The health-related quality of life of patients with chronic obstructive pulmonary disease and asthma evaluated by the SGRQ
A qualidade de vida relacionada com a saúde de doentes com doença pulmonar obstrutiva crónica e asma avaliada pelo SGRQ
Juliana Maria de Sousa Pinto1,6,
, Jacinto Ramos González2,6, José Ignácio Calvo Arenillas3,6, Ana María Martín Nogueras4,6, Francisco Pedro Gómez Gómez5,6
Corresponding author
1 Doutoramento em “Avances en Investigación sobre Discapacidad” – Universidade de Salamanca; Bolseista MAEC-AECID, Espanha; mestrado em “Educação em Saúde” – Universidade de Fortaleza, Brasil; professora do Curso de Fisioterapia da Universidade de Fortaleza (UNIFOR), Brasil/PhD in Avances en Investigación sobre Discapacidad/Advances in Research into Disability – Universidade de Salamanca, Spain; MAEC-AECID scholarship holder, Spain; MsC in Educação em Saúde / Health Education – Universidade de Fortaleza, Brazil; Professor, Physiotherapy, Universidade de Fortaleza (UNIFOR), Brazil
2 Doutoramento em “Avances en Medicina Interna” pela Universidade de Salamanca; professor associado do Curso de Medicina da Universidade de Salamanca/PhD in Avances in Medicina Interna/Advances in Internal Medicine – Universidade de Salamanca, Spain; Associate Professor, Medicine, Universidade de Salamanca, Spain
3 Doutor em Medicina y Cirurgia – Universidade de Salamanca; professor catedrático da Escola de Fisioterapia da Universidade de Salamanca/M.D. Medicine and Surgery – Universidade de Salamanca, Spain; Tenured Professor, School of Physiotherapy, Universidade de Salamanca, Spain
4 Doutora pela Universidade de Salamanca; professora titular da Escola de Fisioterapia da Universidade de Salamanca/M.D. Universidade de Salamanca, Spain; Full Professor, School of Physiotherapy, Universidade de Salamanca, Spain
5 Doutor em Medicina e Cirurgia – Universidade de Salamanca/M.D. Medicine and Surgery – Universidade de Salamanca, Spain
6 Pesquisa realizada no Serviço de Pneumologia do Hospital Universitário de Salamanca/Work undertaken at the Pulmonology Unit of the Hospital Universitário de Salamanca
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Bolseista MAEC-AECID, Espanha; mestrado em “Educação em Saúde” – Universidade de Fortaleza, Brasil; professora do Curso de Fisioterapia da Universidade de Fortaleza (UNIFOR), Brasil/PhD in Avances en Investigación sobre Discapacidad/Advances in Research into Disability – Universidade de Salamanca, Spain; MAEC-AECID scholarship holder, Spain; MsC in Educação em Saúde / Health Education – Universidade de Fortaleza, Brazil; Professor, Physiotherapy, Universidade de Fortaleza (UNIFOR), Brazil" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Doutoramento em “Avances en Medicina Interna” pela Universidade de Salamanca; professor associado do Curso de Medicina da Universidade de Salamanca/PhD in Avances in Medicina Interna/Advances in Internal Medicine – Universidade de Salamanca, Spain; Associate Professor, Medicine, Universidade de Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Doutor em Medicina y Cirurgia – Universidade de Salamanca; professor catedrático da Escola de Fisioterapia da Universidade de Salamanca/M.D. Medicine and Surgery – Universidade de Salamanca, Spain; Tenured Professor, School of Physiotherapy, Universidade de Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Doutora pela Universidade de Salamanca; professora titular da Escola de Fisioterapia da Universidade de Salamanca/M.D. Universidade de Salamanca, Spain; Full Professor, School of Physiotherapy, Universidade de Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Doutor em Medicina e Cirurgia – Universidade de Salamanca/M.D. Medicine and Surgery – Universidade de Salamanca, Spain" "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Pesquisa realizada no Serviço de Pneumologia do Hospital Universitário de Salamanca/Work undertaken at the Pulmonology Unit of the Hospital Universitário de Salamanca" "etiqueta" => "<span class="elsevierStyleSup">6</span>" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Correspondence to</span>/Correspondência: Paseo San Vicente 55-182 – Salamanca 37007" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "A qualidade de vida relacionada com a saúde de doentes com doença pulmonar obstrutiva crónica e asma avaliada pelo SGRQ" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-10-29" "fechaAceptado" => "2010-01-07" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160882" "palabras" => array:3 [ 0 => "Quality of life" 1 => "chronic obstructive pulmonary disease" 2 => "asthma" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160881" "palabras" => array:3 [ 0 => "Qualidade de vida" 1 => "doença pulmonar obstrutiva crónica" 2 => "asma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Aims</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To compare the effects of asthma and chronic obstructive pulmonary disease (COPD) on the quality of life of patients evaluated using the Saint George Respiratory Questionnaire (SGRQ) through correlating the variables, domains and total score.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study from October 2008 to March 2009 with 75 adult outpatients at the University Hospital of Salamanca, Spain. Patients provided their clinical and socio-demographical data after being informed of the study's aims and ethical aspects. The packa ge Statistics SPSS version 17.0 were used for statistical analysis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">65.3% were male and 34.7% female with mean age 60.4 years. 68% had a diagnosis of asthma and 30.7% COPD. Statistically significant differences (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05) between diagnosis and the ‘activity’ domain were found. None were found between gender, smoking, ex-smoking or hypertension and the domains. The income levels were inversely related (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.038) with the total score. Statistically significant differences between age and the ‘activity’ (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01) and ‘impact’ (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05) domains and the SGRQ total score were found (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01). The forced expiratory volume in one second (FEV1%pred) only correlated with the ‘activity’ domain (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01) and with the total score (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">No variable correlated with all domains and the total score of the instrument. Some presented no statistically significant difference.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Objectivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comparar os efeitos da asma e da DPOC na qualidade de vida dos doentes avaliados pelo Saint George Respiratory Questionnaire (SGRQ) através de correlações entre as variáveis e os domínios e a pontuação total.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudo transversal entre Outubro de 2008 a Março de 2009 com 75 adultos das consultas de ambulatório do Hospital Universitário de Salamanca, Espanha. Depois de informar os objectivos do estudo e os aspectos éticos, foi preenchido um formulário com os dados clínicos e socio-demográficos e, em seguida, aplicada a versão espanhola do SGRQ. Para a análise estatística fui utilizada o pacote estatístico Stadistics SPSS versão 17.0.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">65,3% eram homens e 34,7% mulheres com idade média de 60,4 anos; 68% tinham diagnóstico de asma e 30,7% de DPOC. Foram encontradas diferenças estatisticamente significativas (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) entre o diagnóstico e o domínio actividade; e nenhuma entre o sexo, o facto de ser fumador, ex-fumador ou hipertenso com os dois domínios. Os níveis socioeconómicos relacionam-se de forma inversa e significativa (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,038) com a pontuação total. Foram obtidas diferenças estatisticamente significativas entre a idade e os domínios actividade (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) e impacto (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05) e a pontuação total do SGRQ (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). O VEF1VEMS correlacionou-se apenas com o domínio actividade (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) e com a pontuação total do questionário (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01).</p> <span class="elsevierStyleSectionTitle">Conclusões</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nenhuma variável se correlacionou com todos os domínios e a pontuação total do instrumento e algumas não apresentaram diferença estatisticamente significativa.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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