Avaliação da Capacidade Funcional e da Limitação Física em Sujeitos Pós-Revascularização Miocárdica

Abstract

1 2 3 RESUMO Objetivo: Avaliar a capacidade funcional e a limitação física, em pacientes submetidos à cirurgia de revascularização do miocárdio (CRVM) com seis meses do pós-operatório. Material e Métodos: Foram estudados 28 pacientes com doença arterial coronariana, submetidos à CRVM entre novembro de 2008 e abril de 2009. Foram avaliadas a capacidade funcional e a limitação por aspectos físicos pela apuração dos respectivos domínios presentes no questionário padronizado Medical Outcomes Study -short form 36 (MOS-SF), e o nível de atividade física, por meio do International Physical Activity Questionnaire (IPAQ). Resultados: Houve diferenças significantes entre o pré e o pós-operatório para os domínios "capacidade funcional" (41,79 vs. 70,18; p < 0,001) e "limitação por aspectos físicos" (3,57 vs. 35,71; p < 0,001). Foi evidenciado que os pacientes classificados como "ativos" pelo IPAQ tiveram pontuação significativamente maior do que o classificado com "sedentário" para o domínio "capacidade funcional" (81,07 vs. 45,00; p = 0,012) e que os classificados como "insuficientemente ativo" (58,93 vs. 11,11; p = 0,006) e "sedentário" (58,93 vs. 15,00; p = 0,006) no domínio "limitação por aspectos físicos". Conclusão: Foi observado acréscimo na pontuação dos domínios "capacidade funcional" e "limitação por aspectos físicos" após seis meses da CRVM, o que traduz em aumento da capacidade de realizar atividades que no pré-operatório não eram possíveis. A melhora destes domínios foi mais expressiva em indivíduos que praticaram atividade física regularmente após o procedimento cirúrgico. DESCRITORESAtividade Motora. Infarto do Miocárdio. Estilo de Vida Sedentário. ABSTRACTObjective: To evaluate the functional capacity and physical limitation in patients submitted to coronary artery bypass graft (CABG) at six months after surgery. Material and Methods: 28 patients with coronary artery disease who underwent CABG between November 2008 and April 2009 were included in this study. Their functional capacity and physical limitation were approached considering the respective domains present in the standardized questionnaire Medical Outcomes Study Short Form (MOS-SF), as well as the level of physical activity through the International Physical Activity Questionnaire (IPAQ), in the period of six months after the CABG. Results: There were significant differences before and after surgery for the domains "functional capacity" (41.79 vs. 70.18; p <0.001) and "limited by physical aspects" (3.57 vs. 35.71 p <0.001). It was shown that patients classified as "active" by IPAQ had significantly higher scores than those rated as "sedentary" for the domain "functional capacity" (81.07 vs. 45.00; p = 0.012) and also higher than those classified as "insufficiently active" (58.93 vs. 11.11; p = 0.006) and "sedentary" (58.93 vs. 15.00; p = 0.006) for the domain "limited by physical aspects." Conclusion: There was an increase in the scores of the domains "functional capacity" and "limitation by physical aspects" six months after CABG, which translates ...

Functional Physical Analysis and Quality of Life in the Preoperative and Early Postoperative Periods of Cardiac Surgery and 30 Days After Hospital Discharge

“…According to Lisboa et al [ 22 ] , heart surgery exerts a positive impact on the quality of life of patients in all domains, especially three months after the procedure. Moraes et al [ 23 ] found an increase in general quality of life and the physical domain six months after myocardial revascularization surgery, which translates to an increase in the capacity to perform activities that were not possible in the preoperative period. The improvement in these domains was greater in individuals who practiced physical activity regularly after the procedure.…”

Factors associated with impacts on quality of life after myocardial revascularization

“…These differences are mainly due to the different moments in which the studies were conducted, the therapeutic resources available and also the different tools used to evaluate patients' quality of life. Whereas there has been improvement of multiple components, such as functional capacity and physical limitation, vitality, emotional aspects, social aspects and general health status (5)(6)(7)(8) , there is also the interference of some essential aspects in the maintenance of quality of life, such as the presence of intense postoperative pain (9) , postoperative pulmonary complications (pleural effusion, atelectasis, pneumothorax, pulmonary embolism, acute pulmonary respiratory failure and bronchopneumonia) (10) , cognitive deficit (11) , and psychological changes, such as anxiety and depression (12) .…”