Short Form-36, escala de auto-estima de Rosemberg/UNIFESP-EPM e Self-Report Questionnaire-20 em pacientes com desvio nasal
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Data
2006
Autores
Ramos, Sueli de Lima [UNIFESP]
Orientadores
Hochman, Bernardo [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: O desvio nasal é queixa comum nos serviços de Otorrinolaringologia e Cirurgia Plástica. Pode alterar a qualidade de vida e acarretar transtornos psíquicos. Na literatura não há estudos a respeito. Objetivo: Avaliar qualidade de vida, auto-estima e depressão em pacientes com desvio nasal. Métodos: Trata-se de estudo analítico e transversal. Foram selecionados 60 pacientes, divididos em grupo estudo, contendo 32 pacientes com desvio nasal e grupo controle, com 28 pacientes sem desvio nasal. Realizou-se o diagnóstico de desvio nasal por fotografia digital. Para avaliação da qualidade de vida utilizou-se os questionários The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36), a Escala de Auto-estima de Rosenberg/UNIFESP- EPM e o Self - Report Questionnaire (SRQ-20). A análise estatística utilizou os testes de Mann- Whitney, Quiquadrado e t-student. Resultados: Na qualidade de vida, o grupo de estudo apresentou diferença com significância estatística nos domínios capacidade funcional e estado geral de saúde (p<0,05). Em relação à auto-estima, não houve diferença com significância estatística. A depressão esteve presente em 11 pacientes (18,3 por cento) do grupo de estudo e em 2 pacientes (3,3 por cento) do grupo controle, havendo diferença com significância estatística (p<0,05). Conclusões: Pacientes com desvio nasal apresentam pior qualidade de vida nos domínios capacidade funcional e estado geral de saúde. Em relação à auto-estima, não apresentam alteração, mas apresentam depressão.
Introduction: Nasal deviation is a common complain in Otolaryngology and Plastic Surgery. It may alter Quality of Life (QL) and lead to psychiatric disturbances. No related studies were found in the literature. Objective: To evaluate QL, self-esteem and depression in patients with nasal deviation. Methods: This is an analytical and transversal study. They were applied in 60 patients, distributed in study group, with 32 patients with nasal deviation and control group, with 28 patients without nasal deviation. Nasal deviation was diagnosed by digital photography. For QL assessment, three questionnaires were used: The Medical Outcomes Study 36-item Short-form Health Survey (SF-36), Rosenberg/UNIFESP-EPM’s Self-Esteem Scale and Self Report Questionaire (SRQ-20). Statistical analysis used parametric and non-parametric tests. Results: In QL, study group revealed significant difference in domains functional capacity and general state of health (p<0.05). As regards self esteem, there was no statistical significance. Depression was found in 11 patients (18.3%) in study group and in 2 patients (3.3 %) in control group, with statistical significance (p<0.05). Individually, from a total of 13 patients with depression scores, two belonged to control group (3.3 %) and 11, to study group (18.3 %), a significant difference (p = 0.025). Conclusions: Patients with nasal deviation present worse QL in functional capacity and general state of health domains. As regards self-esteem, no significant difference between the groups is observed. Patients with nasal deviation present depression.
Introduction: Nasal deviation is a common complain in Otolaryngology and Plastic Surgery. It may alter Quality of Life (QL) and lead to psychiatric disturbances. No related studies were found in the literature. Objective: To evaluate QL, self-esteem and depression in patients with nasal deviation. Methods: This is an analytical and transversal study. They were applied in 60 patients, distributed in study group, with 32 patients with nasal deviation and control group, with 28 patients without nasal deviation. Nasal deviation was diagnosed by digital photography. For QL assessment, three questionnaires were used: The Medical Outcomes Study 36-item Short-form Health Survey (SF-36), Rosenberg/UNIFESP-EPM’s Self-Esteem Scale and Self Report Questionaire (SRQ-20). Statistical analysis used parametric and non-parametric tests. Results: In QL, study group revealed significant difference in domains functional capacity and general state of health (p<0.05). As regards self esteem, there was no statistical significance. Depression was found in 11 patients (18.3%) in study group and in 2 patients (3.3 %) in control group, with statistical significance (p<0.05). Individually, from a total of 13 patients with depression scores, two belonged to control group (3.3 %) and 11, to study group (18.3 %), a significant difference (p = 0.025). Conclusions: Patients with nasal deviation present worse QL in functional capacity and general state of health domains. As regards self-esteem, no significant difference between the groups is observed. Patients with nasal deviation present depression.
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Citação
RAMOS, Sueli de Lima. Short Form-36, Escala de Auto-Estima de Rosenberg/UNIFESP-EPM e Self-Report Questionnaire-20, em pacientes com desvio nasal. 2006. 127 f. Dissertação (Mestrado) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2006.