Quality of Life of Pregnant Women with Systemic Lupus Erythematosus

Abstract

Objective To assess the quality of life (QoL) of pregnant women with systemic lupus erythematosus (SLE) treated at a high-risk prenatal outpatient clinic during the third trimester of gestation.

Methods An observational descriptive study was performed in a high-risk prenatal outpatient clinic. Women in the third trimester of pregnancy and undergoing antenatal care between July 2017 and July 2019 answered the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions divided into 4 domains (physical, psychological, social and environmental).

Results We interviewed 50 pregnant women with a mean gestational age of 30 weeks (standard deviation [SD]: 10 weeks) who were diagnosed with SLE. The average age of the participants was 30 years (SD: 14.85), and the average time since the diagnosis of SLE was of 9.06 years (SD: 6.8 years). Most participants had a partner, did not plan their pregnancy (76%), and did not use contraception prior to pregnancy (80%). The score of each domain ranges from 0 (the worst score) to 100 (the best score). The means ±  SDs of the scores of the participants on each domain were: physical – 52.21 ±  18.44); psychological – 64.17 ±  18.56); social – 66.33 ±  27.09); and environmental – 64.56 (18.53). The means ±  SDs of the general QoL, and health-related QoL items were of 70.50 ±  24.06 and 70.00 ±  30.72 respectively.

Conclusion The physical domain presented the lowest scores compared with the other three domains. Pregnant women with SLE had high overall QoL scores, and their health-related QoL scores were also relatively high.

Resumo

Objetivo Investigar a qualidade de vida (QV) de gestantes com lúpus eritematoso sistêmico (LES), em acompanhamento ambulatorial pré-natal de alto risco, durante o terceiro trimestre de gestação.

Métodos Foi realizado um estudo observacional descritivo em ambulatório de pré-natal de alto risco. As mulheres em acompanhamento pré-natal no terceiro trimestre de gravidez entre julho de 2017 e julho de 2019 responderam ao questionário abreviado de Qualidade de Vida da Organização Mundial de Saúde (abbreviated World Health Organization Quality of Life, WHOQOL-BREF, em inglês), composto por 26 questões divididas em 4 domínios (físico, psicológico, social e ambiental).

Resultados Foram entrevistadas 50 gestantes com diagnóstico de LES e média de 30 semanas de idade gestacional (desvio padrão [DP]: 10 semanas). A idade média das participantes foi de 30 anos (DP: 14,85), e o tempo médio desde o diagnóstico de lúpus foi de 9,06 anos (DP = 15,55 anos). A maioria das participantes tinha companheiro, não havia planejado a gravidez (76%), e não fazia uso de anticoncepcional antes da gravidez (80%). A pontuação em cada domínios varia de 0 (pior pontuação) a 100 (melhor pontuação). As médias ±  DPs das pontuações das participantes em cada domínios foram: físico – 52,21 ±  18,44; psicológico – 64,17 ±  18,56; social – 66,33 ±  27,09; e ambiental –64,56 ±  18,53). As médias ±  DPs dos itens relativos à QV geral e à QV relacionada à saude foram de 70,50 ±  24,06) e 70,00 ±  30,72, respectivamente.

Conclusão O domínio físico apresentou as menores pontuações em comparação com os outros três domínios. Mulheres grávidas com LES tiveram pontuação alta no item de QV geral, e a pontuação no item de QV relacionada à saúde também foi relativamente alta.

Keywords

pregnancy - systemic lupus erythematosus - quality of life

Palavras-chave

gravidez - lúpus eritematoso sistêmico - qualidade de vida

Contributors

All authors contributed to the concept and design of the present study; to the analysis and interpretation of data; to the draft or revision of the manuscript, and they have approved the manuscript as submitted. All authors are responsible for the reported research.

Publikationsverlauf

Eingereicht: 20. Januar 2021

Angenommen: 18. November 2021

Artikel online veröffentlicht:
17. Februar 2022

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