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Improve the quality of life of children with aneurogenic bladderтезисы доклада
- Авторы: Bogendaev T.L., Guseva N.B., Kosyreva M.A., Khlebutina N.S., Кorobov N.V.
- Сборник: International Children's Continence Society, 26-29 September 2018. Rome
- Тезисы
- Год издания: 2018
- Первая страница: 54
- Последняя страница: 54
- Аннотация: In children with a neurogenic bladder(NB), the quality of life (QoL) is reduced because of their dependence on the care of others and frequent relapses of pyelonephritis, which requires long-term treatment at home or in the hospital. This violates the QoL family. Improve QoL can be through the rehabilitation of the bladder. METHODS Rehabilitation of children with NB is developed on a stationary and outpatient basis. The clinic and QoL analysis was performed among 7-15-year-olds of both sexes. Group 1 spina bifida and NB - 30 people, group 2 OAB - 20. Comparison group - the children, who were on a prophylactic examination for pyeloectasia - 20 people. QoL was carried out in five sections: physical activity, level of independence, psychological possibilities, social life, access to medical and social assistance. RESULTS Two additional factors were identified by written questionnaire that reduce the QoL of the interviewed patients in groups 1 and 2: a small prediction of incontinence and forced disability of one parent associated with additional childcare. The maximum positive QoL was 7 points. At children of 1-st group initially QoL 2, 4 + 1,0. With the formation CIC, QoL increased to 4.4 + 1.0, and after rehabilitation and interruption of pyelonephritis - up to 5.2 ± 1.0. In group 2, QoL was initially higher: 4.3 + 1.0, but QoL also increased to 5.2 + 0.5 after a course of rehabilitation and interruption of exacerbations of pyelonephritis. Reducing the number of incontinence episodes in group 2 in the range from 4.4 + 0.5 to 1.6 + 0.5 per day helped to increase QoL to 6.4 + 0.5. CONCLUSION The formation of controlled urination and the completion of pyelonephritis can increase the level of QoL by 50% in both groups of patients regardless of the cause of bladder dysfunction.
- Добавил в систему: Коробов Николай Васильевич