Prejuízos na qualidade de vida e funcionalidade de adultos cronicamente afetados pela febre Chikungunya
Introduction: In 2016, Rio Grande do Norte recorded a major epidemic of chikungunya fever (FChik), with an incidence rate almost six times higher than national and 37 confirmed deaths the disease. In addition, One of the biggest challenges in the treatment of FChic is the possibility of symptom c...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28062 |
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| Resumo: | Introduction: In 2016, Rio Grande do Norte recorded a major epidemic of chikungunya fever
(FChik), with an incidence rate almost six times higher than national and 37 confirmed deaths
the disease. In addition, One of the biggest challenges in the treatment of FChic is the
possibility of symptom chronicity, since all the characteristics of the clinical phase are not
well understood. Objective: To analyze the effect of chronicity of chikungunya fever on
quality of life and functionality of those affected. Materials and methods: This is a descriptive
and comparative cross-sectional study, carried out in two stages. The first was a descriptive
study of 103 adults confirmed for FChik in Natal-RN, traced at least one year after getting
sick. Clinical, sociodemographic and telephone data were collected through the Individual
Notification Form (FNI) and the telephone survey was conducted to collect aspects of the
chronic phase. There was success in the rescue of 33 patients who were interviewed, and of
these 25 chronified. The second stage was a comparative study, conducted with 2 groups:
chikungunya group (GChik), composed of 25 chronic patients of FChik (from stage 1); and
the healthy group (GS), consisting of 25 healthy individuals, recruited for convenience and
matched for gender and age. Both groups answered the Stanford HAQ 20-Item Disability
Scale (HAQ) and SF-12v2 Short Form Health Survey (SF-12) questionnaires. Results: In the
first stage, the most prominent joint symptoms in the acute phase were: arthralgia (77.66%),
back pain (67.96%) and arthritis (63.10%); Already in the chronic phase were joint pain
(92%), periarticular edema (56%) and limitation of movement (40%). Regarding work,
65.21% (n = 15) reported damages and 82.60% (n = 19) needed removal time off work, with
absenteeism, mostly, between 7 and 30 days. In the second stage, significant differences were
found between GChik and GS, both for functional capacity and quality of life (p <0.05). The
most compromised aspects were HAQ Walking category, the Body Pain domain and SF-12
mental component summaries. Still, GChik presented a greater chance for the development of
depression. Conclusions: FChik compromises the functionality and quality of life of those
affected, with direct impairment in the autonomy to perform daily activities and risk of
developing other morbidities, especially related to mental health. |
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