eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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3/2021
vol. 38
 
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abstract:
Original paper

The effect of compression therapy on quality of life in patients with chronic venous disease: a comparative 6-month study

Andrzej Berszakiewicz
1, 2
,
Janusz Kasperczyk
3
,
Aleksander Sieroń
1, 4
,
Zbigniew Krasiński
5
,
Armand Cholewka
6
,
Agata Stanek
7

  1. Department of Internal Medicine, Angiology and Physical Medicine, No. 2 Specialist Hospital, Bytom, Poland
  2. Fresenius Dialysis Centre, No. 38 in Oswiecim, Fresenius Nephrocare Polska, Oswiecim, Poland
  3. Chair and Department of Environmental Medicine and Epidemiology, Medical University of Silesia, Zabrze, Poland
  4. Department of Physiotherapy, Jan Dugosz University, Czestochowa, Poland
  5. Department of General and Vascular Surgery, Poznan University of Medical Sciences, Poznan, Poland
  6. Department of Medical Physics, Chelkowski Institute of Physics, University of Silesia, Katowice, Poland
  7. Department of Internal Medicine, Angiology and Physical Medicine, Medical University of Silesia, Faculty of Medicine in Zabrze, Bytom, Poland
Adv Dermatol Allergol 2021; XXXVIII (3): 389–395
DOI: https://doi.org/10.5114/ada.2020.92277
Online publish date: 2020/01/31
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Introduction
Chronic venous diseases (CVD), because of its chronic and progressive nature, impairs patients' quality of life (Qol). Aim: To compare the QoL in patients with primary superficial venous insufficiency at different stages before and after compression therapy (CT).

Material and methods
We compared the change in the QoL parameters from baseline to the end of a 6-month compression therapy. 180 subjects were enrolled. They were subdivided into 6 equal subgroups according to CEAP classes. The QoL was assessed using questionnaires, the general SF-36v2 and the disease-specific CIVIQ-20. At the beginning and after the completion of the study intervention, the severity of CVD was assessed in each patient using CEAP and VCSS. The pain intensity was assessed using the numerical rating scale.

Results
The CT reduced the severity of CVD, which translated into the increased size of C2 an d C5 subgroups, and reduced size of C3 and C6 subgroups. Another marker of reduced severity of CVD after CT was a significant reduction in VCSS scores in C1, and C3-C6 subgroups. A 6-month CT was associated with a significant QoL improvement in all CEAP class-based subgroups, across all individual and composite domains of SF-36v2, as well as dimensions and GIS of CIVIQ-20. Similarly, there was a significant pain reduction reported in all CEAP class-based subgroups.

Conclusions
Compression therapy using ready-made compression hosiery significantly affects the quality of life in patients with chronic venous disease at all its stages, CEAP classes C1-C6.

keywords:

compression therapy, chronic venous diseases, quality of life
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