MEDICAL – SOCIAL, PSYCHOLOGICAL ASPECTS QUALITY OF LIFE OF PATIENTS WITH ACUTE PANCREATITIS
Introduction. The quality of life (QoL) of patients with acute pancreatitis (AP) can be significantly impaired due to various factors. It is by establishing significant predictors and etiological factors of the disease that one can choose the correct tactics for treating and rehabilitating patients, and thereby improve the quality of life of patients.
Purpose of the study. To study the quality of life of patients with acute pancreatitis depending on the medical, social and psychological characteristics of patients.
Materials and methods: The study design was a prospective cross-sectional study. A sociological survey was conducted among 157 patients with various forms of AP treated in the surgical department of the University Hospital of Semey Medical University in the period from 2022 to 2023. To determine medical and social characteristics, a developed questionnaire for patients with pancreatitis was used. The quality of life of patients was studied using the adapted SF-36 questionnaire. To study depression, anxiety and adherence to treatment in patients with acute pancreatitis, adapted standardized questionnaires were used (Beck Depression Scale, Spielberg-Hanin questionnaire, Compliance Level questionnaire). Statistical analysis was carried out using SPSS software version 20.0, when p<0.05 the results were considered statistically significant
Results. In patients with AP, low quality of life scores were found on the scales “role physical functioning” - 40.73 (±38.21), “role emotional functioning” - 44.11 (±39.6), which correspond to a level of comfort below average. Significant decreases in both the physical and psychological components of health have been established, as well as the influence on certain criteria of quality of life of gender, age composition, social status, level of education, the presence of bad habits, concomitant diseases and psychological status.
Conclusions: The quality of life of patients with AP is below average. Being female, incomplete secondary and secondary education, retirement age, disability, unemployment, alcohol consumption, the presence of concomitant fatty hepatosis, cholelithiasis, obesity, gastritis with duodenogastric reflux, depression, anxiety and non-compliance with treatment significantly reduces the quality of life of patients. with OP.
Askar Zh. Akhmetov1, https://orcid.org/0000-0001-9241-5294
Tolkyn A. Bulegenov1, https://orcid.org/0000-0001-6145-9649
Meirbek Zh. Aimagambetov1, https://orcid.org/0000-0003-4699-8200
Nazarbek B. Omarov1, http://orcid.org/0000-0003-3262-1410
Vladimir B. Kolyado2, http://orcid.org/0000-0002-7496-8052
Assel Zh. Baibussinova1, http://orcid.org/0000-0003-3447-6245
Aldiyar E. Masalov1, https://orcid.org/0000-0003-3386-1416
Samatbek T. Abdrakhmanov1, https://orcid.org/0000-0002-4270-3498
Medet A. Auenov1, https://orcid.org/0000-0002-1809-9091
1 NCJSC "Semey Medical University" Semey, Republic of Kazakhstan;
2 FSBEI of HE "Altai State Medical University" of the Ministry of Health of Russia,
Barnaul, Russian Federation.
1. Бримкулов Н.Н., Сенкевич Н.Ю., Калиева А.Д. Применение опросника SF-36 для оценки качества жизни // Центрально-азиатский медицинский журнал. 1998. № 4.5. С. 236-241.
2. Григорьева И.Н., Щербакова Л.В. и др. Качество жизни у пациентов с желчнокаменной болезнью, панкреатитом и метаболическим синдромом: сравнительные исследования // Медицинский алфавит. 2016. Т.3 №24. С. 34-39.
3. Кадыров Р.В., Асриян О.Б., Ковальчук С.А. Опросник «Уровень комплаентности». Владивосток: Мор. гос. ун-т, 2014. – 74 с.
4. Карелин А.А. Большая энциклопедия психологических тестов. М.: Эксмо, 2005. - 410 с.
5. Мальцева Л.А., Усенко Л.В., Люлько И.В. Острые панкреатиты: эпидемиология, патогенез, диагностика, организация лечения, хирургическое лечение, интенсивная терапия. М.: ГЭОТАР-Медиа, 2005. - 256 с.
6. Недашковский Э.В. Острый панкреатит. М.: ГЭОТАР-Медиа,2009. – 272 с.
7. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. Под ред. Ю.Л. Шевченко. М.: «Олма-пресс», 2007. - 320 с.
8. Рязанова И.И., Бурчуладзе Н.Ш., Бебуришвили А.Г. Отдаленные результаты и качество жизни больных после хирургического лечения панкреонекроза // Вести Волгоградского ГМУ. 2007. №3. С. 68-72.
9. Тарабрина Н.В. Практикум по психологии посттравматического стресса. СПб: Питер, 2001.
10. Тарасенко В.С. Качество жизни и отдаленные результаты лечения больных с острым панкреатитом. Дисс.канд.мед.наук. - Саратов, 2007. 138 с.
11. Шаповальянц С.Г., Мыльников А.Г., Орлов С.Ю. и др. Диагностика и лечение острого билиарного панкреатита // Анналы хирургической гепатологии. – 2009. – Т. 14, № 1. – С. 29-34.
12. Ямлиханова А.Ю. Основные факторы риска и качество жизни больных с острым и хроническим панкреатитом. Дисс. канд. мед. наук. – Новосибирск, 2010. – 165 с.
13. Abu Нilal М., Armstrong Т. Тhе impact of obesity on the course and outcome of acute pancreatitis // Obes. Surg. 2008;18(3):326-328.
14. Carpiniello В., Pinna F., Pillai G., et al. Psychiatric comorbidity and quality of life in obese patients. Results from а case-control study // Int. J. Psychiatry Med. 2009. 39(1):63-78.)
15. Cinquepalmi L., Boni L., Dionigi G., et al. Long-term results and quality of life of patients undergoing sequential surgical treatment for severe acute pancreatitis complicated bу infected pancreatic necrosis // Surg. Infect (Larchmt). 2006. 7. Suppl.2:S113-116.
16. De Waele В., Vanmierlo В., Van Nieuwenhove У., Delvaux G. Impact of body overweight and class I, П and Ш obesity on the outcome of acute biliary pancreatitis // Pancreas. 2006. 32(4):343-345.
17. Halonen К.I., Pettila V., Leppaniemi А.К. Long-term health-related quality of life in survivors of severe acute pancreatitis // Intensive Care Med. 2003. 29(5):782-786.
18. Hochman D., Louie В., Bailey R. Determination ofpatient quality oflife following severe acute pancreatitis // Can. J. Surg. 2006. 49(2):101-6.
19. Lien Н.Н., Huang С.С., Wang Р.С. et al. Validation assessment of the Chinese (Taiwan) version ofthe Gastrointestinal Quality of Life Index for patients with symptomatic gallstone disease. J Laparoendosc // Adv. Surg. Tech. А. 2007. 17(4):429-434.
20. Luo D., Lei R.Q., Xu Z.W. et al. Long-term outcome and health-related quality oflife in survivors of severe acute pancreatitis // Zhonghua Wai Ке Za Zhi. 2007. 45(11):742-745.
21. Mond J.M., Baune В.Т. Overweight, medical comorЬidity and health-related quality of life in а community sample of women and men // Obesity (Silver Spring).2009.17(8):1627-1634.)
22. Pender J.R., Pories W.J. Epidemiology of obesity in the United States // Gastroenterol Clin North Ат. 2005. 4(1):1-7.
23. Reszetow J., Нас S., Dobrowolski S., et al. Biliary versus alcohol-related infected pancreatic necrosis: similarities and differences in the follow-up // Pancreas.-2007. 35(3):267-272.
24. Yang S.J., Chen J., Phillips A.R. et al. Predictors of severe and critical acute pancreatitis: a systematic review // Dig Liver Dis 2014. 46:446.
25. Ware J.E., Kosinski М., Keller S.D. SF-36 physical and mental health summury scales: user's manual. Boston (МА): Тhе Health Institute, New England Medical Center, 1994, 211р.
