Classificação Internacional de Funcionalidade, Incapacidade e Saúde em pacientes com zumbido

• Autor(a) principal: Campos, Thaise Martins
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/23008
• topic: Zumbido; Classificação Internacional de Funcionalidade Incapacidade e Saúde – CIF; Qualidade de vida; Tinnitus; International Classification of Functioning, Disability and Health (ICF); Quality of Life; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Introduction: Studying the impact of tinnitus in a subject's life, starting from the consequences in their functionality, will be possible through the International Classification of Functioning, Disability and Health (ICF), created and published by the World Health Organization (WHO). The ICF prioritizes assessing the impact of the symptom/disease on the subject's functional life and not only focusing on the pathology. Objective: verifying the applicability of the International Classification of Functioning, Disability and Health (ICF) to classify individuals with tinnitus, through the Visual Analogue Scale (VAS) and the Tinnitus Functional Index (TFI). Method: Prospective cross-sectional descriptive study, performed in 40 subjects with normal hearing experiencing tinnitus. All subjects underwent an audiological evaluation and answered the Tinnitus Functional Index Questionnaire (TFI) and the Visual Analogue Scale (VAS). The data was submitted to a descriptive analysis and to Pearson’s correlation analysis. Results: The data analysis showed regarding the TFI: Regarding the body functions component of the ICF: the data shows that all patients reported impact of tinnitus in intrusive function (b2400), 90.0% of the patients reported impact of tinnitus in the Emotional function (b1522), 80.0% of the patients reported impact for the Sleep function (b1343). The Auditory Function (b1560) was the least impacted, being reported by 42.5% of patients. Regarding the activities and participation component of the ICF, these are the codes: 92.5% of patients reported impact of tinnitus in the Sense of Control function (d2409), 62.5% of patients reported impact of tinnitus in the Cognitive function (d1608), 57.5% of patients reported impact of tinnitus for the Quality of Life function (d7101), the emotional subscale was not analyzed, as the instruments used did not enable such analysis. When describing the ICF codes according to the Visual Analogue Scale (VAS), it was only possible to analyze the body functions component (b1528), 32.5% reported a moderate discomfort regarding their tinnitus. Conclusion: The objective of this study was achieved, but with reservations. It was possible to categorize the impact of tinnitus in a subject population with normal hearing according to the ICF criteria, allowing their singularization. However, the used instruments, VAS and TFI, are only partially applicable to determine tinnitus consequences in the subject's functionality, as they do not enable the evaluation of all ICF components, such as body structures and environmental factors