Conhecimento da doença e qualidade de vida em pacientes hospitalizados com insuficiência cardíaca: um estudo transversal
Conhecimento da doença e qualidade de vida em pacientes hospitalizados com insuficiência cardíaca: um estudo transversal
Data
2019
Autores
Albino, Marcone José Lima
Journal Title
Journal ISSN
Volume Title
Publisher
Instituto Nacional de Cardiologia
Resumo
Introdução: A epidemiologia da Insuficiência cardíaca (IC) e sua evolução natural demanda preocupação quanto ao conhecimento do indivíduo sobre seu status de saúde e seus fatores de descompensação. Acredita-se que tal conhecimento contribui para o tratamento da doença e para a qualidade de vida. Dessa forma, tem-se como objetivo Geral: Avaliar a associação entre conhecimento sobre a doença e qualidade de vida dos pacientes hospitalizados com IC; Objetivos específicos: Mensurar o conhecimento sobre a doença nos pacientes internados por IC; Mensurar a qualidade de vida nos pacientes internados por IC; Metodologia: Estudo transversal de natureza quantitativa. Aplicou-se o questionário de conhecimento em IC criado por Bonin para medir conhecimento da doença e o questionário de Minessota para avaliar a qualidade de vida dos pacientes hospitalizados com IC.Utilizou-se para avaliar a associação entre as variáveis o modelo de regressão linear uni e multivariada com software Stata 12. Resultados: Amostra de 50 pacientes, prevalecendo homens (62%), com idade média de 51 anos. Observou-se FE média de 26,6% e prevalência da classe funcional (CF) III (cerca de 58%). Dislipidemia, hipertensão e IAM prévio foram as comorbidades mais observadas. O perfil hemodinâmico mais prevalente foi o quente e congesto. O escore médio pelo questionário de Bonin foi 36, estratificando o conhecimento da amostra sobre a doença como aceitável. O escore médio pelo questionário de Minessota foi 79, estratificando a qualidade de vida da amostra como ruim. A análise multivariada revela que há relação entre conhecimento da doença e qualidade de vida. Discussão: Amostra jovem, de perfil sócio-clínico frágil, talvez influenciada pelo cenário ser centro transplantador. Classe funcional, número de internações e perfil hemodinâmico são preditores de pior qualidade de vida. Ter contato com alguma estratégia educativa tem impacto postivo na qualidade de vida do paciente, seja qual for a estratégia. O propósito maior do conhecimento é gerar alfabetização em saúde. Conclusão: Há relação diretamente proporcional entre conhecimento e qualidade de vida, mediada por fatores como escolaridade, cuidador, classe funcional dentre outros.
Introduction: The epidemiology of Heart Failure (HF) and its natural evolution demands concern about the individual's knowledge about their health status and their decompensation factors. It is believed that such knowledge contributes to the treatment of the disease and to the quality of life. Thus, the general objective is: To evaluate the association between knowledge about the disease and quality of life in hospitalized patients with HF; Specific objectives: To measure the knowledge about the disease in patients hospitalized with HF; To measure the quality of life in patients hospitalized with HF; Methodology: Cross-sectional study of a quantitative nature. We applied the knowledge questionnaire in HF created by Bonin to measure knowledge of the disease and the Minnesota questionnaire to evaluate the quality of life of hospitalized patients with HF. The association between the variables was used to evaluate the linear regression model and multivariate with Stata software 12. Results: Sample of 50 patients, men (62%), with a mean age of 51 years old. FE mean of 26.6% and functional class (CF) III prevalence (about 58%) were observed. Dyslipidemia, hypertension and previous AMI were the most observed comorbidities. The most prevalent hemodynamic profile was hot and congested. The mean Bonin questionnaire score was 36, stratifying the knowledge of the sample about the disease as acceptable. The mean score for the Minnesota survey was 79, stratifying the quality of life of the sample as poor. Multivariate analysis reveals that there is a relationship between knowledge of the disease and quality of life. Discussion: A young sample with a fragile socio-clinical profile, perhaps influenced by the scenario as a transplantation center. Functional class, number of hospitalizations and hemodynamic profile are predictors of worse quality of life. Contact with any educational strategy has a positive impact on the patient's quality of life, whatever the strategy. The main purpose of knowledge is to generate literacy in health. Conclusion: There is a directly proportional relationship between knowledge and quality of life, mediated by factors such as schooling, caregiver, functional class, among others.
Introduction: The epidemiology of Heart Failure (HF) and its natural evolution demands concern about the individual's knowledge about their health status and their decompensation factors. It is believed that such knowledge contributes to the treatment of the disease and to the quality of life. Thus, the general objective is: To evaluate the association between knowledge about the disease and quality of life in hospitalized patients with HF; Specific objectives: To measure the knowledge about the disease in patients hospitalized with HF; To measure the quality of life in patients hospitalized with HF; Methodology: Cross-sectional study of a quantitative nature. We applied the knowledge questionnaire in HF created by Bonin to measure knowledge of the disease and the Minnesota questionnaire to evaluate the quality of life of hospitalized patients with HF. The association between the variables was used to evaluate the linear regression model and multivariate with Stata software 12. Results: Sample of 50 patients, men (62%), with a mean age of 51 years old. FE mean of 26.6% and functional class (CF) III prevalence (about 58%) were observed. Dyslipidemia, hypertension and previous AMI were the most observed comorbidities. The most prevalent hemodynamic profile was hot and congested. The mean Bonin questionnaire score was 36, stratifying the knowledge of the sample about the disease as acceptable. The mean score for the Minnesota survey was 79, stratifying the quality of life of the sample as poor. Multivariate analysis reveals that there is a relationship between knowledge of the disease and quality of life. Discussion: A young sample with a fragile socio-clinical profile, perhaps influenced by the scenario as a transplantation center. Functional class, number of hospitalizations and hemodynamic profile are predictors of worse quality of life. Contact with any educational strategy has a positive impact on the patient's quality of life, whatever the strategy. The main purpose of knowledge is to generate literacy in health. Conclusion: There is a directly proportional relationship between knowledge and quality of life, mediated by factors such as schooling, caregiver, functional class, among others.
Description
Palavras-chave
Conhecimento, Qualidade de vida, Insuficiência cardíaca, Alfabetização em saúde, Enfermagem, Knowledge, Quality of life, Heart failure, Health literacy, Nursing
Citação
Albino MJL. Conhecimento da doença e qualidade de vida em pacientes hospitalizados com insuficiência cardíaca: um estudo transversal. Rio de Janeiro. Dissertação [Mestrado Profissional em Ciências Cardiovasculares] - Instituto Nacional de Cardiologia; 2019.