Morales Rogério de Rizo, Morales Nívea de Macedo Oliveira, Rocha Fernando Coronetti Gomes da, Fenelon Sheila Bernardino, Pinto Rogério de Melo Costa, Silva Carlos Henrique Martins da
Médico Neurologista da UFU.
Arq Neuropsiquiatr. 2007 Jun;65(2B):454-60. doi: 10.1590/s0004-282x2007000300018.
Multiple sclerosis (MS) is a chronic disease which may exert significant effects on the life of patients. Traditional outcome measures in MS lack in consider the effects of the disease on health-related quality of life (HRQoL). The goal of this study is to measure HRQoL in MS patients in the city of Uberlândia, State of Minas Gerais, Brazil. The Brazilian version of the SF-36 was applied in 23 MS patients and in 69 subjects of general population (blood donors) in Uberlândia. MS patients scored lower in all SF-36 scales than do the general population, principally in physical function domains. Patients with EDSS scores < or =3.5 had higher mean scores in four domains than do the patients with EDSS scores > or =4.0, and lower in all domains than control group. Depressive symptoms and heat intolerance showed correlation with SF-36 domains and components. In conclusion, MS patients have a significant negative impact on all HRQoL domains measured by SF-36, compared with general population, even in the stages with lower disability.
多发性硬化症(MS)是一种可能对患者生活产生重大影响的慢性疾病。MS的传统结局指标未考虑该疾病对健康相关生活质量(HRQoL)的影响。本研究的目的是测量巴西米纳斯吉拉斯州乌贝兰迪亚市MS患者的HRQoL。SF-36巴西版本应用于乌贝兰迪亚市的23例MS患者和69名普通人群(献血者)。MS患者在所有SF-36量表上的得分均低于普通人群,主要是在身体功能领域。扩展残疾状态量表(EDSS)得分≤3.5的患者在四个领域的平均得分高于EDSS得分≥4.0的患者,且在所有领域的得分均低于对照组。抑郁症状和不耐热与SF-36领域及组成部分相关。总之,与普通人群相比,MS患者对SF-36所测量的所有HRQoL领域均有显著负面影响,即使在残疾程度较低的阶段也是如此。