Physical and psychosocial burden due to lymphatic filariasis as perceived by patients and medical experts.
Identifieur interne : 007F16 ( Main/Exploration ); précédent : 007F15; suivant : 007F17Physical and psychosocial burden due to lymphatic filariasis as perceived by patients and medical experts.
Auteurs : A. Krishna Kumari [Inde] ; K T Harichandrakumar ; L K Das ; K. KrishnamoorthySource :
- Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 2005.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Autosoins, Douleur (physiopathologie), Femelle, Filariose lymphatique (physiopathologie), Filariose lymphatique (psychologie), Humains, Hydrocèle (physiopathologie), Hydrocèle (psychologie), Indice de gravité médicale, Lymphangite (physiopathologie), Lymphangite (psychologie), Lymphoedème (physiopathologie), Lymphoedème (psychologie), Marche à pied, Mâle, Relations interpersonnelles.
- MESH :
- physiopathologie : Douleur, Filariose lymphatique, Hydrocèle, Lymphangite, Lymphoedème.
- psychologie : Filariose lymphatique, Hydrocèle, Lymphangite, Lymphoedème.
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Autosoins, Femelle, Humains, Indice de gravité médicale, Marche à pied, Mâle, Relations interpersonnelles.
English descriptors
- KwdEn :
- Activities of Daily Living, Adult, Elephantiasis, Filarial (physiopathology), Elephantiasis, Filarial (psychology), Female, Humans, Interpersonal Relations, Lymphangitis (physiopathology), Lymphangitis (psychology), Lymphedema (physiopathology), Lymphedema (psychology), Male, Middle Aged, Pain (physiopathology), Self Care, Severity of Illness Index, Testicular Hydrocele (physiopathology), Testicular Hydrocele (psychology), Walking.
- MESH :
- physiopathology : Elephantiasis, Filarial, Lymphangitis, Lymphedema, Pain, Testicular Hydrocele.
- psychology : Elephantiasis, Filarial, Lymphangitis, Lymphedema, Testicular Hydrocele.
- Activities of Daily Living, Adult, Female, Humans, Interpersonal Relations, Male, Middle Aged, Self Care, Severity of Illness Index, Walking.
Abstract
Patients with lymphatic filariasis (LF) face considerable physical, psychological and social disabilities. Morbidity management and control are important components of the Global Programme to Eliminate Lymphatic Filariasis. But information on the various disabilities caused by LF is scanty. We measured the severity levels of seven health states of LF in the physical and psychosocial domains of health from the perspective of patients and medical experts, using a 7-domain 5-level (7D5L) descriptive system. Adenolymphangitis had the highest severity levels in all domains of health followed by lymphoedema grade 4 (L4), lymphoedema grade 3 (L3), hydrocele grade 2 (H2), lymphoedema grade 2 (L2), lymphoedema grade1 (L1) and hydrocele grade 1 (H1). People with higher grades of lymphoedema and hydrocele had more severe psychosocial problems than physical ones. Severity levels assessed by medical experts were lower than those reported by sufferers. These findings indicate that LF has considerable impact on the physical, mental and social domains of health. Morbidity management programmes should be broadened to include counselling, rehabilitation and health education to manage the psychosocial problems caused by LF.
