Pol. Merkur. Lek (Pol. Med. J.), 2014, XXIX/171: 157-161 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2014, XXIX/171: 157-161

Title: Influence of low-molecular-weight heparin on the life quality of patients after intravascular medical procedures in comparison to patients who were treated with oral anticoagulants

Authors: Szyca R., Zimmermann A., Leksowski K.

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Influence of low-molecular-weight heparin on the life quality of patients after intravascular medical procedures in comparison to patients who were treated with oral anticoagulants

Szyca R.1,2, Zimmermann A.3, Leksowski K.1,2

110th Military Clinical Hospital with Out-patients Clinic in Bydgoszcz, Poland, Department of General, Chest and Vascular Surgery with Burn Division; 2Medical University of Toruń, Collegium Medicum in Bydgoszcz, Poland, Chair of Public Health, Faculty of Health Sciences; 3Medical University of Gdańsk, Poland, Department of Medical Low, Chair of Social Medicine, Faculty of Health Sciences

Atherosclerosis is the illness of arteries which causes changes in vessels leading to their narrowing and then to their closure. Men are mainly attacked by illnesses of arteries. There are several factors which can intensify these illnesses such as: diabetes, smoking cigarettes, diet rich in cholesterol, arterial hypertension. Chronic ischemia of lower extremities is the most frequent illness with which patients notify. Patients with long-standing atherosclerotic process are usually afflicted with thrombotic ischemia. The life quality is the term that can have many meanings. It can be treated objectively or subjectively. In the first case we deal with the quality of life and in the second one with the feeling of life quality. Considering the problem we can base on the level of fulfilling the norm or on riches of obtainted experience. The term life quality is significantly connected with the process of cognitive assessment of the individual. The quality of life of patients who were subjected to intravascular medical procedures considerably changes. The continuation of surgical treatment is pharmacotherapy which is connected with administering to patients low-molecular-weight heparin or oral antithrombotic medicine.
The aim of the study
was an evaluation of quality of life of patient after intravascular medical procedures, at which continued treatment was low-molecular-weight heparin and comparison of received results with subjective feeling of quality of life among ill across passing, treated oral anticoagulants medicines.
Material and methods
. A number of 50 patients participated in the research. The most numerous group was made up of people aged 51–60 (20 people, 40%), 15 patients (30%) were over 61 years old, 7 ill (14%) were aged 41–50, 5 people (10%) were aged 31–40 and 3 patients (6%) were aged 20–30. Tested patients were selected randomly. The largest number of people (54%) came from the cities with more than 50 thousand inhabitants. People living in the towns with less than 50 thousand inhabitants made up a bit smaller group (30%). A questionnaire of pain assessment according to the NRS scale was used in the research (from 1 to 10; 1 means: “I do not feel pain”, 10: “unbearable pain”) as well as EuroQol 4D – a questionnaire of health state and quality of life assessment. The questionnaire consisted of 20 questions and was filled in voluntarily.
. Conducted research has shown that the life quality of patients who were treated with low-molecular-weight heparin changed for better in higher degree than patients who were treated with oral antithrombotic medicine.

Key words: atherosclerosis, life quality, low-molecular-weight heparin, oral antithrombotic medicine

Pol. Merk. Lek., 2010, XXIX, 171, 157