Relação das escalas de avaliação para constipação com a classificação funcional e qualidade de vida de pacientes com doença de Parkinson

Abstract

Intestinal constipation (IC) makes up the group of non-motor alterations that are frequent in the clinical picture of people diagnosed with Parkinson's Disease (PD). The IC is also negatively related to functionality and quality of life, in addition to being evaluated by several non-standard instruments, which can make it difficult to interpret its results. Thus, the objective of this study was to correlate questionnaires used for IC with intestinal function, functionality and quality of life of individuals with PD. This is a descriptive cross-sectional study, carried out with 34 individuals with PD, classified between 2 and 4 on the Hoehn & Yahr Scale, and IC. As instruments for the diagnosis and assessment of IC, the Rome III Criteria and the Bristol Scale were used. The Bowel Function in the Community, motor part of the Movement Disorders Society – Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and the Parkinson Disease Questionnaire-39 (PDQ-39) were used to assess bowel function, functionality and quality of life, respectively. The descriptive analysis of the sample characterization variables was performed using measures of central tendency and dispersion. Spearman's correlation was also used. The population studied had a mean age of 65.68 ± 8.06 and a time of diagnosis of the disease of 5.76 ± 4.04, in years. The Bristol Scale showed a relationship with the domain of anorectal diseases of The Bowel Function in the Community and with quality of life. IC, according to the Rome III Criteria, was related to the bowel habits domain of The Bowel Function in the Community. IC has a significant relationship with worse quality of life, altered bowel habits and the presence of anorectal diseases in patients with PD. The Bristol Scale and the Rome III Criteria proved to be good tools for assessing IC in PD.