DOI: 10.1111/j.1365-3156.2005.01426.x
PubMed: 15941420
Affiliations:
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Krishna Kumari</name><affiliation wicri:level="1"><nlm:affiliation>Vector Control Research Centre, Pondicherry, India. krishaunni_reas@yahoo.co.in</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Vector Control Research Centre, Pondicherry</wicri:regionArea><wicri:noRegion>Pondicherry</wicri:noRegion></affiliation></author><author><name sortKey="Harichandrakumar, K T" sort="Harichandrakumar, K T" uniqKey="Harichandrakumar K" first="K T" last="Harichandrakumar">K T Harichandrakumar</name></author><author><name sortKey="Das, L K" sort="Das, L K" uniqKey="Das L" first="L K" last="Das">L K Das</name></author><author><name sortKey="Krishnamoorthy, K" sort="Krishnamoorthy, K" uniqKey="Krishnamoorthy K" first="K" last="Krishnamoorthy">K. Krishnamoorthy</name></author></analytic><series><title level="j">Tropical medicine & international health : TM & IH</title><idno type="ISSN">1360-2276</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Elephantiasis, Filarial (physiopathology)</term><term>Elephantiasis, Filarial (psychology)</term><term>Female</term><term>Humans</term><term>Interpersonal Relations</term><term>Lymphangitis (physiopathology)</term><term>Lymphangitis (psychology)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (psychology)</term><term>Male</term><term>Middle Aged</term><term>Pain (physiopathology)</term><term>Self Care</term><term>Severity of Illness Index</term><term>Testicular Hydrocele (physiopathology)</term><term>Testicular Hydrocele (psychology)</term><term>Walking</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Douleur (physiopathologie)</term><term>Femelle</term><term>Filariose lymphatique (physiopathologie)</term><term>Filariose lymphatique (psychologie)</term><term>Humains</term><term>Hydrocèle (physiopathologie)</term><term>Hydrocèle (psychologie)</term><term>Indice de gravité médicale</term><term>Lymphangite (physiopathologie)</term><term>Lymphangite (psychologie)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (psychologie)</term><term>Marche à pied</term><term>Mâle</term><term>Relations interpersonnelles</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Douleur</term><term>Filariose lymphatique</term><term>Hydrocèle</term><term>Lymphangite</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Lymphangitis</term><term>Lymphedema</term><term>Pain</term><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Hydrocèle</term><term>Lymphangite</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Lymphangitis</term><term>Lymphedema</term><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Female</term><term>Humans</term><term>Interpersonal Relations</term><term>Male</term><term>Middle Aged</term><term>Self Care</term><term>Severity of Illness Index</term><term>Walking</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Marche à pied</term><term>Mâle</term><term>Relations interpersonnelles</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with lymphatic filariasis (LF) face considerable physical, psychological and social disabilities. Morbidity management and control are important components of the Global Programme to Eliminate Lymphatic Filariasis. But information on the various disabilities caused by LF is scanty. We measured the severity levels of seven health states of LF in the physical and psychosocial domains of health from the perspective of patients and medical experts, using a 7-domain 5-level (7D5L) descriptive system. Adenolymphangitis had the highest severity levels in all domains of health followed by lymphoedema grade 4 (L4), lymphoedema grade 3 (L3), hydrocele grade 2 (H2), lymphoedema grade 2 (L2), lymphoedema grade1 (L1) and hydrocele grade 1 (H1). People with higher grades of lymphoedema and hydrocele had more severe psychosocial problems than physical ones. Severity levels assessed by medical experts were lower than those reported by sufferers. These findings indicate that LF has considerable impact on the physical, mental and social domains of health. Morbidity management programmes should be broadened to include counselling, rehabilitation and health education to manage the psychosocial problems caused by LF.</div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><noCountry><name sortKey="Das, L K" sort="Das, L K" uniqKey="Das L" first="L K" last="Das">L K Das</name><name sortKey="Harichandrakumar, K T" sort="Harichandrakumar, K T" uniqKey="Harichandrakumar K" first="K T" last="Harichandrakumar">K T Harichandrakumar</name><name sortKey="Krishnamoorthy, K" sort="Krishnamoorthy, K" uniqKey="Krishnamoorthy K" first="K" last="Krishnamoorthy">K. Krishnamoorthy</name></noCountry><country name="Inde"><noRegion><name sortKey="Krishna Kumari, A" sort="Krishna Kumari, A" uniqKey="Krishna Kumari A" first="A" last="Krishna Kumari">A. Krishna Kumari</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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