Avaliação da qualidade de vida de pacients tratados e em tratamento para hanseníase: uso do Dermatology Life Quality Index e do Whoqol-bref
Data
2011-02-11
Autores
Paiva, Bianca Sakamoto Ribeiro [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
Qualidade de vida (QV) é um assunto que vem despertando o interesse de pesquisadores e profissionais, principalmente, das áreas biológicas e humanas. Informações sobre QV têm sido utilizadas para avaliar a eficácia de determinados tratamentos, agravos à saúde e impacto físico e psicossocial. A hanseníase, foco do estudo em questão, é uma doença crônica, que pode interferir em aspectos importantes da vida do indivíduo. Trata-se de um estudo transversal e descritivo que analisou a QV de 90 pacientes com hanseníase que estavam em acompanhamento nos três serviços de referência em hanseníase da Diretoria Regional de Saúde VI de Bauru/SP. Utilizou-se como instrumentos para a coleta dos dados três protocolos: a ficha de caracterização sóciodemográfica dos pacientes, os questionários de qualidade de vida WHOQOL-bref e DLQI. Identificou-se que o sexo masculino apresentou-se mais freqüente que o feminino, tanto nos pacientes tratados quanto nos em tratamento, totalizando 59 (65,5%) dos 90 pacientes. A maior parte dos pacientes apresentou idade entre 40-59 anos (53/90, 59%) e 65 (72,2%) tinham até o primeiro grau de escolaridade, 43 (47,8%) encontravamse ativos e 47 (52,2%) inativos, 76(84,4%) recebiam de um a dois salários mínimos. Além de serem portadores da hanseníase, referiram ter outras morbidades, sendo mais freqüentes as doenças crônicas como Diabetes mellitus e Hipertensão Arterial Sistêmica.A grande maioria (77/90, 85,5%) era multibacilar, 74 (82,2%) dos entrevistados tinham grau 0 de incapacidade. A presença de reações foi mais freqüente no sexo masculino sendo estatisticamente significante. A avaliação da QV do ponto de vista genérico - WHOQOL-bref - mostrou que os pacientes tinham comprometimento nos domínios físico e psíquico. As diferenças foram evidentes aplicando-se o WHOQOL-bref na comparação entre pacientes com hanseníase...
Quality of life (QOL) is a subject that has aroused the interest of researchers and practitioners, mainly from the biological and human areas. Information on QOL have been used to evaluate the effectiveness of certain treatments, health problems and physical and psychosocial impact. Leprosy is a chronic disease, which can interfere with important aspects of functioning. This is a descriptive cross-sectional study that evaluated the QOL of 90 patients with leprosy who were in attendance at the three reference services in leprosy in the Regional Health Board VI of Bauru. We used as instruments for data collection three protocols: the sociodemographic characteristics protocol, the quality of life questionnaire WHOQOL-bref and DLQI. It was identified that male sex was more frequent than females, both in patients treated as well as in those undergoing treatment, encompassing 59 (65.5%) out 90 patients. Most patients presented with ages between 40-59 years old (53/90, 59%) and 65 (72.2%) had completed elementary education, 43 (47.8%) were active and 47 (52,2%) inactive, 76 (84.4%) received one to two minimum wages. In addition to the diagnosis of leprosy, patients reported having other comorbidities, the most frequent chronic diseases were diabetes mellitus and Hypertension. The vast majority (77/90, 85.5%) were multibacillary, 74 (82.2%) respondents had grade 0 disability. There was a statistically significant higher rate of leprosy reactions occurrence in males then in females.The assessment of QOL in terms of generic WHOQOLbref showed that patients had impairment in physical and psychic domains. The differences were evident when applying WHOQOL-bref to patients with leprosy, regarding the clinical presentation, inactivity, absence from work due to leprosy diagnosis time and occurrence of leprosy reactions. The assessment of QOL in terms of specific DLQI showed that patients with... (Complete abstract click electronic access below)
Quality of life (QOL) is a subject that has aroused the interest of researchers and practitioners, mainly from the biological and human areas. Information on QOL have been used to evaluate the effectiveness of certain treatments, health problems and physical and psychosocial impact. Leprosy is a chronic disease, which can interfere with important aspects of functioning. This is a descriptive cross-sectional study that evaluated the QOL of 90 patients with leprosy who were in attendance at the three reference services in leprosy in the Regional Health Board VI of Bauru. We used as instruments for data collection three protocols: the sociodemographic characteristics protocol, the quality of life questionnaire WHOQOL-bref and DLQI. It was identified that male sex was more frequent than females, both in patients treated as well as in those undergoing treatment, encompassing 59 (65.5%) out 90 patients. Most patients presented with ages between 40-59 years old (53/90, 59%) and 65 (72.2%) had completed elementary education, 43 (47.8%) were active and 47 (52,2%) inactive, 76 (84.4%) received one to two minimum wages. In addition to the diagnosis of leprosy, patients reported having other comorbidities, the most frequent chronic diseases were diabetes mellitus and Hypertension. The vast majority (77/90, 85.5%) were multibacillary, 74 (82.2%) respondents had grade 0 disability. There was a statistically significant higher rate of leprosy reactions occurrence in males then in females.The assessment of QOL in terms of generic WHOQOLbref showed that patients had impairment in physical and psychic domains. The differences were evident when applying WHOQOL-bref to patients with leprosy, regarding the clinical presentation, inactivity, absence from work due to leprosy diagnosis time and occurrence of leprosy reactions. The assessment of QOL in terms of specific DLQI showed that patients with... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Hanseniase - Tratamento, Pacientes - Qualidade de vida, Leprosy
Como citar
PAIVA, Bianca Sakamoto Ribeiro. Avaliação da qualidade de vida de pacients tratados e em tratamento para hanseníase: uso do Dermatology Life Quality Index e do Whoqol-bref. 2011. 126 f. Tese (doutorado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2011.