Qualidade de vida relacionada a saude de idosos com artroplastia total de quadril : utilização de instrumentos generico e especifico / Health-related quality of life of the elderly with total hip arthroplasty : use of generic and specific instruments

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

This study it had as objective to evaluate the Health-Related Quality of Life (HRQL) of elderly with Total Hip Arthroplasty (THA) by means of a generic instrument and another specific one and to investigate the influence of variable sociodemografics, clinical and functional of these citizens. It had been part of this study 88 aged ones with 60 years or more, of both the sorts, submitted the THA primary, unilateral, at least has six months, in two hospitals of the interior of São Paulo. The data had been gotten by means of the application of four instruments: 1. questionnaire for the characterization socio-demographic, clinical and related the THA; 2. questionnaire of functional evaluation of the hip - Harris Hip Score (HHS); 3. generic instrument of evaluation of the HRQL The Medical Study 36-item Short-Form Health Survey (SF-36) and 4. the specific Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The data had been submitted to the analysis descriptive statistics, ceiling and floor effects, of trustworthiness by means of the alpha of Cronbach <0,70, variance univariada (ANOVA) and multivaried (MANOVA) and of comparison by means of the tests of Mann-Whitney and Kruskal-Wallis. The studied sample had predominance of the women and the age average was of 68,8 (±7,4) years. The scores of the instruments of the evaluation of HRQL had demonstrated that the questions of physical nature had affected more the quality of life (QoL) of these elderly. The reliability was satisfactory for both instruments, with Alpha de Cronbach >0,70, except in the dimension stiffness of the WOMAC. The effect ceiling was shown in some domains in such a way of the WOMAC as well of the SF-36. According to MANOVA the variable function of the hip, evaluated for the HHS, was the variable that presented significant influence in the HRQL under the perspective of the instruments generic and specific. The variables: use of accessories for the locomotion, function of the hip and satisfaction with the surgery had been the variables that had presented excellent significant differences in the dimensions of the SF-36 and the WOMAC. The results evidence that instruments SF-36 and WOMAC are adjusted to evaluate the HRQL of elderly patients with THA, but present some limitations. Therefore, one suggests that actions that optimize the functional status can contribute to improve the HRQL of the aged ones with THA

ASSUNTO(S)

qualidade de vida quality of life artroplastia hip arthroplasty arthroplasty idosos elderly artroplastia de quadril

ACESSO AO ARTIGO

Documentos Relacionados