ASSESSMENT OF THE EFFICACY OF SURGICAL MANAGEMENT OF LOWER LIMB VARICOSITY FROM THE VIEWPOINT OF PATIENTS' QUALITY OF LIFE AS DEPENDENT ON THEIR PSYCHOLOGICAL STATUS

M.A. Intsertov
Department of Vascular Surgery, Regional Clinical Hospital,
Voronezh, Russia

Altogether 150 patients suffering from lower limb varicosity (LLV, classes 2-5 chronic venous insufficiency /GVL/ according to the CEAP) confirmed by Color Duplex Imaging were examined. The patients' age varied from 21 to 64 years (mean 38 years). There were 30 (20%) men and 120 (80%) women. The CIVIQ was used to assess quality of life (QL) of all patients. The individual typological properties of the personality were defined using the mental diagnostic test (MDT). Based on the physical, painful, social and psychological parameters a significant decrease was revealed in quality of life. The highest correlation was discovered between the appurtenance of the examined to a definite class of unidimensional typology (MDT) according to the "neurotism" factor (psychological asthenicity of the personality) and the positive relative postoperative dynamics of the painful factor of the QL (CIVIQ), of patients with LLV, clasees 2 and 3 CVI (CEAP): r=0.729492; p<0.01. For the social factor (CIVIQ) it is the level of the total activity (r=0.59194; p<0.05), for the physical and psychological factors it is the level of introversion (the degree of social contactness of the personality), (r=0.553448; r=0.536933 respectively, p<0.05). This is not common to patients with LLV, classes 4 and 5 CVI; (CEAP).

KEY WORDS: quality of life, lower limb varicosity, individual typological properties of personality.

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