Psychosocial conditions in patients with vesicovaginal fistula at a referral hospital in Surabaya, Indonesia

Abstract

Background: Vesicovaginal fistula (VVF) 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 to experience recurrence. Aim: This study aims to describe the psychosocial condition of vesicovaginal fistula patients at Dr. Soetomo Hospital Surabaya Indonesia. Method: This research is a cross sectional study with descriptive analysis. The data used is the medical record data Dr. Soetomo in 2017. The Psychosocial Condition is Measured by Measuring Depression Using the Beck Depression Index (BDI). Patients interview by telephone. The Data Obtained were analysed descriptively. Results: 14 Patients out of 20 people were successfully interviewed. More than half of the respondents were aged 46-55 years. Most respondent had finished senior high school education. Most respondent were ethnic Javanese and did not work. Nearly half of the respondents experienced depression. Only 2 patients did not undergo surgery. Nearly half of the respondents were referral patients. There were 2 patients who had moderate depression. Most of the causes of fistulas experienced were gynaecological operations. Based on the results of the interviews, it was found that the most common complaints were sleep disturbances, weight loss, decreased appetite, and interest in sexual function. Conclusion: Doctors and health workers need to carry out management and prevention of depression in patients with vesicovaginal fistula in the hospital.

Keywords

• psychosocial conditions
• depression
• vesicovaginal fistula
• hospitals