Subject(s)
Depressive Disorder/diagnosis , Myocardial Infarction/psychology , Psychiatric Status Rating Scales , Adult , Aged , Depressive Disorder/etiology , Depressive Disorder/mortality , England/epidemiology , Follow-Up Studies , Humans , Middle Aged , Myocardial Infarction/mortality , Odds Ratio , Prevalence , Prognosis , Surveys and Questionnaires , Survival AnalysisABSTRACT
This questionnaire-based study investigated the preferences of patients with varicose veins for injection treatment or surgery, based on a series of explicit facts about each method. In all, 72 questionnaires were returned (77% response rate). Factors influencing patients in favour of injections were no time off work (38%) and no general anaesthetic (31%). A bandage on the leg for 3-6 weeks influenced 44% against injections. A lower chance of recurrence at 5-10 years influenced 80% of patients towards surgery. Overall, 25% expressed an overall preference for injections, and 63% preferred surgery (12% no preference). Patients with bilateral varicose veins were asked about their preferences for two unilateral day case operations or one bilateral inpatient procedure. The majority preferred a single bilateral operation, based on one general anaesthetic (88%) and one admission only (77%), less time off work (58%), and discomfort on one occasion only (50%). These preferences, expressed by well-informed patients, should be considered when planning services for the treatment of varicose veins.
Subject(s)
Patient Satisfaction , Sclerotherapy/psychology , Varicose Veins/therapy , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Recurrence , Surveys and Questionnaires , Varicose Veins/pathology , Varicose Veins/surgery , Vascular Surgical Procedures/methods , Vascular Surgical Procedures/psychologyABSTRACT
This study reports the results of questioning 1,253 women about experiences of sexual abuse during childhood. An incidence of 3.5% was identified; many of those affected reported benefit from the opportunity to discuss what had happened, an aspect which should be facilitated during routine consultations. The study identified a substantial burden on emotional health presenting into adult life. The wide range of places where abuse occurred and of relationships between the abusers/victims has important implications for educating children.
