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master's thesis
Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija)
2023. urn:nbn:hr:176:061987
Ujaković, Ružica
University of Split
University Department of Health Studies

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Ujaković, R. (2023). Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija) (Master's thesis). Split: University of Split. Retrieved from https://urn.nsk.hr/urn:nbn:hr:176:061987

Ujaković, Ružica. "Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija)." Master's thesis, University of Split, 2023. https://urn.nsk.hr/urn:nbn:hr:176:061987

Ujaković, Ružica. "Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija)." Master's thesis, University of Split, 2023. https://urn.nsk.hr/urn:nbn:hr:176:061987

Ujaković, R. (2023). 'Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija)', Master's thesis, University of Split, accessed 16 November 2024, https://urn.nsk.hr/urn:nbn:hr:176:061987

Ujaković R. Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija) [Master's thesis]. Split: University of Split; 2023 [cited 2024 November 16] Available at: https://urn.nsk.hr/urn:nbn:hr:176:061987

R. Ujaković, "Procjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija)", Master's thesis, University of Split, Split, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:176:061987

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TitleProcjena kvalitete života i intenziteta gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona i gastroezofagealnom refluksnom bolešću (GERB) prije i poslije endoskopske procedure (gastroskopija i kolonoskopija)
Title (english)Assessment of quality of life and intensity of gastrointestinal symptoms in patients with irritable bowel syndrome and gastroesophageal reflux disease before and after endoscopic procedures (gastroscopy and colonoscopy)
AuthorRužica Ujaković
MentorSlavica Kozina (mentor)
Committee memberIvana Tadin Hadjina (predsjednik povjerenstva)
Committee memberRahela Orlandini (član povjerenstva)
Committee memberSlavica Kozina (član povjerenstva)
GranterUniversity of Split
(University Department of Health Studies)
Split
Defense date and country2023-09-29, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract
Cilj ovog rada bio je procijeniti kvalitetu života i intenzitet gastrointestinalnih simptoma u pacijenata sa sindromom iritabilnog kolona (SIC) i gastroezofagealnom refluksnom bolesti (GERB) prije i poslije endoskopske procedure. U provedenu prospektivnu kliničku kohortnu studiju bilo je uklučeno 107 bolesnika s gastrointestinalnim smetnjama, od čega 52 muškarac i 55 žena. U 55 je postavljena dijagnoza GERB, a u 52 SIC. Istraživanje je provedeno u razdoblju od veljače 2023. do svibnja 2023. u poliklinici za internu medicinu, ginekologiju, opstetriciju i psihijatriju J&J MEDICI u Splitu. Učinak endoskopskih procedura i pravovremenost postavljanja dijagnoze GERB-a i SIC-a na kvalitetu života bolesnika i razinu anksioznih simptoma bolesnika s gastrointestinalnim smetnjama, procijenjena je Skalom ocjenjivanja gastrointestinalnih simptoma (engl. The Gastrointestinal Symptom Rating Scale/GSRS), Endlerovom višedimenzionalnom ljestvicom anksioznosti (engl. The Endler Multidimensional Anxiety Scales/EMAS), Endlerovom ljestvicom za procjenu anksioznosti kao crte ličnosti (engl. Endler Multidimensional Anxiety Scale-Trait/EMAS-T), kraticom EMAS-T i Skalom kliničkih ishoda u rutinskoj evaluaciji (engl. Clinical Outcomes in Routine Evaluation- Outcome Measure/CORE). Dobiveni rezultati ukazuju da endoskopske procedure i pravovremeno postavljanje dijagnoze gastrointestinalnih bolesti (GERB i SIC) doprinose statistički značajnom smanjenju auto-emocionalne anksioznosti i kognitivne zabrinutosti u pacijenata nakon endoskopske intervencije (p<0.01). Pacijenti s GERB-om pokazuju veći intenzitet gastrointestinalnih simptoma kao što su nadutost i pojačana nadutost u usporedbi s pacijentima koji pate od SIC-a, 7 dana nakon endoskopske intervencije i postavljene dijagnoze (p<0.05). Pacijenti s GERB-om imaju statistički značajno lošiju kvalitetu života (zadovoljstvo životom i fizički simptomi). Razine anksioznosti prije endoskopske intervencije bile su značajno povezane s kvalitetom života pacijenata, posebno u aspektima zadovoljstva životom te tjelesnog i socijalnog funkcioniranja (p<0.05, p<0.001). Ovo istraživanje upućuje na to da endoskopske procedure i pravovremeno postavljanje dijagnoze doprinose pozitivnim promjenama u psihološkom stanju i smanjenju gastrointestinalnih simptoma pacijenata. Holističkim pristupom bolesniku, uvažavajući psihološko stanje bolesnika i somatske tegobe, moguće je utjecati na poboljšanje kvalitete života, trenutnog stanja tjeskobe i smanjenje simptoma gastrontestinalnih bolesti (GERB i SIC).
Abstract (english)
The aim of this work was to assess the quality of life and intensity of gastrointestinal symptoms in patients with irritable bowel syndrome (IBS) and gastroesophageal reflux disease (GERD) before and after endoscopic procedures. 107 patients with gastrointestinal disorders were included in the prospective clinical cohort study, of which 52 were men and 55 were women. GERD was diagnosed in 55, and SIC in 52. The research was conducted in the period from February 2023. until May 2023. in polyclinics for internal medicine, gynaecology, obstetrics and psychiatry J&J MEDICI in Split. The effect of endoscopic procedures and the timeliness of establishing the diagnosis of GERD and SIC on the quality of life of patients and the level of anxiety symptoms of patients with gastrointestinal disorders was evaluated with the Gastrointestinal Symptom Rating Scale (GSRS), the Endler Multidimensional Anxiety Scale (The Endler Multidimensional Anxiety Scales/EMAS), Endler Multidimensional Anxiety Scale-Trait/EMAS-T, abbreviated EMAS-T and Clinical Outcomes in Routine Evaluation-Outcome Measure/CORE). The obtained results indicate that endoscopic procedures and timely diagnosis of gastrointestinal diseases (GERD and SIC) contribute to a statistically significant reduction of auto-emotional anxiety and cognitive concern in patients after endoscopic intervention (p<0.01). Patients with GERD show a higher intensity of gastrointestinal symptoms such as flatulence and increased flatulence compared to patients suffering from SIC 7 days after endoscopic intervention and diagnosis (p<0.05). Patients with GERD have a statistically significantly worse quality of life (satisfaction with life and physical symptoms). Anxiety levels before endoscopic intervention were significantly related to patients' quality of life, especially in aspects of life satisfaction, physical and social functioning (p<0.05, p<0.001). This research suggests that endoscopic procedures and timely diagnosis contribute to positive changes in the psychological state and reduction of gastrointestinal symptoms in patients. With a holistic approach to the patient, taking into account the patient's psychological state and somatic complaints, it is possible to influence the improvement of the quality of life, the current state of anxiety and the reduction of symptoms of gastrointestinal diseases (GERD and SIC).
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:176:061987
Study programmeTitle: Nursing (university/graduate)
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-10-03 14:27:59