Qualidade de vida após revascularização do miocárdio

Bittar, Olímpio J. N. V

doi:10.1590/S0102-76381992000100001

Resumos

A utilização de indicadores que mostrem a qualidade de vida de um indivíduo data de tempos recentes e, segundo alguns autores, permanece mal definida; porém, dentro de um senso médico, constituem um agregado de representação de incapacidade, desconforto e sofrimento, resultante de uma doença e/ou uma ação médica. Nesta pesquisa avaliaram-se 672 pacientes, divididos em quatro estratos ocupacionais, que foram submetidos a revascularização do miocárdio, por implantação de ponte de safena e/ou artéria mamaria, ou angioplastia transluminal coronária, quanto às condições físicas, psicológicas e sociais apresentadas após o procedimento terapêutico. As entrevistas, em número de duas, foram realizadas antes do procedimento e no quarto mês após o mesmo. Somente 5,06% dos pacientes relataram não estar desfrutando a vida com prazer, apresentando insónia, ansiedade, medo da morte, dificuldades de relacionamento, dor e cansaço.

miocárdio, revascularização; qualidade de vida

Quality of life is a very new indicator about physical, psychological and social conditions of patients with chronical disease as after a medical intervention. It can be summarized as an addition of representation about incapacity, disability and suffering. 672 patients were evalvated, divided in four strata, submitted to myocardical revascularization, with coronary artery bypass graft and/or internal mammary artery, and coronary angioplasty, about physical, psychological and social conditions after the intervention. The research showed that only 5,06% of those patients referred no pleasure in living, anxiety, fear about death, pain, and tiredness.

myocardial revascularization; quality of life

ARTIGOS ORIGINAIS

Qualidade de vida após revascularização do miocárdio

Quality of life after myocardial revascularization

Olímpio J. N. V. Bittar

Do Instituto Dante Pazzanese de Cardiologia

^{Endereço para separatas} Endereço para separatas: Olímpio Bittar Av. Dr. Dante Pazzanese, 500. Ibirapuera 04012 São Paulo, SP, Brasil

RESUMO

A utilização de indicadores que mostrem a qualidade de vida de um indivíduo data de tempos recentes e, segundo alguns autores, permanece mal definida; porém, dentro de um senso médico, constituem um agregado de representação de incapacidade, desconforto e sofrimento, resultante de uma doença e/ou uma ação médica. Nesta pesquisa avaliaram-se 672 pacientes, divididos em quatro estratos ocupacionais, que foram submetidos a revascularização do miocárdio, por implantação de ponte de safena e/ou artéria mamaria, ou angioplastia transluminal coronária, quanto às condições físicas, psicológicas e sociais apresentadas após o procedimento terapêutico. As entrevistas, em número de duas, foram realizadas antes do procedimento e no quarto mês após o mesmo. Somente 5,06% dos pacientes relataram não estar desfrutando a vida com prazer, apresentando insónia, ansiedade, medo da morte, dificuldades de relacionamento, dor e cansaço.

Descritores: miocárdio, revascularização, qualidade de vida; qualidade de vida, revascularização miocárdica.

ABSTRACT

Quality of life is a very new indicator about physical, psychological and social conditions of patients with chronical disease as after a medical intervention. It can be summarized as an addition of representation about incapacity, disability and suffering. 672 patients were evalvated, divided in four strata, submitted to myocardical revascularization, with coronary artery bypass graft and/or internal mammary artery, and coronary angioplasty, about physical, psychological and social conditions after the intervention. The research showed that only 5,06% of those patients referred no pleasure in living, anxiety, fear about death, pain, and tiredness.

Descriptors: myocardial revascularization, quality of life; quality of life, myocardial revascularization.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido para publicação em 10 de janeiro de 1992.

Trabalho realizado no Instituto Dante Pazzanese de Cardiologia e no Hospital do Coração da Associação do Sanatório Sírio. São Paulo, SP, Brasil.

