European Scientific Journal, ESJ | 2019
Qualite de vie des Patients ayant une Gonarthrose a Brazzavile, Congo
Abstract
Objective: To evaluate the quality of life in patients with knee osteoarthritis. Patients and Methods: Cross-sectional, descriptive and analytical study, conducted in two steps in the Department of Rheumatology at the University Hospital of Brazzaville. The first step made it possible to collect data of patients diagnosed as having knee osteoarthritis according to the ACR criteria of 1986 and followed up from January 1st, 2013 to December 31st, 2017. After informed consent was obtained, the second step consisted in measuring the quality of life of patients using a specific quality-of-life questionnaire for knee and hip osteoarthritis OAKHQOL (OsteoArthritis of Knee Hip Quality Of Life). It took place from May 2nd to November 2nd, 2018 (6 months). Results: We included in this study 103 women and 16 men (sex ratio F / H of 6/1). The average age was 56.1 ± 9 years (range 27 to 77 years). The mean evolution time was 5.1 ± 3.6 years. The knee osteoarthritis moderately impaired the overall quality of life of patients. The most affected dimensions were physical activity and pain, with respectively 51.3% and 42.9% of patients between 25 and 50. Mean scores for additional items were 35.3 +/- 24.4, respectively, (n = 84) for employment, 36.2 +/- 20.8 (n = 61) for relationship with the partner and 39.4 +/- 27.2 (n = 61) for sexuality. Conclusion: Knee osteoarthritis affects the overall quality of life of patients, especially in the physical activity and pain dimensions. Objectif : Evaluer la qualite de vie des patients ayant une gonarthrose. Patients et Methodes: Etude transversale, descriptive, menee dans le Service de Rhumatologie du CHU de Brazzaville, en deux etapes. La premiere a permis de colliger les dossiers des patients diagnostiques selon les criteres de l’ACR de 1986 et suivis pour une gonarthrose du 1 er janvier 2013 au 31 decembre 2017.La seconde consistait, apres consentement eclaire, en la mesure de la qualite de vie a l’aide du questionnaire Arthrose des Membres Inferieurs et Qualite de vie (AMIQUAL) des patients identifies. Elle s’est deroulee du 02 mai au 02 novembre 2018 (6 mois). Resultats : Nous avons inclus 103 femmes et 16 hommes (sexe ratio H/F de 1/6). L’âge moyen etait de 56,1 +/- 9 ans (extremes 27 a 77 ans). La duree moyenne d’evolution etait de 5,1 +/- 3,6 ans. La gonarthrose alterait de facon moderee la qualite de vie globale des patients. Les dimensions les plus touchees etaient les activites physiques et la douleur, avec respectivement 51,3% et 42,9% des patients compris entre 25 et 50. Les scores moyens des items independants etaient respectivement de 35,3 +/- 24,4 (n=84) pour la dimension activite professionnelle, 36,2 +/- 20,8 (n=61) pour la relation de couple et 39,4+/-27,2 (n=61) pour la sexualite. Conclusion : la gonarthrose affecte la qualite de vie globale des patients notamment dans les dimensions activites physiques et douleur.