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OBIM DIFUZNOG OŠTEĆENJA NEURONSKIH I NENEURONSKIH STRUKTURA U KORELACIJI SA KOGNITIVNOM DISFUNKCIJOM

PREDIKTORI POBOLJŠANJA KVALITETA ŽIVOTA ŠEST MESECI NAKON HIRURŠKE REVASKULARIZACIJE MIOKARDA

LASEROTERAPIJA BOLA KOD AKUTNOG CERVIKALNOG SINDROMA

LOŠE ŽIVOTNE NAVIKE -FAKTORI RIZIKA ZA NASTANAK OSTEOPOROZE

Clinical, diagnostic and therapeutic aspects of pulmonary embolism

PREDIKTORI POBOLJŠANJA KVALITETA ŽIVOTA ŠEST MESECI NAKON HIRURŠKE REVASKULARIZACIJE MIOKARDA

Vladan Peric ,
Vladan Peric
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S. Sovtic ,
S. Sovtic
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D. Peric ,
D. Peric
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D. Rasic ,
D. Rasic
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Z. Marcetic
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S. Milinic
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S. Pajovic
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G. Nikolic ,
G. Nikolic
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M. Borzanovic
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Published: 01.12.2013.

Volume 43, Issue 4 (2014)

pp. 7-12;

https://doi.org/10.5937/pramed1404007p

Abstract

Prediktori pobolјšanja kvaliteta života nakon hirurške revskularizacije miokarda su još uvek nepotpuno poznati. Cilj rada je bio da ispita prediktore poboljšanja kvaliteta života šest meseci nakon hirurške revaskularizacije miokarda. Ispitivali smo 208 uzastopnih pacijenata koji su podvrgnuti hirurškoj revaskularizaciji miokarda. Za ispitivanje kvaliteta života korišćen je upitnik Nottingham Health Profile Questionnaire prvi deo. Upitnik se sastoji od 38 pitanja koji su podeljeni u 6 odeljaka: fizička pokretljivost, socijalna izolacija, emocionalne reakcije, energija, bol i san. Upitnik je podeljen svim pacijentima pre i šest meseci nakon operacije. Prosečna starost ispitivanih pacijenata je bila 58,8 ± 8,2 godine, 82% su bili muškarci. Poređenje pre i postoperativnih skorova je pokazalo da se poboljšanje nalazi kod 53,76% bolesnika, pogoršanje kod 12,46%, normalan KŽ pre i posle operacije kod 26,70%, dok je KŽ nakon operacije bez promene kod 7,08% bolesnika. Nezavisni prediktori poboljšanja kod pacijenata nakon operacije su bili: odsustvo prethodnog infarkta miokarda u odeljku fizička pokretljivost (p=0,03; OR=0,59; CI 0,40-0,92), viša CCS klasa angine u odeljcima fizička pokretljivost (p=0,006; OR=2,34; CI 1,46-3,32), energija (p=0,02; OR=1,70; CI 1,29-2,64) i bol (p<0,001; OR=4,64; CI 2,27-7,31), muški pol u odeljku bol (p=0,03; OR=0,45; CI 0,26-0,62) i mlađe starosno doba u odeljku bol (p=0,01; OR=0,69; CI 0,41-0,85). Prediktori poboljšanja kvaliteta života šest meseci nakon hirurške revaskularizacije miokarda su viša CCS klasa angine, odsustvo prethodnog infarkta miokarda, muški pol i mlađe starosno doba.

Keywords

Quality of life,

coronary artery bypass surgery,

improvement

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