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THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS

Yıl 2020, Cilt: 21 Sayı: 1, 98 - 103, 20.03.2020
https://doi.org/10.18229/kocatepetip.571937

Öz

Acute
pancreatitis (AP) and acute recurrent pancreatitis (ARP) are the diseases that
affect the quality of life and level of anxiety in children. In the literature,
studies that measure the life quality or anxiety levels of children with pancreatitis
are very limited. The aim of this study was to compare pancreatitis cases with
a healthy control group in terms of life quality and anxiety levels.  A total of 40 patients with pancreatitis and
40 healthy volunteers were included in this study. Age, gender, quality of life
scale and social anxiety scores of the study group were recorded. In comparison
of mean and median values of the groups, independent t-test, ANOVA, Mann
Withney U and Kruskal-Wallis tests were used according to the normal
distribution suitability.   Pancreatitis and control groups were similar
in terms of age and sex (p> 0.05). Comparing the scores of social anxiety
scale, average score of control group was lower than the other two groups (p
<0.001). When the scores obtained from the quality of life scale were
compared, physical health (p <0.001), psychosocial health (p <0.001) and
average score (p <0.001) of control group were lower than the other two
groups. There was no significant difference between the scores of children with
AP and ARP. Children with pancreatitis had
lower quality of life and higher social anxiety scores. It is necessary to
increase the awareness of clinicians on this issue and to carry out further
studies in larger study groups. 

