Quality of life and indicators of social adaptation in patients with congenital hydronephrosis

Abstract

Purpose of the study : to study the quality of life, motivational orientation and frustration reactions in patients with congenital hydronephrosis. Quality of life is understood as an integral indicator of living space, personal, subject, professional potential, human health. Materials and methods . The study involved 30 patients aged 13–24 years old who underwent plastic repair of the Priyolan’s segment according to the Heines – Anderson – Kuchera. To study the quality of life, two types of criteria were used: psychodiagnostic (SF-36 questionnaire, assessment of the severity of success motivation S. Shapkin, Rosenzweig test of frustration) and medical (intravenous infusion urography, ultrasound of the urinary system (MFR), computed tomography, radioisotope methods). Results . The data obtained suggests that pronounced pain syndrome significantly reduces the quality of life of patients with congenital hydronephrosis, also reduces the overall indicator of positive emotions, the mood is characterized as anxious and depressive. Conclusion . Anomalies of the urinary system lead to a pronounced violation of the patient's quality of life and his social adaptation. As a result of the study, it was revealed that the pronounced pain syndrome reduces the quality of life of patients, and health limits the exercise of physical activity, daily and professional activities. Also reduced overall positive emotions. In 50% of patients, the motivational orientation is not balanced in terms of avoiding failures and achieving success. A high frequency of extrapunitive frustration reactions was found. All these factors greatly impede the social adaptation of the patient.