Navegando por Palavras-chave "estresse psicológico"

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    Associação entre ansiedade, estresse e depressão com variáveis sociodemográfica e clínica em pacientes com insuficiência cardíaca atendidos ambulatorialmente
    (Universidade Federal de São Paulo (UNIFESP), 2016-11-29) Cirelli, Melissa Alves [UNIFESP]; Barros, Alba Lucia Bottura Leite de Barros [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Cardiovascular diseases (CVD) are the main cause of morbidity and mortality in Brazil and all over the world, thereby constituting a severe public health problem. Various studies highlight the relevance of the relationship of the psychic changes with the increase in the incidence and progression of CVD, where one of them is heart failure (HF). The identification of psychic changes in patients with HF should be investigated with the purpose of characterizing these patients for the accomplishment of effective interventions that influence the reduction of hospitalizations and improve the quality of life. Objective: To analyze the level of stress and anxiety, as well as depression symptoms, in individuals with HF treated in outpatient clinics. To describe the sociodemographic and clinical profile of individuals with HF treated in outpatient clinics. To check the correlation among the stress, anxiety and depression scales and if there is an association of the sociodemographic and clinical variables with the level of stress and anxiety, or even with the depression symptoms. Method: This is a cross-sectional study, which was held between April 2014 and August 2015 at the Outpatient Clinic for Cardiomyopathies of the São Paulo Hospital, totaling 309 patients. The sample was calculated by the statistics of Z-test, based on three main study questionnaires: Beck Anxiety Inventory, Beck Depression Inventory and Perceived Stress Scale. Data collection took place by means of these validated questionnaires, which were self-administered in a single day before the medical consultation. In order to collect the sociodemographic and clinical variables, we used an instrument employed in research for patients with coronary failure, and this instrument was adapted by the researchers for patients with HF. Results: There was a predominance of males, whites and Catholics, with family income from one to three minimum wages and with four to seven years of schooling. The sample revealed the following average scales: 16.14 for stress, 8.57 for anxiety and 10.87 for depression. The correlations between the stress and depression scales (0.49) and the stress and anxiety scales (0.47) were moderate, and the correlation between anxiety and depression ranged from moderate to high (0.63). We observed that stress was related to gender (p<0.012), ethnicity (p<0), housing type (p<0.035); religion (p<0); family income (p<0); Functional Class (FC) 2 (p<0.027), former alcoholic (p<0.034), former smoker (p<0.01) and obesity III (p<0.041). Anxiety was associated with gender (p<0.002), ethnicity (p<0); housing type (p<0.024); religion (p<0); family income (p<0.013); occupation (p<0.002); FC2 (p<0), Chagas? disease (p<0.002) and Chagas? cardiomyopathy (p<0.036). Moreover, depression was associated with ethnicity (p<0); housing type (p<0); religion (p<0); family income (p<0.007); occupation (p<0.046); FC2 (p<0.001), Chagas? disease (p<0.01) and Peripartum cardiomyopathy (p<0.021). Conclusion: The levels of anxiety, stress, and depression in patients with FC I and II who are treated in outpatient clinics are low. The scales show positive correlations with each other, but the anxiety and depression scales showed a correlation ranging from moderate to high. The family income less than one MW was related to anxiety, stress and depression, the female gender with anxiety and stress, FC II was related to stress and depression. Medical records of Chagas? disease and being out of work or away were factors related to anxiety and depression.
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    Consumo alimentar e estresse de pacientes com síndrome coronariana aguda
    (Universidade Federal de São Paulo (UNIFESP), 2014-07-06) Brunori, Evelise Helena Fadini Reis [UNIFESP]; Barros, Alba Lucia Bottura Leite de Barros [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Knowledge of the distribution of risk factors (RF) for cardiovascular disease among individuals hospitalized for acute coronary syndrome (ACS) enables the strategic planning of educational interventions for primary and secondary prevention to patients and their families in order to minimize the impact of these factors. The general objective of the study was to characterize individuals hospitalized for ACS and the FR for coronary artery disease. The specific objectives were to identify the sociodemographic profile; Identify weight, height, body mass index, waist-hip ratio, blood glucose and lipid profile, identify the level of tobacco dependence; Identify the degree of alcohol consumption; Identify the level of activity / exercise; identify the association of the variables with the type of medical diagnosis (acute myocardial infarction with or without ST-segment elevation or unstable angina); to verify the association between the number of coronary lesions and the type of medical diagnosis; to verify the association between the types of treatment and type of medical diagnosis; to verify the association between education and income. A descriptive cross-sectional assessment of 150 hospitalized patients with the first event of ACS was performed. Sociodemographic and clinical data were collected by interview and chart review. The International Physical Activity Questionnaire, Fagerström nicotine dependence Test, Alcohol Disorder Identification Test. There was a predominance of male gender, white color, Catholics, with elementary education, marital status married, monthly income of 2- 3 minimum wages, overweight and obesity, increased waist-hip ratio in women, hypertension, dyslipidemia, diabetes and elevated fasting glucose. There was an association between education and income. Acute myocardial infarction (AMI) with ST-segment elevation (SSE) prevailed, and angioplasty as treatment. A higher proportion of male gender association with AMI with SSE was observed and female gender with unstable angina (UA), hypertension with AI, and LDL with AMI. Clinical treatment was associated with AI and angioplasty of the anterior descending and right coronary artery was associated with AMI with SSE. Most patients were active smokers, with very high dependence, and alcohol consumption at low risk. There was no association between physical activity, smoking and alcohol ingestion with different presentations of ACS. Given this characterization, health education measures should be implemented by nurses to patients and families in order to minimize the impact of these factors. These data, with data from a previous study, which characterized relatives of individuals with ACS substantiate the educational activities of the Health Education Outpatient Setting of Paulista School of Nursing.