Estados emocionais e qualidade de vida em doentes portadores do cardiodesfibrilhador implantável
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2012
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O objectivo da presente investigação foi o de explorar a relação entre os estados emocionais, como a ansiedade e depressão, a qualidade de vida dos doentes portadores do cardiodesfibrilhador implantável, e as características específicas da doença cardiovascular, como por exemplo o tipo de CDI utilizado, a experiência de choques e as preocupações inerentes à utilização do aparelho. Participaram 76 adultos, 65 do sexo masculino e 11 do sexo feminino, com idades compreendidas entre 26 e 86 anos, (M=64.24; DP=13.50). Os instrumentos utilizados foram: BDI, HADS, SA-45 e WHOQOL. Os resultados obtidos mostram: que existe um menor ajustamento e menor qualidade de vida do que as pessoas com diagnóstico de doença cardiovascular com CDI; que os participantes com CRT-D se preocupam mais com o que fazer se o CDI disparar do que os participantes com CDI; e que os participantes que relataram ter sentido choques do CDI apresentavam pior ajustamento emocional e menor qualidade de vida. Estes dados remetem para a ideia de que apesar da melhoria da Qualidade de Vida alcançada pela utilização destes aparelhos, a presença e gravidade da doença terão sempre impacto no ajustamento psicológico e na qualidade de vida dos doentes, concluindo-se que alguns pacientes e as suas famílias necessitam de algum apoio psicológico durante e após o uso do CDI.
The objective of this research was to explore the relationship between emotional states such as anxiety and depression, the quality of life of patients with cardiovascular disease-specific using CDI, such as the type of CDI used, the shock experience and concerns inherent in the use of the appliance. Participated in 76 adults, 65 males and 11 females, aged between 26 and 86 years, (M = 64.24; SD = 13.50). The instruments used were: BDI, HADS, SA-45 and WHOQOL. The results obtained showed that there is a minor adjustment and lower quality of life in patients with CRT-D than people with CDI; participants with CRT-D care more about what to do if the CDI shoot than participants with CDI; and that participants who reported having felt CDI shocks had worse emotional adjustment and lower quality of life. These data refer to the idea that despite the improvement of the quality of life achieved by the use of these devices, the presence and severity of the disease will always impact on psychological adjustment and the quality of life of patients, concluding that some patients and their families need some psychological support during and after the use of CDI.
The objective of this research was to explore the relationship between emotional states such as anxiety and depression, the quality of life of patients with cardiovascular disease-specific using CDI, such as the type of CDI used, the shock experience and concerns inherent in the use of the appliance. Participated in 76 adults, 65 males and 11 females, aged between 26 and 86 years, (M = 64.24; SD = 13.50). The instruments used were: BDI, HADS, SA-45 and WHOQOL. The results obtained showed that there is a minor adjustment and lower quality of life in patients with CRT-D than people with CDI; participants with CRT-D care more about what to do if the CDI shoot than participants with CDI; and that participants who reported having felt CDI shocks had worse emotional adjustment and lower quality of life. These data refer to the idea that despite the improvement of the quality of life achieved by the use of these devices, the presence and severity of the disease will always impact on psychological adjustment and the quality of life of patients, concluding that some patients and their families need some psychological support during and after the use of CDI.
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Orientação: Nuno Colaço
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PSICOLOGIA, ANSIEDADE, DEPRESSÃO, QUALIDADE DE VIDA, CARDIODESFIBRILHADOR IMPLANTÁVEL, RESSINCRONIZAÇÃO CARDÍACA, TERAPIAS, PSYCHOLOGY, ANXIETY, DEPRESSION, QUALITY OF LIFE, IMPLANTABLE CARDIOVERTER, CARDIAC RESYNCHRONIZATION, THERAPIES, MESTRADO EM PSICOLOGIA, ACONSELHAMENTO E PSICOTERAPIAS