Qualidade de vida de mulheres com dor pélvica crônica
Carregando...
Data
2010-06-16
Autores
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Goiás
Resumo
OBJECTIVES: to compare the quality of life (QOL) of women who have or do
not have chronic pelvic pain (CPP) and to investigate the factors associated with
QOL in women with CPP. METHODS: a cross-sectional study was performed, in
which 30 women with CPP and 20 women without CPP were included. They
were premenopausal women aged 18 to 50 years attending the gynecologic
outpatient department of a tertiary care university hospital (Hospital das
Clínicas, Universidade Federal de Goiás, Brazil). A CPP case was considered
when presenting with recurrent or constant pelvic pain of at least six months`
duration, unrelated to periods. Women who had been pregnant in the previous
year or who had a history of malignant disease were excluded.
Sociodemographic and clinical features were assessed. The Medical Outcomes
Study 36-item Short-Form Health Survey (SF-36) questionnaire was used to
investigate QOL. It provides an eight-scale profile of scores: physical
functioning, role-physical, bodily pain, general health, vitality, social functioning,
role-emotional and mental health. These eight domains can be summed up in
two summary measures: physical component summary (PCS) and mental
component summary (MCS). Pain intensity was evaluated using a mechanical
visual analogue scale (VAS). Multiple regression analyses was used to compare
QOL scores between women with and without CPP and to identify the factors
associated with QOL in women with CPP. RESULTS: the mean age of women
with and without CPP was 35.2±7.5 and 36±9.3 years, respectively (p=0.77).
Women with CPP had a lower monthly family income (p=0.04) and a higher
prevalence of dysmenorrhea (87% versus 40%; p<0.01) and depression (30%
versus 5%; p=0.04) compared to those without CPP. After adjusting the
analyses using potential confounding variables, women with CPP had lower QOL scores in two domains: bodily pain (31 versus 72; p<0.01) and social
functioning (56.3 versus 100; p<0.01). Depression was negatively associated
with the role-emotional domain (coefficient: -65.185; CI 95% -130.25 to -0.12;
p=0.05) and the MCS (coefficient: -23.271; CI 95% -43.8 to -2.74; p=0.03),
whereas pain intensity was negatively associated with the bodily pain domain
(coefficient: -8.826; CI 95% -13.98 to -3.66; p<0.01) of the QOL of women with
CPP. CONCLUSIONS: women with CPP had poorer QOL compared to those
without CPP. Depression in women with CPP was associated with lower QOL.
Greater pain intensity, as assessed by the mechanical VAS, was also
associated with lower QOL among women with CPP. These factors should be
considered when managing CPP patients in an attempt to minimize the negative
effects they may exert on QOL.
Descrição
Citação
BARCELOS, Priscilla Rodrigues. Quality of life of women with chronic pelvic pain. 2010. 100 f. Dissertação (Mestrado em Ciências da Saúde - Medicina) - Universidade Federal de Goiás, Goiânia, 2010.