Author/Editor		Bojnec, Vida; Čelan, Dušan; Palfy, Miroslav; Turk, Zmago
Title		Vpliv vadbe na kakovost življenja bolnic z osteopenijo ali osteoporozo - uvedba vprašalnika QUALEFFO-41 v Sloveniji
Translated title		Effect of exercise on quality of life in patients with osteopaenia or osteoporosis - implementation of the QUALEFFO-41 questionnaire in Slovenia
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 10, št. 1
Publication year		2011
Volume		str. 37-44
Language		slo
Abstract		Background: The burden of chronic diseases in population, one of them being osteoporosis, is growing. It is inevitable that today physicians pay more attention to measures of quality of life that imply patients' perspective about their illness. This provides them with additional information along with important investigations such as physical examination and imaging techniques. The aim of the study was to evaluate the effect of 3-monthly course of group physical exercise on the quality of life in women with osteopaenia or osteoporosis using the disease-specific Quality of Life Questionnaire of the European Foundation for Osteoporosis QUALEFFO-41. Another aim was to find out if any correlation exists between bone mineral density (BMD) and quality of life, independently of fractures. Methods: The study included 28 women, members of League against osteoporosis Maribor, with osteopaenia or osteoporosis. They have been enrolled in a 3- month courseof group exercise with physical therapists. The structure of the study was pre-test - post-test experimental model. The questionnaire QUALEFFO-41 was administered before starting with the exercise course and at the end of the course after 3 months. The questionnaire comprises 41 questions organized into five domains: pain, physical function, social function, general health perception, and mental function. Results: The mean total QUALEFFO-41 score after exercise was significantly lower (23.9, SD 12.1) then before starting the exercise (27.1, SD 13.7; p = 0.001). Statistically significant improvements were also observed in the domain of pain and two subdomains of physical function, mobility and activities of daily living. We did not find any correlation between BMD and quality of life. Conclusions: The disease-specific questionnaire QUALEFFO-41 has not been validated in Slovenia yet. (Abs. trunc. at 2000 ch.)
Summary		Izhodišča: Število bolnikov s kroničnimi boleznimi narašča, zato vse več pozornosti posvečamo kakovosti njihovega življenja, pri čemer upoštevamo, kako bolniki svojo bolezen dojemajo. Podatki, ki nam jih bolniki posredujejo, dopolnjujejo ugotovitve kliničnega pregleda in uporabljenih diagnostičnih metod. Namen študije je s pomočjo usmerjene ocenjevalne lestvice QUALEFFO- 41, ki je v Sloveniji še niso uporabljali, ugotoviti, ali se je kakovost življenja žena z osteopenijo ali osteoporozo v obdobju po menopavzi po vključitvi v strokovno vodeno skupinsko telesno vadbo izboljšala. Zanimala nas je tudi morebitna povezanost med mineralno kostno gostoto (MKG) in kakovostjo življenja bolnic, ki ni povezana z zlomom zaradi osteoporoze. Metode: V študiji je sodelovalo 28 žensk z osteopenijo ali osteoporozo, članic Društva proti osteoporozi Maribor, ki smo jih vključili v trimesečni program strokovno vodene skupinske telesne vadbe, ki so jo vodile fizioterapevtke. Študija je bila zasnovana kot poskus tipa pred-po. Pred začetkom in po končani vadbi so preiskovanke izpolnile vprašalnik QUALEFFO-41, ki vsebuje 41 vprašanj v petih domenah: bolečina, telesna zmogljivost, socialni stiki, splošno zdravstveno stanje in duševne sposobnosti. Rezultati: Povprečna skupna ocena, ki smo jo dobili s pomočjo vprašalnika QUALEFFO-41, je bila po vadbi statistično značilno nižja (23,9; SD 12,1) kot pred njo (27,1; SD 13,7; p = 0,001), kar pomeni višjo kakovost življenja bolnic. Statistično značilno izboljšanje smo opazili tudi pri domeni bolečine ter telesne zmogljivosti na področju gibanja in dnevnih aktivnosti. Povezanosti med vrednostjo MKG in kakovostjo življenja bolnic, ki ni povezana z zlomi, nismo našli. Zaključek: Veljavnost vprašalnika QUALEFFO-41 v Sloveniji še ni potrjena, vendar menimo, da bi lahko bil učinkovito dodatno mersko orodje za ocenjevanje uspešnosti rehabilitacijskih postopkov pri bolnicah z osteoporozo.
Descriptors		OSTEOPOROSIS BONE DISEASES, METABOLIC QUALITY OF LIFE EXERCISE QUESTIONNAIRES