Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

Abstract

RESUMOEstudo descritivo, transversal, correlacional, que objetivou verificar a associação entre a presença de ansiedade e depressão após a alta hospitalar em pacientes submetidos à intervenção coronária percutânea (ICP), segundo o sexo. Foram avaliados 59 pacientes submetidos à ICP e em acompanhamento ambulatorial nos primeiros sete meses após a alta hospitalar. Para avaliação de sintomas de ansiedade e de depressão foi utilizada a Escala Hospitalar de Ansiedade e Depressão (HADS). Para testar as possíveis associações entre as variáveis ansiedade, depressão e sexo foi utilizado o teste de qui-quadrado, com nível de significância de 5%. Os resultados indicaram maior número de mulheres com depressão, sendo que a associação entre as variáveis sexo e depressão mostrou-se estatisticamente significativa. Em relação à ansiedade, os casos foram mais frequentes no sexo masculino e a associação entre as variáveis sexo e ansiedade não foi estatisticamente significativa. DESCRITORES Doenças cardiovascularesIntervenção coronária percutânea Ansiedade Depressão ABSTRACT A descriptive, cross-sectional, correlational study aimed to investigate the association of sex and the presence of anxiety and depression after hospital discharge in patients who underwent percutaneous coronary intervention (PCI). Fifty-nine patients undergoing PCI and receiving outpatient treatment in the first seven months after hospital discharge were evaluated. To assess the symptoms of anxiety and depression the Hospital Anxiety and Depression Scale (HADS) was used. To test the possible associations between the variables anxiety, depression and sex the Chi-square test was used with a significance level of 5%. The results indicated a greater number of women with depression and the association between the variables sex and depression was statistically significant. In relation to anxiety, cases were more frequent in males and the association between the variables sex and anxiety was not statistically significant. DESCRIPTORS Cardiovascular diseases Percutaneous coronary intervention Anxiety Depression RESUMEnLa finalidad de este estudio fue verificar la asociación entre la presencia de ansiedad y depresión tras el alta hospitalaria en pacientes sometidos a intervención coronaria percutánea (ICP) según el sexo. Éste corresponde a un estudio descriptivo, transversal, correlacional con 59 pacientes sometidos a ICP y con seguimiento ambulatorio durante los primeros siete meses tras el alta. Para evaluar los síntomas de ansiedad y de depresión se utilizó la Escala Hospitalaria de Ansiedad y Depresión (HADS). Para testar las posibles asociaciones entre las variables ansiedad, depresión y sexo, se utilizó el test ji-cuadrado con nivel de significancia del 5%. Los resultados indicaron un mayor número de mujeres con depresión, siendo la asociación entre las variables sexo y depresión estadísticamente significativa. Respecto a la ansiedad, los casos fueron más frecuentes en las personas de sexo masculino y la asociación entre las variables sexo y ansiedad no fue estad...

Changes in the Anxiety Levels of Patients Undergoing Percutaneous Coronary Intervention

“…This study was conducted to increase our knowledge and fill the gap regarding the changes in anxiety levels among patients with CHD who have undergone first-time elective PCI at discharge time and at 6 months later. All characteristics of participants in this study were comparable with the characteristics of participants in previous studies, 18,29,30 except that there were more men in our study than in some previous studies. 29,30 Having more male than female subjects could be attributed to the high prevalence of CHD among Jordanian men as a result of having a significantly higher prevalence of CHD risk factors such as smoking, diabetes, hypertension, low levels of high-density lipoprotein cholesterol, and hypercholesterolemia than women.…”

“…Evidence further suggests that there is no consensus with regard to the level of anxiety based on patients' demographic variables. For example, Furuya et al 18 showed that men have more frequent anxiety than women after PCI (66.7% vs 56.3%). A contradictory study showed that among patients undergoing PCI, women reported a significantly higher anxiety level compared with men (50.4 ± 26.5 vs 41.5 ± 26.8) 19 .…”

Risk factors for anxiety and depression in the preoperative period of cardiac surgery

“…Otro estudio mostró poca asociación entre la ansiedad estando en el pre-operatorio de cirugía cardíaca con la edad (r=0,226; p<0,001), mayores valores entre las mujeres, correlación negativa con escolaridad (p<0,001) y escores mayores entre pacientes con compañeros que entre los sin (solteros, viudos y divorciados) (18) . El género femenino fue asociado de forma estadísticamente significativa a mayores escores de depresión en un estudio realizado con pacientes con enfermedad cardíaca postintervención percutánea (19) .…”