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Quality of life of patients after an acute coronary event: hospital discharge.

Dias CM, Macedo LB, Gomes LT, de Oliveira PL, Albuquerque IV, Lemos AQ, Brasil CA, Prado EP, Macedo PS, de Oliveira FT, Dos Reis HF, Darze ES, Guimaraes AC - J Clin Med Res (2014)

Bottom Line: Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1.Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01).In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.

View Article: PubMed Central - PubMed

Affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil ; Hospital Alianca, Salvador, Bahia, Brazil ; ASSOBRAFIR, Salvador, Bahia, Brazil.

ABSTRACT

Background: The acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge.

Methodology: This was a cross-sectional study, with ACS patients hospitalized in ICU of a private hospital in the city of Salvador, Brazil, submitted to CVR1. The quality of life questionnaire Euroqol-5D was applied on discharge from hospital. Patients included in the study were those with ACV, who had medical permission to walk, had not been submitted to acute surgical treatment, were time and space oriented, and over the age of 18 years. Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1. Data were collected by a previously trained ICU team.

Results: Data were collected of 63 patients who revealed compromise in the domains of pain/feeling ill (20.63%) and anxiety/depression (38.09%). Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01).

Conclusion: In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.

No MeSH data available.


Related in: MedlinePlus

Association between the domain anxiety/depression and sex of the 63 patients with acute coronary syndrome, submitted to Euroqol-5D, Salvador, Brazil, 2013.
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Figure 1: Association between the domain anxiety/depression and sex of the 63 patients with acute coronary syndrome, submitted to Euroqol-5D, Salvador, Brazil, 2013.

Mentions: When the domains were associated with age, clinical diagnosis, type of treatment and with the risk factors, no statistical significance was verified. The domain anxiety/depression presented statistical significance with associated with sex (P < 0.01) and hereditary factors (P = 0.01) (Fig. 1).


Quality of life of patients after an acute coronary event: hospital discharge.

Dias CM, Macedo LB, Gomes LT, de Oliveira PL, Albuquerque IV, Lemos AQ, Brasil CA, Prado EP, Macedo PS, de Oliveira FT, Dos Reis HF, Darze ES, Guimaraes AC - J Clin Med Res (2014)

Association between the domain anxiety/depression and sex of the 63 patients with acute coronary syndrome, submitted to Euroqol-5D, Salvador, Brazil, 2013.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4125331&req=5

Figure 1: Association between the domain anxiety/depression and sex of the 63 patients with acute coronary syndrome, submitted to Euroqol-5D, Salvador, Brazil, 2013.
Mentions: When the domains were associated with age, clinical diagnosis, type of treatment and with the risk factors, no statistical significance was verified. The domain anxiety/depression presented statistical significance with associated with sex (P < 0.01) and hereditary factors (P = 0.01) (Fig. 1).

Bottom Line: Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1.Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01).In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.

View Article: PubMed Central - PubMed

Affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil ; Hospital Alianca, Salvador, Bahia, Brazil ; ASSOBRAFIR, Salvador, Bahia, Brazil.

ABSTRACT

Background: The acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge.

Methodology: This was a cross-sectional study, with ACS patients hospitalized in ICU of a private hospital in the city of Salvador, Brazil, submitted to CVR1. The quality of life questionnaire Euroqol-5D was applied on discharge from hospital. Patients included in the study were those with ACV, who had medical permission to walk, had not been submitted to acute surgical treatment, were time and space oriented, and over the age of 18 years. Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1. Data were collected by a previously trained ICU team.

Results: Data were collected of 63 patients who revealed compromise in the domains of pain/feeling ill (20.63%) and anxiety/depression (38.09%). Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01).

Conclusion: In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.

No MeSH data available.


Related in: MedlinePlus