de Oliveira Patrícia Pereira, Sandrin Carolina Canton, Batista Patricia Hermann, Marinheiro Lizanka Paola Fiqueiredo, Wender Maria Celeste Osório, Roisenberg Felipe
Universidade Comunitária e Regional de Chapecó, Chapecó, SC, Brasil.
Rev Bras Ginecol Obstet. 2011 May;33(5):231-7.
To investigate the relationship between quality of life and spinal fracture in women aged over 60 living in Southern Brazil.
A case-control study was conducted with the application of the WHOQOL-bref questionnaire to 100 women living in the city of Chapecó (SC), aged over 60, postmenopausal, white or Caucasian, with no important cognitive impairment or a history of diseases known to affect bone metabolism, or malignant neoplasias. The population was divided into two groups depending on the presence or absence of fractures in the spine radiography. We analyzed variables related to the current and previous medical history, life habits and family history of fractures, and the domains and facets that compose the WHOQOL-bref. All participants were informed about the objectives and methodologies adopted and gave written informed consent to participate in the study.
The mean age of the women in the fracture group was older than that of women with fractures (p<0.05). Also women with fractures tended to belong to a higher social class, to have more years of study, a higher family income, and a greater use of alcoholic drinks (p<0.05). In the evaluation of the WHOQOL-bref domains, the fracture group had the highest average in the psychological field (χ=63.6±3.0) and the lowest in the environment field (χ=9.3±58.8). In the group without fracture, the highest average also occurred in the psychological domain (χ=67.2±9.3) and the lowest in the field of social relations (χ=57.5±7.7). Statistical analysis showed no significant correlation between the averages of the facets that make up the areas between the groups with and without fractures.
This study suggests that there is no impairment of quality of life among older women with vertebral fractures, but the relation between QL and time of occurrence and severity of the fractures should be better evaluated. Both groups had higher scores in the psychological domain, showing that the respondents rely on personal beliefs, spirituality and religion, accept their physical appearance while maintaining self-esteem and the ability to think, to learn and to concentrate despite the presence of this disease. There was no statistically significant difference between groups or between domains in the same group.
调查巴西南部60岁以上女性的生活质量与脊柱骨折之间的关系。
进行了一项病例对照研究，对居住在查佩科市（圣卡塔琳娜州）的100名60岁以上、绝经后、白人或高加索人种、无重要认知障碍且无已知影响骨代谢疾病或恶性肿瘤病史的女性应用世界卫生组织生活质量简表（WHOQOL-bref）问卷。根据脊柱X光片中是否存在骨折，将人群分为两组。我们分析了与当前和既往病史、生活习惯、骨折家族史以及构成WHOQOL-bref的领域和方面相关的变量。所有参与者均被告知所采用的目标和方法，并书面知情同意参与研究。
骨折组女性的平均年龄高于无骨折女性（p<0.05）。此外，骨折女性往往属于较高社会阶层，受教育年限更长，家庭收入更高，饮酒量更大（p<0.05）。在WHOQOL-bref领域评估中，骨折组在心理领域的平均分最高（χ=63.6±3.0），在环境领域的平均分最低（χ=9.3±58.8）。在无骨折组中，平均分最高的同样是心理领域（χ=67.2±9.3），最低的是社会关系领域（χ=57.5±7.7）。统计分析表明，骨折组和无骨折组之间构成各领域的方面平均分之间无显著相关性。
本研究表明，老年椎体骨折女性的生活质量未受损害，但生活质量与骨折发生时间及严重程度之间的关系应进一步评估。两组在心理领域的得分均较高，表明受访者依赖个人信念、精神性和宗教，接受自己的外貌，同时尽管患有这种疾病仍保持自尊以及思考、学习和集中注意力的能力。组间或同一组内不同领域之间均无统计学显著差异。