Kaynakça

  • 1. Lopez MJ. The changing incidence of acute pancreatitis in children: a single-institution perspective. J Pediatr. 2002;140:622-24.
  • 2. Werlin SL, Wilschanski M. Acute pancreatitis. In: Kliegman RM, ed. Nelsons Essentials of Pediatrics. 20th ed. Philadelphia, PA: Saunders/Elsevier; 2016:1913-14.
  • 3. Morinville CD, Lowe ME, Ahuja M, et al. Design and Implementation of INSPPIRE. J Pediatr Gastroenterol Nutr. 2014;59(3): 360- 64.
  • 4. M.Yeo S. Kirkham Paediatrics And Child Health 2017; 27:12
  • 5. Kandula L, Lowe ME. Etiology and outcome of acute pancreatitis in infants and toddlers. J Pediatr. 2008;152:106-10.
  • 6. Pant C, Deshpande A, Olyaee M, et al. Epidemiology of acute pancreatitis in hospitalized children in the United States from 2000–2009. PLoS One. 2014; 9
  • 7. Morinville VD, Husain SZ, Bai H, et al. Definition of pediatric pancreatitis and survey of present clinical practices: report from INSPIRRE (International Study Group of Pediatric Pancreatitis: In Search for a Cure. J Pediatr Gastroenterol Nutr 2012; 55: 261e5
  • 8. Pohl JF, Limbers CA, Kay M, Harman A, Rollins M, Varni JW. Health-related Quality of Life in Pediatric Patients With Long-standing Pancreatitis. J Pediatr Gastroenterol Nutr. 2012 May;54(5):657–63.
  • 9. La Greca AM, Dandes SK, Wick P, Shaw K, Stone WL. Development of the Social Anxiety Scale for Children: Reliability and Concurrent Validity. J Clin Child Psychol. 1988;17(1):84–91.
  • 10. Greca A La, Stone W. Social anxiety scale for children-revised: Factor structure and concurrent validity. J Clin Child Psychol. 1993;(September 2014):37–41.
  • 11. Demir, T., Eralp-Demir, D., Türksoy, N., Özmen, E. ve Uysal, Ö. (2000). Çocuklar İçin Sosyal Anksiyete Ölçeğinin geçerlilik ve güvenilirliği,13(1),42-48
  • 12. Varni JW, Seid M, Rode CA. The PedsQL: measurementmodel for the pediatric quality of life inventory. Med Care. 1999; 37(2):126-39.
  • 13. Cakin Memik N, Ağaoğlu B, Coşkun A, Uneri OS, Karakaya I. The validity and reliability of the Turkish Pediatric Quality of Life Inventory for children 13-18 years old. Türk Psikiyatri Derg. 2007;18(4):353-63.
  • 14. Nojgaard C, Becker U, Matzen P, Andersen JR, Holst C, Bendtsen F. Progression from acute to chronic pancreatitis: prognostic factors, mortality, and natural course. Pancreas. 2011 Nov;40(8):1195–200.
  • 15. Wright SE, Lochan R, Imrie K, Baker C, Nesbitt ID, Kilner AJ, et al. Quality of life and functional outcome at 3, 6 and 12 months after acute necrotising pancreatitis. Intensive Care Med. 2009 Nov;35(11):1974–8.
  • 16. Fitzsimmons D, Kahl S, Butturini G, van Wyk M, Bornman P, Bassi C, et al. Symptoms and quality of life in chronic pancreatitis assessed by structured interview and the EORTC QLQ-C30 and QLQ-PAN26. Am J Gastroenterol. 2005 Apr;100(4):918–26
  • 17. Wehler M, Nichterlein R, Fischer B, Farnbacher M, Reulbach U, Hahn EG, et al. Factors associated with health-related quality of life in chronic pancreatitis. Am J Gastroenterol. 2004 Jan;99(1):138–46.
  • 18. Wehler M, Reulbach U, Nichterlein R, Lange K, Fischer B, Farnbacher M, et al. Health-related quality of life in chronic pancreatitis: a psychometric assessment. Scand J Gastroenterol. 2003 Oct;38(10):1083–9.
  • 19. Pezzilli R, Morselli Labate AM, Fantini L, Gullo L, Corinaldesi R. Quality of life and clinical indicators for chronic pancreatitis patients in a 2-year follow-up study. Pancreas. 2007 Mar;34(2):191–6.
  • 20. Pohl JF, Limbers CA, Kay M, Harman A, Rollins M, Varni JW. Health-related quality of life in pediatric patients with long-standing pancreatitis. J Pediatr Gastroenterol Nutr. 2012 May;54(5):657–63.
  • 21. Winstead NS, Wilcox CM. Health-related quality of life, somatization, and abuse in Sphincter of Oddi dysfunction. J Clin Gastroenterol. 2007 Sep;41(8):773–6.
  • 22. Van Loo ES, van Baal MCPM, Gooszen HG, Ploeg RJ, Nieuwenhuijs VB. Long-term quality of life after surgery for chronic pancreatitis. Br J Surg. 2010 Jul;97(7):1079–86.
  • 23. Chinnakotla S, Bellin MD, Schwarzenberg SJ, Radosevich DM, Cook M, Dunn TB, et al. Total pancreatectomy and islet autotransplantation in children for chronic pancreatitis: indication, surgical techniques, postoperative management, and long-term outcomes. Ann Surg. 2014 Jul;260(1):56–64.
  • 24. Bellin MD, Kerdsirichairat T, Beilman GJ, Dunn TB, Chinnakotla S, Pruett TL, et al. Total Pancreatectomy With Islet Autotransplantation Improves Quality of Life in Patients With Refractory Recurrent Acute Pancreatitis. Clin Gastroenterol Hepatol. 2016;14(9):1317–23.
  • 25. Panara AJ, Barkin JA, Barkin JS. Total Pancreatectomy With Islet Autotransplantation Improves Quality of Life in Patients With Refractory Recurrent Acute Pancreatitis. Clin Gastroenterol Hepatol. 2017 Feb;15(2):321.
  • 26. Bellin MD, Freeman ML, Schwarzenberg SJ, Dunn TB, Beilman GJ, Vickers SM, et al. Quality of life improves for pediatric patients after total pancreatectomy and islet autotransplant for chronic pancreatitis. Clin Gastroenterol Hepatol. 2011 Sep;9(9):793–9.
  • 27. Gupta R, Rajani R, Primrose JN, Johnson CD. Body composition, physiological function and psychological changes in patients with predicted severe acute pancreatitis. Pancreatology. 2001;1(1):58–62

