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The impact of chronic venous disease (CVD) on quality of life
Magdalena Nowak, Magdalena Majkowska, Sławomir Poletajew, Maciej Wleklik
Supervisor: Grazyna Łaska MD

Students’ Scientific Society of General and Vascular Surgery, Miedzylesie Specialist Hospital in Warsaw
Head of department: Waldemar Kostewicz MD PhD, Ass. Prof.


Chronic venous disease (CVD) is a highly prevalent condition that affects millions of people worldwide and incurs high costs of treatment. Taking quality of life (QOL) as an important outcome in clinical care we decided to ask patients with CVD about influence of the disease on various aspects of their lives.

Aim
The purpose of the study was to examine the impact of chronic venous disease on quality of life in patients hospitalized in the Department of General and Vascular Surgery, Miedzylesie Specialist Hospital in Warsaw from June 2007 to February 2008.

Material and methods
A well-defined population of 37 patients completed the self-administered Short-Form 36 (SF-36), Hospital Anxiety and Depression Scale (HADS) questionnaires and 25 questions relating to the symptoms and concerns of patients with chronic venous disease (CVD).

Results
37 patients (100%) answered all three questionnaires. The sample consisted of 8 men (21,6%) and 29 women (78,4%). The mean age was 53,4 years, with a range from 25 to 74 years.
In SF-36 subscales patients had achieved on average 67,3 pts (SD 20,1), what is 67,3% of the possible score in ‘physical functioning’ scale, 53,5 pts (SD 37,8), what is 53,5% of the possible score in ‘role limitation due to physical health’ scale, 63,9 pts (SD 38,8), what is 63,9% of the possible score in ‘role limitation due to emotional problems’ scale, 52,6 pts (SD 19,1), what is 52,6% of the possible score in ‘energy/fatigue’ scale, 62,6 pts (SD 16), what is 62,6% of the possible score in ‘emotional well-being’ scale, 67,4 pts (SD 18,6), what is 67,4% of the possible score in ‘social functioning’ scale, 57,2 pts (SD 25,6), what is 57,2% of the possible score in ‘pain’ scale and 52,4 pts (SD 19,4), what is 52,4% of the possible score in ‘general health’ scale.
The HADS questionnaire shows that in the depression subscale (HADS-D) 29,7% of patients have subtle disturbances connected with mood, none of them have moderate or serious mood disturbances. With the anxiety subscale (HADS-A) 5,4% of them have serious anxiety disturbances, 21,6% – moderate anxiety disturbances and 27% – subtle anxiety disorders, just 46% have no signs of mood changes.
According to disease specific questions (5 rate scale ranging from ‘not important’ to ‘very important’), 67,6% patients have problem with pain and disfunction (mean 3,26 pts), 70,3% with cosmetic apperance (mean 3,2 pts), moreover 94,3% is worried because of their veins appearance, 88,6% feel anxiety about veins getting worse and 70,3% feel anxiety about ulcers developing. 68,8% notify limitation of daily activities and 59,5% - limitation in leisure activities, 62,2% connect those limitations with the appearance of their varices. 47,2% of patients’ varices give trouble at rest and 73% limit the choice of clothes.

Conclusions
In patients with CVD the disease affects physical, social and psychological aspects of their lives, ussualy in the negative way.
The trial should be continued to check how quality of life changes after varicose vein surgery.


PUBLIKACJA PRACY:
niebawem..

PREZENTACJA PRACY:
16th International Student Scientific Conference for Students and Young Doctors, Gdansk, 8-10 May 2008.