INFLUENCE OF NASAL OBSTRUCTION ON NEUROPSYCHICAL STATUS OF PATIENTS WITH CHRONIC POLYPOUS RHINOSINUSITIS

Aim. To study the psychological status of patients with chronic polypous rhinosinusistis (CPR). Materials and methods. Twenty seven patients with CPR aged 22 to 75 years were examined. The control group included 12 persons. Otorhinolaryngological status was assessed by VAS scale, anxiety and depression by CES-D scale, hospital anxiety and depression scale (HADS), Speilberger-Hanin test, general health status by SAN questionnaire; asthenia - MFI-20. “Statistica 8.0” program including descriptive statistics ( Me and Q ) and nonparametric methods (Mann-Whitney U-test) was used for processing of the obtained results. The differences were considered reliable with p < 0,05. Results. Using VAS scale, the nasal respiration was estimated as 3,0 (2,0; 3,0) scores; at discharge this index increased to 9,0 (8,0; 9,0) scores, the nasal discharge amount was 5,0 (3,0; 7,0) scores at admission to hospital and decreased to 3,0 (2,0; 4,0) scores at discharge from hospital. Depression median by CES-D scale at admission was 12,0 (9,0; 19,0), by Hospital Anxiety and Depression Scale (HADS) - 4,0 (3,0; 5,0) and 3,0 (1,0; 6,0), respectively. Elevated reactive anxiety according to Spielberger-Hanin test was detected in 35,29 % of patients, personal anxiety was increased in 41,18 % of patients. Clinically manifested asthenia was observed in 47 % of the examined patients using MFI-20 scale data. According to SAN, the overall indices median was at admittance 5,07 (4,2; 6,0), at discharge - 5,87 (5,31; 6,31). Conclusions. Patients with CPR have mild depression, asthenization and worsened quality of life by SAN scale. General asthenic indices have a reliable correlation dependence on the nasal respiration. After treatment, patients’ nasal respiration reliably improved, asthenia and SAN indices decreased.

Chronic polypous rhinosinusitis, nasal respiration, depression, anxiety, asthenia, quality of life