Avaliação da qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca.

• Ano de defesa: 2016
• Autor(a) principal: Sousa, Mailson Marques de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Enfermagem; Programa de Pós-Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Insuficiência cardíaca; Qualidade de vida; Avaliação; Heart failure; Quality of life; Evaluation; CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/tede/8730

Heart failure (HF) is a chronical and progressive syndrome caused by the heart’s inability to pump enough blood to meet the organism’s metabolic and tissue necessities. Patients with HF present a series of symptoms such as dyspnea, orthopnea, fatigue, edema, and ascites, among others that compromise the functional capability, affecting the health-related quality of life (HRQOL). The objective of this investigation was to evaluate the health-related quality of life in heart failure patients. This is a descriptive study, of transversal cut, and quantitative approach, conducted in two public facilities of the city of João Pessoa - PB. The non-probabilistic sample was, for convenience, constituted by 84 outpatients. To evaluate the HRQOL, an instrument of socio-demographical depiction manufactured by the researcher responsible for the experiment was used, as well as the Minnesota Living Heart Failure Questionnaire (MLHFQ). The data was processed by the statistical program Statistical Package for Social Science. A descriptive analysis was generated for all variables. To evaluate the correlation between socio-demographical and clinical variables with the HRQOL scores, it was used the Pearson correlation coefficient test. The internal consistency of the instrument, evaluated by Cronbach’s alpha, was considered good (α = 0.90). The participants average age was 58.82±12.78 (53.6%), they were mostly female (67.8%), married or living in a domestic partnership (58.3%), retired (56.0%), and had a complete/incomplete basic education level (72.6%). The clinical profile revealed that the most frequent comorbidity was systemic arterial hypertension (63.1%), and the most distinct HF etiology was non-ischemic (72.6%). Most participants (44%) were in the functional class I, according to the New York Heart Association criteria, and had an average left ventricular ejection fraction (LVEF) of 50±14.6%. The HRQOL measure showed an average score of 33.13±19.66, with the physical dimension being the most hurt. In the inferential analysis, it was found significant negative correlation between age and HRQOL (r= -0.378; p=0.01). The results of this study reveal a slighter influence of HF in the HRQOL. It was noticed that the age factor impacts the HRQOL perception. The patients’ good HRQOL can be explained by the fact that the majority of them present no symptomology, or only symptoms initiated by physical effort. It is important to stress the value of ensuring outpatient care with a qualified multi-professional team, in order to prevent the decompensation of the disease, and to preserve the patients’ good HRQOL.