Manifestações e estratégias de enfrentamento da Doença de Chagas que interferem na qualidade de vida do indivíduo: uma revisão sistemática

Cavalcanti, Marília Abrantes Fernandes; Nascimento, Ellany Gurgel Cosme do; Alchieri, João Carlos; Andrade, Cléber de Mesquita

doi:10.1590/1413-81232018243.11842017

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…Chamou atenção a falta de compreensão sobre o estado de saúde do portador de DC, relatada por quase metade, 46,2%, dos participantes da coorte SaMi-Trop. A falta de compreensão sobre a doença implica em um prejuízo no curso do tratamento da DC, podendo contribuir com seu agravamento 28 . Além disso, observou-se 14,5% dos portadores de DC com autopercepção negativa de sua saúde.…”

Section: Discussionunclassified

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Estudo Longitudinal De Indivíduos Com Doença De Chagas De Região Endêmica Brasileira: A Coorte Samitrop

Souza

Lacerda

Ferreira

et al. 2021

RUC

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A coorte SaMi-Trop - Centro de Pesquisa em Medicina Tropical de São PauloMinas Gerais, um estudo multicêntrico de pacientes com Doença de Chagas – DC, idealizado por cientistas de quatro universidades públicas brasileiras, tem sido conduzida desde 2013 em regiões endêmicas do estado de Minas Gerais - MG. Objetivo: apresentar e descrever como está sendo conduzida a coorte SaMi-Trop e seus principais resultados, com um retorno local voltado aos gestores municipais. Métodos: os participantes foram recrutados através da base de dados da Rede de Teleassistência de Minas Gerais - RTMG. Até o momento, duas coletas foram realizadas, uma linha de base que ocorreu nos anos de 2013 e 2014 e um primeiro seguimento nos anos de 2015 a 2016. Resultados: participaram 2157 indivíduos na linha debase. Desses, 146 faleceram e 1709 se mantiveram no primeiro seguimento, após dois anos. A maioria dos participantes era do sexo feminino, apresentava idade até 60 anos, união estável e se autodeclararam não branco. Conclusão: a coorte tem contribuído com o avanço no conhecimento científico da DC. Seus resultados, também, devem subsidiar políticas públicas e estratégias para melhorar os serviços de saúde ofertados, de forma direcionada, às reais necessidades dos portadores de DC.

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Section: Discussionunclassified

“…Além disso, observou-se 14,5% dos portadores de DC com autopercepção negativa de sua saúde. A autopercepção é um importante preditor de mortalidade, preditor do declínio funcional, além de influenciar a procura por atendimento em saúde 28 .…”

Section: Discussionunclassified

Estudo Longitudinal De Indivíduos Com Doença De Chagas De Região Endêmica Brasileira: A Coorte Samitrop

Souza

Lacerda

Ferreira

et al. 2021

RUC

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“…In the context of Chagas disease, a qualitative study reported that the initial discussions among respondents were regarding their experiences or fears about the disease and the possibility of death 34 . The disease was characterized as a precursor to high depression levels, possibly because of the risk of sudden death related to the cardiac form 35 . In the present study, depressive symptoms were found in 37% of patients with ChC.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of depressive symptoms in patients with Chagas cardiomyopathy and predominantly preserved cardiac function

Silva

Ávila

Oliveira

et al. 2020

Rev. Soc. Bras. Med. Trop.

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Introduction: Chagas cardiomyopathy (ChC) is highly stigmatized, and the presence of depressive symptoms may be a common feature. However, its determinants remain unclear. Therefore, the present study aimed to verify the prevalence of depression and the clinical, echocardiographic, functional, and quality of life factors associated with depressive symptoms in patients with ChC and predominantly preserved cardiac function. Methods: Thirty-five patients with ChC (aged 40 to 60 years, 66% men, NYHA I-III) were evaluated by echocardiography, cardiopulmonary exercise testing, 6-minute walk test (6MWT), and Mini-Mental State Examination. Physical activity level was assessed using the Human Activity Profile (HAP) and health-related quality of life was assessed using the Short-Form Health Survey (SF-36). Depressive symptoms were evaluated using the Beck Depression Inventory. A cutoff point greater than 9 was indicative of depression. Results: Depression was detected in 13 patients (37%). In the univariate analysis, female sex, NYHA functional class, body mass index, HAP score, mental summary of SF-36, peak oxygen uptake, and 6MWT distance were associated with depressive symptoms. The final model showed that only the HAP score (B =-0.533; 95% confidence interval [CI]:-0.804 to-0.262) and SF-36 mental summary (B =-0.269; 95% CI:-0.386 to-0.153) remained as independent predictors of depressive symptoms in patients with ChC. Conclusions: Depression was prevalent in patients with ChC and predominantly preserved cardiac function. Physical activity and mental health were independent risk factors for depressive symptoms.

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“…Therefore, studies on QoL in individuals with CD need to be better explored and understood in order to develop effective health intervention strategies 15 . However, evaluating the QoL indicator is not simple, due to the multidimensional characteristic of this construct, defined as “the individual’s perception of their position in life in the context of the culture and the value of a system in which they live and in relation to their goals, expectations, patterns, and concerns” 16 .…”

Section: Introductionmentioning

confidence: 99%

Quality of life in patients with Chagas disease and the instrument used: an integrative review

Baldoni

Quintino

Alves

et al. 2021

Rev. Inst. Med. trop. S. Paulo

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Chagas disease (CD) is a neglected tropical highly morbid disease that can have a negative impact on the quality of life (QoL). The purpose of this study was to conduct an integrative review to analyze the QoL of patients with CD in the chronic phase of the disease, as well as the instruments used and the effect of different interventions. The review was carried out based on the criteria and recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guideline (PRISMA) using the PubMed, Scopus, Web of Science and Science Direct databases. An analysis of the reference list of the included articles was also carried out. Publications in all languages have been included. Two independent reviewers selected the eligible articles and extracted the data. A total of 1,479 articles were identified, and after applying the inclusion criteria 18 articles were included. Four different instruments were used to assess QoL and the most used was the Minnesota Living with Heart Failure Questionnaire (MLWHFQ) [33.3% (n = 6)]. Investigations involving intervention showed a positive impact on the patients’ QoL, and the Environment domain had the lowest score. Heterogeneity of instruments and lack of methodology standardization for assessing QoL was observed. QoL proved to be an important indicator for the planning and monitoring of patients with CD, however it is suggested that the instruments for its assessment should be the ones recommended by the validation studies. This process will allow the comparison of data between investigations.

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Manifestações e estratégias de enfrentamento da Doença de Chagas que interferem na qualidade de vida do indivíduo: uma revisão sistemática

Cited by 6 publications

References 16 publications

Estudo Longitudinal De Indivíduos Com Doença De Chagas De Região Endêmica Brasileira: A Coorte Samitrop

Estudo Longitudinal De Indivíduos Com Doença De Chagas De Região Endêmica Brasileira: A Coorte Samitrop

Prevalence and determinants of depressive symptoms in patients with Chagas cardiomyopathy and predominantly preserved cardiac function

Quality of life in patients with Chagas disease and the instrument used: an integrative review

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