tibljТуберкулез и болезни легкихTuberculosis and Lung Diseases2075-12302542-1506Медицинские знания и технологии10.21292/2075-1230-2016-94-12-48-52tiblj-868Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESКАЧЕСТВО ЖИЗНИ ПАЦИЕНТОВ С ГРАНУЛЕМАТОЗНЫМ ПОРАЖЕНИЕМ ОРГАНОВ ДЫХАНИЯ ПРИ САРКОИДОЗЕ И ТУБЕРКУЛЕЗЕLIFE QUALITY OF PATIENTS WITH GRANULOMATOUS RESPIRATORY LESIONS SUFFERING FROM SARCOIDOSIS AND TUBERCULOSISЧерниковА. Ю.ChernikovA. Yu.

кандидат медицинских наук, врач-пульмонолог,

305511, Курская обл., Курский р-н, д. Щетинка

Health Committee of Kursk Region, Candidate of Medical Sciences, Pulmonologist,

Village of Schetinka, Kursky raion, Kursk Region, 305511

ale-cherny@yandex.ruЗемлянскихЛ. Г.ZemlyanskikhL. G.

кандидат медицинских наук, ассистент кафедры фтизиопульмонологии,

305041, г. Курск, ул. Карла Маркса, д. 3

Candidate of Medical Sciences, Assistant of Phthisiopulmonology Department,

3, Karla Marksa St., Kursk, 305041

lub-zem@mail.ruОБУЗ «Областной клинический противотуберкулезный диспансер» Комитета здравоохранения Курской областиРоссияRegional Clinical TB DispensaryRussian FederationГБОУ ВПО «Курский государственный медицинский университет» Минздрава РоссииРоссияKursk State Medical UniversityRussian Federation20160112201694124852Copyright © Черников А.Ю., Землянских Л.Г., 20162016Черников А.Ю., Землянских Л.Г.Chernikov A.Y., Zemlyanskikh L.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tibl-journal.com/jour/article/view/868

С целью исследования качества жизни 404 пациентов с саркоидозом и 404 пациентов с туберкулезом использовали опросники NAIF и SGRQ, для оценки адаптационных состояний организма - методику В. А. Копанева. Установлено, что больные саркоидозом характеризуются большим количеством адаптивных реакций организма из круга сбалансированной патологии и круга хронического стресса, чем больные туберкулезом, у которых чаще встречались реакции из круга нормального функционирования. Преобладание в обеих группах адаптивных реакций из круга острого стресса отражает глубину воздействия формирующихся гранулематозных процессов на организм пациента и нашло свое отражение в результатах исследования качества жизни, демонстрирующих выраженное снижение качества жизни как у больных саркоидозом, так и у больных туберкулезом. Однако экспресс-методика NAIF продемонстрировала снижение среднего интегрального показателя качества жизни у больных саркоидозом за счет социальной и сексуальной составляющих. Методика оценки качества жизни NAIF, улавливающая более тонкие показатели функционирования организма, при использовании в динамике позволяет оценить качество проведенных реабилитационных программ.

In order to investigate the life quality of 404 sarcoidosis patients and 404 tuberculosis patients questionnaires of NAIF и SGRQ were used, the technique of V.A. Kopanev was used to evaluate the adaptive state of the host. It was found out that sarcoidosis patients manifested bigger number of adaptive reactions of the host from balanced pathology circle and chronic stress circle compared to tuberculosis patients who demonstrated reactions from normal functioning circle. Prevalence of adaptive reactions from acute stress circle in both groups showed the depth of the effect of forming granulomatous lesions on the patient's host and it was reflected in the life quality studies demonstrating the obvious reduction in the life quality of both sarcoidosis and tuberculosis patients. However express method of NAIF demonstrated the reduction of average integral life quality indicator in sarcoidosis patients due to social and sexual components. Life quality assessment method of NAIF, reflecting finer rates of the host functioning allowed evaluating the quality of rehabilitation programmes when used for monitoring of changes.

