{"id":73185,"date":"2005-12-03T00:00:00","date_gmt":"2005-12-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-calidad-de-vida-del-paciente-con-sindrome-de-sjogren-primario-influencia-del-perfil-cla%c2%adnico-inmunologico-factores-psicosociales-y-de-la-coexistencia-de-la-fibromialgia\/"},"modified":"2005-12-03T00:00:00","modified_gmt":"2005-12-03T00:00:00","slug":"la-calidad-de-vida-del-paciente-con-sindrome-de-sjogren-primario-influencia-del-perfil-cla%c2%adnico-inmunologico-factores-psicosociales-y-de-la-coexistencia-de-la-fibromialgia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/la-calidad-de-vida-del-paciente-con-sindrome-de-sjogren-primario-influencia-del-perfil-cla%c2%adnico-inmunologico-factores-psicosociales-y-de-la-coexistencia-de-la-fibromialgia\/","title":{"rendered":"La calidad de vida del paciente con sindrome de sjogren primario: influencia del perfil cl\u00ednico-inmunol\u00f3gico, factores psicosociales y de la coexistencia de la fibromialgia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Belenguer Prieto <\/strong><\/h2>\n<p>Hemos evaluado la calidad de vida relacionada con la salud (cdvrs) en una amplia serie de pacientes con s\u00edndrome de sj\u00ed\u00b6gren primario (ssp) mediante el cuestionario sf-36, analizando la asociaci\u00f3n con las principales caracter\u00edsticas psicosociales, cl\u00ednicas e inmunol\u00f3gicas de los pacientes. Estudiamos 110 pacientes (105 mujeres y 5 hombres, con una edad media de 56 a\u00f1os). Como valores de referencia utilizamos los publicados en la versi\u00f3n espa\u00f1ola del cuestionario de salud sf-36 realizado en poblaci\u00f3n sana. Al comparar los valores entre ambos grupos, los pacientes con ssp presentaron puntuaciones inferiores en todas las escalas del sf-36: papel f\u00edsico (50 vs. 73, p menor 0,001), papel emocional (73 vs. 84, p menor 0,001), vitalidad (46 vs. 60, p menor 0,001), salud mental (53 vs. 68, p menor 0,001), funci\u00f3n social (72 vs 79, p=0,017), dolor corporal (55 vs 68, p menor 0,001) y funci\u00f3n f\u00edsica (61 vs. 65, p= .0867). No se encontraron diferencias en las  escalas sf-36 al compara los pacientes con ssp seg\u00fan la presencia o no de manifestaciones de sequedad, excepto para la sequedad vaginal. Los pacientes con afectaci\u00f3n extraglandular presentaron puntuaciones inferiores en la escala de vitalidad (40 vs. 54, p= 0.007), funci\u00f3n social (67 vs. 79, p=0,01), dolor corporal (49 vs. 62, p=0,018) y salud general (38 vs. 49, p=0,001). finalmente, 40 (36%) pacientes con ssp cumplieron criterios clasificatorios de fibromialgia (fm), con puntuaciones significativamente inferiores en todas las escalas sf-36 respecto a los pacientes sin fm. en conclusi\u00f3n, los pacientes con ssp presentan una clara disminuci\u00f3n de la cdvrs frente al a poblaci\u00f3n general, con disminuci\u00f3n significativamente estad\u00edstica en 7 de las 8 escalas sf-36. Las manifestaciones cl\u00ednicas que afectaron en mayor medida a la disminuci\u00f3n de cdvrs de los pacientes con ssp fueron la existencia de sequedad vaginal, parotidomegalia, afectaci\u00f3n estrangular (especialmente neumopat\u00eda) y especialmente la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La calidad de vida del paciente con sindrome de sjogren primario: influencia del perfil cl\u00ednico-inmunol\u00f3gico, factores psicosociales y de la coexistencia de la fibromialgia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La calidad de vida del paciente con sindrome de sjogren primario: influencia del perfil cl\u00ednico-inmunol\u00f3gico, factores psicosociales y de la coexistencia de la fibromialgia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Belenguer Prieto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/03\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Pinto Montes JavierDel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: angel Sanchez rodriguez <\/li>\n<li> Calabuis alborch Jos\u00e9 ram\u00f3n (vocal)<\/li>\n<li>angel Verdugo Miguel (vocal)<\/li>\n<li>josep Blanch rubio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Belenguer Prieto Hemos evaluado la calidad de vida relacionada con la salud (cdvrs) en una amplia [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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