1 CLANCY, C.A.; WAY, J.M.; GUINN, G.A. - The effect of patients perceptions on return to work after coronary artery bypass surgery. Heart Lung, 13: 173-176, 1984.
2 CORBELLINI. P.&MAISANO,G. - Human relations as a coronary risk fasctor. Eur. Heart J, 9: 35-39,1988.
3 DANGHIN, N.; DAVID, P.; ROBERT, P.; BOURASSA, M. G. - Employment following aortocoronary bypass surgery in young patients. Cardiology, 69: 52-59, 1982.
4 DAVID, H. & JENEAU, M. - Enquête sur les consequences socio-économiques du pontage aorto-coronarien. Vie Med. Can. Fr. 3: 1089-1093, 1974.
5 FRANK, K.A.; HELLER, S.S.; KORNFELD, D.S. - A survey of adjustment to cardiac surgery. Arch. Int. Med,130: 735-738, 1972.
6 KLONOFF, H.; CLARK, C; KAVANAGH-GRAY, D.; MIZGALA.J.; MUNRO, I. Two-year follow-up study of coronary bypass surgery: psychologic status, employment and quality of life. J. Thorac. Cardiovasc. Surg, 97: 78-85, 1989.
7 KORNFELD, D. S.; HELLER, S.S.; FRANK, K. A.; WILSON, S.; MALM, JAMES, R.- Psychological and behavioral responses after coronary artery bypass surgery. Circulation, 66 (Supl. 3):124-128, 1982.
8 LIDDLE, H. V.; JENSEN, R.; CLAYTON, P. D. - The rehabilitation of coronary surgical patients. Ann. Thorac. Surg, 34: 374-382, 1982.
9 LORIOT, G.; SEBAOUN, G.; PHILBERT, M.; PROTEAU, J. - Étude des modalités de reprise du travail après infarctus du myocarde. Arch. Mal. Coeur, 39: 394-498, 1978.
10 MAISANO, G. & GOBBATO, F. - Workshop on occupational cardiology. Eur. Heart J, 9 (Supl.. 1), 1988.
11 MAYOU, R. - Prediction of emotional and social outcome after a heart attack. J. Psychosom. Res, 28:17-25, 1984.
12 MENDES, R. - Importância da ocupação como determinante de saúde-doença: aspectos metodológicos. Rev. Bras. Saúde Ocup, 17: 18-30, 1989.
13 MIETTINEN, O.S. - Quality of life from epidemiologic perspectives. J. Chron. Dis, 40: 641-643, 1987.
14 PERK, J.; HEDBACK, B.; ENGUALL, J. - Effects of cardiac rehabilitation after coronary artery bypass graft on readmissions, return to work, and physical fitness: a case-control study. Scand. J. Med, 18: 45-51, 1990.
15 RANDOLPH, S.A & DALTON, P.C. - Limited duty work:an innovative approach to early return to work. J. Am. Assoc. Occupat. Health Nurs, 37: 446-453, 1989.
16 RIMM, A.A.; BARBORIAK, J.J.; ANDERSON, A.J.; SIMON, J.S. - Changes in occupation after aorta/coronary vein-bypass operation. JAMA, 236: 361 -364, 1976.
17 RODIS, S.M.- Work status after artery bypass operation. J. Cardiovasc. Surg, 26: 228-230, 1985.
18 SCHEIR, M.F.; MAGOVERN, G.J.; ABBOTT, R.A.; MATHEWS, K.A.; OWENS, J.F.; LEFEBVRE, R.G.; CARVER, C.S. - Dispositional optimism and recovery from coronary artery bypass surgery: the beneficial effects on physical and psychological well-being. J. Pers. Soc. Psychol, 57: 1024-1040, 1989.
19 SPITZER, W. O. - State of Science 1986: quality of life and functional status as target variables for research. J. Chron. Dis. 40: 465-471, 1987.
20 STATON, B. A.; JENKINS, D.; DENLINGER, P.; SAVAGEAU, J.A. - Predictors of employment status after cardiac surgery. JAMA, 249: 907-911,1983.
21 STATON, B. A.; JENKINS, D.; SAVAGEAU, J. A.; HURER, R. L. - Functional benefits following coronary artery bypass graft surgery. Ann. Thorac. Sug, 37: 286-290, 1984.
22 STERN, M. J.; PASCALE, L; McLOONE, J. B. Psychosocial adaptation following acute myocardial infarction. J. Chron.Dis, 29: 513-526, 1976.
23 WENGER, N. K. - Quality of life: can it and should it be assessed in patients with heart failure. Cardiology, 76: 391-398, 1989.
24 WENGER, N. K. - Quality of life concerns in the rehabilitation of patients with cardiovascular disease. Bibl. Cardiol, 40: 109-128, 1986.
25 WENGER, N.K.; MATTSON, M. E.; FURBERG, CD.; ELISON, J. - Assessment of quality of life in clinical trials of cardiovascular therapies. Am. J. Cardiol,54: 908-912, 1984.
26 WIKLUND, I. - Sick-role and attitude towards disease and working life two months after a myocardial infarction. Scand. J. Rehab. Med, 16: 57-64, 1984.
27 ZANETTINI, R.; TOMASINI, M.; VILLA, A.; GESANA, G. C. - L'infarto miocardico nell'eta produtiva: considerazioni sulla ripresa dell'attivita lavorativa. Med. Lav, 74: 361-369,1983.

Endereço para separatas:

Olímpio Bittar

Av. Dr. Dante Pazzanese, 500. Ibirapuera

04012 São Paulo, SP, Brasil

Datas de Publicação

Publicação nesta coleção
17 Fev 2011
Data do Fascículo
Mar 1992

Histórico

Recebido
10 Jan 1992

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1 CLANCY, C.A.; WAY, J.M.; GUINN, G.A. - The effect of patients perceptions on return to work after coronary artery bypass surgery. Heart Lung, 13: 173-176, 1984.

[2] 2 CORBELLINI. P.&MAISANO,G. - Human relations as a coronary risk fasctor. Eur. Heart J, 9: 35-39,1988.

[3] 3 DANGHIN, N.; DAVID, P.; ROBERT, P.; BOURASSA, M. G. - Employment following aortocoronary bypass surgery in young patients. Cardiology, 69: 52-59, 1982.