саркоидозтуберкулезкачество жизниsarcoidosistuberculosislife qualityReferencesGuryleva M.E. et al. Life quality of tuberculosis patients at the sanatorium stage of treatment. Probl. Tub., 2005, no. 7, pp. 17-22. (In Russ.)Guryleva M.E. et al. Life quality of tuberculosis patients at the sanatorium stage of treatment. Probl. Tub., 2005, no. 7, pp. 17-22. (In Russ.)Guryleva M.E. Comparative studies of life quality of sarcoidosis patients with use of WHO LQ-100 questionnaire and Internet technology. Kazan. Med. Journal, 2004, no. 1, pp. 11-19. (In Russ.)Guryleva M.E. Comparative studies of life quality of sarcoidosis patients with use of WHO LQ-100 questionnaire and Internet technology. Kazan. Med. Journal, 2004, no. 1, pp. 11-19. (In Russ.)Kopanev V.A. Adaptive reactions and health of the man. Traditsionaya Meditsina. Vostok I Zapad, 2004, no. 4, pp. 39-46 (In Russ.)Kopanev V.A. Adaptive reactions and health of the man. Traditsionaya Meditsina. Vostok I Zapad, 2004, no. 4, pp. 39-46 (In Russ.)Pushkaryov А.L., Аrinchina N.G. Metodika otsenki kachestva zhizni bolnykh i invalidov. [Technique of life quality assessment in those ill and disable]. Minsk, BNIIETIN Publ., 2000, pp. 1-25.Pushkaryov А.L., Аrinchina N.G. Metodika otsenki kachestva zhizni bolnykh i invalidov. [Technique of life quality assessment in those ill and disable]. Minsk, BNIIETIN Publ., 2000, pp. 1-25.Pyanzova T.P. et al. Life quality of new pulmonary tuberculosis patients receiving anti-tuberculosis treatment at the in-patient stage of treatment. Tub. i Bolezni Legkikh, 2011, no. 5, pp. 130-131. (In Russ.)Pyanzova T.P. et al. Life quality of new pulmonary tuberculosis patients receiving anti-tuberculosis treatment at the in-patient stage of treatment. Tub. i Bolezni Legkikh, 2011, no. 5, pp. 130-131. (In Russ.)Sukhov V.M., Sukhova E.V. Some specifics of life quality for pulmonary tuberculosis patients. Probl. Tub., 2003, no. 4, pp. 29-30. (In Russ.)Sukhov V.M., Sukhova E.V. Some specifics of life quality for pulmonary tuberculosis patients. Probl. Tub., 2003, no. 4, pp. 29-30. (In Russ.)Sukhovskaya O.А., Ilkovich M.M., Ignatiev V.А. Assessment of life quality in case of respiratory diseases. Pulmonoloiya, 2003, no. 1, pp. 96-100. (In Russ.)Sukhovskaya O.А., Ilkovich M.M., Ignatiev V.А. Assessment of life quality in case of respiratory diseases. Pulmonoloiya, 2003, no. 1, pp. 96-100. (In Russ.)Chernikov А.Yu., Zemlyanskikh L.G. Health education for sarcoidosis patients as an element of medical rehabilitation. Med.-Sotsial. Ekspertiza i Reabilitatsiya, 2013, no. 4, pp. 44-46. (In Russ.)Chernikov А.Yu., Zemlyanskikh L.G. Health education for sarcoidosis patients as an element of medical rehabilitation. Med.-Sotsial. Ekspertiza i Reabilitatsiya, 2013, no. 4, pp. 44-46. (In Russ.)Chuchalin A.G. Life quality in those suffering from asthma and chronic obstructive lung disease. Moscow, Atmoshera Publ., 2004, pp. 23-256. (In Russ.)Chuchalin A.G. Life quality in those suffering from asthma and chronic obstructive lung disease. Moscow, Atmoshera Publ., 2004, pp. 23-256. (In Russ.)Chushkin M.I. et al. Life quality in those cured from pulmonary tuberculosis. Pulmonoloiya, 2010, no. 2, pp. 88-90. (In Russ.)Chushkin M.I. et al. Life quality in those cured from pulmonary tuberculosis. Pulmonoloiya, 2010, no. 2, pp. 88-90. (In Russ.)Shmelev E.I., Kuklina G.M. Life quality assessment in patients suffering from pulmonary tuberculosis. Probl. Tub., 