PANKREATİTLİ ÇOCUKLARDA YAŞAM KALİTESİ VE SOSYAL ANKSİYETE DÜZEYLERİ

Yıl 2020, Cilt: 21 Sayı: 1, 98 - 103, 20.03.2020
https://doi.org/10.18229/kocatepetip.571937

Öz

Akut pankreatit ve akut tekrarlayan pankreatit,
çocuklarda yaşam kalitesini bozan ve anksiyete düzeyini etkileyen
hastalıklardan biridir. Uzun ağrılı epizodlar gibi semptomatik süreçlerin
özellikle çocukluk yaş grupta günlük aktiviteleri kısıtlayıp yaşam kalitesinde
bir düşüşe sebep olması olasıdır. Literatürde akut pankreatit ve akut tekrarlayan
pankreatitli hastalarda yaşam kalitesi veya anksiyete düzeylerinin ölçüldüğü
çalışmalar oldukça kısıtlıdır. Çalışmada
akut pankreatit ve akut
tekrarlayan pankreatit tanılı hastalarda yaşam kalitesi ve anksiyete
düzeylerinin sağlıklı kontrol grubundaki çocuklarla karşılaştırılması
amaçlandı. Bu çalışmaya Afyonkarahisar
Sağlık Bilimleri Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları
kliniklerinde takip edilen, 8-18 yaş arası, akut pankreatitli 20 hasta ve akut
tekrarlayan pankreatitli 20 hasta ve 40 sağlıklı gönüllü çocuk alınmıştır.
Çalışma grubunun yaş, cinsiyet, çocuklar için yaşam kalitesi ölçeği ve Sosyal
Anksiyete Ölçeği skorları kaydedildi. Akut pankreatit grubu, akut tekrarlayan
pankreatit grubu ve kontrol grubu yaş ve cinsiyet açısından benzer bulundu
(p>0.05). Sosyal Anksiyete Ölçeğinden aldıkları puanlar karşılaştırıldığında
kontrol grubunun toplam puan ortalamasının diğer iki gruptan daha düşük olduğu
bulundu (p<0.001).Çocuklarda Yaşam Kalitesi Ölçeğinden aldıkları puanlar karşılaştırıldığında
kontrol grubunun fiziksel sağlık (p<0.001), psikososyal sağlık (p<0.001)
ve toplam puan ortalamalarının (p<0.001) diğer iki gruptan daha düşük olduğu
bulundu. Akut pankreatit ve akut tekrarlayan pankreatitli çocukların
ölçeklerden aldıkları puanlar arasında anlamlı bir fark bulunamadı.  Akut
pankreatit ve akut tekrarlayan pankreatitli çocukların yaşam kalitelerinin daha
düşük olduğu ve sosyal anksiyete skorlarının daha yüksek olduğu tespit edildi.
Literatür incelendiğinde alanda yapılan çalışmaların çok yetersiz olduğu
gözlendi. Çocukluk yaş grubunda kronik pankreatit vakalarında yaşam kalitesinin
sağlıklı gruplara göre daha düşük olduğu kaydedilmiştir. Akut pankreatit veya
akut tekrarlayan pankreatitli çocuklarında yaşam kalitelerinin düşük olması bu
grupların uygun şekilde izlenmesi, tedavi edilmesive çocukların psikolojik
durumlarının üzerinde durulması gerekliliğini göstermektedir. Klinisyenlerin bu
konuda farkındalığının arttırılması ve daha geniş çalışma gruplarında daha
ileri çalışmalar yapılması gerekmektedir. 

