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2019, vol. 76, br. 7, str. 716-722
Prediktori kvaliteta života bolesnika sa hroničnom opstruktivnom bolesti pluća
aPrimary Health Center, Zemun, Belgrade
bUniverzitet u Kragujevcu, Fakultet medicinskih nauka + Klinički centar Kragujevac, Klinika za pulmologiju
cUniverzitet u Beogradu, Medicinski fakultet, GAK 'Narodni front'
dVojnomedicinska akademija, Institut za higijenu, Beograd
eVojnomedicinska akademija, Institut za higijenu, Beograd + Univerzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd

e-adresavasiljevicsladjana2@gmail.com
Sažetak
Uvod/Cilj. Hronična opstruktivna bolest pluća (HOBP) je progresivna i ireverzibilna bolest sa negativnim uticajem na kvalitet života obolelih. Cilj našeg ispitivanja bio je da odredi demografske i socijalne faktore obolelih koji su prediktori kvaliteta života. Metode. Bolesnici (n = 288) bili su podeljeni u tri grupe: I grupa - bolesnici u stadijumu 0 HOBP, u riziku; II grupa - bolesnici u stadijumu I i II HOBP; grupa III - bolesnici u stadijumu III i IV HOBP. Bolesnici su ispunjavali dva upitnika - jedan sa demografskim i socijalnim podacima, a drugi, validiranu srpsku verziju upitnika bolnice "Sveti Đorđe" o respiratornim teškoćama - St. George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease (SGRQ-C). Podaci su obradjeni pomoću Student t-testa, χ² testa, ANOVA testa, kao i univariatnom i multivariatnom metodom logističke regresije. Rezultati. U grupi I dominirali su muškarci, zaposleni, osrednjeg materijalnog stanja, bez porodične anamneze HOBP. U grupi II je bilo više žena, penzionera, osrednjih prihoda, bolovanja do pet godina, bez HOBP u porodici. Žene, nezaposleni, osrednjih prihoda, trajanja HOBP do pet godina, bez HOBP u porodici, dominirali su u III grupi. Prediktori za skor simptoma bili su stadijum bolesti i dužina bolovanja, dok su u skoru aktivnosti prediktori bili stadijum bolesti, pol, starost i finansijska situacija. Sve statistički značajne varijable u skoru uticaja u pre-analizama bile su značajne u univarijantnom regresionom modelu, a to su bili stadijum bolesti, starost, zaposlenje, finansijska situacija i dužina bolovanja. Isti prediktori objašnjavali su i ukupni skor u SGRQ. U multivarijantnom regresionom modelu, prediktori skora aktivnosti, skora uticaja i ukupnog skora bili su stadijum bolesti i finansijska situacija; samo stadijum bolesti učestvovao je u objašnjenju skora simptoma. Zaključak. Finansijska situacija je najbolji socijalni prediktor, a stadijum bolesti najbolji od bolesti zavisan prediktor kvaliteta života obolelih od HOPB.
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O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/VSP161223147V
objavljen u SCIndeksu: 29.07.2019.
metod recenzije: dvostruko anoniman
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