Peculiarities of social, psychological and physiological adaptation of patients with urolithiasis

Introduction. Urolithiasis affects the young working population and due to frequent recurrences, accompanied by severe pain syndrome, leads to a feeling of discomfort, and reduces the quality of life of patients and their biological and social adaptive possibilities. Objective. To study the peculiarities of social, psychological and physiological adaptation of patients with urolithiasis in order to propose preventive measures. Materials and method. A retrospective epidemiological study was conducted of a representative sample of 443 patients with urolithiasis: a study group – 403 patients without recurrences and 40 with recurrences, and a control group – 203 patients without urolithiasis, at their discharge from the urologic in-patient departments of health care facilities of Ivano-Frankivsk region, Ukraine. Results. It was established that urolithiasis is accompanied by psychological isolation of patients, manifested in the feeling of loneliness (OR = 1.44; 95% CI = 1.03–2.02). The social and psychological patient’ adaptation decreases with the recurrence of urolithiasis, as evidenced by the growth of odds of disability due to disease (4.39; 2.23–8.65), sleep disorders (3.91; 1.62–9.40), dependence of medicines (2.97; 1.49–5.93), dissatisfaction with life (2.67; 1.20–5.94) and health (2.45; 1.27–4.76), reduction in social contacts (2.24; 1.09–4.57), and pain (2.09; 1.24–3.51). Тhe occurrence of urolithiasis leads to tension, unsatisfactory status and breakdown of physiological adaptation mechanisms (1.64; 1.01–2.68), significantly enhanced with progression of disease (2.39; 1.03–5.57). Conclusion. The occurrence, and especially recurrence, of urolithiasis is accompanied by progression of social and psychological as well as physiological disadaptation. This should be considered in developing individual rehabilitation programmes.