Carina Aparecida Marosti Dessotte

Health-related quality of life in patients admitted after a first episode of acute coronary syndrome

El objetivo de este estudio fue investigar la calidad de vida relacionada a la salud, basada en las ultimas cuatro semanas que antecedieron a la primera internacion, por un sindrome coronario agudo, y describir potenciales asociaciones entre la calidad de vida, sexo y tratamiento previo para otras enfermedades cardiovasculares. Como metodo, se utilizo el estudio descriptivo y exploratorio, de tipo transversal, realizado en dos hospitales publicos en el interior del Estado de Sao Paulo. De los 253 sujetos estudiados, 69,2% eran hombres, 69,6% casados, o vivian con un companero, y 58,1% eran profesionalmente activos antes de la internacion. La edad promedio fue de 57,9 anos. Los mayores puntajes obtenidos fueron en el dominio aspectos sociales ( x =86,1), en cuanto el dominio mas comprometido fue aspectos fisicos ( x =57,7). Se concluye que las mujeres, asi como los sujetos que ya hacian tratamiento previo para otras enfermedades cardiovasculares, presentaron peor calidad de vida, y las diferencias fueron todas estadisticamente significativas (p<0,05).This study aimed to investigate health-related quality of life based on the four weeks antecedent to first admission for acute coronary syndrome and describe potential associations between quality of life, gender and prior treatment for any other cardiovascular condition. An exploratory, descriptive and cross-sectional study was conducted in two public hospitals in an inner state city of the State of São Paulo. Of 253 participants studied, 69.2% were male, 69.6% were married or living with a partner, and 58.1% were professionally active before the current hospital admission. Mean age was 57.9 years old. Higher scores were seen in the Social Functioning (X=86.1) domain, while the domain perceived as more compromised was Role Physical (X=57.7). Female participants and those who had previously been treated for any other cardiovascular condition had lower quality of life, and these differences were all statistically significant (p<0.05).

Patients' symptoms before a first hospitalization due to Acute Coronary Syndrome

Estudio que objetivo caracterizar a pacientes en cuanto al relato de presencia de sintomas de dolor toracico, disnea y limitacion de actividades diarias una semana antes de la primera hospitalizacion por Sindrome Coronario Agudo, segun la forma de presentacion clinica, y compararlas. Estudio transversal, descriptivo y correlacional. Se utilizo un instrumento de evaluacion clinica que investigo la presencia y gravedad de sintomas de disnea, precordialgia y restriccion fisica derivadas de isquemia de miocardio. En relacion a limitaciones para realizacion de actividades fisicas, pacientes con diagnostico de angina inestable mostraron mayor compromiso en la semana que antecedio a la internacion, asi como relataron la presencia de disnea y precordialgia con mayor frecuencia que en los pacientes infartados en situaciones tales como realizar grandes esfuerzos como, por ejemplo, caminar en pendiente ascendiente o muy rapido en el llano, hasta situaciones de reposo o pequenos esfuerzos.The objective of this study was to characterize and compare patients regarding their report of experiencing chest pain, dyspnea and limitation of the daily life activities one week before their first hospitalization due to Acute Coronary Syndrome, according to the clinical presentation form, and compare them. This is a cross-sectional, descriptive and correlational study. A clinical evaluation instrument was used to investigate the presence and severity of dyspnea, chest pain and physical restriction due to myocardial ischemia. Regarding the limitation to carry out physical activities, patients diagnosed with unstable angina showed lower capacity the week before hospitalization, and reported experiencing dyspnea and chest pain more frequently than patients who had an infarction in situations ranging from making strong efforts, such as walking uphill or on a flat surface but very quickly, to resting and in situations of little effort.

Presence of depressive symptoms in patients with a first episode of acute coronary syndrome.

