RESUMO
BACKGROUND: The aim of the present study was to evaluate health-related quality of life in pediatric patients with avascular necrosis of the femoral head. MATERIAL AND METHODS: A comparative study was conducted involving 32 children and adolescents in "ONFH Group" (subjects with a diagnosis of ONFH) and 44 in "Comparison Group" (asymptomatic children), both aged between 8 and 18. Clinical and sociodemographic data were obtained along with PedsQL 4.0 questionnaires to evaluate the quality of life in the age-ranges studied. RESULTS: The two groups were similar as regards sociodemographic characteristics. Comparison of the quality of life total scores demonstrated significant differences between the ONFH group and the comparison group (58.86±16.54 versus 82.08±9.51), and this also occurred in all the domains analyzed. The predictors that showed correlation with the quality of life were: presence of necrosis, age, time of diagnosis, radiographic classification, Charnley score, educational level, previous surgeries, and previous infections. CONCLUSION: Our data confirm the hypothesis that pediatric patients with ONFH demonstrate a lower quality of life than healthy children in all the domains evaluated, especially with regard to the physical aspect.
Assuntos
Necrose da Cabeça do Fêmur/psicologia , Necrose da Cabeça do Fêmur/cirurgia , Cabeça do Fêmur/cirurgia , Pacientes/psicologia , Qualidade de Vida/psicologia , Adolescente , Fatores Etários , Brasil , Criança , Feminino , Humanos , Masculino , Inquéritos e Questionários , Fatores de TempoRESUMO
Os autores apresentam os resultados do estudo do desenho da imagem corporal de 66 indivíduos através do teste do desenho da figura humana enquanto teste projetivo. Foram analisados os resultados de 33 pacientes portadores de necrose asséptica da cabeça femoral em relaçäo a 33 indivíduos normais. Os itens do teste do desenho da figura humana com resultados significativos foram seis no grupo estudo, enquanto que no grupo controle somente um mostrou-se significativo. Os autores concluem que o teste do desenho da figura humana foi útil para avaliaçäo da auto-imagem em pacientes portadores de necrose asséptica da cabeça femoral