Impacto dos sintomas do trato urinário inferior na qualidade de vida de um grupo de homens idosos. / Lower urinary tract symptoms impact in the quality of life of a group of elderly men.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Purpose: To evaluate the changes in quality of life due to lower urinary tract symptoms in a group of elderly men. Methods: Prospective randomized clinical study. A sample of 200 elderly men (any race, schooling and social level) was recruited between March and September 2008 in Urology and Geriatrics ambulatories of Federal University of São Paulo (Brazil), and among patients accompanists and participants of fitness programs in community centers for elderly. Inclusion criteria were: male sex; aged 65-years or more; voluntary interest in participate; understanding and signing the consent form. Exclusion criteria were: radical prostatectomy; current use of urinary catheter; acute diseases (infectious, inflammatory or allergic diseases; traumatisms, surgeries or hospital admissions in the last month); uncompensated chronic diseases (hypertension, heart failure, diabetes, dialytic kidney failure, etc.); malignant neoplasm; alcoholism or drug addiction; neurological and psychiatric diseases (dementia, parkinsonism, epilepsy, depression, psychosis, etc.); use of drugs primarily active in the central nervous system. Protocol included: a questionnaire of health and sociodemographic conditions; the International Prostate Symptom Score; an anxiety and depression inventory; the World Health Organization Quality of Life Bref and Old questionnaires (WHOQOL). According to the punctuation of urinary symptoms, the participants were classified in two groups: Group I (8-35 points) and Group II (0-7 points). The data collected was statistically analyzed with chi-square, students t, Brown-Mood and Fisher tests, with 95% confidence level. Results: 100 men were included in each group. The mean age was 72.89 ( 5.96) in group I and 73.41 ( 5.95) in group II. The two groups were statistically similar in all sociodemographic parameters (age, race, marital status, schooling, religion, economical and employment status), morbidity (heart diseases, hypertension, diabetes, and use of medications) and anxiety and depression scores. Both quality of life questionnaires showed significantly worse median scores in group I in all domains and facets, including sensory function, autonomy, perception of death, physical and psychological health. In WHOQOL-BREF, the domains social and environmental relations presented the most significative differences (p <0.0005). In WHOQOL-OLD, the facet social participation presented the most significative statistical result (p <0.0005). The mean of the final score of WHOQOL-OLD questionnaire was 86.3 ( 12.5) for group I and 93.8 ( 11.5) for group II (p <0.0005). Conclusions: For elderly men, moderate to severe lower urinary tract symptoms do impact significantly all domains and facets that compose the parameters of quality of life evaluation proposed by the World Health Organization. The most affected domains are related to social and environmental relations.

ASSUNTO(S)

1. qualidade de vida. 2. transtornos urinários. 3. hiperplasia benigna da próstata. 4. idoso medicina preventiva

ACESSO AO ARTIGO

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