AIM to compare possible differences regarding the presence of depressive symptoms according to the clinical diagnosis of Acute Coronary Syndrome, gender and age, one week before the first cardiac event. METHOD cross-sectional, descriptive and exploratory study, which used the Beck Depression Inventory. The sample consisted of 253 patients. RESULTS it was found that patients with a clinical diagnosis of unstable angina, female and under 60 years of age reported the presence of depressive symptoms more frequently. CONCLUSION a high percentage of patients presented depressive symptoms at the time of hospitalization for the first episode of Acute Coronary Syndrome, and this prevalence was significantly higher among women, under 60 years of age, with unstable angina. These results should provide support for the care in the hospitalization, discharge and planning of the rehabilitation of these patients, as it is known that depression impairs the control of coronary disease.OBJETIVO: comparar posibles diferencias en cuanto a la presencia de sintomas depresivos segun el diagnostico clinico del Sindrome Coronario Agudo, sexo y banda etaria, una semana antes del primer evento cardiaco. METODO: estudio transversal, descriptivo y exploratorio, que utilizo el Inventario de Depresion de Beck. La muestra fue compuesta por 253 pacientes. RESULTADOS: los pacientes con diagnostico clinico de angina inestable, del sexo femenino y con edad inferior a sesenta anos relataron con mayor frecuencia la presencia de sintomas depresivos. CONCLUSIONES: un elevado porcentaje de pacientes presentaba sintomas depresivos en el momento de la internacion por el primer episodio del Sindrome Coronario Agudo, y esa superioridad fue significativamente mayor entre las mujeres, con menos de 60 anos y con angina inestable. Estos resultados deberan hacer el embasamiento el servicio en la internacion, alta y planificacion de la rehabilitacion de eses pacientes, pues sabemos que la depresion dificulta el control de la coronariopatia

Clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome

AIM to assess the clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome (ACS) according to its clinical manifestation. METHODS data were collected from 234 patients, hospitalized between May 2006 and July 2009 due to the first episode of an ACS, by consulting their medical records. RESULTS 234 patients were hospitalized, 140 (59.8%) due to Acute Myocardial Infarction (AMI). In the group with AMI, 19.3% presented complications, against 12.8% in the group with Unstable Angina (UA) (p=0.19). Angioplasty levels were higher among patients with AMI than with UA (p=0.02) and coronary artery bypass graft surgery was more frequent among UA patients (p=0.03). The majority (227; 97%) survived after the coronary event. Among the seven patients who died during the hospitalization, four had AMI (2.9%) and three UA (3.2%). CONCLUSIONS A larger number of complications were found among infarction victims and the accomplishment of coronary artery bypass graft surgery differed between the groups.OBJETIVO: avaliar a evolucao clinica de pacientes internados pelo primeiro episodio da sindrome coronariana aguda (SCA), segundo sua manifestacao clinica. METODOS: foram coletados dados de 234 pacientes internados entre maio de 2006 e julho de 2009, em decorrencia do primeiro episodio de uma SCA, mediante consultas aos prontuarios. RESULTADOS: a maioria (59,8%) foi internada devido ao infarto agudo do miocardio (IAM). No grupo com IAM, 19,3% apresentaram complicacoes e 12,8% no grupo com angina instavel (AI) (p=0,19). A realizacao de angioplastia foi maior entre os pacientes com IAM do que com AI (p=0,02) e a cirurgia de revascularizacao foi mais realizada entre os pacientes com AI (p=0,03). A maioria (227 - 97%) sobreviveu ao evento coronariano. Entre os sete pacientes que morreram na internacao, quatro tinham IAM (2,9%) e tres AI (3,2%). CONCLUSOES: houve maior numero de complicacoes entre os infartados e a realizacao de revascularizacao do miocardio foi diferente nos dois grupos.Objetivo: evaluar la evolucion clinica de pacientes internados por el primer episodio del Sindrome Aguda de Coronarias segun su manifestacion clinica. Metodos: Fueron colectados datos de 234 pacientes internados entre mayo de 2006 y julio de 2009 debido el primer episodio de una ACA mediante consultas a los prontuarios. Resultados: La mayoria (59,8%) interno debido al Infarto Agudo del Miocardio (IAM). En el grupo con IAM, 19,3% presentaron complicaciones y 12,8% en el grupo con Angina Inestable (AI)(p=0,19). La realizacion de angioplastia fue mayor entre los pacientes con IAM de lo que con AI (p=0,02) y la cirugia de revascularizacion fue mas realizada entre los pacientes con AI (p=0,03). La mayoria (227; 97%) sobrevivio al evento de las coronarias. Entre los siete pacientes que murieron en la internacion, cuatro tenian IAM (2,9%) y tres AI (3,2%). Conclusiones: Hubo mayor numero de complicaciones entre los infartados y la realizacion de revascularizacion del miocardio fue diferente en los dos grupos.Descriptores: Sindrome Coronario Agudo; Evolucion Clinica; Mortalidad; Enfermeria.

