Frequência de fadiga e seu impacto na qualidade de vida de indivíduos com doença de Parkinson.

Abstract

Parkinson’s disease is a neurodegenerative disease with a number of motor and non-motor symptoms, and fatigue is a no motor symptom often under diagnosed, and may worsen motor limitations inherent to the disease itself, and cause significant negative impact on quality of life of these patients. The factors associated with fatigue in PD are still controversial. Objective: To assess the frequency of fatigue in PD, the factors responsible for its occurrence and its impact on quality of life of individuals, trace the socio-demographic profile and assess the evolution time and disease staging. Methods: Cross-sectional study, which evaluated the presence of fatigue in 20 patients with PD treated at the HUAC neurology clinic and at a private clinic located in Campina Grande- PB. For assessment of fatigue was applied to Parkinson's Fatigue Scale (PFS) , the quality of life for Parkinson's Disease Questionnaire (PDQ -39), and the possible factors associated with fatigue by: Sleepiness Scale Excessive Epworth (ESS), the Inventory Beck Depression Inventory (BDI), the Hoehn and Yahr Scale (HY) and the Mini Mental State Examination (MMSE). Results: In the study sample, 60% were defined as fatigue patients (defined as ≥ 3.3 in PFS-16). It was observed negative impact of fatigue on QoL, with moderate significant correlation between the scores of PFS and PDQ- 39 (p = 0.015), especially in the dimensions mobility (p = 0.01) and activity of daily living (p = 0.036). It was found during the study that the score on the PFS-16 has moderate correlation with the degree of depression (p= 0,009). Not found this association with the age of respondents, with time disease, with severity of PD, sleep disorders, and other co morbidities. Conclusion: Patients with PD are more subjective perception of fatigue symptoms. There was correlation between the degree of depression by the IDB and the PFS -16. Physical fatigue limitations cause impaired QoL in the modalities mobility and activities of daily living.