Correlação entre classificação clínica ceap e qualidade de vida na doença venosa crônica

Abstract

Objectives: To evaluate the quality of life (QOL) of patients with chronic venous disease (CVD) and to analyze the relationship between QOL and disease severity. Methods: This was a cross-sectional study with a convenience sample of 50 participants with a diagnosis of CVD. The participants were classified according to disease severity using the CEAP clinical classification (Clinical manifestations, Etiological factors, Anatomical distribution of disease, Pathophysiological findings). They were then divided into two groups: CEAP 1, 2 and 3 (less clinically compromised) and CEAP 4, 5 and 6 (more clinically compromised). QOL was evaluated using the SF-36 questionnaire. The Mann-Whitney U test was used to compare the SF-36 scores between the groups. The Spearman correlation was used to evaluate the association between QOL and the CEAP. Differences were considered statistically significant with p < 0.05. The SPSS statistical software version 16.0 was used for the analyses. Results: Seventy-four percent of the sample was female. The mean age was significantly higher (p<0.001) among participants classified as CEAP 4, 5 and 6 (56.6±10.3) than among those classified as Key words: quality of life; venous insufficiency; physical therapy. ResumoObjetivos: Avaliar a qualidade de vida (QV) na doença venosa crônica (DVC) e analisar a relação entre QV e severidade da doença. Resultados: 74% da amostra eram mulheres e a média de idade foi significativamente maior (p<0,001) entre os indivíduos CEAP 4, 5, 6 (56,6±10,3) do que entre os CEAP 1, 2, 3 (40,6±10,7). Todos os domínios do Componente Saúde Física (CSF) do SF-36 apresentaram escores significativamente menores no grupo CEAP 4, 5, 6 (p<0,05), representando maior comprometimento físico e funcional. Apenas os domínios do CSF apresentaram correlação negativa e estatisticamente significativa com a CEAP. Conclusões: Os aspectos físicos e funcionais foram mais comprometidos, sobretudo nas formas mais graves da DVC. Estes achados podem contribuir para melhor compreensão dos efeitos da DVC na QV e melhor direcionamento das intervenções terapêuticas nessa população.Palavras-chave: qualidade de vida; insuficiência venosa; fisioterapia.

Perfil clínico e sociodemográfico dos portadores de doença venosa crônica atendidos em centros de saúde de Maceió (AL)

“…It was observed that the scores of domains related to physical health were lower among subjects with the disease in more severe stages (CEAP 4.5 and 6), with no significant differences in scores related to mental health between groups more or less affected 11 . In our study, the scores were similar as to physical and mental features, resulting in no significant difference in the sample, except regarding vitality.…”

“…The same CVD clinical classification may not mean the same for different individuals, and functional changes resulting from it may have different social and emotional implications to each of them 11 . The population studied in our research had a low education level, low income, and belonged to older age groups, so the individual characteristics differed as to the understanding of questions and answers in the subjective questionnaire.…”

“…Patients who had the worst scores in SF-36 QQV in areas related to physical and mental health were those belonging to CEAP 4.5 and 6. It is worth emphasizing that the findings of most authors reveal a worse perception of their quality of life as the disease worsens 11 . In both sexes, C6 classification is more common.…”

“…It directly affects the working capacity of patients 5 , thus significantly reducing their quality of life. It can also cause psychological changes such as sadness, depression, irritability, concern about physical appearance, and social isolation 8,11 . By evaluating quality of life, one can observe the patient under a functional and psychological perspective.…”

Qualidade De Vida, Imagem Corporal E Satisfação Nos Tratamentos Estéticos

“…Moura, Gonçalves, Navarro, Brito e Dias 16 afirmam que a qualidade de vida é uma análise de todo um conjunto que envolve as relações sociais, a saúde física, a produtividade no trabalho, o estado psicológico e a autoestima.…”