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      Quality of life related to health for heart failure patients Translated title: Qualidade de vida relacionada à saúde em pacientes com insuficiência cardíaca Translated title: Calidad de vida relacionada con la salud de pacientes con insuficiencia cardíaca

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          Abstract

          ABSTRACT Objective: To assess the quality of life related to health for heart failure patients and to relate sociodemographic and clinical data. Method: It is an observational and transversal study, with quantitative approach, carried out in a heart failure ambulatory in the state of Pernambuco. Results: In the sample (n=101), there was prevalence of men older than 60 years old, married and professionally inactive. The quality of life related to health, based on the Minnesota Living With Heart Failure Questionnaire, was considered moderate (34.3±21.6), being significantly related to age (p=0.004), functional class (p<0.001), and patients with chagasic cardiopathy (p=0.02). Conclusion: The quality of life in the HF group of chagasic etiology was more compromised, specially in the emotional dimension. It is suggested that studies on the hypothesis that longer ambulatory follow-up improves quality of life and that having Chagas disease interferes negatively with the quality of life of heart failure patients.

          Translated abstract

          RESUMO Objetivo: Avaliar a qualidade de vida relacionada à saúde dos pacientes com insuficiência cardíaca e relacionar aos dados sociodemográficos e clínicos. Método: Trata-se de estudo observacional, de corte transversal, com abordagem quantitativa realizado em ambulatório de insuficiência cardíaca no estado de Pernambuco. Resultados: Na amostra (n=101) houve predominância de homens, maiores de 60 anos, casados, profissionalmente inativos. A qualidade de vida relacionada à saúde, a partir do questionário Minnesota Living With Heart Failure Questionnaire foi considerada moderada (34,3±21,6), apresentando relação significativa com idade (p=0,004), classe funcional (p<0,001) e em pacientes com cardiopatia chagásica (p=0,02). Conclusão: A qualidade de vida no grupo IC de etiologia chagásica esteve mais comprometida, especialmente na dimensão emocional. Sugere-se a realização de estudos abordando as hipóteses de que maior tempo de acompanhamento ambulatorial melhora a qualidade de vida e que ter doença de Chagas interfere negativamente na qualidade de vida de pacientes com insuficiência cardíaca.

          Translated abstract

          RESUMEN Objetivo: Evaluar la calidad de vida relacionada con la salud de los pacientes con insuficiencia cardíaca (IC) y relacionar los datos sociodemográficos y clínicos. Método: Se trata de estudio observacional, de corte transversal, con abordaje cuantitativo realizado en Ambulatorio de insuficiencia cardíaca en el estado de Pernambuco. Resultados: En la muestra (n=101) hubo un predominio de hombres, mayores de 60 años de edad, casados y profesionalmente inactivos. La calidad de vida relacionada con la salud, desde el cuestionario Minnesota Living With Heart Failure Questionnaire, fue moderada (34,3±21,6), presentando una relación significativa con la edad (p=0,004), la clase funcional (p<0,001) y en pacientes con cardiopatía chagásica (p=0,02). Conclusión: La calidad de vida en el grupo IC de etiología chagásica estuvo más comprometida, principalmente la dimensión emocional. Se recomienda realizar estudios que aborden las hipótesis de que el mayor tiempo de seguimiento ambulatorio mejora la calidad de vida y de que tener la enfermedad de Chagas interfiere negativamente en la calidad de vida de pacientes con insuficiencia cardíaca.

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          I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes

          Background Heart failure (HF) is one of the leading causes of hospitalization in adults in Brazil. However, most of the available data is limited to unicenter registries. The BREATHE registry is the first to include a large sample of hospitalized patients with decompensated HF from different regions in Brazil. Objective Describe the clinical characteristics, treatment and prognosis of hospitalized patients admitted with acute HF. Methods Observational registry study with longitudinal follow-up. The eligibility criteria included patients older than 18 years with a definitive diagnosis of HF, admitted to public or private hospitals. Assessed outcomes included the causes of decompensation, use of medications, care quality indicators, hemodynamic profile and intrahospital events. Results A total of 1,263 patients (64±16 years, 60% women) were included from 51 centers from different regions in Brazil. The most common comorbidities were hypertension (70.8%), dyslipidemia (36.7%) and diabetes (34%). Around 40% of the patients had normal left ventricular systolic function and most were admitted with a wet-warm clinical-hemodynamic profile. Vasodilators and intravenous inotropes were used in less than 15% of the studied cohort. Care quality indicators based on hospital discharge recommendations were reached in less than 65% of the patients. Intrahospital mortality affected 12.6% of all patients included. Conclusion The BREATHE study demonstrated the high intrahospital mortality of patients admitted with acute HF in Brazil, in addition to the low rate of prescription of drugs based on evidence.
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            Validation of the Portuguese version of the Minnesota Living with Heart Failure Questionnaire.

