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Impact of bowel management in the treatment of urinary incontinence, and on the frequency of urinary infections, and the influence on the quality of life in spina bifida patients

dc.contributor.advisorRadojičić, Zoran
dc.contributor.otherDžamić, Zoran
dc.contributor.otherSretenović, Aleksandar
dc.contributor.otherAleksić, Predrag
dc.creatorMilivojević, Saša S.
dc.date.accessioned2020-02-14T14:30:47Z
dc.date.available2020-02-14T14:30:47Z
dc.date.available2020-07-03T08:52:28Z
dc.date.issued2019-09-18
dc.identifier.urihttp://eteze.bg.ac.rs/application/showtheses?thesesId=7210
dc.identifier.urihttp://nardus.mpn.gov.rs/handle/123456789/11850
dc.identifier.urihttps://fedorabg.bg.ac.rs/fedora/get/o:20925/bdef:Content/download
dc.identifier.urihttp://vbs.rs/scripts/cobiss?command=DISPLAY&base=70036&RID=51748623
dc.description.abstractIspitati efekte primene bowel menadžmenta na urinarnu inkontinenciju, učestalost javljanja urinarnih infekcija, kao i uticaj na kvalitet života kod pacijenata sa spina bifidom sa hiperaktivnom mokraćnom bešikom i detrusor sfinkter disinergijom. Metod: Istraživanje je sprovedeno u periodu od 2014 do 2017 godine, a period uključivanja u studiju je trajao od juna 2014. do marta 2016 godine. Prva grupa (Grupa 1) je obuhvatala 35 pacijenata kod kojih je sprovoden bowel menadžment u kombinaciji sa antiholinergičkom medikamentnom terapijom i čistim intermitentnim kataterizacijama (CIC-om). Druga grupa (Grupa 2) je obuhvatala 35 pacijenata koji su tretirani isključivo antiholinergičkom medikamentnom terapijom i CIC-om. Bowel menadžment je uključivao svakodnevnu primenu klizmi, primenu laksativa, kao i specijalnu dijetu u cilju lečenja opstipacije i prateće fekalne inkontinencije, koju smo procenjivali na osnovu Roma III kriterijuma i ehosonografske vrednosti transverzalnog dijametra rektuma. Uticaj bowel menadžmenta na urinarnu inkontinenciju smo procenjivali na osnovu vrednosti prosečnog suvog vremenskog intervala između dva CIC-a, za sve pacijente. Uticaj bowel menadžmenta na urinarne infekcije smo procenjivali na osnovu broja urinarnih infekcija pre i posle tretmana. U pogledu kvaliteta života koristili smo Kindl upitnik za decu i roditelje, u cilju procene ukupnog kvaliteta života, ali takođe i različitih aspekata kvaliteta života dece (fizička dobrobit, emocionalna dobrobit, samopouzdanje, porodica, prijatelji, škola, bolest). Skor na testu ima vrednost od 0 do 100, pri čemu 0 označava najlošiji a 100 najbolji kvalitet života. Period praćenja za sve pacijente je iznosio godinu dana.sr
dc.description.abstractTo examine the effects of bowel management on urinary incontinence, on the frequency of urinary infections, and to assess the impact on the quality of life in spina bifida patients with overactive bladder and detrusor sphincter dyssynergia. Materials and Methods: The research was carried out from 2014 to 2017, with the recruitment process from June 2014 to March 2016. The first group (Group 1) consisted of 35 patients who were administered bowel management combined with anticholinergic medication therapy and clean intermittent catheterization (CIC). The second group (Group 2) consisted of 35 patients who were treated only with anticholinergic medication therapy and CIC. Bowel management included daily enema, laxative application, and a special diet, with a view to treating constipation and accompanying fecal incontinence, that was estimated on the basis of Roma III criteria and echosonographically determined transversal rectal diameter. The effects of the administered bowel management on urinary incontinence were assessed according to the mean dry interval between two CICs for all patients. The effects of the administered bowel management on urinary infections were estimated on the basis of the number of urinary infections before and after the administered therapy. Regarding the quality of life, we used a Kindle questionnaire for children and parents in order to determine the overall quality of life, but also the various aspects of the quality of children’s life (physical well-being, emotional well-being, self-confidence, family, friends, school, disease). The test score ranges from 0 to 100, where 0 is the lowest, and 100 the highest quality of life. The follow-up period of every patient was one year...en
dc.formatapplication/pdf
dc.languagesr
dc.publisherУниверзитет у Београду, Медицински факултетsr
dc.rightsopenAccessen
dc.sourceУниверзитет у Београдуsr
dc.subjectSpina bifidasr
dc.subjectSpina bifidaen
dc.subjectoveractive bladderen
dc.subjectdetrusor sphincter dyssynergiaen
dc.subjecturinary incontinenceen
dc.subjecturinary infectionsen
dc.subjectconstipationen
dc.subjectfecal incontinenceen
dc.subjectquality of lifeen
dc.subjectbowel managementen
dc.subjecthiperaktivna mokraćna bešikasr
dc.subjectdetrusor sfinkter disinergijasr
dc.subjecturinarna inkontinencijasr
dc.subjecturinarne infekcijesr
dc.subjectopstipacijasr
dc.subjectfekalna inkontinencijasr
dc.subjectkvalitet životasr
dc.subjectbowel menadžmentsr
dc.titleZnačaj sprovođenja bowel menadžmenta u lečenju urinarne inkontinencije i na ponavljanje urinarnih infekcija, kao i njegov uticaj na kvalitet života kod pacijenata sa spina bifidomsr
dc.title.alternativeImpact of bowel management in the treatment of urinary incontinence, and on the frequency of urinary infections, and the influence on the quality of life in spina bifida patientsen
dc.typedoctoralThesis
dc.rights.licenseBY-NC-ND
dc.identifier.fulltexthttp://nardus.mpn.gov.rs/bitstream/id/10603/Disertacija.pdf
dc.identifier.fulltexthttp://nardus.mpn.gov.rs/bitstream/id/10604/IzvestajKomisije21876.pdf


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