Qualidade de vida em pacientes com doença ateroclerótica coronariana grave e estável

Moriel, Gisele; Roscani, Meliza Goi; Matsubara, Luiz Shiguero; Ramos-Cerqueira, Ana Teresa de Abreu; Matsubara, Beatriz Bojikian

doi:10.1590/s0066-782x2010005000151

Cited by 15 publications

(10 citation statements)

References 36 publications

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“…However, the component Bodily Pain, one of those perceived as most compromised for the participants in our study, was what obtained the best evaluation. (4) The component Role-Physical was perceived as the most compromised in our study, corroborating what was found in one national study (10) and another international study. (4) This component is related to the consequences of physical health, such as reduced quantity of time dedicated to work or other activities, carrying out less tasks than the person would like, and limitations and difficulties performing activities.…”

Section: Discussionsupporting

confidence: 91%

“…(9) Individuals with established CAD present endangered HRQOL, which can be attributed to a group of factors that include the condition of the disease itself, physical limitations, depressive symptoms, and risk of death, which may intensify progression of the disease. (2,10) Patients who underwent myocardial revascularization (PCI or CABG surgery) present better HRQOL six months after an acute coronary event when compared to the group of patients who were not revascularized. Improvement of HRQOL is related to improvement of physical functioning, reduction of symptoms and, consequently, better coexistence with the chronic illness, which requires efforts by the patient to retard its evolution.…”

Section: Introductionmentioning

confidence: 99%

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Estado de saúde percebido e adesão farmacológica em pacientes submetidos à intervenção coronária percutânea

Coelho

Costa²,

Richter³

et al. 2013

Rev. Gaúcha Enferm.

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The objectives of this study were to evaluate the perceived health status and pharmacological adherence, and to verify the correlation between these measures in patients who underwent percutaneous coronary intervention, after hospital discharge. It was a cross-sectional study carried out from May 2011 to July 2012. The instruments used were: SF-36 and Measurement of Adherence to Treatment, with 101 patients, 54 (53.5%) of which were men; average age of 59.5±10.3; and 32 (32.7%) with previous cardiac treatment. All study participants were using antihypertensive drugs; the majority 99 (98%) used antiplatelet drugs; 98 (97%) used cholesterol reducers, and 59 (58.4%) used coronary vasodilators. The average number of drugs used was 6.8±2.1. Pharmacological adherence was observed in 98 (97%) patients. The participants presented best perceived health status in Social Functioning and Physical Functioning. Positive correlations of moderate magnitude were found between measurements of pharmacological adherence and Physical Functioning, General Health and Social Functioning. There was correlation between pharmacological adherence and perceived health status.Descriptors: Quality of life, medication adherence, angioplasty, nursing. RESUMO

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Estado de saúde percebido e adesão farmacológica em pacientes submetidos à intervenção coronária percutânea

Coelho

Costa²,

Richter³

et al. 2013

Rev. Gaúcha Enferm.

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show abstract

“…In several studies, obesity was related to the physical but not to the mental HRQoL components [11]–[13], [16]–[18], [22], [34], [37], [54]. Other studies showed an association between obesity and the mental HRQoL [8], [10], [14], [26], [31], [55], whereas the association was often much weaker compared to the physical components [11], [12], [16]. Our study confirmed a weak but significant inverse cross-sectional relationship between BMI and mental HRQoL.…”

Section: Discussionmentioning

confidence: 99%

“…In weight-loss interventions, it can be difficult to distinguish between the effect of the reduced body weight on HRQoL and the effect of the components of the program such as increased physical activity or improved diet. Two studies investigating this difference showed that the individual’s weight loss could not completely but partly explain the beneficial intervention effect on physical HRQoL [55], [56].…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Association between Body Mass Index and Health-Related Quality of Life

et al. 2014

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ObjectiveHealth-related quality of life (HRQoL) is an important outcome in individuals with a high risk for cardiovascular diseases. We investigated the association of HRQoL and body mass index (BMI) as an indicator for obesity.DesignSecondary longitudinal analysis of the ORBITAL study, an intervention study which included high-risk cardiovascular primary care patients with hypercholesterolemia and an indication for statin therapy.MethodsHRQoL was determined with the generic Short Form (SF)-12 health status instrument. Body weight and height were assessed at baseline and at months 6, 12, 18, 24, 30, and 36. We used a linear and a linear mixed-effects regression model to investigate the association between BMI and SF-12 summary scores at baseline as well as between change in BMI and SF-12 summary scores over 3 years. We adjusted for age, sex, smoking status, and in the longitudinal analysis also for the study arm and its interaction term with time.ResultsOf the 7640 participants who completed the baseline questionnaire, 6726 participants (mean age: 61 years) were analyzed. The baseline BMI was inversely associated with physical and mental SF-12 summary scores (β [95% CI] per 1 kg/m2: −0.36 [−0.41; −0.30] and −0.05 [−0.11; −0.00], respectively). A significant association between the change in BMI and physical SF-12 summary scores over time was only present in women (−0.18 [−0.27; −0.09]) and only in obese participants (−0.19 [−0.29; −0.10]). A change in BMI was directly associated with mental SF-12 summary scores (0.12 [0.06; 0.19]) in the total population.ConclusionIncreases in BMI were associated with decreases in physical HRQoL, particularly in obese individuals and in women. In contrast, the mental HRQoL seemed to increase with increasing BMI over time. Thus, body weight management with respect to the HRQoL should be evaluated differentially by sex and body weight status.Trial RegistrationClinicalTrials.gov NCT00379249

