RESULTS OF LIFE’S QUALITY RESEARCH AT PATIENTS WITH GLOSSODYNIA
Research. Recently determination of life’s quality at patients became the actual subject of research in medicine. It is caused by results of traditional laboratory and instrumental studies can not give the doctor a complete picture of patient ‘s general conditions. Using of techniques for evaluating life’s quality is important for patients with chronic diseases, which include glossodynia, characterized by persistent pain and paresthesia as "burning," "tingling," "numbness", "tongue sprinkled pepper" at visually not-changed tongue. The specificity of the disease makes for patients a special life situation due to the constant severe pain and discomfort from mild to intolerable.
Purpose of research: analysis of life’s quality at patients with glossodynia on SF-36 questionnaire.
Methods and materials. To achieve this purpose conducted research of life’s quality by questionnaire SF-36 ("The Medical Outcomes Study Short Form 36 Items Health Survey") at 49 patients with glossodynia aged from 46 to 65 years, divided into 2 groups according to the age by classification of Markosyan (1991): II period of mature age (28 patients) and advanced age (21 patients). 24 and 18 healthy individuals of identical age served as control. SF-36 questionnaire includes 36 questions that reflect 8 concepts (health scales) and the following parameters of life’s quality: physical health component (PHC), component of mental health (MH). In component of physical health: physical functioning (PF), role-functioning due to physical condition (RPC), the intensity of pain (IP) and general health (GH), in psychological - vitality (PV), social function (SF), role functioning due emotional state (RES) and mental health (MH). The reliability to detected differences was assessed by students’ test.
Results of research.
Using methodology for evaluating the life’s quality at patients with glossodynia by questionnaire SF-36 enables the doctor to achieve better understanding of the patient's experience, his difficulties to control the disease.
Patients with glossodynia have low quality of life by scale SF-36. Interviewed patients perceive the disease as a significant limiting factor in their daily activities (social, professional, family, etc.), reducing its performance and requiring additional costs, effort and time because of pain symptoms.
Influence of the disease on mentality has objective physiological (somatic) and subjective mental component that related to patient experience factor disease and its effects, including cancerophobia.
The disease contributed to pessimistic assessment of their physical condition (PF), negatively represented on emotional and motivational sphere (RE), reducing general and mental tone (VT), forming affective disorders disturbing nature of clinical and subclinical level (MH).
Presence of the disease at patients creates unfavorable emotional state which in combination with psychological disorders contributes to deepening of anxiety pattern that requires medical correction.
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