ВЛИЯЕ ЛИ ЛЕКУВАЩИЯТ ЛЕКАР НА КАЧЕСТВОТО НА ЖИВОТ ПРИ ПАЦИЕНТИТЕ СЪС СЪРДЕЧНО-СЪДОВИ ЗАБОЛЯВАНИЯ? (Bulgarian)

Along with the development of evidence based medicine, the so-called „Medicine in cooperation with the patient” has emerged recently due to the need to satisfy not only the medical needs of the patients but also their psychological needs. A convenient approach to monitoring these requirements of patients is the QoL. The purpose of the present study was to investigate the influence of the physician on QoL in patients with cardiovascular diseases (CVD). A direct, individual anonymous questionnaire, conducted in 215 hospitalized patients with CVD, was consisted of 16 questions covering different aspects of patients' lives, including whether they were willing to cooperate with the medical stuff and to follow their prescriptions. The results showed that 84.2% of patients treated their CVD and 78.3% had a physician who followed-up them. We found differences in the assessment of health in treated patients, unlike those not treated (p = 0.002), but there were no differences regarding whether they had a medical doctor or not (p = 0.057). Nevertheless, we have found a tendency to increase the need for a physician when the health assessment is lowered. Life satisfaction was higher in treated patients than in untreated ones (p = 0.038), with the correlation between health and life satisfaction being significant (p < 0.001), with the Likelihood Ratio 17.121 (p = 0.001). The obtained results have shown that QoL assessment can provide information even on the long-term effects of drug therapy as well as foster the development and strengthening of the relationship between the patient and the physician. [ABSTRACT FROM AUTHOR]

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