Somatic and cognitive-affective depressive symptoms among patients with heart disease: differences by sex and age

OBJECTIVE: this study investigated the association of somatic and cognitive-affective symptoms with sex and age, among patients hospitalized with heart disease. METHOD: this study was a secondary analysis of two previous observational studies totaling 531 patients with heart disease, hospitalized from 2005 to 2011 in two public hospitals in Ribeirão Preto, state of São Paulo, Brazil. Somatic and cognitive-affective symptoms were assessed using the subscales of the Beck Depression Inventory - I (BDI-I). RESULTS: of 531 participants, 62.7% were male, with a mean age 57.3 years (SD= 13.0) for males and 56.2 years (SD= 12.1) for females. Analyses of variance showed an effect of sex (p<0.001 for somatic and p=0.005 for cognitive-affective symptoms), but no effect of age. Women presented with higher mean values than men in both BDI-I subscales: 7.1 (4.5) vs. 5.4 (4.3) for somatic, and 8.3 (7.9) vs. 6.7 (7.2) for cognitive-affective symptoms. There were no differences by age for somatic (p=0.84) or cognitive-affective symptoms (p=0.84). CONCLUSION: women hospitalized with heart disease had more somatic and cognitive-affective symptoms than men. We found no association of somatic and cognitive-affective symptoms with age. Future research for these patients could reveal whether these differences according to sex continue throughout the rehabilitation process.

Sintomas de pacientes antes da primeira hospitalização por Síndrome Coronariana Aguda

Estudio que objetivo caracterizar a pacientes en cuanto al relato de presencia de sintomas de dolor toracico, disnea y limitacion de actividades diarias una semana antes de la primera hospitalizacion por Sindrome Coronario Agudo, segun la forma de presentacion clinica, y compararlas. Estudio transversal, descriptivo y correlacional. Se utilizo un instrumento de evaluacion clinica que investigo la presencia y gravedad de sintomas de disnea, precordialgia y restriccion fisica derivadas de isquemia de miocardio. En relacion a limitaciones para realizacion de actividades fisicas, pacientes con diagnostico de angina inestable mostraron mayor compromiso en la semana que antecedio a la internacion, asi como relataron la presencia de disnea y precordialgia con mayor frecuencia que en los pacientes infartados en situaciones tales como realizar grandes esfuerzos como, por ejemplo, caminar en pendiente ascendiente o muy rapido en el llano, hasta situaciones de reposo o pequenos esfuerzos.The objective of this study was to characterize and compare patients regarding their report of experiencing chest pain, dyspnea and limitation of the daily life activities one week before their first hospitalization due to Acute Coronary Syndrome, according to the clinical presentation form, and compare them. This is a cross-sectional, descriptive and correlational study. A clinical evaluation instrument was used to investigate the presence and severity of dyspnea, chest pain and physical restriction due to myocardial ischemia. Regarding the limitation to carry out physical activities, patients diagnosed with unstable angina showed lower capacity the week before hospitalization, and reported experiencing dyspnea and chest pain more frequently than patients who had an infarction in situations ranging from making strong efforts, such as walking uphill or on a flat surface but very quickly, to resting and in situations of little effort.

