Recovery Expectations and Quality of Life after Revascularization Treatments
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 11
Abstract
Aims: Despite the recognized effectiveness of revascularization treatments in patients with peripheral arterial disease (PAD), a significant number of patients continue to bear a compromised health related quality of life (HRQoL). The aim of this study was to investigate the role of patients’ recovery expectations in perceived health outcomes after lower-extremity revascularization. Study Design: Single-center prospective observational study, conducted in the Division of Vascular Surgery – S. Bortolo Hospital, Vicenza - between February 2011 and June 2012. Methodology: 60 consecutive patients, 26 with critical limb ischemia (CLI) and 34 with intermittent claudication (IC), undergoing open surgery (n = 38) or endovascular interventions (n= 22) were enrolled. Measurement of HRQoL (SF-36 and VascuQoL), mood states (HADS), pain (NRS) and functional status (Pain Disability Index, PDI)were administered before treatment (T1) and at 3-month follow-up (T2). Results: ANOVA showed a significant improvement (P < .001) from T1 to T2 in almost all the domains of VascuQoL and in ‘Bodily pain’ scale of SF-36. Positive changes in T2 were also identified in 11-point NRS pain intensity (P < .01) but not in mean scores of anxiety and depression. Recovery disappointment (negative differences between perceived and expected outcomes) in ‘Occupation’ and ‘Recreation’ scales of PDI were correlated (Pearson r coefficient) with lower improvement in HRQoL indices and higher scores of anxiety and depression. Conclusion: our findings evidence the role of expectations on perceived health outcomes after treatment in patients with PAD and underline the utility to help patients to develop realistic expectations.
Authors and Affiliations
Renata Ferrari, Giulio Vidotto, Teresa Ferraro, Federico Tosato, Domenico Milite
Keywords
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- EP ID EP347158
- DOI 10.9734/BJMMR/2015/14264
- Views 78
- Downloads 0
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