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Abstract(s)
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Resumo
Introdução: A histeroscopia é o exame de referência no estudo da cavidade uterina.
Contudo é invasiva e pode envolver complicações perioperatórias. Como procedimento
cirúrgico ela induz uma resposta ao stress dependente de certas características
sociodemográficas e clínicas da paciente, afetando a sua auto-perceção da qualidade de vida.
Objetivo: Avaliar a perceção da qualidade de vida (QV) da paciente imediatamente
antes do procedimento.
Métodos: Estudo prospetivo de uma amostra de conveniência de pacientes
referenciadas para a histeroscopia no Serviço de Ginecologia do Centro Hospitalar Cova da
Beira. Aplicação presencial do questionário SF-36 (Auto-preenchido pelas pacientes) e
colheita de dados sociodemográfico-clínicos. A análise estatística das respostas foi realizada
através do programa SPSS ® v.19.0. Estudo correlacional e aplicação do método de regressão
logística binária, confirmado, quando válido, pelo método de regressão linear. Um ponto de
corte para definir "baixa" versus "alta" QV foi calculado usando os primeiros quartis de cada
domínio do SF-36, respetivamente.
Resultados: Dos 127 inquéritos entregues, 95 tinham a informação completa para a
análise e cumpriam os critérios de inclusão. A média das idades foi de 55 (desvio padrão
12,2). Os preditores da qualidade de vida significativos na histeroscopia são o uso de
antidepressivos/psicotrópicos, a idade da utente, a hipertensão arterial, a insuficiência
económica e a escolaridade (p<0.05). A sensibilidade, especificidade e precisão do modelo do
funcionamento físico foram 65.1, 80.8, e 73.7% respetivamente, tendo os restantes modelos
menor classificação global. Estes resultados são consistentes, ou estão de acordo com outros
estudos de avaliação da QV relacionada com a saúde (QVRS), ou sobre temáticas relacionadas.
Conclusão: A utilização de antidepressivos e a idade da utente são os principais
fatores preditivos da sensação de maior e menor qualidade de vida, respetivamente, em
vários domínios de saúde do SF-36. O nível de escolaridade, afeta menos domínios, e está
correlacionada positivamente com a escala "limitação nas atividades usuais da vida diária por
problemas emocionais", da QVRS. A insuficiência económica está associada negativamente
com a vitalidade. Estes resultados confirmam os descritos na literatura. Este tipo de
pacientes psiquiátricos requer cuidados especiais.
Introduction: Hysteroscopy is considered the "gold standard" for evaluating the uterine cavity. However, it is invasive and has associated adverse events. As a surgical procedure, it elicits a stress response dependent of certain sociodemographic and clinical characteristics of the patients, affecting their self-perception of their quality of life (QoL). Objectives: To evaluate the patient perception of QoL immediately prior to the procedure. Methods: A prospective study of a convenience sample of patients referred for hysteroscopy in the Department of Gynecology of the University Hospital, Cova da Beira Hospital Center. Administration of the SF-36 questionnaire (self-filled by the patients). Sociodemographic-clinical data was collected. A statistical analysis of the responses was performed using SPSS ® v. 19.0. Correlational study and application of the method of binary logistic regression, which was confirmed, whenever valid, by the linear regression method. A cutoff to define "poor" versus "good" QoL was calculated using the first quartiles of each domain of the SF-36, respectively. Results: Of the 127 surveys delivered, 95 had complete information for analysis and met the inclusion criteria. The average age was 55 (standard deviation 12.2). Significant predictors of the 8 domains of quality of life just before hysteroscopy are the use of antidepressants / psychotropic drugs, age, economic insufficiency, arterial hypertension, and education attainment (p <0.05). The sensitivity, specificity and accuracy of the model of physical functioning were 65.1, 80.8, e 73.7% respectively, which were lower for the remaining models. These results are consistent, or agree with other studies evaluating health related QoL (HRQoL), or discussing related issues. Conclusions: The use of antidepressants and the age of the women are the main predictors of feeling for good and poor quality of life, respectively, in the majority of the 8 health domains of SF-36. Educational attainment, is less prevalent in these domains, being positively correlated with the scale "role limitations due to emotional problems", of the HRQoL. Economic insufficiency was positively associated with vitality. These results confirm those reported in the literature. Special care should be taken with this type of psychiatric patients.
Introduction: Hysteroscopy is considered the "gold standard" for evaluating the uterine cavity. However, it is invasive and has associated adverse events. As a surgical procedure, it elicits a stress response dependent of certain sociodemographic and clinical characteristics of the patients, affecting their self-perception of their quality of life (QoL). Objectives: To evaluate the patient perception of QoL immediately prior to the procedure. Methods: A prospective study of a convenience sample of patients referred for hysteroscopy in the Department of Gynecology of the University Hospital, Cova da Beira Hospital Center. Administration of the SF-36 questionnaire (self-filled by the patients). Sociodemographic-clinical data was collected. A statistical analysis of the responses was performed using SPSS ® v. 19.0. Correlational study and application of the method of binary logistic regression, which was confirmed, whenever valid, by the linear regression method. A cutoff to define "poor" versus "good" QoL was calculated using the first quartiles of each domain of the SF-36, respectively. Results: Of the 127 surveys delivered, 95 had complete information for analysis and met the inclusion criteria. The average age was 55 (standard deviation 12.2). Significant predictors of the 8 domains of quality of life just before hysteroscopy are the use of antidepressants / psychotropic drugs, age, economic insufficiency, arterial hypertension, and education attainment (p <0.05). The sensitivity, specificity and accuracy of the model of physical functioning were 65.1, 80.8, e 73.7% respectively, which were lower for the remaining models. These results are consistent, or agree with other studies evaluating health related QoL (HRQoL), or discussing related issues. Conclusions: The use of antidepressants and the age of the women are the main predictors of feeling for good and poor quality of life, respectively, in the majority of the 8 health domains of SF-36. Educational attainment, is less prevalent in these domains, being positively correlated with the scale "role limitations due to emotional problems", of the HRQoL. Economic insufficiency was positively associated with vitality. These results confirm those reported in the literature. Special care should be taken with this type of psychiatric patients.
Description
Keywords
Avaliação Fatores Preditivos Histeroscopia Qualidade de Vida Relacionada Com A Saúde Regressão Logística Sf-36