Kaynakça

  • 1. Lopez MJ. The changing incidence of acute pancreatitis in children: a single-institution perspective. J Pediatr. 2002;140:622-24.
  • 2. Werlin SL, Wilschanski M. Acute pancreatitis. In: Kliegman RM, ed. Nelsons Essentials of Pediatrics. 20th ed. Philadelphia, PA: Saunders/Elsevier; 2016:1913-14.
  • 3. Morinville CD, Lowe ME, Ahuja M, et al. Design and Implementation of INSPPIRE. J Pediatr Gastroenterol Nutr. 2014;59(3): 360- 64.
  • 4. M.Yeo S. Kirkham Paediatrics And Child Health 2017; 27:12
  • 5. Kandula L, Lowe ME. Etiology and outcome of acute pancreatitis in infants and toddlers. J Pediatr. 2008;152:106-10.
  • 6. Pant C, Deshpande A, Olyaee M, et al. Epidemiology of acute pancreatitis in hospitalized children in the United States from 2000–2009. PLoS One. 2014; 9
  • 7. Morinville VD, Husain SZ, Bai H, et al. Definition of pediatric pancreatitis and survey of present clinical practices: report from INSPIRRE (International Study Group of Pediatric Pancreatitis: In Search for a Cure. J Pediatr Gastroenterol Nutr 2012; 55: 261e5
  • 8. Pohl JF, Limbers CA, Kay M, Harman A, Rollins M, Varni JW. Health-related Quality of Life in Pediatric Patients With Long-standing Pancreatitis. J Pediatr Gastroenterol Nutr. 2012 May;54(5):657–63.
  • 9. La Greca AM, Dandes SK, Wick P, Shaw K, Stone WL. Development of the Social Anxiety Scale for Children: Reliability and Concurrent Validity. J Clin Child Psychol. 1988;17(1):84–91.
  • 10. Greca A La, Stone W. Social anxiety scale for children-revised: Factor structure and concurrent validity. J Clin Child Psychol. 1993;(September 2014):37–41.
  • 11. Demir, T., Eralp-Demir, D., Türksoy, N., Özmen, E. ve Uysal, Ö. (2000). Çocuklar İçin Sosyal Anksiyete Ölçeğinin geçerlilik ve güvenilirliği,13(1),42-48
  • 12. Varni JW, Seid M, Rode CA. The PedsQL: measurementmodel for the pediatric quality of life inventory. Med Care. 1999; 37(2):126-39.
  • 13. Cakin Memik N, Ağaoğlu B, Coşkun A, Uneri OS, Karakaya I. The validity and reliability of the Turkish Pediatric Quality of Life Inventory for children 13-18 years old. Türk Psikiyatri Derg. 2007;18(4):353-63.
  • 14. Nojgaard C, Becker U, Matzen P, Andersen JR, Holst C, Bendtsen F. Progression from acute to chronic pancreatitis: prognostic factors, mortality, and natural course. Pancreas. 2011 Nov;40(8):1195–200.
  • 15. Wright SE, Lochan R, Imrie K, Baker C, Nesbitt ID, Kilner AJ, et al. Quality of life and functional outcome at 3, 6 and 12 months after acute necrotising pancreatitis. Intensive Care Med. 2009 Nov;35(11):1974–8.
  • 16. Fitzsimmons D, Kahl S, Butturini G, van Wyk M, Bornman P, Bassi C, et al. Symptoms and quality of life in chronic pancreatitis assessed by structured interview and the EORTC QLQ-C30 and QLQ-PAN26. Am J Gastroenterol. 2005 Apr;100(4):918–26
  • 17. Wehler M, Nichterlein R, Fischer B, Farnbacher M, Reulbach U, Hahn EG, et al. Factors associated with health-related quality of life in chronic pancreatitis. Am J Gastroenterol. 2004 Jan;99(1):138–46.
  • 18. Wehler M, Reulbach U, Nichterlein R, Lange K, Fischer B, Farnbacher M, et al. Health-related quality of life in chronic pancreatitis: a psychometric assessment. Scand J Gastroenterol. 2003 Oct;38(10):1083–9.
  • 19. Pezzilli R, Morselli Labate AM, Fantini L, Gullo L, Corinaldesi R. Quality of life and clinical indicators for chronic pancreatitis patients in a 2-year follow-up study. Pancreas. 2007 Mar;34(2):191–6.
  • 20. Pohl JF, Limbers CA, Kay M, Harman A, Rollins M, Varni JW. Health-related quality of life in pediatric patients with long-standing pancreatitis. J Pediatr Gastroenterol Nutr. 2012 May;54(5):657–63.
  • 21. Winstead NS, Wilcox CM. Health-related quality of life, somatization, and abuse in Sphincter of Oddi dysfunction. J Clin Gastroenterol. 2007 Sep;41(8):773–6.
  • 22. Van Loo ES, van Baal MCPM, Gooszen HG, Ploeg RJ, Nieuwenhuijs VB. Long-term quality of life after surgery for chronic pancreatitis. Br J Surg. 2010 Jul;97(7):1079–86.
  • 23. Chinnakotla S, Bellin MD, Schwarzenberg SJ, Radosevich DM, Cook M, Dunn TB, et al. Total pancreatectomy and islet autotransplantation in children for chronic pancreatitis: indication, surgical techniques, postoperative management, and long-term outcomes. Ann Surg. 2014 Jul;260(1):56–64.
  • 24. Bellin MD, Kerdsirichairat T, Beilman GJ, Dunn TB, Chinnakotla S, Pruett TL, et al. Total Pancreatectomy With Islet Autotransplantation Improves Quality of Life in Patients With Refractory Recurrent Acute Pancreatitis. Clin Gastroenterol Hepatol. 2016;14(9):1317–23.
  • 25. Panara AJ, Barkin JA, Barkin JS. Total Pancreatectomy With Islet Autotransplantation Improves Quality of Life in Patients With Refractory Recurrent Acute Pancreatitis. Clin Gastroenterol Hepatol. 2017 Feb;15(2):321.
  • 26. Bellin MD, Freeman ML, Schwarzenberg SJ, Dunn TB, Beilman GJ, Vickers SM, et al. Quality of life improves for pediatric patients after total pancreatectomy and islet autotransplant for chronic pancreatitis. Clin Gastroenterol Hepatol. 2011 Sep;9(9):793–9.
  • 27. Gupta R, Rajani R, Primrose JN, Johnson CD. Body composition, physiological function and psychological changes in patients with predicted severe acute pancreatitis. Pancreatology. 2001;1(1):58–62
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Makaleler-Araştırma Yazıları
Yazarlar

