Kvalitet života operativno lečenih pacijenata u odnosu na konzervativno lečene pacijente sa hroničnim pankreatitisom
Quality of life surgically treated patients compared to conservatively treated patients with chronic pancreatitis
Author
Dragović, Saša,Mentor
Vulović, MajaCommittee members
Milev, BoškoJanković, Slobodan
Radovanović, Dragče
Rančić, Nemanja
Metadata
Show full item recordAbstract
Uvod: Studija upoređuje kvalitet života i intenzitet bola operativno lečenih
i konzervativno lečenih pacijenata sa hroničnim pankreatitisom.
Materijal i metode: Studija je obuhvatila ukupno 50 pacijenata, koji su
podeljeni u dve grupe, sa po 25 pacijenata: grupa konzervativno-neoperativno lečenih
pacijenata i grupa hirurški lečenih pacijenata. Upoređivanje kvaliteta života
pacijenata sa hroničnim pankreatitisom je vršeno uz pomoć validiranog
standardizovanog upitnika EuroQol-5 dimension (EQ-5D-5L) i validiranog upitnik za
procenu jačine bola Short form McGill Pain Questionnaire (SF-MPQ). Radi se o
multidimenzionalnim upinicima putem kojih se dobija kvantitativna i kvalitativna
procena kvaliteta života i intenziteta bola. Pacijenti su popunjavali upitnike po
već utvrđenim kriterijumima za svaki upitnik pojedinačno, a statistička analiza
podataka, dobijenih nakon popunjavanja upitnika, je urađena u statističkom
kompjuterskom programu PASW Statistics, verzija 18.
Rezultati: Rez...ultati su pokazali da su pacijenti sa hroničnim
pankreatitisom, koji su operativno lečeni, imali bolji kvalitet života u odnosu na
pacijente lečene konzervativnom terapijom. Takođe je utvrđeno da hirurški
tretirani pacijenti sa hroničnim pankreatitisom imaju manji intenzitet bola, u
odnosu na pacijente koji su konzervativno tretirani. Najčešće izvođene hirurške
procedure su Frey procedura, 8 (32%) i Roux and Y procedura, 8 (32%), čineći zajedno
dve trećine svih procedura 16 (64%). Pronađene su statistički značajne razlike
između hirurški i konzervativno lečenih pacijenata u svih 5 dimenzija EuroQol-5
dimension (EQ-5D-5L) upitnika. Postoji statistički značajna razlika aferentne i
senzorne komponente SF-MPQ upitnika između dve praćene grupe pacijenata.
Zaključak: Kvalitet života pacijenata koji boluju od hroničnog pankreatitisa
je bolji posle operativnog lečenja u odnosu na pacijente koji su konzervativnoneoperativno lečeni.
Introduction: Study compares quality of life and intensity of pain in patients with
chronic pancreatitis who had surgical or conservative treatment.
Materials and Methods: A study was performed on 50 patients that were divided into
two groups, each with 25 patients: group of conservative-nonsurgically treated patients and a
group of surgically treated patients. Comparing of quality of life in patients with chronic
pancreatitis was performed using validated standardized questionary EuroQol-5 dimension
(EQ-5D-5L ) and validated standardized questionary for pain intensity assessment Short form
McGill Pain Questionnaire (SF-MPQ). Both of these are multidimensional questionaries that
provide qualitative and quantitative assessment of pain intensity and quality of life. Patients
filled in questionaries based on determined criteria for each questionary and statistical data
analysis was performed using PАSW Statistics v.18 software.
Results: Results have shown that patients with chron...ic pancreatitis that were
surgically treated had a better quality of life compared to those treated with conservative
therapy. It has also been confirmed that patients with chronic pancreatitis that were surgically
treated had experienced lower intensity of pain compared to those treated with conservative
therapy. Usually performed surgical procedures were Frey procedure 8 (32%) and Roux and
Y procedure , 8 (32%), making combined almost 2/3 of all preformed procedures 16 (64%).
There were found statistically significant differences between surgically and conservatively
treated patients in all 5 dimensions of EuroQol-5 dimension (EQ-5D-5L). There is also
statistically significant differences between afferent and sensory component of SF-MPQ
questionary between two groups of patients.
Conclusion: Quality of life in patients with chronic pancreatitis is better in those who
had surgical treatment than in patients that received conservative- nonsurgical treatment.