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Análise Psicológica

versão impressa ISSN 0870-8231

Aná. Psicológica v.21 n.2 Lisboa abr. 2003

 

Qualidade de vida e complicações crónica da diabetes (*)

 

ISABEL SILVA (**)

JOSÉ PAIS-RIBEIRO (***)

HELENA CARDOSO (****)

HELENA RAMOS (****)

 

 

RESUMO

O objectivo do presente estudo é analisar o impacto da presença de complicações crónicas específicas na qualidade de vida de indivíduos com diabetes. Foi avaliada uma amostra de conveniência de 316 sujeitos com diabetes, dos quais 44,6% do sexo masculino; com idades compreendidas entre os 16 e os 84 anos (M= 48,39; DP=16,90); 41,8% (n=132) apresenta diagnóstico de diabetes tipo 1 e a duração da doença varia entre 4 meses e 43 anos (M=13,66; DP=9,32).

Destes doentes, 59,8% sofre de complicações crónicas da diabetes. Os resultados sugerem que, entre os indivíduos com diabetes, aqueles que sofrem de complicações crónicas demonstram ter uma qualidade de vida inferior à dos que não sofrem de sequelas. Esta diferença verifica-se quando são analisadas especificamente a microangiopatia, catarata, macroangiopatia, neuropatia autonómica (nomeadamente, disfunção sexual), doença cardíaca coronária, antecedentes de acidente vascular cerebral, hipertensão arterial e doença arterial periférica. Todavia, quando controlada a gravidade de complicações como a retinopatia e a nefropatia, constata-se que não existe uma relação linear entre a gravidade da complicação e o impacto na qualidade de vida, uma vez que, por vezes, doentes com níveis mais graves da complicação apresentam uma qualidade de vida superior à de indivíduos com níveis menos graves desta.

 

Palavras-chave: Qualidade de vida, diabetes, complicações crónicas.

 

 

ABSTRACT

The objective of the present study is to analyse the impact of specific disease chronic complications in quality of life of diabetic patients. A convenience sample include 316 diabetic patients; 44.6% males; aged between 16 and 84 years (M= 48.39; DP=16.90), 41.8% (n=132) with type 1 diabetes and 58.2% (n=184) with type 2 diabetes. Disease duration varies between 4 months e 43 years (M=13.66; DP=9.32) and 59.8% of those patients suffers from diabetes chronic complications. Results suggest that diabetic patients who suffer from chronic complications report lower quality of life than those patients who do not suffer from diabetes sequels. This distinction is present when we analyse specifically microangiopathy, cataract, macroangiopathy, autonomic neuropathy (namely sexual dysfunction), coronary heart disease, previous stroke, hypertension and peripheral arterial disease. However, when we control complications severity, namely retinopathy and nephropathy severity, we verify that there is not a linear association between sequel severity and its impact on quality of life, since, in some cases, patients suffering from a more severe complication level report higher quality of life than patients with less severe levels.

 

Key words: Quality of life, diabetes, chronic complications.

 

 

Texto completo disponível apenas em PDF.

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(*) Trabalho realizado com o apoio da bolsa Praxis XXI BD/21804/9 da Fundação para a Ciência e a Tecnologia.

(**) Psicóloga.

(***) Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto.

(****) Hospital Geral de Santo António - Serviço de Endocrinologia, Porto.

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