Psychosocial conditions in patients with vesicovaginal fistula at a referral hospital in Surabaya, Indonesia
Abstract
Background: Vesicovaginal fistula is an abnormal opening between the bladder and vagina that causes persistent urinary incontinence. Management in this case tends to be difficult and has the potential for recurrence. This situation can cause problems not only physically, but psychologically.
Aim: This study aims to describe the psychosocial condition of vesicovaginal fistula patients at Dr. Soetomo Hospital in Surabaya, Indonesia.
Method: This research is a cross sectional study with descriptive analysis. The data used was drawn from the medical record data at Dr. Soetomo Hospital in 2017. The Psychosocial Condition is Measured by Measuring Depression Using the Beck Depression Index (BDI). Patients were interviewed by telephone.
Results: 14 out of 20 patients were successfully interviewed. Nearly half of the respondents experienced depression. Only 2 patients did not undergo surgery. Nearly half of the respondents were referral patients. Two patients who had moderate depression. Most of the causes of the fistulas experienced were gynaecological operations. The most common complaints were sleep disturbances, weight loss, decreased appetite, and decreased interest in sexual activity.
Conclusion: Patients with vesicovaginal fistulas may be depressed. Prevention of fistulas should be prioritized for healthy women. Besides that, prevention of recurrent fistulas can also help the patient's psychological situation. Health workers need to conduct health education, especially related to improving women's lifestyle, education, and nutrition, as well as improving surgical skills to avoid fistula causes.
Keywords: psychosocial conditions, depression, vesicovaginal fistula, hospital
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