Produção científica da enfermagem de centro cirúrgico de 2003 a 2013

Objective: To identify the production on operating room nursing in Portuguese. Method: Integrative literature review of primary studies indexed in the Lilacs database, in Portuguese, using the descriptor “operating room nursing”, published from 2003 to 2013, using a questionnaire available in the literature, critical evaluation of primary studies included, analysis and descriptive summary of the review results. Results: The sample consisted of 47 articles, organized according to their focus, divided into the following categories: patient care and safety (n=14), education (n=10), management and administration (n=10), worker health (n=5), fields of work for nurses (n=4), communication and ethics (n=3) and assistance to family members (n=1). Conclusions: The main issues studied were the care and safety of adult patients, the nurse’s role in management and assistance, teaching of the surgical discipline in undergraduate courses and factors that affect the health of Surgical Center teams. Keywords: Nursing Care. Operating Room Nursing. Nursing Specialties.

Perceived health status and pharmacological adherence of patients who underwent percutaneous coronary intervention

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-86 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.

Presença de sintomas depressivos em pacientes com primeiro episódio de Síndrome coronariana aguda

AIM to compare possible differences regarding the presence of depressive symptoms according to the clinical diagnosis of Acute Coronary Syndrome, gender and age, one week before the first cardiac event. METHOD cross-sectional, descriptive and exploratory study, which used the Beck Depression Inventory. The sample consisted of 253 patients. RESULTS it was found that patients with a clinical diagnosis of unstable angina, female and under 60 years of age reported the presence of depressive symptoms more frequently. CONCLUSION a high percentage of patients presented depressive symptoms at the time of hospitalization for the first episode of Acute Coronary Syndrome, and this prevalence was significantly higher among women, under 60 years of age, with unstable angina. These results should provide support for the care in the hospitalization, discharge and planning of the rehabilitation of these patients, as it is known that depression impairs the control of coronary disease.OBJETIVO: comparar posibles diferencias en cuanto a la presencia de sintomas depresivos segun el diagnostico clinico del Sindrome Coronario Agudo, sexo y banda etaria, una semana antes del primer evento cardiaco. METODO: estudio transversal, descriptivo y exploratorio, que utilizo el Inventario de Depresion de Beck. La muestra fue compuesta por 253 pacientes. RESULTADOS: los pacientes con diagnostico clinico de angina inestable, del sexo femenino y con edad inferior a sesenta anos relataron con mayor frecuencia la presencia de sintomas depresivos. CONCLUSIONES: un elevado porcentaje de pacientes presentaba sintomas depresivos en el momento de la internacion por el primer episodio del Sindrome Coronario Agudo, y esa superioridad fue significativamente mayor entre las mujeres, con menos de 60 anos y con angina inestable. Estos resultados deberan hacer el embasamiento el servicio en la internacion, alta y planificacion de la rehabilitacion de eses pacientes, pues sabemos que la depresion dificulta el control de la coronariopatia

Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

A descriptive, cross-sectional, correlational study aimed to investigate the association of sex and the presence of anxiety and depression after hospital discharge in patients who underwent percutaneous coronary intervention (PCI). Fifty-nine patients undergoing PCI and receiving outpatient treatment in the first seven months after hospital discharge were evaluated. To assess the symptoms of anxiety and depression the Hospital Anxiety and Depression Scale (HADS) was used. To test the possible associations between the variables anxiety, depression and sex the Chi-square test was used with a significance level of 5%. The results indicated a greater number of women with depression and the association between the variables sex and depression was statistically significant. In relation to anxiety, cases were more frequent in males and the association between the variables sex and anxiety was not statistically significant.