How the patients’ psychologic status and compliance impact the long-term results after suturing perforated pyloroduodenal ulcers

Abstract

The most common surgical intervention for perforated pyloroduodenal ulcer is suturing of the perforation, fol-lowed by a post-op course of anti-ulcer therapy. Howev-er, a number of authors suggest unsatisfactory results of such treatment. Long-term results may be worsened by psychological maladaptation of patients and low compli-ance. The purpose of the study is to identify the impact of patients’ psychological adaptation and compliance on the further course of the disease. Materials and meth-ods. Evaluation of long-term results of perforated ulcers suturing was carried out according to the Visick score, Pantsyrev modification. To assess the patient’s compli-ance, we used Morisky-Green test, and to determine the patient’s perception of the disease, we used TOBOL test. Results. When assessing long-term results by Visick score, excellent and good results were detected in 65.6% of cases$ unsatisfactory results in 9.4% of cases. As a re-sult of the study, the relationship between the level of compliance and the long-term results of suturing was proved. Conclusion. Low compliance and inadequate attitude of patients to their disease leads to non-comp-liance with recommendations for taking anti-ulcer drugs and to deterioration of long-term results of perforated ulcers surturing