02362nas a2200193   4500000000100000008004100001653002000042653001200062653003100074100001300105700001300118700001500131245015000146856004800296300001300344490000700357050001400364520179000378       2013                            d10aQuality of Life10aleprosy10aActivities of Daily Living1 aReis FJJ1 aGomes MK1 aCunha AJLA00aEvaluation of the limitations in daily-life activities and quality of life in leprosy patients submitted to surgical neurolysis to treat neuritis  uhttp://www.scielo.br/pdf/fp/v20n2/en_14.pdf  a184-190 0 v20  aREIS 20133 a<p>Neurolysis is indicated to reduce neural suffering and to prevent sequelae and disabilities in leprosy patients. The aim of this study was to determine the degree of limitation of daily activities and quality of life in leprosy patients submitted to neurolysis for neuritis treatment. The study included patients who underwent neurolysis from 1998 to 2011. We collected demographic and clinical information, data about activity limitations (Screening of Activity Limitation and Safety Awareness [SALSA]) and quality of life (WHO Quality of Life – Short Form-26 [WHOQOL-BREF]). Statistical analyses included frequency, central tendency and dispersion measures, Mann-Whitney and Kruskal- Wallis’ tests, and Spearman’s correlation coefficient adopting p≤0.05. The sample consisted of 36 patients with a mean age of 44.0 years and three years of postoperative period. Six patients had disability grade 0, 18 patients had grade 1, and 12 patients had grade 2. The main difference between the SALSA scale occurred between grades 0 (mean 31.8) and 1 (mean 42.56). The results obtained in the analysis of the WHOQOL-BREF included the following domains: physical facets (mean 11.10), psychological facets (mean 13.41), social relationships (mean 15.15), and environmental facets (mean 11.63). The most affected facets of the WHOQOL-BREF were as follows: work ability (physical), negative feelings (psychological), sexual activity (social relationships), and financial resources (environmental). Despite the neurolysis, most subjects showed activity limitations, which were found to be higher in people with physical disabilities. The major dissatisfaction observed in the quality of life was in the physical domain, especially with regard to pain and the need for medical care.</p>