Qualidade de vida e fatores associados entre pessoas acometidas pela hanseníase do Ambulatório de Infectologia do Hospital Universitário Júlio Müller, Cuiabá-MT, 2018

Abstract

Leprosy is a chronic, infectious, contagious disease caused by Mycobacterium leprae, with the potential to cause physical incapacities, directly implicating the quality of life of its patients. OBJECTIVE: To analyze the prevalence of quality of life and associated factors among leprosy patients enrolled at the Júlio Müller University (JMUH) Hospital, Federal University of Mato Grosso. METHOD: A cross-sectional epidemiological study with a sample of 206 patients undergoing treatment for leprosy and / or related complications, referred for medical evaluation by the municipal health departments of the State of Mato Grosso. A questionnaire containing questions about sociodemographic, clinical characteristics, minor psychiatric disorder (SRQ-20), use of psychoactive substances and questions on quality of life (WHOQOL-bref) was applied. We performed the univariate, bivariate, Poisson regression, chi-square test, with a 95% confidence interval (95% CI) as the measure of association with the Prevalence Ratio (PR). RESULTS: The highest proportion of males (52.4%), race/color (53.4%), married (45.1%), mean age 48.7 years, SD = 13.9 years, low schooling (13.6% illiterate, 42.7% Elementary School), 70.4% positive for SRQ-20, prevalence of unsatisfactory quality of life, second physical domain (92.7%), environment (90.8% %), psychological (70.9%) and social relations (59.2%). Although there were patients who reported the use of psychoactive drugs, there was no association with the domains of quality of life. With a higher prevalence rate (RPBrute = 3.71, 95% CI 1.34-10.26, RP adjusted = 1.17, 95% CI 1.07-1.27) for physical domain. CONCLUSION: Patients with leprosy assisted in the JMUH presented an unsatisfactory quality of life in all domains of quality of life. The results of this study highlight the human and social aspects related to leprosy, in order to assist both public policies and practices aimed at providing comprehensive care for people affected by the disease, intersectorally articulated health and education actions, once which are about potency factors that affect disease control measures.