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Avaliação da qualidade de vida de cães com leishmaniose
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Resumo(s)
A qualidade de vida é um conceito relevante quando abordamos a leishmaniose. De facto, sendo esta uma doença crónica que afeta diversos órgãos e tecidos, originando sinais e quadros clínicos diversos e muitas vezes graves, apresenta o potencial para afetar significativamente o bem-estar dos animais. Existem inúmeros estudos acerca do diagnóstico, tratamento, estadiamento e prognóstico mas, tanto quanto sabemos, até à data nenhum que inclua a avaliação da qualidade de vida destes animais, tal como existe noutras doenças crónicas. Assim sendo, pretendendo avaliar a qualidade de vida destes doentes, adaptou-se um questionário, que fora utilizado para o mesmo efeito noutros com cancro, de forma a avaliar a qualidade de vida dos animais antes e após o tratamento para a leishmaniose. Este foi posteriormente administrado a titulares de cães com leishmaniose que foram atendidos no Hospital VetSet em Palmela sendo que no total sete detentores cumpriram os critérios do estudo tendo respondido às questões propostas. De uma forma geral, a qualidade de vida antes do tratamento era boa tendo em consideração que 57,14% dos cães apresentavam uma qualidade de vida excelente, no entanto, para os outros detetou-se uma diminuição deste parâmetro que, com a realização do tratamento se colmatou, visto que 85,71% destes animais passou a ter uma qualidade de vida excelente. O estadiamento foi também realizado nos casos em que existiam dados para tal, tendo-se observado que todos os animais pertenciam ao estadio II e que, mais de metade destes, apresentava uma qualidade de vida excelente ou muito boa. Além disso, avaliou-se o impacto que esta doença teve na vida dos detentores, tendo-se verificado que, neste estudo em que os casos de leishmaniose são ligeiros, esta teve pouca influência, exceptuando no que concerne à administração intramuscular que foi apontada como sendo um fator de ansiedade adicional. Assim, concluiu-se que, nestes pacientes, existiu perda de qualidade de vida associada à leishmaniose mesmo apresentando eles formas discretas da doença, e que esta pôde ser recuperada após uma boa resposta à terapêutica. É provável que estadios mais avançados da doença sejam acompanhados de um maior impacto no bem-estar dos animais. Seria interessante estudar qual o impacto da doença e terapêutica específica nestes casos, contribuindo assim para um conhecimento mais aprofundado sobre o impacto da doença nestes pacientes.
ABSTRACT - Quality of life assessment of dogs with leishmaniasis - Quality of life is a relevant concept when we approach leishmaniasis. In fact, as this is a chronic disease that affects several organs and tissues, giving rise to diverse and often severe clinical signs and conditions, it has the potential to significantly affect the welfare of animals. There are numerous studies on diagnosis, treatment, staging and prognosis but to date, as far as we know, none that includes the assessment of the quality of life of these animals, as exists in other chronic diseases. Therefore, in order to assess the quality of life of these patients, a questionnaire was adapted, which had been used for the same purpose in cancer patients, in order to assess the quality of life of the animals before and after treatment for leishmaniasis. This was later administered to owners of dogs with leishmaniasis who attended the VetSet Hospital in Palmela, with a total of seven holders meeting the study criteria having answered the proposed questions. In general, the quality of life before treatment was good, considering that 57.14% of the dogs had an excellent quality of life, however, for the others, a decrease in this parameter was detected, which, with the completion of the treatment was clogged, since 85.71% of these animals started to have an excellent quality of life. Staging was also performed in cases where data were available, and it was observed that all animals belonged to stage II and that more than half of them had an excellent or very good quality of life. In addition, the impact that this disease had on the lives of owners was evaluated, and it was found that, in this study, in the cases of leishmaniasis that are mild, it had little influence, except for the intramuscular administration, which was identified as an additional anxiety factor. Thus, it was concluded that, in these patients, there was a loss of quality of life associated with leishmaniasis, even though they had mild stages of the disease, and that this could be recovered after a good response to therapy. More advanced stages of the disease are likely to be accompanied by a greater impact on animal welfare. It would be interesting to study the impact of the disease and specific therapy in these cases, thus contributing to a deeper understanding of the impact of the disease on these patients
ABSTRACT - Quality of life assessment of dogs with leishmaniasis - Quality of life is a relevant concept when we approach leishmaniasis. In fact, as this is a chronic disease that affects several organs and tissues, giving rise to diverse and often severe clinical signs and conditions, it has the potential to significantly affect the welfare of animals. There are numerous studies on diagnosis, treatment, staging and prognosis but to date, as far as we know, none that includes the assessment of the quality of life of these animals, as exists in other chronic diseases. Therefore, in order to assess the quality of life of these patients, a questionnaire was adapted, which had been used for the same purpose in cancer patients, in order to assess the quality of life of the animals before and after treatment for leishmaniasis. This was later administered to owners of dogs with leishmaniasis who attended the VetSet Hospital in Palmela, with a total of seven holders meeting the study criteria having answered the proposed questions. In general, the quality of life before treatment was good, considering that 57.14% of the dogs had an excellent quality of life, however, for the others, a decrease in this parameter was detected, which, with the completion of the treatment was clogged, since 85.71% of these animals started to have an excellent quality of life. Staging was also performed in cases where data were available, and it was observed that all animals belonged to stage II and that more than half of them had an excellent or very good quality of life. In addition, the impact that this disease had on the lives of owners was evaluated, and it was found that, in this study, in the cases of leishmaniasis that are mild, it had little influence, except for the intramuscular administration, which was identified as an additional anxiety factor. Thus, it was concluded that, in these patients, there was a loss of quality of life associated with leishmaniasis, even though they had mild stages of the disease, and that this could be recovered after a good response to therapy. More advanced stages of the disease are likely to be accompanied by a greater impact on animal welfare. It would be interesting to study the impact of the disease and specific therapy in these cases, thus contributing to a deeper understanding of the impact of the disease on these patients
Descrição
Dissertação de Mestrado Integrado em Medicina Veterinária
Palavras-chave
Leishmaniose Leishmania infantum Cão Qualidade de vida Leishmaniasis Leishmania infantum Dog Quality of life
Contexto Educativo
Citação
Gameiro DAAS 2022. Avaliação da qualidade de vida de cães com leishmaniose [dissertação de mestrado]. Lisboa: FMV-Universidade de Lisboa
Editora
Universidade de Lisboa, Faculdade de Medicina Veterinária