Depressive disorder influence on the quality of life of the patient with degenerative pathology

Nistor Cseppento, Carmen and Judea-Pusta, Claudia and Adrian, Megiesan and Vicas, Lucia and Simona, Bungau and Mirela, Tit and Iovanovici, Diana and Bochis, Calin and Lavinia, Purza and Vasileva, Dance (2017) Depressive disorder influence on the quality of life of the patient with degenerative pathology. Jurnal Medical Aradean, 20 (2). pp. 5-8. ISSN 2067-7790

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Abstract

In chronic rheumatic diseases, we frequently follow the physical dimension of the disease and less the mental and social dimension of it. In the recent years, there has been a great interest in measuring the quality of life reflecting together all these three dimensions. The aim of this study was to assess and compare the perception of pain, quality of life of the patients with depression respectively without depression, using assessment tests recognized and accredited in Romania. We conducted an observational study on a group of 20 patients (n=20). The subjects were randomized of the patients hospitalized at ,,Avram Iancu’’ Clinical Hospital, Oradea, over a period of 2 weeks(in January-February 2016).All the cases were staged according to current criteria approved in Romania. Data collection was prospective and was made directly by examining the patients. Assessment methods are standardized in order to limit as much as possible the influence of systematic error. Initial evaluation and monitoring the patients consisted of physical examination, muscular and articular consultations, assessment of the pain, and depression and quality. We observe higher incidence of depression among women, 70% in the studied group. We assessed the pain expressed by the patients objectively on the VAS pain scale. The mean values of pain were as follows: group I- initially3.8, at the end of treatment1.4; the second group - initially 6.2 and finally 4. The initial average values of the pain were lower in the group without depression and also the treatment response and mean values in group I were significantly superior to of the second group. From the analysis of the data obtained we observe that the average quality of life of the patients from group I is 1.81 and increases after treatment with a percentage of 41.4%.The average value of HAQ score in the group of patients with depressive disorder is 2.03, decreasing to 1.37 after treatment. That means an improvement of 32.17%. The number of women that addresses for recovery treatment is higher. We observe a higher incidence of depression among women, 70% in the study group. The average value of the pain of the patients from group I is lower both initially and at the end of the study than the average pain of the patients from group II, result otherwise expected because the perception of pain is higher at patients with depression and treatment response it is more modest. In the case of first group, the mean value of the pain decreases by 63.15%, while for the second group the decrease is 30.64%. From the analysis of the obtained data we observe that the average quality of life of the patients from group I is 1.81 and increased after treatment with a percentage of 41.4%. The average value of the HAQ score in the group of patients with depressive disorder is 2.03, this dropped to 1.37 after treatment. That means an improvement of 32.17%. KEYWORDS: chronic rheumatic diseases, quality of life, depressive disorder.

Item Type: Article
Uncontrolled Keywords: chronic rheumatic diseases, quality of life, depressive disorder.
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Dance Vasileva
Date Deposited: 26 Jan 2018 11:39
Last Modified: 26 Jan 2018 11:39
URI: http://eprints.ugd.edu.mk/id/eprint/19121

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