Prevalencia de dolor lumbar y calidad de vida de usuarios con EPOC o asma atendidos en los CESFAM Lo Hermida y La Faena, Peñalolén, Santiago de Chile, año 2015
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Fecha
2016
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Facultad/escuela
Idioma
es
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Universidad Andrés Bello
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Licencia CC
Licencia CC
Resumen
Las enfermedades respiratorias crónicas como lo son la Enfermedad Pulmonar Obstructiva Crónica (EPOC) y el Asma pueden estar relacionadas al dolor lumbar por una disfunción del CORE y ocasionar la disminución de calidad de vida de estos usuarios. El objetivo de este estudio fue evaluar la prevalencia de dolor lumbar y la calidad de vida de usuarios con EPOC o ASMA atendidos en los Centros de Salud Familiar (CESFAM) La Faena y Lo Hermida, Peñalolén, Santiago de Chile. Se realizó un estudio no experimental, analítico comparativo y con diseño transversal. Participaron 93 hombres y mujeres mayores de 18 años con Asma o EPOC atendidos en sala ERA de los CESFAM Lo Hermida y La Faena de la comuna de Peñalolén de la Región Metropolitana. Los criterios de exclusión del estudio son los siguientes: Analfabetismo, déficit cognitivo evaluado por el test Mini-mental (puntaje de corte: menor o igual a 24 puntos), enfermedades neurológicas. La recolección de datos fue mediante los datos de la ficha clínica, los antecedentes sociodemográficos y clínicos a ser obtenidos con el usuario, las medidas antropométricas, el cuestionario de la enfermedad respiratoria crónica “The chronic respiratory disease questionnaire” (CRDQ) para la calidad de vida, la adaptación chilena al cuestionario de Roland Morris para medir el nivel de discapacidad producida por el dolor lumbar y por último se aplicó la Escala Visual Análoga (EVA) en caso de presentar dolor lumbar. Los participantes fueron evaluados utilizando los cuestionarios antes mencionados de acuerdo a “las dos últimas semanas” por lo que si referían sintomatología, era información reciente. Los datos fueron analizados en el programa estadístico SPSS 20. Se realizaron análisis estadísticos descriptivos y se utilizó el test estadístico U de Mann Whitney para comparar la calidad de vida entre personas con y sin dolor lumbar. Se adoptó un valor de p<0,05. La prevalencia de dolor lumbar en este estudio corresponde al 55,9% (n=52). El 82,7% del género femenino presentó mayor prevalencia de dolor lumbar (n=43) en comparación con un 17.3% del género masculino (n=9). Además, se observó que existe un alto porcentaje de asma moderado (45,1%) en el total de los participantes (n=93), de los cuales el 53,8% presentó dolor lumbar (n=28). También hubo diferencia estadísticamente significativa entre las personas con y sin dolor lumbar solamente en la dimensión de calidad de vida relativa al control de la enfermedad, de modo que las personas con dolor lumbar tenían puntajes más bajos referentes a peor calidad de vida relacionada a la enfermedad respiratoria. Se evaluó la prevalencia de dolor lumbar en usuarios con EPOC o Asma atendidos en los Centros de Salud Familiar (CESFAM) La Faena y Lo Hermida, Peñalolén, Santiago de Chile, y se obtuvo un elevado porcentaje de prevalencia de dolor lumbar de 55,9%. Por lo tanto, más de la mitad de los participantes del estudio con EPOC o Asma presentaron dolor lumbar. Al comparar la calidad de vida en usuarios con EPOC y Asma entre aquellos que presentan y no presentan dolor lumbar, se concluyó que en el presente estudio existe una diferencia estadísticamente significativa entre las personas con y sin dolor lumbar solamente en la dimensión de calidad de vida en relación al <control de la enfermedad> del “Cuestionario de la enfermedad respiratoria crónica”. Por lo tanto, las personas entrevistadas en este estudio con dolor lumbar (con una enfermedad respiratoria crónica de base) tienen peor calidad de vida relacionada al control de la enfermedad.
