Avaliação da qualidade de vida de portadores de marcapasso cardíaco artificial em Goiânia, Goiás

• Autor(a) principal: ZATTA, Laidilce Teles
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/689
• topic: Qualidade de Vida; Estimulação Cardíaca Artificial; Marca-passo artificial; Cardiologia; Enfermagem; Quality of Life; Artificial Cardiac Pacing; Pacemaker; Cardiology; Nursing; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Health related quality of life includes social, emotional and physical well-being of individuals, the impact of some treatments used to control health problems and the individual's ability to lead his own life. One of these treatments currently used is a device called artificial pacemaker, and patients have reported changes in daily life after implantation, which may influence the quality of their lives. It is a descriptive exploratory study that aimed to evaluate the quality of life of cardiac pacemakers patients using a generic instrument- SF-36 ® (Medical Outcomes Study 36-Item Short-Form Health Survey) and other specific instrument - AQUAREL (Assessment of Quality of Life and Related Events). We interviewed 84 patients with permanent pacemaker after six or more months of implantation, and used two instruments to assess quality of life: SF-36 and AQUAREL. Respondents had an average age 59.9 years, 58.3% were female, catholic (70.2%), had completed elementary school (81%). They self-reported themselves as white (59.5%), they had a steady partner (69%) and monthly family income below two minimum wages (51.3%). The implantation time varied between one and 28 years (median three years), the principal cause was the Chagas disease (76.2%), 73.8% were with the first generator, the predominant type of stimulation was DDDR (67,9%) and they were functional class I (57.1%). The median scores for SF-36 dimensions were higher in Social Functioning (100.00) and Mental Health (68.00) dimensions; the lowest scores were obtained in Role Limitations Resulting from Physical Health (00.00) and Role Limitations Resulting from Emotional Problems (33.33) dimensions. The median scores of AQUAREL were 81.25 for Chest Discomfort, Arrhythmias (80.00) and 71.43 for Dyspnea. Cronbach's Alpha ranged between 0.916 and 0.688 for SF-36 dimensions and between 0.852 and 0.693 for AQUAREL, indicating good reliability of the instruments. It was observed that the perception of individuals facing the aspects analyzed in each dimension of SF-36 and AQUAREL is not homogeneous, being influenced by religion, gender, age, race, presence of children, work, income level, education, number of implants and the reason of the implant. The lower scores indicate which aspects need attention from the health team to contribute to the quality of life of these patients.