Escala Salsa e grau de Incapacidades da Organização Mundial de Saúde: avaliação da limitação de atividades e deficiência na hanseníase / SALSA scale and disability grading system of the World Health Organization: evaluation of physical activity limitations and disability of individuals treated for leprosy
Acta fisiátrica
;
17(4)dez. 2010.
Article
in Portuguese
| LILACS
| ID: lil-602511
RESUMO
Verificar o grau de incapacidades da OMS (GI-OMS) e a limitação de atividades avaliada pela escala Screening of Activity Limitation and Safety Awareness (SALSA) pós-alta medicamentosa dos pacientes que tiveram hanseníase. Estudo transversal que incluiu pacientes tratados entre 2007 a 2009, em São José do Rio Preto-SP, Brasil. Utilizou-se protocolo próprio para coletar dados gerais e clínicos, construído com base no Check List da Classificação Internacional Funcionalidade, Incapacidade e Saúde. A deficiência foi medida pelo GI-OMS e a limitação de atividades pelo SALSA que tem variação de 10 a 80 e ponto de corte ≥25. De 84 pessoas tratadas no período, 54(64,3%) foram entrevistadas, sendo 31(57,4%) homens, idade 53,8(dp16,3) e 33(61,2 %) possuía até 6 anos de educação formal. A forma clinica dimorfa predominou 17(32,1%), 21(38,9%) considerou sua saúde física "boa". A analise dos escores SALSA e variáveis estudadas resultou em significância aos que relataram lesão significante (valor-p=0,04), baixa renda familiar (valor-p=0,04), baixa escolaridade (valor-p=0,00), formas clínicas multibacilares (valor-p=0,01) e deficiências avaliadas pelo GI-OMS (valor-p=0,01). As limitações de atividades são freqüentes (57,4%), assim como as deficiências medidas pelo GI-OMS (68,5%), atingem as formas multibacilares, pessoas que relataram lesão significante, de baixa renda e escolaridade.
ABSTRACT
To verify the disability grading system of the World Health Organization (DG-WHO) and activity limitations evaluated by the Screening of Activity Limitation and Safety Awareness (SALSA) scale of individuals who completed treatment for leprosy. A cross-sectional study that included patients treated from 2007 to 2009 in São José do Rio Preto, Brazil. A questionnaire, designed using the International Classification of Functioning, Disability and Health checklist, was used to collect general and clinical data. Disability was measured by the DG-WHO and activity limitations by SALSA, using a score of 10 to 80 with a cutoff point of 25. Of 84 individuals treated, 54 (64.3%) were interviewed: 31 (57.4%) were men, mean age was 53.8 (SD 16.3) and 33 (61.2%) had up to 6 years of schooling. Borderline leprosy predominated in 17 (32.1%) participants, and 21 (38.9%) participants considered their physical health "good". The analysis of the SALSA scores and studied variables were significant for individuals who reported important injuries (p=0.04), low family income (p=0.04), little schooling (p=0.00), multibacillary clinical form (p=0.01) and disabilities evaluated by DG-WHO (p=0.01). Activity limitations are common (57.4%) in this population, as are disabilities identified by DG-WHO (68.5%) and are directly associated to the multibacillary clinical form, important injuries, low family income and little schooling.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
World Health Organization
/
Activities of Daily Living
/
International Classification of Functioning, Disability and Health
/
Leprosy
Type of study:
Practice guideline
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Acta fisiátrica
Journal subject:
MEDICINA FISICA E REABILITACAO
Year:
2010
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Faculdade de Medicina de São José do Rio Preto/BR
/
Instituto Adolfo Lutz/BR
/
Instituto Lauro de Souza Lima/BR
/
Universidade Federal de São Carlos/BR
/
Universidade de São Paulo/BR
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