2001, no. 8, pp. 34-37.Shmelev E.I., Kuklina G.M. Life quality assessment in patients suffering from pulmonary tuberculosis. Probl. Tub., 2001, no. 8, pp. 34-37.Boer S., Wilsher M.L. Validation of the Sarcoidosis Health Questionnaire in a non-US population. Respirology, 2012, vol. 17, no. 3, pp. 519-524.Boer S., Wilsher M.L. Validation of the Sarcoidosis Health Questionnaire in a non-US population. Respirology, 2012, vol. 17, no. 3, pp. 519-524.Cox C.E. et al. The Sarcoidosis Health Questionnaire: a new measure of health-related quality of life. Am. J. Respir. Crit. Care Med., 2003, vol. 168, no. 1, pp. 323-329.Cox C.E. et al. The Sarcoidosis Health Questionnaire: a new measure of health-related quality of life. Am. J. Respir. Crit. Care Med., 2003, vol. 168, no. 1, pp. 323-329.Erdman R.A., Duivenvoorden H.J., Verhage F. Cardiac rehabilitation: a 5-year follow-up study of mental functioning, work resumption, smoking habits and sports activities. Ned. Tijdschr Geneeskd., 1984, vol. 128, no. 18, pp. 846-851.Erdman R.A., Duivenvoorden H.J., Verhage F. Cardiac rehabilitation: a 5-year follow-up study of mental functioning, work resumption, smoking habits and sports activities. Ned. Tijdschr Geneeskd., 1984, vol. 128, no. 18, pp. 846-851.Guo N., Marra F., Marra C.A. Measuring health-related quality of life in tuberculosis: a systematic review. Health Qual. Life Outcomes, 2009, vol. 18, no. 7, pp. 14.Guo N., Marra F., Marra C.A. Measuring health-related quality of life in tuberculosis: a systematic review. Health Qual. Life Outcomes, 2009, vol. 18, no. 7, pp. 14.Judson M.A. Quality of life assessment in sarcoidosis. Clin. Chest Med., 2015, vol. 6, no. 4, pp. 739-750.Judson M.A. Quality of life assessment in sarcoidosis. Clin. Chest Med., 2015, vol. 6, no. 4, pp. 739-750.Korenromp I.H., Van de Laar M.A. Health-related quality of life in sarcoidosis. Curr. Opin. Pulm. Med., 2014, vol. 20, no. 5, pp. 503-507.Korenromp I.H., Van de Laar M.A. Health-related quality of life in sarcoidosis. Curr. Opin. Pulm. Med., 2014, vol. 20, no. 5, pp. 503-507.Mahler D.A., Jones P.W. Measurement of dyspnoea and quality of life in advanced lung disease. Clin. Chest Med., 1997, vol. 18, no. 3, pp. 457-469.Mahler D.A., Jones P.W. Measurement of dyspnoea and quality of life in advanced lung disease. Clin. Chest Med., 1997, vol. 18, no. 3, pp. 457-469.Marra C.A. et al. Factors influencing quality of life in patients with active tuberculosis. Health Qual. Life Outcomes, 2004, vol. 2, pp. 58.Marra C.A. et al. Factors influencing quality of life in patients with active tuberculosis. Health Qual. Life Outcomes, 2004, vol. 2, pp. 58.Marra C.A. et al. Health-related quality of life trajectories among adults with tuberculosis: differences between latent and active infection. Chest, 2008, vol. 133, no. 2, pp. 396-403.Marra C.A. et al. Health-related quality of life trajectories among adults with tuberculosis: differences between latent and active infection. Chest, 2008, vol. 133, no. 2, pp. 396-403.Pasipanodya J.G. et al. Using the St. George respiratory questionnaire to ascertain health quality in person with treated pulmonary tuberculosis. Chest, 2007, vol. 132, no. 5, pp. 1591-1598.Pasipanodya J.G. et al. Using the St. George respiratory questionnaire to ascertain health quality in person with treated pulmonary tuberculosis. Chest, 2007, vol. 132, no. 5, pp. 1591-1598.

The authors declare that there are no conflicts of interest present.