Transplante hepático: repercussões na capacidade pulmonar, condição funcional e qualidade de vida

Barcelos, Sílvia; Dias, Alexandre Simões; Forgiarini, Luiz Alberto; Monteiro, Mariane Borba

doi:10.1590/s0004-28032008000300003

Cited by 24 publications

(19 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Acredita-se que essa percepção de limitação funcional possa ter sido o fator chave para que houvesse uma resposta negativa quanto aos domínios de função emocional e preocupação. Barcelos et al 15 avaliaram a QV e a condição funcional dos pacientes pré-transplante e naqueles submetidos à alocação do enxerto. Os do pré-transplante apresentaram diminuição nos domínios capacidade funcional e saúde mental do questionário de qualidade de vida SF-36, quando comparados com os do pós-transplante.…”

Section: Discussionunclassified

Qualidade de vida de candidata ao transplante de fígado após intervenção fisioterapêutica: relato de caso

Filho

Nascimento

Reche

et al. 2017

Rev. Fac. Ciênc. Méd. Sorocaba

View full text Add to dashboard Cite

RESUMOO objetivo do presente estudo foi avaliar o impacto de um programa de reabilitação física sobre a qualidade de vida de uma paciente candidata ao transplante de fígado. Trata-se de uma paciente do sexo feminino, 43 anos, diagnóstico médico de cirrose biliar primária, fibrose porta-porta, há seis anos, Child B e MELD 17, antecedente de hipertensão arterial sistólica, diabetes mellitus e dislipidemia. Foi avaliada antes e após aplicação do protocolo de reabilitação em cinco sessões consecutivas, por meio do questionário Chronic Liver Disease Questionnaire (CLDQ). Observou-se uma resposta positiva na melhoria da qualidade de vida da paciente quando submetida ao programa de reabilitação física, porém, de forma discreta, devido à percepção de limitações funcionais pertinentes à doença, demonstrando alteração emocional. Este estudo permitiu uma abordagem criteriosa da candidata quanto às suas limitações pessoais e características da doença para servirem como parâmetro a um programa de tratamento fisioterapêutico, baseado na reabilitação e melhora da qualidade de vida. Novos estudos poderão ser desenvolvidos sobre o tema abordado, o que contribuirá de forma direta na ampliação do conhecimento, enriquecimento e atualização da literatura científica. Palavras-chave: qualidade de vida; transplante de fígado; fisioterapia; cirrose hepática; cuidados pré-operatórios. ABSTRACTThe objective of the present study was to evaluate the impact of a physical rehabilitation program on the quality of life of a patient who is candidate for liver transplantation. This is a female patient, 43 years old, diagnosed with primary biliary cirrhosis, portal fibrosis six years ago, Child B and MELD 17, previous systolic hypertension, diabetes mellitus and dyslipidemia. It was evaluated before and after the application of the rehabilitation protocol in five consecutive sessions, using the Chronic Liver Disease Questionnaire (CLDQ). A positive response was observed in the improvement of the patient's quality of life when submitted to the physical rehabilitation program, but in a discrete way, due to the perception of relevant functional limitations of the disease, demonstrating emotional alteration. This study allowed a careful approach of the candidate regarding their personal limitations and characteristics of the disease to serve as a parameter for a program of physiotherapeutic treatment, based on rehabilitation and improvement of the quality of life. New studies may be developed on the topic addressed, which will directly contribute to the expansion of knowledge, enrichment and updating of the scientific literature. Keywords: quality of life; liver transplantation; physical therapy specialty; liver cirrhosis; preoperative care. INTRODUÇÃOO transplante de fígado (TxF) é um procedimento cirúrgi-co adotado em pacientes portadores de doença hepática crônica (DHC) ou aguda nos quais os tratamentos conservadores não se mostram eficazes.1 O TxF oferece aos pacientes a oportunidade para melhor sobrevivência e melhoria da qualidade de vida (QV). ...

