Impact of myocardial revascularization surgery on quality of life

Mayara Danielle Fonseca Lima, Letícia Alves de Aguiar, Maria Angélica Melo e Oliveira, Omar Pereira de Almeida Neto, Valéria Nasser Figueiredo, Patricia Magnabosco

Abstract


Objective: to assess the impact of Myocardial Revascularization Surgery on health-related quality of life. Method: this is a quantitative, observational, longitudinal, prospective study, with 51 participants submitted to MRVS, through the application of questionnaires to assess health-related quality of life EuroQol-3L (EQ-5D-3L) and MacNew QLMI. Data was organized in an Excel® spreadsheet, validating them by double typing and exporting them to SPSS, version 17.0. Results: 51 participants were included, of which 74.5% were male, 54.9% were elderly ≥ 60 years old, 62.7% had self-reported skin color, 76.4% had acute myocardial infarction, 72 , 5% had Systemic Arterial Hypertension, 82.4% were sedentary, 54.9%, ex-smokers and 45.1%, alcoholics. In the dimensions of the EQ-5D-3L, there was an improvement in the quality of life regarding the anxiety / depression domain (p = 0.000) and the Visual Analogue Scale identified an improvement in health status (p = 0.005). The MacNew QLMI questionnaire demonstrated an improvement in the quality of life in the following domains: emotional (p = 0.000); physical (p = 0.000) and social (p = 0.000). Conclusion: there was an improvement in the HRQoL analyzed by the generic and specific questionnaires after six months after the MRVS operation. Descriptors: Quality of Life; Thoracic Surgery; Myocardial Revascularization; Coronary Disease; Myocardial Infarction; Comparative Study.

Resumo

Objetivo: avaliar o impacto da Cirurgia de Revascularização do Miocárdio na qualidade de vida relacionada à saúde. Método: trata-se de um estudo quantitativo, observacional, longitudinal, prospectivo, com 51 participantes submetidos à CRVM, por meio da aplicação dos questionários para avaliar a qualidade de vida relacionada à saúde EuroQol-3L (EQ-5D-3L) e MacNew QLMI. Organizaram-se os dados em planilha Excel®, validando-os por dupla digitação e exportando-os para o SPSS, versão 17.0. Resultados: incluíram-se 51 participantes, sendo 74,5% do sexo masculino, 54,9% compostos por idosos ≥ 60 anos, 62,7% com cor da pele autorreferida branca, 76,4% tiveram infarto agudo do miocárdio, 72,5% apresentavam Hipertensão Arterial Sistêmica, 82,4% eram sedentários, 54,9%, ex-tabagistas e 45,1%, etilistas. Evidenciou-se, nas dimensões do EQ-5D-3L, melhora da qualidade de vida quanto ao domínio ansiedade/depressão (p = 0,000) e a Escala Visual Analógica identificou melhora do estado de saúde (p = 0,005). Demonstrou-se, no questionário MacNew QLMI, melhora da qualidade de vida nos domínios: emocional (p = 0,000); físico (p = 0,000) e social (p = 0,000). Conclusão: evidenciou-se melhora da QVRS analisada pelos questionários genérico e específico após transcorrer seis meses do pós-operatório de CRVM. Descritores: Qualidade de Vida; Cirurgia Torácica; Revascularização Miocárdica; Coronariopatia; Infarto do Miocárdio; Estudo Comparativo.

Resumen

Objetivo: evaluar el impacto de la cirugía de revascularización de miocardio en la calidad de vida relacionada con la salud. Método: este es un estudio cuantitativo, observacional, longitudinal, prospectivo, con 51 participantes sometidos a CRVM, mediante la aplicación de cuestionarios para evaluar la calidad de vida relacionada con la salud, EuroQol-3L (EQ-5D-3L) y MacNew QLMI. Los datos se organizaron en una hoja de cálculo Excel®, validada por doble tipeo y exportada a SPSS, versión 17.0. Resultados: se incluyeron 51 participantes, hombres (74.5%), ancianos ≥ 60 años (54.9%), color de piel autoinformado blanco (62.7%), infarto agudo de miocardio (76.4%), hipertensión arterial sistémica (72,5%), inactividad física (82,4%), tabaquismo (54,9%) y alcoholismo (45,1%). Las dimensiones del EQ-5D-3L mostraron una mejora en la calidad de vida con respecto al dominio de ansiedad / depresión (p = 0,000) y la Escala Analógica Visual identificó una mejora en el estado de salud (p = 0,005). El cuestionario MacNew QLMI demostró una mejora en la calidad de vida en los dominios: emocional (p = 0,000); física (p = 0.000) y social (p = 0.000). Conclusión: hubo una mejora en la CVRS analizada por los cuestionarios genéricos y específicos, seis meses después del postoperatorio de CABG. Descriptores: Calidad de Vida; Cirugía Torácica; Revascularización Miocárdica; Enfermedad Coronaria; Infarto del Miocardio; Estudio Comparativo.


Keywords


Qualidade de Vida; Cirurgia Torácica; Revascularização Miocárdica; Coronariopatia; Infarto do Miocárdio; Estudo Comparativo

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DOI: https://doi.org/10.5205/1981-8963.2020.243994



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