Dissertações e Teses
URI permanente para esta coleçãohttps://repositorio.cmmg.edu.br/handle/123456789/6
Navegar
Item A intensidade da dor e a incapacidade afetam a qualidade de vida relacionada à saúde da pessoa idosa com dor lombar? Análise multinível entre Brasil e Holanda: estudo cross sectional do consórcio BACE(Faculdade Ciências Médicas de Minas Gerais, 2023-03-27) Grigorini, Adriana Estela de Oliveira; Pereira, Leani Souza Máximo; Leopoldino, Amanda Aparecida de OliveiraIntroduction: The prognosis of back pain (BP) in the elderly is less favorable than in adults and progress to adverse outcomes such as disability, falls, comorbidities, sleep disorders, psychosocial distress, and consequent worsening of health-related quality of life (HRQoL). Objective: To verify the association between the acute BP intensity, disability, and quality of life in elderly residents in Brazil and Netherlands. Methods: Data were collected from 602 Brazilian and 675 Dutch participants with a new episode of BP from the Back Complaints in Elders (BACE) consortium. For the present study, a cross section was used. Pain intensity and disability were assessed using the Numerical Rating Scale (NRS) and the Roland-Morris Disability Questionnaire (RMDQ), respectively. HRQoL was assessed using the Short Form Health Survey (SF-36) quality of life questionnaire. Age, sex, and education were descriptive variables. Pain intensity (NPS score) and country were the independent variables and quality of life assessed by each SF domain - 36 was the dependent variable. Analysis of models at the individual level was performed to verify the association between pain and disability, also HRQoL in Netherlands and Brazil in the total sample. The multilevel model was used to verify whether the elderly person's country of residence influenced this relationship. Results: The evaluated sample consisted of 1270 participants who were divided into two groups: Brazilians (n = 602, 67.7 ± 7.0 years) and Dutch (n = 668, 66.4 ± 7.57 years). As for sociodemographic characteristics, 908 (71.5%) of all participants were female and 362 (28.5%) were male, with a mean age of 67 (± 7.33 years). Brazilian elderly had lower educational levels and worse scores for disability (RMDQ) and pain intensity (NPS) compared to Dutch elderly. In the total sample, linear regression analysis adjusted for sex and age showed a significant association between BP intensity scores and HRQoL, for all domains, observing that Dutch elderly people had a greater impact of pain on quality of life as assessed by the SF-36. There was no association between disability and HRQoL. In the multilevel analysis, there was an association between BP intensity and HRQoL in all domains and an association between the country of residence and HRQoL, influencing the effect of pain, in all domains, except for the physical functioning. Conclusion: Socioeconomic and cultural aspects of Brazil and Netherlands can impact the perception of the elderly about their quality of life in the presence of BP. Pain and disability in Brazilian and Dutch elderly ones are experienced differently in relation to their quality of life.