Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil

Costa, Ingrid Maria Novais Barros de Carvalho; Silva, Danielle Góes da; Oliveira, Joselina Luzia Menezes; Pereira, Larissa Monteiro Costa; Alves, Luciana Vieira Sousa; Andrade, Fabrício Anjos de; Jorge, Juliana de Goes; Oliveira, Larissa Marina Santana Mendonça de; Almeida, Rebeca Rocha de; Oliveira, Victor Batista; Martins, Larissa Santos; Costa, Joyce Maria Gomes da; Souza, Márcia Ferreira Cândido de; Voci, Silvia Maria; Almeida-Santos, Marcos Antônio; Aidar, Felipe José; Baumworcele, Leonardo; Sousa, Antônio Carlos Sobral

doi:10.1016/j.pmedr.2022.101973

Cited by 5 publications

(3 citation statements)

References 44 publications

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“…The comparison conclusions of the two large-scale clinical randomized trials are different and need to be considered. Direct thrombin inhibitors can highly specifically block thrombin, hirudin directly binds to the anion binding site and hydrolysis site of thrombin, has a strong and predictable anticoagulant effect, small-scale test, compared with ordinary heparin, the incidence of acute coronary syndrome and bleeding is reduced [20]. There are large amounts of the GPOb / Oa receptor on the platelet surface, and when the platelets are activated, the fibrinogen molecule binds to this receptor, causing platelet condensation.…”

Section: Anti-thromboticmentioning

confidence: 99%

Prevention and Treatment of Acute Coronary Artery Syndrome

2023

TNS

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Acute coronary syndrome(ACS) refers to a group of clinical symptoms caused by acute myocardial ischemia, including unstable angina pectoris, acute myocardial infarction, and sudden ischemic death. In recent years, studies have shown that the main mechanism of its occurrence is the rupture of plaque and the consequent intravascular thrombosis. Multiple factors may lead to the occurrence of the disease. However, the mechanism of the histomorphological change from pre-fragmentation to post-fragmentation is still unclear. Vasospasm may also play an important role. Prevention of plaque formation and rupture or prevention of thrombosis by antithrombotic therapy is effective in reducing the incidence of acute coronary syndrome, and coronary intervention also reduces the mortality of acute coronary syndrome. Some new therapies, such as gene therapy, are still in the experimental stage. At the same time, people should improve the awareness of disease prevention, and the most active prevention is the best means of disease treatment.

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Section: Anti-thromboticmentioning

confidence: 99%

Prevention and Treatment of Acute Coronary Artery Syndrome

2023

TNS

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“…Sendo exigível o acompanhamento pela equipa multidisciplinar no decurso do processo de saúde da pessoa, emerge, no entanto, o papel da disciplina de enfermagem como ponto central no cuidado global, reconhecendo-se a sua capacidade em integrar uma cultura de confiança e proximidade no cerne da prestação de cuidados (OE, 2009). Intrinsecamente à continuidade do cuidado à pessoa com enfarte agudo do miocárdio, um dos fatores essenciais é a promoção da adesão ao regime terapêutico (Costa et al, 2022).…”

Section: Introductionunclassified

“…Intenta-se, pois, para a compreensão das experiências da pessoa, pela sua influência na adesão ao regime terapêutico, devendo o enfermeiro aproveitar o seu lugar privilegiado no ambiente terapêutico para o conseguir. Decerto que, só assim, se conseguirá almejar a integração de uma estratégia promotora da adesão ao regime terapêutico na pessoa com enfarte agudo do miocárdio, propulsora de melhoria de outcomes clínicos (López;Vargas, 2020;Costa et al, 2022).…”

Section: Introductionunclassified

Aplicabilidade Do Modelo De Sistemas De Neuman Na Adesão Ao Regime Terapêutico Da Pessoa Com Enfarte Agudo Do Miocárdio: Reflexão Teórica

