0280/2012 - Medo de cair e sua relação com a medida da independência funcional e a qualidade de vida em indivíduos pós- Acidente Vascular Encefálico Fear of falling and its relationships with the functional independence measure and quality of life in post-stroke individuals
• Raquel Buarque Caminha Monteiro - Monteiro, R.B.C. - Universidade Federal de Pernambuco - <raquelbuarque@hotmail> +
Coautor(es):
• Glória Elizabeth Carneiro Laurentino - Laurentino, G.E.C. - Recife, PE - Universidade Federal de Pernambuco - <gloria_laurentino@yahoo.com.br>
• Priscilla Gonçalves de melo - Melo, P.G. - Universidade Federal de Pernambuco - <pri_prifisio@yahoo.com.br>
• Dinalva Lacerda Cabral - Cabral, D.L. - Recife, Pernambuco - Universidade Federal de Pernambuco - <dinalvalacerda@gmail.com>
• João Carlos Ferrari Correa - Correa, J.C.F. - Universidade Nove de Julho - <jcorrea@uninove.br>
• Luci Fuscaldi Teixeira-Salmela - Teixeira-Salmela, L.F. - Universidade Federal de Minas Gerais - <lfts@ufmg.br>
Área Temática:
Informação e Comunicação em Saúde
Resumo:
O objetivo deste estudo transversal foi avaliar o medo de cair em 52 indivíduos na fase crônica pós Acidente Vascular Encefálico (AVE) e verificar sua relação com medidas de independência funcional e de qualidade de vida (QV). O medo de cair foi verificado através da versão brasileira da Falls Efficacy Scale International (FES-I-BRASIL), independência funcional através da Medida da Independência Funcional (MIF) e QV através da Escala de QV Específica para AVE (EQVE-AVE). Coeficientes de correlação de Spearman foram calculados para verificar associações entre FES-I-BRASIL e os demais instrumentos, e o teste U de Mann-Whitney para comparar grupos com baixa e alta preocupação em cair. Houve predomínio de indivíduos com alta preocupação em cair (82,7%), maior QV (73,1%) e independentes (78,8%). A FES-I-BRASIL foi estatisticamente associada à MIF e à EQVE-AVE, sendo o mesmo observado nas subescalas transferências e locomoção da MIF e nos domínios energia, papéis familiares, linguagem, mobilidade, humor, autocuidado e função do membro superior da EQVE-AVE. Assim, o medo de cair pode contribuir para a redução da independência funcional e da QV de indivíduos pós-AVE, devendo ser inserido na avaliação desses pacientes, para que maiores benefícios possam ser garantidos na reabilitação.
Palavras-chave:
Medo de cair
independência funcional
qualidade de vida
acidente vascular encefálico
Abstract:
The aim of this cross-sectional study was to evaluate the fear of falling of 52 chronic stroke individuals and to assess its relationships with measures of functional independence and quality of life (QOL). Fear of falling was assessed by the Brazilian version of Falls Efficacy Scale International (FES-I-BRAZIL), functional independence by the Functional Independence Measure (FIM) and QOL by the Stroke Specific Quality of Life (SSQOL) scale. Spearman correlation coefficients were calculated to verify the associations between FES-I-BRAZIL and the other instruments, and the Mann-Whitney U test to compare groups with low and high fall concerns. There was a predominance of individuals with high concerns regarding falling (82,7%), higher QOL (73,1%), and independents (78,8%). The FES-I-BRAZIL was statistically associated with the FIM and SSQOL. Significant relationships were also found between the FES-I-Brazil with the transfer and locomotion FIM sub-scales, as well with the following SSQOL domains: Energy, family role, language, mobility, mood, self-care, and upper extremity function. Thus, fear of falling may contribute to reduced functional independence and QOL in individuals with stroke and should be included in the evaluation process, so greater benefits could be guaranteed during rehabilitation.
Keywords:
Fear of falling
functional independence
quality of life
stroke
Fear of falling and its relationships with the functional independence measure and quality of life in post-stroke individuals
Resumo (abstract):
The aim of this cross-sectional study was to evaluate the fear of falling of 52 chronic stroke individuals and to assess its relationships with measures of functional independence and quality of life (QOL). Fear of falling was assessed by the Brazilian version of Falls Efficacy Scale International (FES-I-BRAZIL), functional independence by the Functional Independence Measure (FIM) and QOL by the Stroke Specific Quality of Life (SSQOL) scale. Spearman correlation coefficients were calculated to verify the associations between FES-I-BRAZIL and the other instruments, and the Mann-Whitney U test to compare groups with low and high fall concerns. There was a predominance of individuals with high concerns regarding falling (82,7%), higher QOL (73,1%), and independents (78,8%). The FES-I-BRAZIL was statistically associated with the FIM and SSQOL. Significant relationships were also found between the FES-I-Brazil with the transfer and locomotion FIM sub-scales, as well with the following SSQOL domains: Energy, family role, language, mobility, mood, self-care, and upper extremity function. Thus, fear of falling may contribute to reduced functional independence and QOL in individuals with stroke and should be included in the evaluation process, so greater benefits could be guaranteed during rehabilitation.
Palavras-chave (keywords):
Fear of falling
functional independence
quality of life
stroke
Monteiro, R.B.C., Laurentino, G.E.C., Melo, P.G., Cabral, D.L., Correa, J.C.F., Teixeira-Salmela, L.F.. Medo de cair e sua relação com a medida da independência funcional e a qualidade de vida em indivíduos pós- Acidente Vascular Encefálico. Cien Saude Colet [periódico na internet] (2012/abr). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/medo-de-cair-e-sua-relacao-com-a-medida-da-independencia-funcional-e-a-qualidade-de-vida-em-individuos-pos-acidente-vascular-encefalico/9958?id=9958
