Calidad de Vida en Pacientes con Síndrome Post-COVID-19
DOI:
https://doi.org/10.36489/saudecoletiva.2025v15i94p15047-15058Palabras clave:
Síndrome post-COVID-19, Signos y síntomas, Calidad de vida, CuestionarioResumen
Objetivo: evaluar la calidad de vida de los pacientes que viven con síndrome post-COVID-19. Método: Estudio transversal que utilizó el cuestionario europeo de calidad de vida EQ-5D-5L, escala de estado funcional post-COVID, escala de disnea y escala de fatiga. Resultados: Participaron 111 pacientes, de los cuales (80,18%) eran de sexo femenino, con bachillerato completo (45,9%), color de piel autodeclarado moreno (73%), casados/en unión estable (45,04%) y con ingresos de hasta 1 salario mínimo (47,7%). El índice medio EQ-5D-5L fue de 0,610. Los hombres casados tenían un índice de calidad de vida más alto. En la escala de estado funcional post COVID-19 se identificaron niveles bajos de calidad de vida en individuos con limitaciones moderadas/severas y en los grados 2 y 3 de la escala de disnea, en la escala de fatiga el aumento de puntaje redujo el índice de calidad de vida. La disnea, la fatiga y los cambios en la memoria fueron los síntomas más reportados. Conclusión: La calidad de vida fue baja debido a factores sociodemográficos y secuelas de la enfermedad.
Citas
CALIFE, Karina et al. Nota Técnica nº44. A importância de detectar e tratar a Covid longa no Brasil: uma análise sobre sintomas dos indivíduos acometidos e do acesso ao diagnóstico e ao tratamento. 2023.
DO NASCIMENTO, Juliana Martins Rocha; NAVES, Marcelo Andery; ROSA, Igor Braian Pereira. Impacto funcional do pós-COVID-19: Covid persistente. 2022.
WORLD HEALTH ORGANIZATION (WHO). WHOQOL User Manual. 2012. Disponível em: https://www.who.int/tools/whoqol/whoqol-bref. Acesso em: 24 de fev. 2023.
WURZ, Amanda et al. " I feel like my body is broken": exploring the experiences of people living with long COVID. Quality of Life Research, v. 31, n. 12, p. 3339-3354, 2022. DOI: https://doi.org/10.1007/s11136-022-03176-1
MALESEVIC, Stefan et al. Impaired health-related quality of life in long-COVID syndrome after mild to moderate COVID-19. Scientific Reports, v. 13, n. 1, p. 7717, 2023. DOI: https://doi.org/10.1038/s41598-023-34678-8
EUROQOL GROUP. EQ-5D-5L, 2019. Disponível em: https: https://euroqol.org/wp-content/uploads/2023/11/EQ-5D-5LUserguide-23-07.pdf. Acesso em 23 de fev. 2023.
KLOK, F. A.; BOON, G. J. A. M.; BARCO, S.; et al. The Post-Covid-19 Functional Status scale: a tool to measure functional status over time after Covid-19. European Respiratory Journal, v.56, n. 1, p. 2001494, 2020. DOI: https://doi.org/10.1183/13993003.01494-2020
KOVELIS, Demetria et al. Validation of the Modified Pulmonary Functional Status and Dyspnea Questionnaire and the Medical Research Council scale for use in Brazilian patients with chronic obstructive pulmonary disease. Jornal Brasileiro de pneumologia, v. 34, p. 1008-1018, 2008. DOI: https://doi.org/10.1590/S1806-37132008001200005
BRASIL. Governo de Santa Catarina. Protocolo de Reabilitação da COVID-19 na Atenção Primária à Saúde. Assistência, Regulação, Reabilitação e Telemonitoramento, Florianópolis-SC. 1ª Edição 2021b.
DE VRIES, J.; et al. Measuring fatigue in sarcoidosis: the Fatigue Assessment Scale (FAS). British journal of health psychology, v. 9, n. 3, p. 279-291, 2004. DOI: https://doi.org/10.1348/1359107041557048
ARAB-ZOZANI, Morteza et al. Health-related quality of life and its associated factors in COVID-19 patients. Osong public health and research perspectives, v. 11, n. 5, p. 296, 2020. DOI: https://doi.org/10.24171/j.phrp.2020.11.5.05
CARENZO, Luca et al. Health related quality of life, physical function, and cognitive performance in mechanically ventilated COVID-19 patients: A long term follow-up study. Journal of Critical Care, v. 82, p. 154773, 2024.Azambuja et al. (2024) DOI: https://doi.org/10.1016/j.jcrc.2024.154773
CAZÉ, Ana B. et al. Prevalence and risk factors for long COVID after mild disease: A cohort study with a symptomatic control group. Journal of Global Health, v. 13, 2023. DOI: https://doi.org/10.7189/jogh.13.06015
STEWART, Stuart et al. Long COVID risk-a signal to address sex hormones and women's health. The Lancet Regional Health–Europe, v. 11, 2021. DOI: https://doi.org/10.1016/j.lanepe.2021.100242
FERNÁNDEZ-DE-LAS-PEÑAS, César et al. Long COVID or post-COVID-19 condition: past, present and future research directions. Microorganisms, v. 11, n. 12, p. 2959, 2023. DOI: https://doi.org/10.3390/microorganisms11122959
LONG, Di et al. Health-related quality of life and mental well-being during the COVID-19 pandemic in five countries: a one-year longitudinal study. Journal of Clinical Medicine, v. 11, n. 21, p. 6467, 2022. DOI: https://doi.org/10.3390/jcm11216467
RICHARDS, Libby; FRANKS, Melissa; SHROUT, Rosie. Marriage provides health benefits, especially for men. 2023.
CARLILE, Oliver et al. Impacto da COVID longa na qualidade de vida relacionada à saúde: um estudo de coorte populacional OpenSAFELY usando medidas de resultados relatados pelo paciente (OpenPROMPT). The Lancet Regional Health–Europe , v. 40, 2024.
HERRMANN, Johannes et al. Prospective single-center study of health-related quality of life after COVID-19 in ICU and non-ICU patients. Scientific reports, v. 13, n. 1, p. 6785, 2023. DOI: https://doi.org/10.1038/s41598-023-33783-y
HAMDY, Rehab M. et al. Functional outcomes in post Covid-19 patients with persistent dyspnea: multidisciplinary approach. The International Journal of Cardiovascular Imaging, v. 39, n. 6, p. 1115-1122, 2023 DOI: https://doi.org/10.1007/s10554-023-02819-9
SEVILLA, Guillermo García Pérez de; SÁNCHEZ-PINTO, Beatriz. Associations between muscle strength, dyspnea and quality of life in post-COVID-19 patients. Revista da Associação Médica Brasileira, v. 68, n. 12, p. 1753-1758, 2022. DOI: https://doi.org/10.1590/1806-9282.20220974