[4] 4 DAVID, H. & JENEAU, M. - Enquête sur les consequences socio-économiques du pontage aorto-coronarien. Vie Med. Can. Fr. 3: 1089-1093, 1974.

[5] 5 FRANK, K.A.; HELLER, S.S.; KORNFELD, D.S. - A survey of adjustment to cardiac surgery. Arch. Int. Med,130: 735-738, 1972.

[6] 6 KLONOFF, H.; CLARK, C; KAVANAGH-GRAY, D.; MIZGALA.J.; MUNRO, I. Two-year follow-up study of coronary bypass surgery: psychologic status, employment and quality of life. J. Thorac. Cardiovasc. Surg, 97: 78-85, 1989.

[7] 7 KORNFELD, D. S.; HELLER, S.S.; FRANK, K. A.; WILSON, S.; MALM, JAMES, R.- Psychological and behavioral responses after coronary artery bypass surgery. Circulation, 66 (Supl. 3):124-128, 1982.

[8] 8 LIDDLE, H. V.; JENSEN, R.; CLAYTON, P. D. - The rehabilitation of coronary surgical patients. Ann. Thorac. Surg, 34: 374-382, 1982.

[9] 9 LORIOT, G.; SEBAOUN, G.; PHILBERT, M.; PROTEAU, J. - Étude des modalités de reprise du travail après infarctus du myocarde. Arch. Mal. Coeur, 39: 394-498, 1978.

[10] 10 MAISANO, G. & GOBBATO, F. - Workshop on occupational cardiology. Eur. Heart J, 9 (Supl.. 1), 1988.

[11] 11 MAYOU, R. - Prediction of emotional and social outcome after a heart attack. J. Psychosom. Res, 28:17-25, 1984.

[12] 12 MENDES, R. - Importância da ocupação como determinante de saúde-doença: aspectos metodológicos. Rev. Bras. Saúde Ocup, 17: 18-30, 1989.

[13] 13 MIETTINEN, O.S. - Quality of life from epidemiologic perspectives. J. Chron. Dis, 40: 641-643, 1987.

[14] 14 PERK, J.; HEDBACK, B.; ENGUALL, J. - Effects of cardiac rehabilitation after coronary artery bypass graft on readmissions, return to work, and physical fitness: a case-control study. Scand. J. Med, 18: 45-51, 1990.

[15] 15 RANDOLPH, S.A & DALTON, P.C. - Limited duty work:an innovative approach to early return to work. J. Am. Assoc. Occupat. Health Nurs, 37: 446-453, 1989.

[16] 16 RIMM, A.A.; BARBORIAK, J.J.; ANDERSON, A.J.; SIMON, J.S. - Changes in occupation after aorta/coronary vein-bypass operation. JAMA, 236: 361 -364, 1976.

[17] 17 RODIS, S.M.- Work status after artery bypass operation. J. Cardiovasc. Surg, 26: 228-230, 1985.

[18] 18 SCHEIR, M.F.; MAGOVERN, G.J.; ABBOTT, R.A.; MATHEWS, K.A.; OWENS, J.F.; LEFEBVRE, R.G.; CARVER, C.S. - Dispositional optimism and recovery from coronary artery bypass surgery: the beneficial effects on physical and psychological well-being. J. Pers. Soc. Psychol, 57: 1024-1040, 1989.

[19] 19 SPITZER, W. O. - State of Science 1986: quality of life and functional status as target variables for research. J. Chron. Dis. 40: 465-471, 1987.

[20] 20 STATON, B. A.; JENKINS, D.; DENLINGER, P.; SAVAGEAU, J.A. - Predictors of employment status after cardiac surgery. JAMA, 249: 907-911,1983.

[21] 21 STATON, B. A.; JENKINS, D.; SAVAGEAU, J. A.; HURER, R. L. - Functional benefits following coronary artery bypass graft surgery. Ann. Thorac. Sug, 37: 286-290, 1984.

[22] 22 STERN, M. J.; PASCALE, L; McLOONE, J. B. Psychosocial adaptation following acute myocardial infarction. J. Chron.Dis, 29: 513-526, 1976.

[23] 23 WENGER, N. K. - Quality of life: can it and should it be assessed in patients with heart failure. Cardiology, 76: 391-398, 1989.

[24] 24 WENGER, N. K. - Quality of life concerns in the rehabilitation of patients with cardiovascular disease. Bibl. Cardiol, 40: 109-128, 1986.

[25] 25 WENGER, N.K.; MATTSON, M. E.; FURBERG, CD.; ELISON, J. - Assessment of quality of life in clinical trials of cardiovascular therapies. Am. J. Cardiol,54: 908-912, 1984.

[26] 26 WIKLUND, I. - Sick-role and attitude towards disease and working life two months after a myocardial infarction. Scand. J. Rehab. Med, 16: 57-64, 1984.

[27] 27 ZANETTINI, R.; TOMASINI, M.; VILLA, A.; GESANA, G. C. - L'infarto miocardico nell'eta produtiva: considerazioni sulla ripresa dell'attivita lavorativa. Med. Lav, 74: 361-369,1983.