A mulher coronariopata no climatério após a menopausa: implicações na qualidade de vida.

Abstract

Eu sou aquela mulher a quem o tempo muito ensinou. Ensinou a amar a vida. Não desistir da luta. Recomeçar na derrota. Renunciar a palavras e pensamentos negativos. Acreditar nos valores humanos. Ser otimista. Creio numa força imanente que vai ligando a família humana numa corrente luminosa de fraternidade universal. Creio na solidariedade humana. Creio na superação dos erros e angústias do presente. Acredito nos moços. Exalto sua confiança, generosidade e idealismo. Creio nos milagres da ciência e na descoberta de uma profilaxia futura dos erros e violências do presente. Aprendi que mais vale lutar do que recolher dinheiro fácil. Antes acreditar do que duvidar. (Cora Coralina,1984) Ana Lins dos Guimarães é o nome de Cora Coralina, poetisa goiana, publicou o primeiro livro aos 80 anos. SUMMARY Climaterium, the life period of women ranging from 35 to 65 years old, includes the transitional phase between the reproductive to the non-reproductive life period. It is a great challenging period in a woman's life: everything is changing, the menses stop, sexual hormone levels decline, physical strength and activity decrease, and important psychological and social role changes occur. The declining levels of estrogen are associated with an increase in cardiovascular disease incidence that, after some decades, reaches similar rates as men in climacteric women. All chronic diseases, particularly coronary artery disease, compromise the patient as a whole, including physical, affective-emotional and social aspects. Therefore, the overlap of two different stressful situations; the end of the reproductive life and the presence of coronary artery disease, may negatively influence the quality of life in women. The aim of this study was to analyse the quality of life of post menopausal women with coronary artery disease. The population consisted of 100 women, 50 (58±4.2 years old) with stable angiography provess coronary artery disease (CAD) undergoing treatment at The Heart Institute (InCor)-University of São Paulo medical school, Brazil (CAD group). This group was compared with 50 women (55.1±5.4 years old) without clinical evidence of coronary artery disease (control group) from a primary health care center, Centro de Saúde Escola Geraldo de Paula Souza, São Paulo-FSP-USP. The quality of life was assessed by a structured interview and by Medical outcomes study 36-item short-form health survey (SF-36) validated to the Brazilian population. They were homogenous regarding age of the last menstruation period: 49±3.9 years old in CAD and 49.2±3 years old in controls. The groups were also similar in education level, marital status (64% of CAD and 45% of controls were married; and 18% of CAD and 24% of controls were widowhood). The active working satatus was more frequent in controls than in CAD (52% vs. 14%; p= 0.0001). Both groups showed similar perceptions in their sexual experience. The evaluation of quality of life by SF-36 showed better scores for the control group in: physical functioning (84 vs. 50.5), role physical (84 vs. 45,5...

Impact of Tooth Loss on Quality of Life

“…Progressive advances that occurred from the second half of the last century, which brought to health professionals not only the need for greater knowledge about the feelings and perceptions of patients about their health conditions, but also the need for measuring the impact of possible therapeutic interventions on their quality of life, were responsible, in part, by increasing concern with quality of life (QOL) in the health area [5,6].…”

Qualidade de Vida de pacientes submetidos à revascularização do miocárdio

“…In general, cardiovascular disease in women is manifested ten years later than in men and is associated with multiple concomitant risk factors. (15,16) Assessment of Quality of Life in the physical domain aspect of the generic instrument showed the worst score before coronary artery bypass surgery. This domain assesses mainly daily activities, demonstrating the major limitation of the patient in these activities as a result of the aging process and its comorbidities and thus a worse Quality of Life.…”

Influência Do Climatério No Processo De Trabalho De Profissionais De Um Hospital Universitário Público

“…Muitas mulheres vivenciam esse período de forma assintomática ou com sintomas inexpressivos, entendendo-o como o início de uma nova etapa de amadurecimento existencial que lhes permitirá uma vida com maior segurança e confiança. (13) . Encontramos em nosso estudo que 53,5% das mulheres afirmam não se sentir atraentes, o que interfere no processo de trabalho de 5,2% delas.…”