            The Minnesota Living with Heart Failure Questionnaire (MLHFQ) is an important measurement instrument for assessing the quality of life of heart failure patients. Despite being largely used within our context, the questionnaire had not yet been translated and validated into the Portuguese language. Of this study was to translate and validate the Portuguese version of the MLHFQ for use in heart failure patients. Forty patients with heart failure (30 men, LVEF 30+/-6%, 55% ischemic etiology, classified as NYHA I to III), clinically stable and on optimized drug therapy underwent maximal cardiopulmonary stress testing to assess their physical capacity. Right after the test, the MLHFQ duly translated into Portuguese was administered by the same investigator. The NYHA functional classification was provided by the medical team. The Portuguese version of the MLHFQ had the same structure and metrics of the original version. There was no difficulty in the administration of the questionnaire or in the patient's understanding of the questions. The Portuguese version of the MLHFQ was consistent with peak VO2, duration of the cardiopulmonary test, and NYHA functional classification. There was no difference in the score mean for the questionnaire between the group of patients with ischemic etiology and the group with non-ischemic etiology. The Portuguese version of the MLHFQ proposed in this study proved to be valid for heart failure patients, and constitutes a new and important instrument for assessing quality of life.
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              Domínios da qualidade de vida associados à percepção de saúde: um estudo com idosas de um programa de atividade física em bairros de baixa renda de Curitiba, Paraná, Brasil

              O presente estudo teve como objetivo analisar quais domínios da qualidade de vida (QV; Físico, Psicológico, Relações Sociais e Meio Ambiente) estão associados à percepção de saúde de idosas em bairros de baixa renda de Curitiba, Paraná. A amostra foi composta por 450 idosas participantes do programa Idoso em Movimento dos bairros: Boqueirão, Pinheirinho e Bairro Novo. A questão "De modo geral você diria que sua saúde é?" foi utilizada para avaliar a percepção de saúde das idosas, e o questionário Whoqol-Bref foi utilizado para identificar os domínios da QV. Para análise dos dados foram utilizados a estatística descritiva, o teste U de Mann-Whitney, a correlação de Spearman e a regressão logística binária. Todos os domínios estiveram significativamente associados com a percepção de saúde (p < 0,05). Contudo, após ajuste para variáveis de confusão, os domínios Físico e Meio Ambiente apresentaram as associações de maior magnitude, ou seja, idosas com percepção negativa desses domínios tiveram cerca de duas vezes mais chances de ter uma percepção de saúde negativa. Em conclusão, programas que visam à promoção de saúde e QV em idosas de baixa renda devem nortear suas ações nos aspectos físicos e ambientais da qualidade de vida.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                reben
                Revista Brasileira de Enfermagem
                Rev. Bras. Enferm.
                Associação Brasileira de Enfermagem (Brasília, DF, Brazil )
                0034-7167
                1984-0446
                2019
                : 72
                : suppl 2
                : 140-146
                Affiliations
                [1] Recife Pernambuco orgnameUniversidade de Pernambuco Brazil
                Article
                S0034-71672019000800140 S0034-7167(19)07200000140
                10.1590/0034-7167-2018-0368
                31826203
                a8356167-ffbb-4877-b5f0-fdd00c4042c0

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 18 December 2018
                : 09 June 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 26, Pages: 7
                Product

                SciELO Brazil

                Categories
                Original Article

                Enfermagem,Enfermería,Doença de Chagas,Ambulatory Assistance,Quality of Life,Heart Failure,Insuficiência Cardíaca,Calidad de Vida,Nursing,Chagas Disease,Assistência Ambulatorial,Insuficiencia Cardíaca,Qualidade de Vida,Enfermedad de Chagas,Atención Ambulatoria

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