Volkan Balat Bu kişi benim 0000-0002-5727-6038

Ayşegül Bükülmez 0000-0002-6013-5172

Ayşe Tolunay Oflu 0000-0002-5389-2220

Yayımlanma Tarihi 20 Mart 2020
Kabul Tarihi 13 Eylül 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 21 Sayı: 1

Kaynak Göster

APA Balat, V., Bükülmez, A., & Tolunay Oflu, A. (2020). THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS. Kocatepe Tıp Dergisi, 21(1), 98-103. https://doi.org/10.18229/kocatepetip.571937
AMA Balat V, Bükülmez A, Tolunay Oflu A. THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS. KTD. Mart 2020;21(1):98-103. doi:10.18229/kocatepetip.571937
Chicago Balat, Volkan, Ayşegül Bükülmez, ve Ayşe Tolunay Oflu. “THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS”. Kocatepe Tıp Dergisi 21, sy. 1 (Mart 2020): 98-103. https://doi.org/10.18229/kocatepetip.571937.
EndNote Balat V, Bükülmez A, Tolunay Oflu A (01 Mart 2020) THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS. Kocatepe Tıp Dergisi 21 1 98–103.
IEEE V. Balat, A. Bükülmez, ve A. Tolunay Oflu, “THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS”, KTD, c. 21, sy. 1, ss. 98–103, 2020, doi: 10.18229/kocatepetip.571937.
ISNAD Balat, Volkan vd. “THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS”. Kocatepe Tıp Dergisi 21/1 (Mart 2020), 98-103. https://doi.org/10.18229/kocatepetip.571937.
JAMA Balat V, Bükülmez A, Tolunay Oflu A. THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS. KTD. 2020;21:98–103.
MLA Balat, Volkan vd. “THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS”. Kocatepe Tıp Dergisi, c. 21, sy. 1, 2020, ss. 98-103, doi:10.18229/kocatepetip.571937.
Vancouver Balat V, Bükülmez A, Tolunay Oflu A. THE QUALITY OF LIFE AND SOCIAL ANXIETY LEVELS OF CHILDREN WITH PANCREATITIS. KTD. 2020;21(1):98-103.

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