Depresión en pacientes con artritis reumatoidea atendidos en Consulta Externa del Hospital Luis Vernaza año 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La depresión en la artritis reumatoidea es un problema cuya incidencia a nivel mundial equivale del 15 al 40% que es equivalente al 40% de incidencia en pacientes que sufren artritis Reumatoidea en el Hospital Luis Vernaza y su diagnóstico no está del todo establecido la detección tardía conlleva a una disminución de la calidad de vida, el aumento del riesgo de suicidio y los pobres resultados fisiológicos. Además no existen recomendaciones que guíen al Reumatólogo para manejo de estos pacientes en la consulta externa, entre las personas con la enfermedad reumática, la gestión óptima sólo se puede conseguir si los clínicos reconocen factores psicosociales relevantes y utilizan intervenciones psicosociales que influyen en estos factores, el objetivo de este estudio fué describir la relación que existe entre la actividad de la Artritis Reumatoidea y el grado de Depresión con la finalidad de desarrollar recomendaciones en pacientes con Artritis Reumatoidea que sufren depresión. Para esto se utilizó escalas que es el DAS 28 que mide la actividad de la Artritis Reumatoidea, PHQ9 escala que sirve para hacer un diagnóstico de depresión por medio de una puntuación de 0-27. El cuestionario HAQ que es un instrumento fiable y válido para medir la discapacidad funcional en pacientes con Artritis Reumatoidea, de esta manera se obtuvo la relación entre depresión y artritis reumatoidea y su efecto negativo y a su vez en estos pacientes implementar estas escalas que ayuden a la detección temprana de depresión
Depression in rheumatoid arthritis is a problem whose incidence worldwide equivalent of 15 to 40% which is equivalent to 40% incidence in patients suffering from rheumatoid arthritis in the Luis Vernaza Hospital and your diagnosis is not entirely established late detection it leads to a decreased quality of life, increased risk of suicide and poor physiological results. In addition there are no recommendations to guide the rheumatologist for management of these patients in the outpatient clinic. Among people with rheumatic disease, optimal management can only be achieved if clinicians recognize relevant psychosocial factors and use psychosocial interventions that influence these factors, the aim of this study is to describe the relationship between the activity of rheumatoid arthritis and the degree of depression in order to develop recommendations in patients with rheumatoid arthritis suffering from depression. For this it is the DAS scales 28 which measures the activity of rheumatoid arthritis, PHQ9 scale used to make a diagnosis of depression by a score of 0-27 were used. The HAQ questionnaire is a reliable and valid instrument for measuring functional disability in patients with rheumatoid arthritis. Thus it is expected to obtain the relationship between depression and rheumatoid arthritis and its negative effect and turn in these patients implement these scales to help me early detection of depression.
Depression in rheumatoid arthritis is a problem whose incidence worldwide equivalent of 15 to 40% which is equivalent to 40% incidence in patients suffering from rheumatoid arthritis in the Luis Vernaza Hospital and your diagnosis is not entirely established late detection it leads to a decreased quality of life, increased risk of suicide and poor physiological results. In addition there are no recommendations to guide the rheumatologist for management of these patients in the outpatient clinic. Among people with rheumatic disease, optimal management can only be achieved if clinicians recognize relevant psychosocial factors and use psychosocial interventions that influence these factors, the aim of this study is to describe the relationship between the activity of rheumatoid arthritis and the degree of depression in order to develop recommendations in patients with rheumatoid arthritis suffering from depression. For this it is the DAS scales 28 which measures the activity of rheumatoid arthritis, PHQ9 scale used to make a diagnosis of depression by a score of 0-27 were used. The HAQ questionnaire is a reliable and valid instrument for measuring functional disability in patients with rheumatoid arthritis. Thus it is expected to obtain the relationship between depression and rheumatoid arthritis and its negative effect and turn in these patients implement these scales to help me early detection of depression.
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Depresión, Artritis reumatoidea, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador