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1.
The presence of anxiety and depression in the adult population of family practice patients with chronic diseases
Zalika Klemenc-Ketiš, Janko Kersnik, Erika Tratnik, 2009, original scientific article

Abstract: Background: The prevalence of multimorbidity in family practice is rising and psychiatric comorbidity presents a risk factor for premature mortality. Objective: The aim of this study was to determine the prevalence of anxiety and depression in the adult population of family practice patients with chronic somatic diseases, aged between 18 and 64 years old. Methods: We performed a cross sectional study in 500 consecutive patients from twelve family practices. Zung's self-assessment inventories for anxiety and depression were used to determine the presence of psychiatric comorbidity. The main outcome measures were depression and anxiety scores in patients with various comorbidities. Results: The response rate was 90.4 %. 8.4 % of family practice visitors suffered from anxiety symptoms and 15.2 % from depressive symptoms. At least one chronic disease was present in 40.7 % of the patients. Significantly higher rates of depression and anxiety were found among patientswith chronic somatic disease (p=0.001, P<0.001, respectively; ?2 test)or chronic pain (p<0.001, p<0.001, respectively; ?2 test). Significantly more patients with rheumatic diseases had depression in comparison to those without them (p=0.018; ?2 test). Significantly more patients with migraine or rheumatic diseases had anxiety in comparison to those without them (p=0.010, p=0.030, respectively; ?2 test). Chronic pain was present in significantly more patients with a particular chronic disease in comparison to the patients without it (p<0.050; ?2 test). Conclusions: Family doctors should actively search and treat psychiatric comorbidity also in the population of patients with chronic somatic diseases, aged between 18 and 64 years old.
Found in: osebi
Keywords: družinske medicina, anksioznost, depresija, kronična bolezen, bolečina
Published: 15.10.2013; Views: 1853; Downloads: 24
URL Full text (0,00 KB)

2.
Analiza napotitev na ambulantno fizikalno terapijo v Naravno zdravilišče Topolšica
Zalika Klemenc-Ketiš, 2009, original scientific article

Abstract: Izhodišča: V Sloveniji lahko bolnika na ambulantno fizikalno terapijo napoti osebni zdravnik, pa tudi napotni, če ima za to pooblastilo. Dokument za napotitev je delovni nalog. Ambulantna fizioterapija se izvaja v zdravstvenih domovih, naravnih zdraviliščih in pri zasebnih izvajalcih. Z raziskavo smo želeli dobiti osnoven vpogled v napotitve na ambulantno fizikalno terapijo. Želeli smo določiti osnovno strukturo bolnikov, ki so bili napoteni, in zdravnikov, ki so bolnike napotili. Zanimale so nas tudi vrste diagnoz napotenih bolnikov in število ter vrsta predpisanih fizioterapevtskih postopkov. Metode: Raziskava je bila retrospektivna, za obdobje od februarja 2006 do novembra 2007. Pregledali smo 7525 delovnih nalogov, na osnovi katerihsmo sprejeli bolnike na ambulantno fizikalno terapijo v Naravno zdravilišče Topolšica. V nadaljnjo analizo smo vključili 6559 tistih, ki so bili napoteni iz območne enote Zavoda za zdravstveno zavarovanje Slovenije Ravne na Koroškem. Rezultati: Ambulantno fizikalno terapijo je opravljalo 2667moških in 3892 žensk. Povprečna starost vseh bolnikov je bila 51,7 leta (SD 12,6), povprečna starost moških 51,0 (SD 13,4) in žensk 52,2 leta (SD 12,0). Bolniki so bili napoteni s strani 89 različnih zdravnikov, od tega 38 moških (42,7 %). Zdravniki moškega spola so napotili 4429 bolnikov (67,5 %). 84 (94,4 %) zdravnikov je napotilo 6530 bolnikov (99,6%) s primarne ravni, 5 (5,6 %) zdravnikov pa je napotilo 29 bolnikov (0,4 %) s sekundarne ravni. Povprečno število postopkov fizikalne terapije na en delovni nalog je bilo 3,7(SD 1,1). Največ, 5023 bolnikov (76,6 %), je bilo napotenih zaradi kroničnih degenerativnih bolezni kostno-mišičnega sistema. 6559 bolnikom je bilo predpisanih 24524 postopkov fizikalne terapije. Od tega je bila 7286-kratpredpisana elektroterapija (29,7 %), 4069-krat suha ročna masaža (16,6 %) in 3828-krat kineziterapija (15,6 %). Zaključki: Raziskava daje osnoven vpogled v napotitve na ambulantno fizikalno terapijo. Za nadaljnjo analizo bodo potrebne raziskave z reprezentativnimi vzorci tako glede zdravnikov kot tudi bolnikov.
Found in: osebi
Keywords: primarna raven, fizioterapevtski postopki, diagnoza, napotitev
Published: 15.10.2013; Views: 1986; Downloads: 19
URL Full text (0,00 KB)

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