Estado de saúde percebido e adesão farmacológica em pacientes submetidos à intervenção coronária percutânea

Abstract

The objectives of this study were to evaluate the perceived health status and pharmacological adherence, and to verify the correlation between these measures in patients who underwent percutaneous coronary intervention, after hospital discharge. It was a cross-sectional study carried out from May 2011 to July 2012. The instruments used were: SF-36 and Measurement of Adherence to Treatment, with 101 patients, 54 (53.5%) of which were men; average age of 59.5±10.3; and 32 (32.7%) with previous cardiac treatment. All study participants were using antihypertensive drugs; the majority 99 (98%) used antiplatelet drugs; 98 (97%) used cholesterol reducers, and 59 (58.4%) used coronary vasodilators. The average number of drugs used was 6.8±2.1. Pharmacological adherence was observed in 98 (97%) patients. The participants presented best perceived health status in Social Functioning and Physical Functioning. Positive correlations of moderate magnitude were found between measurements of pharmacological adherence and Physical Functioning, General Health and Social Functioning. There was correlation between pharmacological adherence and perceived health status.Descriptors: Quality of life, medication adherence, angioplasty, nursing. RESUMO

Adesão ao regime terapêutico medicamentoso e aspectos biopsicossociais dos idosos integrados em cuidados continuados domiciliários

“…This study points out some factors that influence the adherence, such as: bias in the response (the participants respond what they thinks is right in order to satisfy the researcher or for fear that the researcher will contact the members of the health team, informing them about inappropriate use of medicines); the fact that it is an adult population with an average age of 59.5 ± 10.3 years; and the awareness of the severity of the disease (2) . Results that are closer to our study were observed in populations with identical characteristics, for example, among elderly people from Porto Alegre, able to go to the site of the interview and to manage their therapeutic regime, presented a TMRA of 35.4% (1) .…”

“…The domains Falls, Locomotion, Physical autonomy, Instrumental autonomy, Emotional complaints, Cognitive state, Social state, and Habits are evaluated in 4 levels. For the domains Locomotion, Physical autonomy, Instrumental autonomy, and Emotional complaints, the author ranks the patients as incapable (0), dependent (1), autonomous (2) or independent (3). The remaining domains are classified as bad (0) or unsatisfactory (1).…”

“…TMRA is the execution of activities according to a schedule of treatment of the disease and its complications. These activities are satisfactory to reach specific objectives for health, which can be influenced by many variables related to the patient (psychological, social, behavioral and family factors), the treatment (number of medicines) and the patient-physician relationship (2)(3) . A study conducted in Portugal (4) including 74 people with chronic renal failure in a regular dialysis program, suggests that, since TMRA is a dynamic process, the person must be carefully monitored, evaluated, and the main factors that could negatively influence their adherence must be assessed.…”

Depressive symptoms in patients with coronary artery disease

“…1 When associated with cardiovascular disease, coronary heart disease, as well as mental disorders, represent public health problems due to both high prevalence rates and contributions to the global burden of illness. 2 In the context of these disorders, depression is considered an independent risk factor for developing coronary heart disease.…”

Adesão ao tratamento de saúde pelo paciente hipertenso no Brasil: um estudo transversal sobre seus fatores associados

“…Um estudo realizado por Coelho et al,(2013), encontrou correlação positiva significativa entre estado de saúde percebido e adesão (p<0,001).…”