Loureiro,

Bernardo

et al. 2024

O Cuidado Em Saúde Baseado Em Evidências - Volume 4

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Introdução: A adesão ao regime terapêutico na pessoa com enfarte agudo do miocárdio é crucial para a evolução positiva do status clínico. Ainda que claramente definidos os requisitos promotores de adesão ao regime terapêutico, perpetua-se a publicação de resultados que traduzem baixos níveis de autoadministração de medicação e de aceitação de mudança nos hábitos e estilo de vida. Urge repensar a conceção e integração de práticas de cuidados direcionadas para as necessidades da pessoa.Objetivo/s: Refletir sobre a aplicabilidade de modelo de sistemas de Neuman na adesão ao regime terapêutico da pessoa com enfarte agudo do miocárdio.Métodos: O presente estudo ancorou-se no modelo de sistemas de Neuman, tendo recorrido associadamente a estudos cuja temática se centrasse na intervenção de enfermagem na promoção de adesão ao regime terapêutico à pessoa com enfarte agudo do miocárdio.Resultados: O modelo teórico-filosófico de Neuman assenta numa perspetiva holística de sistemas que se concentram em diferentes tipos de stressores definidos que podem promover alterações na condição de saúde e bem-estar. Considerando-se a pessoa como detentora de mecanismos capazes de reagir perante um fenómeno adverso, realça-se que a existência de uma rede formal de cuidados, potencia uma resposta mais eficaz aquando da interação com meios que podem desencadear desajustes na estrutura orgânica.Conclusão: O modelo de sistemas de Neuman tem aplicabilidade nos cuidados de enfermagem à pessoa com enfarte agudo do miocárdio, especificamente na promoção da adesão ao regime terapêutico, através da identificação de stressores extrapessoais, intrapessoais e interpessoais nos diferentes níveis de ação: primária, secundária e terciária.

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Fatigue and physical activity in post-CABG patients: the parallel mediation model of kinesiophobia and self-efficacy : a prospective multicentre and cross-sectional study in China

Li,

Piao,

Shang

2024

BMJ Open

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ObjectivesThe objective of this study was to investigate how kinesiophobia and self-efficacy explain the relationship between fatigue and physical activity (PA) in post-coronary artery bypass grafting (post-CABG) patients over the age of 45.DesignA prospective multicentre and cross-sectional study.SettingThe study was conducted in four public tertiary hospitals in China.ParticipantsA total of 1278 patients who underwent CABG surgery were selected from the case pool, with their surgeries occurring between 3 and 19 months prior to selection. Out of 1038 patients who met the inclusion criteria and were invited to participate in the study, 759 patients agreed to participate and complete the questionnaire. Ultimately, 376 questionnaires were deemed eligible and included in the analysis.Primary and secondary outcome measuresThe questionnaire included the following scales: the Chinese version of the Multidimensional Fatigue Inventory (MFI-20), the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Cardiac Exercise Self-Efficacy Instrument (CESEI) and the International Physical Activity Questionnaire-Long (IPAQ-L). A serial mediation model was used to test whether the association between fatigue and PA was mediated by kinesiophobia and self-efficacy, in the overall sample and subsamples defined by age.ResultsThe results confirmed that fatigue was directly (95% CI (−5.73 to −3.02)) associated with PA. Higher kinesiophobia (95% CI (−0.16 to −0.05)) or lower PA self-efficacy (95% CI (−0.11 to −0.02)) were parallel pathways through which higher fatigue impediment reduced PA levels. In both subgroups, the street pathways of kinesiophobia and self-efficacy were altered. In the age, 45–60 years group, kinesiophobia (Boot 95% CI (−0.19 to−0.05)) was a mediator of fatigue on PA levels, while in the 61–75 years age group, self-efficacy (Boot 95% CI (−0.17 to −0.04)) was a mediator of fatigue on PA levels.ConclusionsA clear relationship between fatigue and PA was mediated by both kinesiophobia and self-efficacy. Furthermore, our findings highlight the importance of adapting the intervention according to the age of the patients, mainly by reducing patients’ kinesiophobia in patients aged 45–60 years and increasing patients’ self-efficacy in patients aged 61–75 years. It may be possible to improve PA levels in post-CABG patients over 45 years of age by eliminating kinesiophobia and increasing self-efficacy.

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Adherence to secondary prevention measures after acute coronary syndrome in patients associated exclusively with the public and private healthcare systems in Brazil

Cited by 5 publications

References 44 publications

Prevention and Treatment of Acute Coronary Artery Syndrome

Prevention and Treatment of Acute Coronary Artery Syndrome

Aplicabilidade Do Modelo De Sistemas De Neuman Na Adesão Ao Regime Terapêutico Da Pessoa Com Enfarte Agudo Do Miocárdio: Reflexão Teórica

Fatigue and physical activity in post-CABG patients: the parallel mediation model of kinesiophobia and self-efficacy : a prospective multicentre and cross-sectional study in China

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