Qualidade de vida no pré-operatório de cirurgia cardíaca

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Introduction: Heart disease brings changes in life routine and, associated with individual characteristics of each person, may lead to physical and emotional alterations and, consequently, to changes in quality of life. Objective: Evaluate the quality of life in presurgical period of cardiac surgery of patients in the Sociedade Beneficente Santa Casa de Campo Grande, MS. Method: It is performed a descriptive exploratory study based in transversal cut. The studied variables correspond to the eight domains of "The Medical Outcomes Study 36-item Short Form Health Survey" (SF-36), which are limitations in physical activities because of health problems, limitations in social activities because of physical or emotional problems, limitations in usual role activities because of physical health problems, bodily pain, general mental health (psychological distress and well-being), limitations in usual role activities because of emotional problems, vitality (energy and fatigue), and general health perceptions. The inclusion criterion used was: patients who would be submitted to the cardiac surgery. The exclusion criterion used was: patients that showed the following symptoms: blood instability, serious neurological disturbs, mental confusion, unconsciousness, uncontrollable diabetes, extreme obesity, degenerative diseases, kidney insufficiency. Sixty two patients awaiting surgery took part of the survey. Results: With respect to gender, men showed, in comparison to women, significant differences in the vitality (p=0.031) and emotional aspect (p=0.046) domains. Participants belonging to the group of "not functional literate" showed lower scores in the mental health domain (p = 0.008) compared to those in the groups "Elementary," "High," and "Undergraduate" level of education. Those individuais classified as "overweight" showed higher functional capacity (p=0.023) than the classified as obese. There was no significant relation among the domains of SF-36 with respect to the risk factors for coronary artery disease, the marital status and the age. The incorre levei showed significant associations with the following domains: functional capacity (p=0.018), physical aspect (p=0.001), emotional aspect (p=0.041) and mental health (p=0.043). The highest average level for quality of life was found in the general health state domain, which scored 65,2 in average; the lowest was found in the physical aspect domain, which scored just 23.0 in average. The cut-off point was 50%. Conclusion: The highest average level of quality of life in patients measured using the SF-36 questionnaire is the dimension general health state domain. The lowest scoring average was in physical aspect. The general health state has shown a tendency to good quality of life in all analyses. The quality of life is slightly below the levei considered good.

ASSUNTO(S)

pos-surgical period cardiac surgery cirurgia cardíaca. qualidade de vida quality of life pré-operatório psicologia

ACESSO AO ARTIGO

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