RESEARCH PAPER
Peculiarities of social, psychological and physiological adaptation of patients with urolithiasis
 
More details
Hide details
1
National Medical University, Ivano-Frankivsk, Ukraine
CORRESPONDING AUTHOR
Oryna Detsyk   

National Medical University, Ivano - Frankivsk, Halitska, 2, 76018 Ivano-Frankivsk, Ukraine
 
Med Og Nauk Zdr. 2016;22(2):161–165
 
KEYWORDS
ABSTRACT
Introduction:
Urolithiasis affects the young working population and due to frequent recurrences, accompanied by severe pain syndrome, leads to a feeling of discomfort, and reduces the quality of life of patients and their biological and social adaptive possibilities.

Objective:
To study the peculiarities of social, psychological and physiological adaptation of patients with urolithiasis in order to propose preventive measures.

Material and Methods:
A retrospective epidemiological study was conducted of a representative sample of 443 patients with urolithiasis: a study group – 403 patients without recurrences and 40 with recurrences, and a control group – 203 patients without urolithiasis, at their discharge from the urologic in-patient departments of health care facilities of Ivano-Frankivsk region, Ukraine.

Results:
It was established that urolithiasis is accompanied by psychological isolation of patients, manifested in the feeling of loneliness (OR = 1.44; 95% CI = 1.03–2.02). The social and psychological patient’ adaptation decreases with the recurrence of urolithiasis, as evidenced by the growth of odds of disability due to disease (4.39; 2.23–8.65), sleep disorders (3.91; 1.62–9.40), dependence of medicines (2.97; 1.49–5.93), dissatisfaction with life (2.67; 1.20–5.94) and health (2.45; 1.27–4.76), reduction in social contacts (2.24; 1.09–4.57), and pain (2.09; 1.24–3.51). Тhe occurrence of urolithiasis leads to tension, unsatisfactory status and breakdown of physiological adaptation mechanisms (1.64; 1.01–2.68), significantly enhanced with progression of disease (2.39; 1.03–5.57).

Conclusions:
The occurrence, and especially recurrence, of urolithiasis is accompanied by progression of social and psychological as well as physiological disadaptation. This should be considered in developing individual rehabilitation programmes

 
REFERENCES (17)
1.
Türk C, Knoll T, Petrik A, Sarica K, Skolarikos A, Straub M, Seitz C. EAU Guidelines on urolithiasis. Eur Assoc Urol. 2015: 1–71.
 
2.
Rossikhin VV, Hoschenko UA. [The results of use of herbal medicine “URSOHOL” in patients with urolithiasis complicated by chronic calculous pyelonephritis]. Medicus Amicus. 2009; 2: 30–31 (in Ukrainian).
 
3.
Fedoruk OS, Viznyuk VV, Krokosh VM. [Condition of lipid peroxidation and blood biochemical parameters of patients with urolithiasis complicated by pyelonephritis]. Clin Experimental Pathol. 2013; 3(45): 186–188 (in Ukrainian).
 
4.
Michelle Jo Semins, Brian R. Matlaga Medical Evaluation and Management of Urolithiasis. Ther Adv Urol. 2010; 2(1): 3–9.
 
5.
Vozianov AF, Pasyechnikov SP, Saydakova NA, Dmytryshyn SP. [Dynamics of morbidity and prevalence of urolithiasis in the adult population of Ukraine]. Zdorovye muzhchyny. 2010; 2(33): 17–24 (in Ukrainian).
 
6.
Borzhiyevskyy A.TS. Ureterolitiaz: (urological aspects). Lviv: Publishing House “Vysokyy Zamok”. 2007. 263p.
 
7.
Knoll T. Epidemiology, Pathogenesis and Pathophysiology of Urolithiasis. Eur Urol Suppl. 2010; 9: 802–806.
 
8.
Balka LO. [Clinical pathopsychological, individual psychological and psychosocial factors in the genesis of desadaptation of patients with urolithiasis of one kidney]. Medychna psykholohiya. 2014; 3: 22–29 (in Ukrainian).
 
9.
Kaznacheev VP, Bayevsky PM, Berseneva AP. [Pre-nosological diagnostics in the practice of mass examinations of population]. Leningrad. Medicine. 1980. 208 p. (in Russian).
 
10.
Forthofer RN, Lee ES, Hernandez M. Biostatistics: A Guide to Design, Analysis, and Discovery. Amsterdam. Elsevier Academic Press. 2007. 502 p.
 
11.
Filts AA, Mironenko AI, Bohuta JR, Fitkalo OS, Kechur RV, MJ Danilko. [Typology of nozogenic reactions with urolithiasis]. Bukovynskyy medychnyy visnyk. 2013; 17(4): 163–168 (in Ukrainian).
 
12.
Ilyina OA. [Social and psychosocial desadaptation of the patient suffering from urolithiasis]. Dissertation. 19.00.05. Yaroslavl. 2000; 165 p. (in Russian).
 
13.
Bryant M, Angell J, Tu H, Goodman M, Pattaras J, Ogan K. Health related quality of life for stone formers. J Urol. 2012; 188 (2): 436–440.
 
14.
Penniston KL, Nakada SY. Development of an instrument to assess the health related quality of life of kidney stone formers. J Urol. 2013; 189(3): 921–930.
 
15.
Ryazantsev VE, Demin EA, Ryazantsev EV, Cherapkin AV. [Gender and age characteristics of the quality of life of patients with urolithiasis]. Mezhdunarodnyy nauchno-yssledovatelskyy zhurnal. 2013; 10–5(17): 26–28 (in Russian).
 
16.
Balka LO. [Individual psychological and psychosocial features of the patients with urolithiasis or a single kidney]. Medychna psykholohiya. 2014; 2: 74–81 (in Ukrainian).
 
17.
Balka LO. [Justification of the general principles of medical and psychological care to patients with urolithiasis or a single kidney]. Medychna psykholohiya. 2015; 2: 53–56 (in Ukrainian).
 
eISSN:2084-4905
ISSN:2083-4543