Assessment of the quality of life of persons with traumatic damage to the peripheral nerves of the upper limb

Olena Bismak

Authors

Olena Bismak

Keywords:

quality of life, neuropathy, trauma, upper limb, questionnaire, MOS SF-36

Abstract

Purpose: to assess the quality of life of people with traumatic injuries of the peripheral nerves of the upper limb during surgical treatment.

Material & Methods: analysis of scientific and methodological literature; questionnaires, methods of mathematical and statistical data processing. To assess the quality of life, we used the “Brief Health Status Assessment Questionnaire” (MOS SF-36) and “Methodology for assessing the quality of life of a patient” by D. M. Aronov, 2002. SF-36 consists of 36 questions grouped into 8 scales: physical functioning, role-playing activities, bodily pain, general health, vital functions, social functioning, emotional state and mental health. The methodology for assessing the quality of life of a patient according to D. M. Aronov (2002) consists of 17 questions. The technique allows you to evaluate how much the patient considers his life to be full and with what he associates changes in the quality of life. The study was conducted on the basis of SI "Institute of Neurosurgery named after acad. A. P. Romodanova, National Academy of Medical Sciences of Ukraine", Department of Reconstructive Neurosurgery. The examination involved 27 patients with traumatic injuries of the peripheral nerves of the upper limb. All patients underwent surgical treatment.

Results: an assessment was made of the physical and psychological health of individuals with traumatic neuropathies of the upper limb according to SF-36. It was revealed that patients with this pathology by the physical health component scored an average of 28 to 71 points. The mental health indicators of these patients did not differ significantly from physical health (30–67 points). In general, among patients, an average level of quality of life was observed – in 74.1% of cases. A low level of quality of life was found in 4 patients (14.8%), a high level in 3 (11.1%). After assessing the quality of life of patients with traumatic neuropathies of the upper limb using the “Methods for assessing the quality of life of a patient” by D. M. Aronov (2002), we found the following: the main reason for the decline in the quality of life of 88.9% of patients was the need to perform surgery on the affected upper limbs, prolonged treatment and the need for rehabilitation courses.

Conclusions: a decrease in the quality of life in patients with traumatic neuropathies of the upper limb is due to the need to be treated, a decrease in activity in everyday life, restrictions on leisure and work, a change in the attitude of friends, friends and colleagues, and a decrease in wages.

References

Aronov, D.M. & Zaitsev, V.P. (2002), "Methods of assessing the quality of life of patients with cardiovascular diseases", Kardiologiya, No 5, pp. 92-95. (in Russ.)

Afanasyeva, E.V. (2010), "Health-related Quality of Life Assessment”, Kachestvennaya klinicheskaya praktika, No. 1, pp. 36-38. (in Russ.)

Goldblat, Yu.V. (2015), Mediko-sotsialnaya reabilitatsiya v nevrologii [Medical and social rehabilitation in neurology]. St. Petersburg. (in Russ.)

Malkova, A.A., Osetrov, A.S., Shaidurov, K.A. & Shtennes, R.A. (2017), "Quality of Life for Neurological Patients", Sinergiya nauk, No. 11, pp. 704-708, available at: http://synergy-journal.ru/archive/article0529. (in Russ.)

Morozova, P.N. (2011), "A comparative assessment of the quality of life and the contribution of pain using questionnaires sf-12 and Methodology for assessing the quality of life of a patient", Gigiena truda, No. 11 (260), pp. 32-34. (in Russ.)

Novik, A.A. & Ionova, T.I. (2002), Rukovodstvo po issledovaniyu kachestva zhizni v meditsine [Guidelines for the study of the quality of life in medicine], St. Petersburg, Moscow. (in Russ.)

Pysin, V.G. (2002), Nevrologicheskaya zabolevaemost, obraz i kachestvo zhizni nevrologicheskikh patsientov: avtoref. diss. k. med. nauk. [Neurological morbidity, lifestyle and quality of life of neurological patients: PhD thesis abstract], Smolensk, 22 p. (in Russ.)

Tatarchuk, M.M. (2015), Povtorni dyferentsiiovani khirurhichni vtruchannia u khvorykh z travmoiu peryferychnykh nerviv verkhnikh kintsivok: avtoref. dys. na zdobuttia kand. med. n. [Repeated differentiated surgical interventions in patients with trauma to the peripheral nerves of the upper extremities: PhD thesis abstract], Kyiv, 22 p. (in Ukr.)

Yagensky, A.V. & Sichkaruk, I.M. (2007), "Assessment of quality of life in modern medical practice", Vnutrenniaia medytsyna, No. 3(3). (in Ukr.)

Grider, T., Cuthbertson, D., Feely, Sh. & Shy, M. (2014), "Health-Related Quality Of Life By SF-36 in Patients with HNPP Compared To Those With CMT1A (P2.067)", Open Med, No. 29, p. 82.

Lins, L., Carvalho (2016), "FM SF-36 total score as a single

measure of health-related quality of life: Scoping review", Open Med., No. 4, doi: 10.1177/2050312116671725.

McHorney, C.A., Ware, J.E., Lu, J.F. & Sherbourne, C.D. (1994), "The MOS 36-Item Short-Form Health Survey (SF-36): III. tests of data quality, scaling assumptions and reliability across diverse patient groups", Med Care, No. 32(4), pp. 40-66.

Unalan, D., Soyuer, F., Ozturk, A. & Mistik, S. (2008), "Comparison of SF-36 and WHOQOL-100 in patients with stroke", Med Care, Vol. 56 (4), pp. 426-432.

Vukojevic, Z., Pekmezovic, T., Nikolic, A, et al. (2014), "Correlation of clinical and neurophysiological findings with health-related quality of life in patients with diabetic polyneuropathy", Vojnosanit Pregl, No. 71, pp. 833-838.

Ware, J.E. (1992), "The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection", Medical Care, No. 30(6), pp. 473-483.

Assessment of the quality of life of persons with traumatic damage to the peripheral nerves of the upper limb

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