Универзитет у Крагујевцу, Факултет медицинских наука
Abstract
Uvod: Cilj ove studije je istraživanje povezanosti simptoma depresivnosti i
anksioznosti kod pacijenata sa malignim bolestima u primarnoj zdravstvenoj zaštiti.
Metod: Prospektivna opservaciona studija je obuhvatila odrasle korisnike primarne
zdravstvene zaštite u Domu zdravlja Trstenik, Centralna Srbija, starosti 19 i više
godina, oba pola, sa dijagnozom onkološke bolesti. Kao instrument istraživanja za
procenu simptoma depresivnosti korišćen je upitnik PHQ-9 (The Patient Health
Questionnaire), izveden iz PRIME MD-and (The Primary Care Evaluation of Mental
Disorders), i Beck Anxiety Scale (BAI) za registrovanje prisustva određenih simptoma
anksioznosti.
Rezultati: Najveći procenat pacijenata imao je simptome blage (27,2%) ili umerene
depresije (22%), dok je 18% prijavilo simptome velike depresije. Svi ispitanici su
okarakterisani kao osobe sa teškom anksioznošću (skor 26-63). Nivo depresije i
anksioznosti je veći kod starijih ispitanika, u prisustvu hroničnih bolesti sa većim
ograničenjima i prisustvom poteškoća u obavljanju svakodnevnih aktivnosti, sa
izraženijim dejstvom bola na aktivnost, prisustvo stresa.
Zaključak: Briga o mentalnom zdravlju pacijenata obolelih od malignih bolesti mora
zauzimati značajan deo nacionalne zdravstvene politike svake zemlje.Background: The aim of this study is to research the association of cancer with the presence
of symptoms of depression and anxiety in primary health care patients.
Methods: The prospective observational study which included adult users of health care at the
Health Center Trstenik, Central Serbia, aged 19 and over, both sexes, with a diagnosis of
oncological disease. A research instrument to assess depressive symptoms is used PHQ-9 (The
Patient Health Questionnaire) questionnaire, derived from PRIME MD-and (The Primary Care
Evaluation of Mental Disorders), and the Beck Anxiety Scale (BAI) to register the presence of
certain anxiety symptoms.
Results: The largest percentage of patients had symptoms of mild (27.2%) or moderate
depression (22%), while 18% reported symptoms of major depression.All subjects were
characterized as persons with severe anxiety (score 26-63). The level of depression and anxiety
is higher in older subjects, in the presence of chronic diseases with greater limitations of activity
and the presence of difficulties in performing daily activities, with a more pronounced effect of
pain on activity, the presence of stress.
Conclusion: Caring for the mental health of cancer patients must occupy a significant part of
each country's national health policy