Chronic respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD) and Asthma may me allied to low back pain beacause of a dysfunction of the core and along with it, the decrease in the quality of life of these users. The objective of this study it was to evaluate the prevalence of low back pain and the quality of life of users with COPD or Asthma atended in la Faena and Lo Hermida family centers in Peñalolén, Santiago, Chile. Methods: It is a non-experimental, comparative and cross-sectional analytical study. Participants were 93 men and women over 18 years old with Asthma or COPD atended in Adult Respiratory Disease (ARD’s) rooms of La Faena and Lo Hermida family centers of the commune of Peñalolén in metropolitan region. The judgment of exclusion of the study are: Illiteracy, cognitive déficit assessed by the mini-mental test (cut score less than or equal to 24 points ), neurological diseases. The data collection was done through the data of clinical file, the sociodemographic and clinical antecedents and the anthropometric measures were obtained with the user, the questionnaire of chronic respiratory disease (CRDQ) for quality of life, the Chilean adaptation to the Roland Morris questionnaire to measure the level of disability produced by low back pain and finally the Visual Analogue Scale (VAS) in case if the user has low back pain. Participants were evaluated using the questionnaires before named according to “the last two weeks” so if they referred symptomatology, was recent information. The information were analyze in the statistical program SPSS 20. The study perform a review of descriptive and the Mann Whitney U test was used to compare the quality of life between people with and without low back pain. A value of P<0.05 was adopted. Results: The prevalence of low back pain in this study corresponds to 55.9% (N= 52). 82.7% of the female gender had a higher prevalence of low back pain (N=43) compared to 17.3% of the male gender (n=9). Also, there was a high percentage of moderate asthma (45.1%) in the total number of participants (n=93), of which 53.8% had low back pain (N=28). There was also a statistically significant difference between people with and without low back pain only in the quality of life dimensión relative to disease control, so that people with low nack pain had lower scores concerning worst quality of lifa related to the disease respiratory. Conclusion: The prevalence of low back pain was evaluated in users with COPD and Asthma treated in La 10 Faena and Lo Hermida family centers, Penalolen, Santiago de Chile, and a prevalence rate of lumbar pain of 55.9%. Therefore, more tan a half of the study participants with COPD or Asthma had low back pain. When comparing quality of life in users with COPD and Asthma among those who present and do not hace low back pain, it was concluded that in the present study there is a statistically significant difference between people with and without lumbar pain only in the dimensión of quality of life in relation <illness control> of the “Chronic Respiratory Disease Questionnaire”. Therefore, people interviewed in this study with low back pain (with a base chronic respiratory disease) have a worst quality of life related to illness control
Chronic respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD) and Asthma may me allied to low back pain beacause of a dysfunction of the core and along with it, the decrease in the quality of life of these users. The objective of this study it was to evaluate the prevalence of low back pain and the quality of life of users with COPD or Asthma atended in la Faena and Lo Hermida family centers in Peñalolén, Santiago, Chile. Methods: It is a non-experimental, comparative and cross-sectional analytical study. Participants were 93 men and women over 18 years old with Asthma or COPD atended in Adult Respiratory Disease (ARD’s) rooms of La Faena and Lo Hermida family centers of the commune of Peñalolén in metropolitan region. The judgment of exclusion of the study are: Illiteracy, cognitive déficit assessed by the mini-mental test (cut score less than or equal to 24 points ), neurological diseases. The data collection was done through the data of clinical file, the sociodemographic and clinical antecedents and the anthropometric measures were obtained with the user, the questionnaire of chronic respiratory disease (CRDQ) for quality of life, the Chilean adaptation to the Roland Morris questionnaire to measure the level of disability produced by low back pain and finally the Visual Analogue Scale (VAS) in case if the user has low back pain. Participants were evaluated using the questionnaires before named according to “the last two weeks” so if they referred symptomatology, was recent information. The information were analyze in the statistical program SPSS 20. The study perform a review of descriptive and the Mann Whitney U test was used to compare the quality of life between people with and without low back pain. A value of P<0.05 was adopted. Results: The prevalence of low back pain in this study corresponds to 55.9% (N= 52). 82.7% of the female gender had a higher prevalence of low back pain (N=43) compared to 17.3% of the male gender (n=9). Also, there was a high percentage of moderate asthma (45.1%) in the total number of participants (n=93), of which 53.8% had low back pain (N=28). There was also a statistically significant difference between people with and without low back pain only in the quality of life dimensión relative to disease control, so that people with low nack pain had lower scores concerning worst quality of lifa related to the disease respiratory. Conclusion: The prevalence of low back pain was evaluated in users with COPD and Asthma treated in La 10 Faena and Lo Hermida family centers, Penalolen, Santiago de Chile, and a prevalence rate of lumbar pain of 55.9%. Therefore, more tan a half of the study participants with COPD or Asthma had low back pain. When comparing quality of life in users with COPD and Asthma among those who present and do not hace low back pain, it was concluded that in the present study there is a statistically significant difference between people with and without lumbar pain only in the dimensión of quality of life in relation <illness control> of the “Chronic Respiratory Disease Questionnaire”. Therefore, people interviewed in this study with low back pain (with a base chronic respiratory disease) have a worst quality of life related to illness control
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Tesis (Kinesiólogo)
Palabras clave
Dolor de la Región Lumbar, Salud Pública, Calidad de Vida, Enfermedades Respiratorias, Chile, Peñalolén