Cardiac rehabilitation (CR) is a multidisciplinary process for patients recovering after an acute cardiac event or with chronic cardiovascular disease that reduces mortality and morbidity and improves quality of life. It is considered a cost-effective intervention and is expressly indicated in the guidelines of the major medical societies. In Portugal, only 8% of patients discharged from hospital after myocardial infarction are included in CR programs. In Europe overall, the percentage admitted to CR programs is 30%, while in the USA it is 20-30%. In view of the underuse of CR in Portugal, we call the attention of the health authorities to the need to increase the number and national coverage of CR programs, while maintaining high quality standards. The aim is for all patients resident in Portugal who are eligible for CR programs to have the same opportunities for access and attendance. In order to preserve the benefits and safety of this intervention, CR needs to be performed according to international guidelines. The fact that various initiatives in this field have been developed by different professional groups, some of them non-medical, that do not follow the European guidelines, has prompted us to prepare a series of norms defining mandatory criteria for CR, based on current knowledge and evidence. In this way we aim to ensure that the required increase in the number of CR programs, linked in a national network of CR centers, does not detract from the need to maintain their efficacy and quality. These criteria should serve as the basis for the future accreditation of CR centers in Portugal.
O objetivo desse estudo foi investigar a influência do contexto da moradia na qualidade de vida da pessoa idosa. Trata-se de uma revisão integrativa em que foram selecionadas as seguintes bases de dados e bibliotecas virtuais: PubMED, Web of Science, Scielo, Biblioteca Virtual em Saúde (BVS), Scopus, CINAHL e PsycINFO. Foram identificados 1226 artigos, restando 13 estudos após os critérios de inclusão. Prevaleceu o sexo feminino, com idade acima de 60 anos e residentes no Brasil (69,2%, n= 9). Na avaliação da qualidade de vida em idosos, utilizou-se o questionário WHOQOL-bref e/ou WHOQOL-old (61,5%, n= 8). Quanto ao contexto da moradia dos idosos evidenciou-se as situações: institucionalizados (46,1%, n= 6 artigos), sozinho, ou com cuidador. Os resultados indicam que a qualidade de vida das pessoas idosas está relacionada a união de cuidadores e infraestrutura adequada para atender as necessidades peculiares da idade, além de ser fundamental a participação social na manutenção de boas relações de convivência com seus pares.
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