show abstract

Section: Discussionunclassified

Qualidade de vida de candidata ao transplante de fígado após intervenção fisioterapêutica: relato de caso

Filho

Nascimento

Reche

et al. 2017

Rev. Fac. Ciênc. Méd. Sorocaba

View full text Add to dashboard Cite

show abstract

“…Barcelos et al (1) evaluated the quality of life in patients before transplantation and found a reduction in the scores of the SF-36 compared with subjects who underwent liver transplantation. Our findings demonstrate that individuals who wait in the waiting list for allocation of grafts have reduced the scores of quality of life.…”

Section: Discussionmentioning

confidence: 99%

The aerobic capacity and muscle strength are correlated in candidates for liver transplantation

Galant

Forgiarini

Dias

2011

Arq. Gastroenterol.

Self Cite

View full text Add to dashboard Cite

-Liver diseases are responsible for metabolic and cardiorespiratory alterations. The objective of this paper is to correlate the maximal oxygen uptake (VO 2max ) and respiratory muscle strength and evaluating the quality of life in liver transplant candidates.Cross-sectional study consisted of 26 patients with cirrhosis who underwent maximal exercise testing, respiratory muscle strength and SF-36. There was a correlation of VO 2max with MIP (r = 0.61) and low scores of quality of life. A correlation of VO 2max to muscle strength and decreased quality of life in patients with liver disease.

show abstract

“…The association of all these factors causes negative influence in the activities of daily living (ADL) and in the quality of life of this population (5)(6)(7) . In a previous study carried out by our group, alterations in the frequency and severity of hepatic diseases, as well as in the functionality and quality of life of the individuals with severe hepatic disease and who are on the waiting list for an hepatic transplant was found (LTx) (8) . Due to the increase in the number of candidates to LTx, classification models with several clinical variables were created to determine the severity of the hepatic disease.…”

Section: Introductionmentioning

confidence: 94%

Capacidade funcional e força muscular respiratória de candidatos ao transplante hepático

Pereira

Figueredo

Galant

et al. 2011

Rev Bras Med Esporte

Self Cite

View full text Add to dashboard Cite

Introduction: Chronic liver disease results in large functional impact, causing loss of muscle mass and function with consequent reduction of functional capacity. Objective: To evaluate and compare the respiratory muscle strength and functional capacity of candidates for liver transplantation who are under Class B or C according to Child Pugh Score and to correlate these variables within each group. Methods -Cross-sectional study with a convenience sample of 35 patients divided into two groups based on the score obtained in the Child Pugh Score B (19 patients) and Child Pugh Score C (16 patients). All subjects were evaluated in a single moment, and the maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) as well as the distance walked during the 6-minute walk test (6MWT) were measured. Results: Individuals classified with Child Pugh Score B showed higher values in the MIP (-86.05 vs. 23.89 -57.94 14.14), p = 0.001, in MEP (84.16 vs. 28.26 72.00 16 1994), p = 0.142, and the distance walked in 6MWT (473.63 vs 376.13 39.00 55.276), p = 0.001. We also found a positive correlation between the values of MIP and distance walked during 6MWT in group B of the Child Pugh Score, r = 0.64 and p = 0.003. Conclusion: The progress of liver disease contributes to the onset of several complications, which together appear to contribute to the reduction of functional capacity of individuals. In our study this was evidenced by the worse performance of Child Pugh score C group. This may suggest that the wait for liver transplantation (LTx) can worsen the functional capacity of these individuals.

show abstract

Transplante hepático: repercussões na capacidade pulmonar, condição funcional e qualidade de vida

Cited by 24 publications

References 19 publications

Qualidade de vida de candidata ao transplante de fígado após intervenção fisioterapêutica: relato de caso

Qualidade de vida de candidata ao transplante de fígado após intervenção fisioterapêutica: relato de caso

The aerobic capacity and muscle strength are correlated in candidates for liver transplantation

Capacidade funcional e força muscular respiratória de candidatos ao transplante hepático

Contact Info

Product

Resources

About