Предиктори погіршення якості життя, що пов’язано зі здоров’ям в оперованих і неоперованих дорослих із вродженою патологією серця

Introduction. Primary diagnosis corresponds to the severity degree of the inborn pathology, but do not reflect functional clinical indices, quality of life, connected with health (QLCWH) in adults with inborn heart failure (IHF). Маterials and methods. In the work 456 adults, suffering IHF, were included (49.3% men and 50.7% women). Severity of IHF and of the patients’ state were estimated, using 6 scales, the quality of life indices, QLCWH – certain questionnaires. Results and discussion. Of the majority of 321 (70.4%) patients 218 (67.9%) were operated previously. Аnalysis of interrelationship between indices of the IHF severity and the QLCWH scales (method of Spearman) have shown a moderate correlational connection (r from –0.53 tо +0.42) between scales, which corresponds to the ability index, functional index of IHF, degree of cardiac insufficiency and QLCWH. Significant trustworthy impact of the О2 lowered saturation on the QLCWH indices was proved in accordance to the Міnnesota questionnaire (r=–0.38) data, physical questionnaire SF-36: indices of physical functioning (r=–0.37), general state of health (r=–0.31) and summarized index of physical component of health (r=–0.38); the physical health sphere in accordance to data of the shortened version of questionnaire of WHO (r=–0.34) (p < 0.01). Conclusion. Limitations of physical activity in a casual life, impossibility of engagement on work or education through the complete day, revealed in the patients, constitutes predictors of the QLCWH worsening. The patients with cyanosis have had lowered QLCWH indices, predominantly concerning physical component of health in sufficiently preserved indices of psychological and social significance.