Mensuração da qualidade de vida de indivíduos com a doença de Parkinson por meio do questionário PDQ-39
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Data
2011-03-01
Autores
Silva, José Adolfo Menezes Garcia [UNESP]
Dibai Filho, Almir Vieira
Navega, Flávia Roberta Faganello [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Pontifícia Universidade Católica do Paraná (PUC-PR)
Resumo
INTRODUÇÃO: A doença de Parkinson (DP) é caracterizada por uma degeneração progressiva seletiva de neurônios localizados na pars compacta da substância negra. Ela compõe-se por um conjunto de quatro sintomas motores: tremor, rigidez, bradicinesia e instabilidade postural. OBJETIVO: O estudo objetivou investigar os fatores relacionados à queda na percepção da qualidade de vida de indivíduos com DP. MATERIAIS E MÉTODOS: Participaram deste estudo 25 indivíduos com diagnóstico de doença de Parkinson, classificados entre os estágios um e cinco da escala de estadiamento de Hoen e Yahr, tendo a sua qualidade de vida avaliada segundo o Parkinson Disease Questionary-39 (PDQ-39). RESULTADOS: Os 25 indivíduos (12 homens e 13 mulheres) apresentaram idade média de 71,2 ± 8,5 anos, variando entre 53 a 85 anos, e tempo de evolução da doença de 6,54 ± 7,71, variando entre 1 e 39 anos de doença. Verificou-se que as piores percepções sobre a qualidade de vida estão relacionadas ao domínio mobilidade, com média de 55% de comprometimento, e ao domínio atividade de vida diária, com 52,78% de comprometimento. Ficou também constatada uma alta correlação entre o escore total do PDQ-39 com os domínios atividade de vida diária, bem-estar emocional e mobilidade. CONCLUSÕES: A partir dos resultados obtidos, é possível constatar que carências de origem motora associadas aos sinais e sintomas e às complicações secundárias da DP interferem negativamente sobre a percepção da qualidade de vida dos indivíduos.
INTRODUCTION: Parkinson's disease (PD) is characterized by a progressive degeneration of selective neurons located in substantia nigra's pars compacta. It consists of a set of four motor symptoms: tremor, rigidity, bradykinesia and postural instability. OBJECTIVE: To investigate the factors related to the decrease in perceived quality of life of individuals with PD. MATERIALS and METHODS: Were evaluated a quality of life of 25 individuals diagnosed with Parkinson's disease, ranked among the five stages and a range of Hoen and Yahr staging, there are evaluated according to the Parkinson Disease Questionnaire-39 (PDQ-39). RESULTS: The 25 subjects (12 men and 13 women) had a mean age of 71.2 ± 8.5 years, ranging between 53-85 years, and time to disease progression of 6.54 ± 7.71, ranging from 1 and 39 years of illness. It was found that the worst perceptions of quality of life are related to the domains 'mobility, with an average of 55% of commitment, and activity of daily living, with 52.78% of commitment. It was also found a high correlation between the total score of the PDQ-39 domains with the activities of daily living, emotional wellbeing and mobility. CONCLUSIONS: Through the results is possible contacted that motor deficits associated with the signs and symptoms and secondary complications of PD contribute negatively on the perception of quality of life of individuals.
INTRODUCTION: Parkinson's disease (PD) is characterized by a progressive degeneration of selective neurons located in substantia nigra's pars compacta. It consists of a set of four motor symptoms: tremor, rigidity, bradykinesia and postural instability. OBJECTIVE: To investigate the factors related to the decrease in perceived quality of life of individuals with PD. MATERIALS and METHODS: Were evaluated a quality of life of 25 individuals diagnosed with Parkinson's disease, ranked among the five stages and a range of Hoen and Yahr staging, there are evaluated according to the Parkinson Disease Questionnaire-39 (PDQ-39). RESULTS: The 25 subjects (12 men and 13 women) had a mean age of 71.2 ± 8.5 years, ranging between 53-85 years, and time to disease progression of 6.54 ± 7.71, ranging from 1 and 39 years of illness. It was found that the worst perceptions of quality of life are related to the domains 'mobility, with an average of 55% of commitment, and activity of daily living, with 52.78% of commitment. It was also found a high correlation between the total score of the PDQ-39 domains with the activities of daily living, emotional wellbeing and mobility. CONCLUSIONS: Through the results is possible contacted that motor deficits associated with the signs and symptoms and secondary complications of PD contribute negatively on the perception of quality of life of individuals.
Descrição
Palavras-chave
Doença de Parkinson, Qualidade de vida, Fisioterapia, Parkinson's disease, Quality of life, Physical therapy
Como citar
Fisioterapia em Movimento. Pontifícia Universidade Católica do Paraná (PUCPR), v. 24, n. 1, p. 141-146, 2011.