RESUMO
Abstract Introduction: Cardiac pacemaker (PM) therapy is of paramount importance. PM use increases with age, with an estimated increased use of 70% to 80% in patients over 65 years. This study evaluated the perception of the health-related quality of life (HRQoL) of elderly patients with PM, comparing them with patients without PM, by applying two quality of life questionnaires: EuroQoL 5-dimensions (EQ-5D) and 36-Item Short Form Health Survey (SF-36). Methods: This study included elderly patients divided into a group with PM and another without PM. Information on HRQoL was obtained using the EQ-5D and SF-36 questionnaires. Results: The study involved 104 elderly patients with PM and 150 without PM. The distribution of responses to the EQ-5D was similar between groups. Statistical differences within the gender variable in the group of elderly people with PM were significant for the mobility, habitual activities, and anxiety/depression domains and for the average EQoL utility score and visual analogue scale (EQ-VAS). Elderly patients with PM presented significant differences between New York Heart Association classes 1 and 2 for the mobility domain and EQ-VAS, while those evaluated through SF-36 presented higher averages in vitality, general health status, and pain. However, a different analysis was observed in the physical aspect domain. Conclusion: The SF-36 demonstrated that elderly patients with PM had an HRQoL similar to or greater than those without PM. However, the results of the EQ-5D did not show significant differences regarding the implantation of PM and HRQoL between the two groups of elderly individuals in the study.
Assuntos
Humanos , Idoso , Marca-Passo Artificial , Qualidade de Vida , Medição da Dor , Nível de Saúde , Inquéritos e QuestionáriosRESUMO
Cuidado paliativo consiste na assistência integral a pacientescuja doença não responde ao tratamento curativo. Seu objetivo é a melhoria da qualidade de vida do paciente e de sua família. Este estudo investigou as principais disfunções físico-funcionaisreferidas por pacientes com câncer sem possibilidades terapêuticasde cura e o papel do fisioterapeuta no cuidado paliativo. Estudou-se 50 pacientes com câncer que responderam a um questionário que investigou variáveis sócio-demográficas, clínicase disfunções físico-funcionais referidas pelos pacientes. Osdados foram analisados por estatística descritiva. Os 50 entrevistados apresentaram idade entre 21 e 87 anos (54,2 ± 15,88), sendo 52 por cento do sexo feminino. As alterações físico-funcionais relatadas foram: dor (70 por cento), dificuldade de movimento (58 por cento), alterações circulatórias (48 por cento), alterações respiratórias (48 por cento) edor em pontos de pressão (32 por cento). A grande maioria dos pacientes com câncer avançado apresenta disfunções físico-funcionais. O fisioterapeuta deve, portanto, integrar a equipe de cuidados paliativos destes pacientes.
Palliative care is the active total care of patients whose disease is not responsive to curative treatment. Its objective is to improvepatient and family quality of life. This study investigated the mainphysical-functional disabilities related to patients with incurable androle of physical therapist in palliative care. The study was composedby 50 patients who answered to a questionnaire that investigated social-demographics and clinical variables and the prevalence ofphysical functional disabilities reported by the patients. Data were analyzed by descriptive statistics. The 50 patients were 21 to 87 yearsold (54.2 ± 15.88), 52 percent were female. Th ey reported the followingphysical functional alterations: pain (70 percent), difficulty of movement(58 percent), circulatory alterations (48 percent), respiratory alterations (48 percent) and pain in pressure points (32 percent). The great majority of patients with advanced cancer have physical-functional disabilities. The physiotherapist should, therefore, integrate the palliative care teamof these patients.