A survey of treatment practices and burden of lymphoedema in Togo.
Identifieur interne : 002485 ( Ncbi/Checkpoint ); précédent : 002484; suivant : 002486A survey of treatment practices and burden of lymphoedema in Togo.
Auteurs : Stephanie A. Richard [États-Unis] ; Els Mathieu ; David G. Addiss ; Yao K. SodahlonSource :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Coût de la maladie, Enfant, Enquêtes de santé, Femelle, Filaricides (administration et posologie), Filariose lymphatique (), Filariose lymphatique (psychologie), Filariose lymphatique (rééducation et réadaptation), Filariose lymphatique (épidémiologie), Humains, Indice de gravité médicale, Maladie aigüe, Mâle, Médecine traditionnelle, Satisfaction du patient, Soutien social, Sujet âgé, Sujet âgé de 80 ans ou plus, Togo (épidémiologie).
- MESH :
- administration et posologie : Filaricides.
- psychologie : Filariose lymphatique.
- rééducation et réadaptation : Filariose lymphatique.
- épidémiologie : Filariose lymphatique, Togo.
- Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Coût de la maladie, Enfant, Enquêtes de santé, Femelle, Filariose lymphatique, Humains, Indice de gravité médicale, Maladie aigüe, Mâle, Médecine traditionnelle, Satisfaction du patient, Soutien social, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Togo.
English descriptors
- KwdEn :
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Child, Cost of Illness, Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (psychology), Elephantiasis, Filarial (rehabilitation), Elephantiasis, Filarial (therapy), Female, Filaricides (administration & dosage), Health Surveys, Humans, Male, Medicine, Traditional, Middle Aged, Patient Satisfaction, Severity of Illness Index, Social Support, Togo (epidemiology).
- MESH :
- chemical , administration & dosage : Filaricides.
- geographic , epidemiology : Togo.
- epidemiology : Elephantiasis, Filarial.
- psychology : Elephantiasis, Filarial.
- rehabilitation : Elephantiasis, Filarial.
- therapy : Elephantiasis, Filarial.
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Child, Cost of Illness, Female, Health Surveys, Humans, Male, Medicine, Traditional, Middle Aged, Patient Satisfaction, Severity of Illness Index, Social Support.
Abstract
Lymphatic filariasis, a mosquito-borne parasitic disease, can lead to lymphoedema and elephantiasis. This study describes the results of a baseline survey of a lymphoedema morbidity management programme in Togo. A convenience sample of 188 people with lymphoedema was asked about symptoms, treatment preferences and quality of life. Those with higher stage lymphoedema were more likely to have experienced an acute attack (odds ratio=1.9; P=0.002). Although only 28.2% of those surveyed reported currently using any lymphoedema treatment, 80.3% had used treatments in the past, primarily traditional products (68.1%) and scarification (38.8%). Medication was the preferred treatment for acute attacks, both currently (73.1%) and in the past (61.7%). Patients reported difficulties performing activities such as walking to the field (44%) and carrying a heavy load (63%) as a result of their lymphoedema. Patients felt avoided by their family (17%) and their community (36%). Using the Duke Anxiety-Depression scale, over 70% of patients were found to be at high risk of depression and this risk increased with lymphoedema stage (P=0.04). The survey results demonstrate the need for a morbidity management programme that will increase the use of morbidity management techniques and decrease the physical and emotional burden of this disease.
DOI: 10.1016/j.trstmh.2006.08.011
PubMed: 17112555
Affiliations:
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pubmed:17112555Le document en format XML
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This study describes the results of a baseline survey of a lymphoedema morbidity management programme in Togo. A convenience sample of 188 people with lymphoedema was asked about symptoms, treatment preferences and quality of life. Those with higher stage lymphoedema were more likely to have experienced an acute attack (odds ratio=1.9; P=0.002). Although only 28.2% of those surveyed reported currently using any lymphoedema treatment, 80.3% had used treatments in the past, primarily traditional products (68.1%) and scarification (38.8%). Medication was the preferred treatment for acute attacks, both currently (73.1%) and in the past (61.7%). Patients reported difficulties performing activities such as walking to the field (44%) and carrying a heavy load (63%) as a result of their lymphoedema. Patients felt avoided by their family (17%) and their community (36%). Using the Duke Anxiety-Depression scale, over 70% of patients were found to be at high risk of depression and this risk increased with lymphoedema stage (P=0.04). The survey results demonstrate the need for a morbidity management programme that will increase the use of morbidity management techniques and decrease the physical and emotional burden of this disease.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li></region></list><tree><noCountry><name sortKey="Addiss, David G" sort="Addiss, David G" uniqKey="Addiss D" first="David G" last="Addiss">David G. Addiss</name><name sortKey="Mathieu, Els" sort="Mathieu, Els" uniqKey="Mathieu E" first="Els" last="Mathieu">Els Mathieu</name><name sortKey="Sodahlon, Yao K" sort="Sodahlon, Yao K" uniqKey="Sodahlon Y" first="Yao K" last="Sodahlon">Yao K. Sodahlon</name></noCountry><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Richard, Stephanie A" sort="Richard, Stephanie A" uniqKey="Richard S" first="Stephanie A" last="Richard">Stephanie A. Richard</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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