohort study. The sample included patients with urolithiasis treated with
ESWL or ureteroscopic lithotripsy (URSL apparatus Lithoclast), on the basis of the
decision of t...he Calculosis Consilium. The research was carried out between February
1, 2017 and February 1, 2018, and 100 respondents met the inclusion criteria. They
were divided into two equal groups considering the applied method of the stone
disintegration: Group 1 or Lithoclast Group (URSL) and Group 2 or ESWL Group,
each with 50 respondents. The instrument used for measuring the quality of life was
SF 36 questionnaire and the Beck Depression Inventory for depression. It was
administrated to the patients immediately before the operation and one month after
the operation during the control checkup. The SPSS program was used for the data
analysis.
The results: The statistical analysis of the scores obtained pre-operationally on the
SF 36 questionnaire have revealed the decrease in the quality of life of patients with
urolithiasis in almost all dimensions of life (the role physical functioning, bodily pain,
overall health, the role emotions and mental health). The statistically relevant
difference in preoperative SF scores between the two groups of patients was not
established except in the domain of the role of physical health...