Vyhľadávani e paci entov so syndrómom nepokojných nôh v čakárni klinickej ambulanci e pomoco u dotazníkovej metódy

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Detecti on of Pati ents with Restless Legs Syndrome in a Waiting- Ro om of O utpati ent Clinic by Me ans of Questi onnaire Method

Aim of study:
The study was aimed to detect and characterize pati ents with restless legs syndrome (RLS) using questi onnaire. Subjects and Methods: Study sample included 555 persons who were recruited in a waiting- ro om of a ne urological o utpati ent clinic. Participants firstly filled a bri ef questi onnaire aimed to collect demographic data and than responded to fo ur specific questi ons, i.e., essenti al criteri a for RLS according to the Internati onal Restless Legs Syndrome Study Gro up. If respondent answered positively all fo ur questi ons, he/ she was classifi ed as probable RLS- sufferer. Consecutively, he/ she completed a second part of the questi onnaire, appli ed by he alth care professi onal. This part was ori ented to confirmati on and particular RLS descripti on. If respondent did not respond positively all fo ur di agnostic questi ons, he/ she was classifi ed as negative in relati on to RLS. Results: Criteri a for clinical di agnosis of RLS were fulfilled altogether by 23.4% of respondents (men 18.1%, women 26.5%). Thirty five per cent of RLS- sufferers referred daily occurrence of RLS symptoms. RLS begun in average age of 45.7 ± 16.1 ye ars, and it persisted 8.6 ± 8.2 ye ars. Sleep disorders ca used by RLS were referred in 58 % of RLS- sufferers. Famili al occurrence of RLS was reported by 41.9 % of pati ents. RLS- sufferers were gre ater he alth care consumers in parameters: 1. number of medicaments, and 2. number of visits of physici an in last three months. Conclusi on: Detecti on of pati ents with RLS by me ans of simple questi onnaire, e. g. during waiting for clinical assessment or tre atment, is very effective appro ach applicable in a bro ad medical practice.

Key words:
restless legs syndrome – questi onnaire – sleep disorders – he alth care

Autori: P. Valkovič; M. Juračičová; G. A. Ramos Rivera; J. Martinková; J. Benetin
Pôsobisko autorov: II. Neurologická klinika LF UK a FNsP akad. L. Dérera, Bratislava
Vyšlo v časopise: Cesk Slov Neurol N 2009; 72/105(3): 250-254
Kategória: Original Paper

Súhrn

Ci eľ práce:
Ci eľom štúdi e je vyhľadávani e a epidemi ologická charakteristika paci entov so syndrómom nepokojných nôh (SNN) pomoco u dotazníka. Súbor a metodika: Skúmanú vzorku tvorilo 555 osôb, ktoré boli oslovené na spoluprácu počas čakani a pred klinicko u ne urologicko u ambulanci o u. Zúčastnení v prvej fáze vyplnili stručný dotazník zameraný na odber demografických dát a zodpovedali na štyri otázky zahŕňajúce štyri tzv. esenci álne kritéri á SNN podľa Internati onal Restless Legs Syndrome Study Gro up. V prípade, ak respondent odpovedal na všetky štyri otázky pozitívne, bol hodnotený ako potenci álny paci ent so SNN. Následne bol podrobený druhej fáze dotazníka za asistenci e zdravotníka. Táto časť bola zameraná na verifikáci u SNN a jeho bližši e klinické charakteristiky. V prípade, ak respondent ne odpovedal na všetky štyri otázky kladne, bol hodnotený ako negatívny vo vzťahu k SNN. Výsledky: Kritéri á pre klinickú di agnózu SNN spĺňalo spolu 23,4 % respondentov (muži 18,1 %, ženy 26,5 %). Z nich 35 % uvi edlo denný výskyt príznakov SNN. Zači atok príznakov SNN bol v pri emere vo veku 45,7 ± 16,1 rokov a ti eto trvali už 8,6 ± 8,2 roka. Poruchy spánku spôsobené SNN uvi edlo 58 % paci entov so SNN. 41,9 % paci entov hlásilo, že má podobne postihnutého aspoň jedného pokrvného príbuzného do druhého stupňa. Paci enti so SNN boli signifikantne výraznejší spotrebiteli a zdravotnej starostlivosti v parametroch: 1. počet užívaných medikamentov a 2. počet návštev lekára za posledné tri mesi ace. Záver: Rozpoznani e chorých so SNN pomoco u jednoduchej dotazníkovej metódy, napr. počas čakani a na ambulantné vyšetreni e, sa zdá byť efektívnym prístupom a odporúčame ho zavi esť do širšej medicínskej praxe.

Kľúčové slová:
syndróm nepokojných nôh – dotazník – poruchy spánku – spotreba zdravotníckej starostlivosti

MUDr. Peter Valkovič, PhD.
II. Neurologická klinika
LF UK a FNsP akad. L. Dérera
Limbová 5
833 05 Bratislava
Slovenská republika
e-mail: peter.valkovic@gmail.com

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