[Quality of life assessment in patients after the embolization of aneurysms of cerebral arteries].
THE OBJECTIVE OF THE PAPER: The objective of the paper has been to assess the quality of the patients lives after subarachnoid haemorrhage and the embolization of aneurysms of cerebral arteries, and to specify correlations between different aspects of the patients life under examination and selected socio-demographic factors.


METHODS
The examination covered 28 patients having been subject to embolization of aneurysms of cerebral arteries including 12 women and 16 men at the age of 33 up to 62 (48.4 years of age on average) in the years 2000-2002. A 6- month period at least after embolization served as a major criterium for selecting respective patients to be examined. The control group covered 30 healthy people (including 16 women and 14 men) at an average age of 46.2. The examination was made on the basis of the Polish version of questionnaire RNL-Index (Reintegration to Normal Life Questionnaire). Medical documentation from hospital archives served as an additional source of data.


RESULTS
The most numerous group (56%) included patients between 40 and 50 years of age. 82% of patients lived in towns, for 61% of patients disability pension constituted the only source of income. All patients were hospitalized on an instant basis. 82.1% of patients suffered from headaches, 50% of patients suffered from nausea, vomits and eyesight disturbances, 40.9% of patients were diagnosed with one-side paresis, and 57.1% of patients under examination suffered from loss of consciousness. After embolization 85.7% of patients experienced mood swings, 57.1% of patients suffered from vision disorders, 39.3% had phonological impairments. 25% of patients suffered from epilepsy. After embolization 75% of patients were subjected to the convalescence process. The comparison of RNL Index in respective aspects of the patients life before and after embolization indicated its substantial decrease in the group of patients subject to embolization. There was a big difference in physical self-sufficiency, work, education and recreation. There was no correlation between the quality of the patients lives after embolization and sex, age, domicile and the fact of living together with other family members. There was a plus correlation (R = 0.48) for the quality of life and education. Patients with higher education assessed the quality of their lives as being much higher.


CONCLUSIONS
The quality of the patients lives after the subarachnoid haemorrhage and the embolization of aneurysms of cerebral arteries worsened to a great extent resulting from RNL Index decreasing from 98.0 to 71.5. The illness had the most negative influence on professional career, sociable life and how to cope with everyday situations. The quality of the life the embolization of cerebral arteries did not differ much from that of the people from the control group. No influence of sociodemographic factors on the quality of the patients lives under examination was indicated.
Chmielewska
Iwona
I
I Zakład Pielegniarstwa w Intensywnej Opiece Medycznej, Collegium Medicum im. L. Rydygiera w Bydgoszczy, UMK w Toruniu.
Grabowska-Gaweł
Anna
A
D000203:Activities of Daily Living; D000328:Adult; D002536:Cerebral Arteries / Q000473:pathology; D004185:Disability Evaluation; D004522:Educational Status; D004621:Embolization, Therapeutic / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006261:Headache / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires