Quality of life in patients with autonomic nervous system disorder

Abstract

The paper studied the quality of life (QOL) in individuals of an organized population of Petrozavodsk with autonomic nervous system disorder (ANSD) (n=104; mean age 37.64±5.8 years; gender index 1:1). The control group included healthy individuals (n=30; mean age 37.64±5.8 years; gender index 1:1; p=0.761). The Short Form-36 Quality of Life Scale was used, and a medical assessment of signs of autonomic nervous system disorders was carried out according to the method by A.M. Vein. It was found that patients with ANSD were characterized by a lower level of QOL compared to healthy individuals without gender differences (indicators in men/women: “Physical component of health (Physical health)” (PH) 44.7±5.41/40.72±6.28 (patients) and 58.37±1.8/57.25±1.96 points (control); “Psychological component of health (Mental health)” (MH) 36.69±5.56/35.48±6.94 (patients) and 56.53±2.67/54.78±1.98 points (control); p=0.001). The first ranking places in the decline of QOL were the decrease in “role physical functioning” (in the treatment of PH) and the reduction of “mental health” (in the treatment of MH). Moderate vegetative imbalance in men/women with ANSD (36.86±8.58/42.96±10.62 points according to the method by A.M. Vein, compared with the results of healthy individuals of 2±0.29/2.13±0.97 points; p=0.001) correlates with a decrease in PH (R = – 0.368) and MH (R = –0.572). The revealed patterns are aimed at optimizing the medical and psychological rehabilitation of patients with ANSD.