The influence of risk factors in patients with ulcer disease on the duration and multiplicity of the treatment in residents of Vinnytsia region
DOI:
https://doi.org/10.15587/2519-4798.2018.127559Keywords:
gastric ulcer and duodenal ulcer, risk factors, duration and multiplicity of treatmentAbstract
The aim of the study is to reveal the influence of the risk factors in patients with gastric and duodenal peptic ulcer on duration and multiplicity of the treatment in residents of Vinnytsia region.
Methods. As the materials for research we used reporting forms from Vinnitsia state medical institutions: inpatient cards 003/0, outpatient cards 025/0 ( total n=700 with duodenal and gastric ulcer), cards of patients who left the hospital, questionnaires. In order to calculate the dependence between the risk factors and duration and multiplicity of treatment thereof we used the criteria of score valuation of the Charlson index, which accumulates the comorbidity of diseases.
Result. The results of quantitative evaluation of the factors scoring suggest of the underlying H.pylori infection (the significance of which is growing along with the growth of the disease incidence) and comorbidity as the most important ones. There is a linear dependence between the risk factors and the necessity for specialized care, which was manifested in the duration and multiplicity of treatment.
Conclusions. We have established the direct dependence between the most important peptic ulcer risk factors, severity of the disease, and duration and periodicity of treatment thereof during the year in the day gastroenterological hospital. We revealed the necessity for formation of risk groups among the population, each of which requires a systematic approach to studying the general condition, taking into account existing illnesses, their negative interactions. The best method of improving the medical care organization is active-constructive prophylaxis
References
- Koh, H. K. (2010). A 2020 Vision for Healthy People. New England Journal of Medicine, 362 (18), 1653–1656. doi: 10.1177/1090198111428646
- Walker, A. E. (2007). Many chronic diseases and quality of life: Models that come from a large national sample. Australia, 31.
- Shafranskii, V. V. (Ed.) (2016). Annual report on the health status of the population, the sanitary and epidemiological situation and the results of the health care system of Ukraine. 2015 year. Kyiv, 452.
- Lukicheva, T. A., Fokin, М. V. (2012). Investigation of the state of health of the population in the methodology of risk assessment. Hygiene and sanitation, 5, 103–105.
- Мytnyk, Z. М. (Ed.) (2010). Health of the population and activity of the Ukrainian health care system: realities, problems and solutions. Kyiv, 107.
- Dzvonkovska, T. T., Neiko, V. Е. (2007). A Differential Approach to the Treatment of Patients with Acid-Dependent Diseases Associated With Various Helicobacter Pylori Strains. Archive of clinical medicine, 2, 73–74.
- Moskalenko, V. F. (2013). Risk factors for health are an important and effective resource on the way of improving the health of the population, increasing the life expectancy of people. Medical perspectives, 2, 102–108.
- Annual report on the health status of the population, the sanitary and epidemiological situation and the results of the health care system of Ukraine. 2016 year (2017). Kyiv, 516.
- State Statistics Committee of Ukraine Statistical Yearbook of Ukraine, 2016 (2016). Kyiv.
- Lazorishin, V. V. et. al. (2014). Health care in Ukraine: state, problems, perspectives. Kyiv, 608.
- Tutchenko, M. I., Yaroshchuk, D. V., Vasilchuk, O. V., Markulan, L. Y. (2014). Risk Factors for Relapse of Pulmonary Disease after Palliative Open and Laparoscopic Interventions Concerning Perforated Duodenal ulcer. Khirurhiya Ukrainy, 1, 15–22.
- Rosenstock, S. (2003). Risk factors for peptic ulcer disease: a population based prospective cohort study comprising 2416 Danish adults. Gut, 52 (2), 186–193. doi: 10.1136/gut.52.2.186
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 Nataliia Kizlova, Olena Komar, Oleksandra Trylevych
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.