Qualidade de vida de pacientes portadores de doença inflamatória intestinal

Abstract

Objectives:To assess the quality of life (QV) in patients with inflammatory bowel disease (DII), and relate it to demographic data and morbidity. Methods: Cross-sectional study with 103 patients with DII, registered in the high cost pharmacy of Cuiabá -Mato Grosso, who responded to the Standard Medical Record, the general QV questionnaire SF-36 and the specific IBDQ. Results: Among 103 patients with DII, 62 had ulcerative colitis and 41 had Crohn's disease; 62% were women; 69.9% were married; 48.5% were of mixed race; 49.5% were smokers; 37.9% required surgery; and, 40.8% had active disease. We observed significant changes in QV in men, smokers and those with active disease. Conclusion: DII affect QV in several respects. Measures for maintenance of QV, psychological, social and education support should be considered for patients with DII. Keywords: Inflammatory bowel disease; Crohn's disease; Ulcerative colitis; Colitis; Quality of life RESUMOObjetivos: Avaliar a qualidade de vida (QV) de portadores de doenças inflamatórias intestinais (DII) e relacionar dados sociodemográficos e mórbidos à QV. Métodos: Estudo transversal, realizado com 103 portadores de DII, cadastrados na farmácia de alto custo de Cuiabá -Mato Grosso que responderam ao Prontuário-Padrão, ao questionário de QV geral SF36 e ao específico IBDQ. Resultados: Dentre os 103 pacientes com DII, 62 tinham retocolite ulcerativa idiopática e 41 doença de Crohn; 62% eram mulheres; 69,9%, casados; 48,5%, pardos; 49,5%, fumantes, 37,9% necessitaram de cirurgia e 40,8% apresentavam doença em atividade. Foi observada alteração significativa da QV em homens, fumantes e entre aqueles com doença em atividade. Conclusão: DII afetam a QV em diversos aspectos. Medidas para manutenção da QV, suporte psicológico, social e educacional devem ser considerados para portadores de DII. Descritores: Doença inflamatória intestinal; Doença de Crohn; Retocolite ulcerativa; Colite; Qualidade de vida RESUMEN Objetivos: Evaluar la calidad de vida (CV) de portadores de enfermedades inflamatorias intestinales (EII) y relacionar datos sociodemográficos y mórbidos a la CV. Métodos: Se trata de un estudio transversal, realizado con 103 portadores de EII, registrados en la farmacia de alto costo de Cuiabá -Mato Grosso que respondieron a la Historia Clínica-Patrón, al cuestionario de CV general SF36 y al específico IBDQ. Resultados: De los 103 pacientes con EII, 62 tenían rectocolitis ulcerosa idiopática y 41 enfermedad de Crohn; 62% eran mujeres; 69,9%, casados; 48,5%, pardos; 49,5%, fumadores, 37,9% necesitaron de cirugía y 40,8% presentaban la enfermedad en actividad. Fue observada una alteración significativa de la CV en hombres, fumadores y en aquellos con la enfermedad en actividad. Conclusión: Las EII afectan la CV en diversos aspectos. Para la manutención de la CV, deben ser considerados el soporte psicológico, social y educacional de los portadores de EII. Descriptores: Enfermedad inflamatoria intestinal; Enfermedad de Crohn; Colite ulcerosa; Colite; Calidad de vida

Qualidade de vida da pessoa com doença inflamatória intestinal

“…Although tobacco consumption has been considered as one of the most important environ-mental factors in the pathogenesis of IBD, little is still known about the molecular and cellular mechanisms triggered in the intestine, which may lead to the development of CD or the prevention of UC (Pereira, 2014). In this study, the majority of participants reported never having smoked (65.80%) and not drinking alcohol (71.10%), which is in line with the studies by Coelho (2010) and Souza et al (2011) with 54 smokers (93.10%) versus four non-smokers (6.90%) and 51 smokers (49.50%) versus 52 participants non-smokers (50.50%), respectively, with no significant difference between them. With regard to the most prevalent type of IBD, the most common type in this study was CD (50.00%), followed by UC (26.30%) and undetermined IBD (23.70%), which is in line with several studies, namely those by Ramos et al (2015) and Magalhães et al (2015) which had a higher number of people with CD.…”

“…As regards the family relationships, most of the participants in this study are married (65.80%), which is in line with the study by Souza et al (2011), with a mean of 69.90% of married participants, but in disagreement with the results obtained by Neubauer, Arlukiewicz, and Paradowski (2009), who found that most of the patients with CD live alone and do not start a family. As for the education level, most of the participants in this study had completed the 12 th grade (28.90%) and higher education (28.90%), which is not in line with the results obtained by Coelho (2010), who found a higher percentage of participants with the 9 th grade (56.90%).…”

“…In this study, there was a predominance of a young population with IBD, which is in line with the data obtained in the studies of several authors, namely those conducted by Silva (2015), Magalhães et al (2015), Trindade et al (2016), and Saurabh and Ahuja (2017), who reported a sample of people aged between 20 and 40 years, with most of them being older than 30 years, that is, young and active people who were affected by a significant loss of functional capacity and autonomy. With regard to gender, the sample was composed of the same number of men and women, which is not in line with the majority of other authors, such as Trindade et al (2016), with a sample of 200 patients with IBD where most of them were women, and Souza, Barbosa, Espinosa, and Belasco (2011), where there was a predominance of women (62.00%).…”

Excessive Weight – Muscle Depletion Paradox and Cardiovascular Risk Factors in Outpatients With Inflammatory Bowel Disease

“…The demographic and socioeconomic findings were in agreement with data reported in the literature showing a greater frequency of IBD among women, a bimodal age distribution occurring between 20 and 40 years, as well as greater frequencies among residents of urban areas, economically active individuals and those from lower economic classes (10,35,39) . In a review of the literature, Loftus (22) suggests that the predominance of IBD in the female sex is due to the role of hormonal factors in the development of the disease.…”

Associations among socio-demographic and clinical factors and the quality of life of ostomized patients

“…Another study addressing patients in the active phase of an intestinal inflammatory disease indicated QOL is compromised. Physical aspects, vitality, and emotional aspects are the domains mostly affected by the symptoms presented by patients, which can greatly impact their behavior in emotional, physical and social terms (21) . Another study addressing patients with extensive and metastatic colorectal cancer observed deterioration in the patients' physical functioning (22) .…”