Stress pÃs infarto: avaliaÃÃo evolutiva e adesÃo à mudanÃa de hÃbitos / Stress after infarction: outcome assessment and adherence to changing habits

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

24/02/2012

RESUMO

Given the high rates of mortality from cardiovascular disease, it is necessary to promote of prevention and rehabilitation addressing physical and emotional aspects. This study sought assessing with patients after acute myocardial infarction (AMI), whether there was any change in lifestyle and incidence of stress with the passage of time on three different occasions: on admission, after three months and after six months .The sample consisted of 31 participants, 26 men and five women, aged between 40 and 82 years old admitted to the Hospital of UNICAMP. To collect data was used semi-structured interviews and the Inventory of Stress Symptoms for Adults Lipp (ISSL). For quantitative data analysis was used for statistical and qualitative data content analysis along the lines of Bardin.The results showed the prevalence of overweight patients (n = 14), with hypertension (n = 23), previous myocardial infarction in their medical history (n = 19) and the presence of family history of hypertension (n = 19), diabetes mellitus (n = 16), myocardial infarction (n = 20), stroke (n = 17) and sudden death (n = 13). Looking at the habits of life through the passage of time, it was found significant change for better between the assessments regarding: physical activity (p = 0,022), quitting smoking (p = 0,001), and the type of food elected (p <0,01). Moreover, it was noted that the resumption of activities after the event was impaired (p = 0,012). In relation to stress, 100% of the sample had with significant symptoms of stress in the first evaluation, 96.43% in the second one and 89.29% in the third one. In phase three evaluations of the stress resistance was more prevalent. Physical symptoms were more prevalent in the first evaluation (n = 16), in the second and the third one, the psychological symptoms were the most prevalent (n = 12) and (n = 13) respectively. The results showed that the way the patients relate to the team and with its treatment, as well with as the changes resulting from AMI can positively or negatively influence adherence to the treatment.

ASSUNTO(S)

adesÃo ao tratamento cardiologia hÃbitos de vida stress cardiology lifestyle stress treatment adherence psicologia

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