References:
1. Brimkulov N.N., Senkevich N.Ju., Kalieva A.D. Primenenie oprosnika SF-36 dlya otsenki kachestva zhizni [Application of the SF-36 questionnaire to assess quality of life]. Central'no-aziatskii meditsinskii zhurnal [Central Asian Medical Journal]. 1998. № 4.5. pp. 236-241. [in Russian]
2. Grigor'eva I.N., Shherbakova L.V., Romanova T.I. et al. Kachestvo zhizni u patsientov s zhelchnokamennoi bolezn'yu, pankreatitom i metabolicheskim sindromom: sravnitel'nye issledovaniya [Quality of life in patients with cholelithiasis, pancreatitis and metabolic syndrome: comparative studies]. Meditsinskii alfavit [Medical alphabet]. 2016. T.3 №24. pp. 34-39. [in Russian]
3. Kadyrov R.V., Asrijan O.B., Koval'chuk S.A. Oprosnik «Uroven' komplaentnosti» [Questionnaire “Level of Compliance”]. Vladivostok: Mor. gos. un-t [Vladivostok: Marine. state university], 2014. – 74 p. [in Russian]
4. Karelin A.A. Bol'shaya entsiklopediya psikhologicheskikh testov [Large encyclopedia of psychological tests]. M.: Jeksmo, 2005. – 410 p.
5. Mal'ceva L.A., Usenko L.V., Ljul'ko I.V. Ostrye pankreatity: epidemiologiya, patogenez, diagnostika, organizatsiya lecheniya, khirurgicheskoe lechenie, intensivnaya terapiya [Acute pancreatitis: epidemiology, pathogenesis, diagnosis, organization of treatment, surgical treatment, intensive care]. M.: GEOTAR -Media, 2005. - 256 s. [in Russian]
6. Nedashkovskij Je.V. Ostryi pankreatit [Acute pancreatitis]. M.: GEOTAR Media, 2009. 272 p. [in Russian]
7. Novik A.A., Ionova T.I. Rukovodstvo po issledovaniu kachestva zhizni v medicine. Pod red. Ju.L. Shevchenko [Guidelines for Quality of Life Research in Medicine Ed. Yu.L. Shevchenko]. M.:«Olma-press», 2007. - 320 p. [in Russian]
8. Rjazanova I.I., Burchuladze N.Sh., Beburishvili A.G. Otdalennye rezul'taty i kachestvo zhizni bol'nykh posle khirurgicheskogo lecheniya pankreonekroza [Long-term results and quality of life of patients after surgical treatment of pancreatic necrosis]. Vesti Volgogradskogo GMU [News from Volgograd State Medical University]. 2007. №3. pp. 68-72. [in Russian]
9. Tarabrina N. V. Praktikum po psikhologii posttravmaticheskogo stressa [Workshop on the psychology of post-traumatic stress]. SPb: Piter, 2001. [in Russian]
10. Tarasenko V.S. Kachestvo zhizni i otdalennye rezul'taty lecheniya bol'nykh s ostrym pankreatitom [Quality of life and long-term results of treatment of patients with acute pancreatitis]. Diss.kand.med.nauk. – Saratov, 2007. 138 s. [in Russian]
11. Shapoval'janc S.G., Myl'nikov A.G., Orlov S.Ju. i dr.. Diagnostika i lechenie ostrogo biliarnogo pankreatita [Diagnosis and treatment of acute biliary pancreatitis] // Annaly khirurgicheskoi gepatologii [Annals of Surgical Hepatology]. 2009. T. 14, № 1. pp. 29-34. [in Russian]
12. Jamlihanova A.Ju. Osnovnye faktory riska i kachestvo zhizni bol'nykh s ostrym i khronicheskim pankreatitom [Main risk factors and quality of life of patients with acute and chronic pancreatitis]. Diss. kand. med. nauk. – Novosibirsk, 2010. – 165 p. [in Russian]
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Akhmetov A.Zh., Bulegenov T.A., Aimagambetov M.Zh., Omarov N.B., Kolyado V.B., Baibussinova A.Zh., Masalov A.E., Abdrakhmanov S.T., Auenov M.A. Medical – social, psychological aspects quality of life of patients with acute pancreatitis // Nauka i Zdravookhranenie [Science & Healthcare]. 2024. Vol.26 (2), pp. 36-44. doi 10.34689/SH.2024.26.2.005Related publications:
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