Prejuízo na funcionalidade e baixa qualidade de vida de indivíduos acometidos por Chikungunya em Fortaleza-CE

Abstract

Chikungunya (CHIK) is a disease caused by CHIK virus that can cause polytralgia, fatigue, myalgia and headache, and fever in the early days as the main symptoms. These may remain for months to years, leading to maintenance or even increase in negative impacts on biopsychosocial factors. The evaluation of the functionality and quality of life (QOL) and the correlation with the sociodemographic variables of the sample can provide subsidies to study the population's health condition beyond the morbidity data. Objectives: To evaluate the functionality, QOL, pain and describe the sociodemographic profile of laboratory diagnosis confirmed individuals with CHIK in the city of Fortaleza-CE, verifying the relationship with sociodemographic and regional health variables. Methodology: Cross-sectional, observational and analytical study. Methodology: Cross-sectional, observational and analytical study. Data collection was performed at the individual's home, from November 2018 to August 2019. The research population consisted of individuals who had a laboratory diagnosis of CHIK and were reported as cases in 2018, in the city of Fortaleza. We included people over 18 years of age, both genders and residents of the city of Fortaleza. Those who did not have cognitive conditions to respond to interview has been excluded. The main outcomes evaluated were functionality, QOL and pain level using the WHODAS 2.0 (0-100), WHOQOL-Bref (100-0), Numeric Pain Scale (0-10) instruments, respectively; in addition to sociodemographic and health district factors. The variables were analyzed using the Stata 15.1 program. Student's t test, ANOVA, Pearson correlation and their nonparametric correspondents (p< 0.05) were performed. Results: 42 subjects were evaluated, most of the sample consisted of women (85,71%), with an average of 48 (± 15) years, married, brown, with paid work and with a pain level of 5.73 (± 2.99). The average functioning was 35.55 (± 17.92), being the domains domestic activity, participation and mobility the most affected. The average QOL was 12.73 (± 2.05), with environment and physical domains as the worst scores. Data referring to health district did not show significant differences between them. Conclusion: It is obtained a profile of people affected with CHIK and that even after an average period of 21 months of diagnosis remains with moderate level of pain, impacts on functioning and especially on QOL. The health regions show no significant differences in the analyzes.