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“…Estudos mostraram uma maior incidência de eventos cardiovasculares na população com sintomas depressivos ou baixos escores de indicadores de qualidade de vida. Pacientes com DAC já instalada apresentam qualidade de vida prejudicada e nível elevado de estresse, impostos pela própria condição de doença, limitação física e risco de morte, fechando um círculo vicioso que intensifica a progressão da doença 14 . Na DAC e nas DCV, na perspectiva preventiva ou de tratamento, é importante a participação da família, principalmente no suporte ao idoso.…”

Section: Revisão De Literaturaunclassified

Doença arterial coronariana e suporte familiar em idosos

Jacinto¹,

Santos²,

Diniz³

et al. 2014

Rev. enferm. UERJ

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RESUMO: Estudo quantitativo, com aplicação de questionário através de entrevista, realizado em 2010, com o objetivo de analisar fatores de risco para doença arterial coronária e a relação de suporte familiar em idosos cadastrados na Estratégia Saúde da Família de Uberaba/MG. Foram pesquisados 853 idosos. A faixa etária prevalente foi de 60 a 79 anos (88,6%); mulheres (63,7%); aposentados (81,1%); com até dois salários mínimos (78,1%); hipertensão arterial (65%); sedentarismo (59%); diabetes mellitus (28%); tabagismo (21%); etilismo (12,1%); dislipidemia (4,8%); convívio familiar ótimo (49,7%), e bom (42%); tem acompanhamento familiar do estado de saúde (81,7); mas não há cooperação familiar no exercício físico (86%), medicação (66,7%), recursos financeiros (61,4%) e alimentação (60,5%). Conclui-se neste estudo que profissionais de saúde devem estimular o suporte familiar, e juntamente com o Estado, atuar criando políticas e estratégias na redução dos fatores de risco para doenças cardiovasculares. Palavras-Chave: Doenças cardiovasculares; fatores de risco; idoso; relações familiares.ABSTRACT: This quantitative study, based on questionnaires applied at interview, was conducted in 2010 to analyze risk factors for coronary artery disease and the relationship of family support in 853 older adults registered with the family health program in Uberaba, Minas Gerais, Brazil. The group was prevalently aged 60 to 79 years (88.6%); women (63.7%) and retirees (81.1%); with income up to 2 minimum wages (78.1%); arterial hypertension (65%); sedentary lifestyle (59%); diabetes mellitus (28%); smoking (21%); alcohol (12.1%); dyslipidemia (4.8%); family relations excellent (49.7%) and good (42%); family monitors state of health (81.7); but does not cooperate with physical exercise (86%), medication (66.7%), financial resources (61.4%) and food (60.5%). It was concluded that health professionals should encourage family support, and together with the State, act to formulate policies and strategies to reduce risk factors for cardiovascular diseases. Keywords: Cardiovascular diseases; risk factors; older adults; family relations. RESUMEN:Estudio cuantitativo, con cuestionarios a través de entrevista, realizado en 2010, con el objetivo de analizar los factores de riesgo para enfermedad arterial coronaria y la relación del apoyo familiar en ancianos inscritos en la estrategia salud de la familia de Uberaba / MG, Brasil. Fueron encuestados 853 ancianos. El grupo etario predominante fue de 60 a 79 años (88,6%) mujeres (63,7%); jubilados (81,1%); con hasta dos salarios mínimos (78,1%); hipertensión arterial (65%); sedentarios (59%); diabetes mellitus (28%); fumantes (21%); y alcoholismo (12,1%); dislipidemia (4,8%); convivencia familiar ótima (49,7%) y buena (42%); tiene monitoreo familiar del estado de salud (81,7); pero no hay ninguna cooperación en ejercicio físico (86%), medicamentos (66,7%), recursos financieros (61,4%) y alimentos (60,5%). Este estudio concluyó que profesionales de salud deben estimular el apoyo familiar y, junto c...

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Qualidade de vida em pacientes com doença ateroclerótica coronariana grave e estável

Abstract: Background: There are few data on the factors decreasing quality of life (QoL) in patients with coronary artery disease (CAD) before a percutaneous coronary intervention (PCI).

Cited by 15 publications

References 36 publications

Estado de saúde percebido e adesão farmacológica em pacientes submetidos à intervenção coronária percutânea

Estado de saúde percebido e adesão farmacológica em pacientes submetidos à intervenção coronária percutânea

Longitudinal Association between Body Mass Index and Health-Related Quality of Life

Doença arterial coronariana e suporte familiar em idosos

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