QUALITY OF LIFE OF PATIENTS WITH THE LOWER EXTREMITIES VARICOSE VEINS
V. N. Nikolenko, I. A. Vinokurоv, S. N. Odinokova, G. V. Mnatsakanyan, R. Kh. Belkharoeva
Abstract
Relevance.The wide prevalence of the lower extremities varicose veins and the variety of methods for its surgical correction, necessitate a comparative assessment of the quality of life of patients after various methods of surgical treatment.
The aim is to assess the quality of life of patients with the lower extremities varicose veins, depending on the surgical treatment method.
Materials and methods. This study included 94 patients with the lower extremities varicose veins of stage C2 - C4 according to CEAP. 28 (30%) men and 66 (70%) women aged 23 to 78 years. Patients were divided into 3 groups depending on the type of surgical intervention: 30 people - phlebectomy, 34 people - Endovenous Laser Ablation, 30 people - Endovenous Radiofrequency Obliteration. To assess the quality of life, the CIVIQ2 questionnaire was used, translated into Russian, and adapted for patients.
Results and conclusions. Before surgery, 60% of patients experience the pain of varying intensity in the lower extremities in everyday life; 76% of patients report physical activity limitations; 26% report violations of the psychoemotional state against the background of varicose veins; 35% of patients experience social discomfort.
On the 1st day after phlebectomy, there is a deterioration in the quality of life indicators: physical activity and psychoemotional state. Pain is reduced, and social activity does not change.
The use of endovenous methods demonstrates the following dynamics in the quality of life of patients on the first day after treatment: an increase in pain indicators, physical activity, lack of dynamics in the psycho-emotional state, and an increase in the rate of restriction of social activity. In 3 month period, all methods to varying degrees demonstrate positive dynamics concerning improving the quality of life of patients.
Keywords: varicose disease, chronic venous insufficiency, quality of life assessment, phlebectomy, Endovenous Laser Ablation, Endovenous Radiofrequency Obliteration.