Made available in DSpace on 2016-04-04T18:28:04Z (GMT). No. of bitstreams: 1 Greici Maestri Bussoletto.pdf: 2207825 bytes, checksum: e9d557a268bf04641cc3e03659a689ec (MD5) Previous issue date: 2012-02-24 / Pontif?cia Universidade Cat?lica de Campinas / Given the high rates of mortality from cardiovascular disease, it is necessary to promote of prevention and rehabilitation addressing physical and emotional aspects. This study sought assessing with patients after acute myocardial infarction (AMI), whether there was any change in lifestyle and incidence of stress with the passage of time on three different occasions: on admission, after three months and after six months .The sample consisted of 31 participants, 26 men and five women, aged between 40 and 82 years old admitted to the Hospital of UNICAMP. To collect data was used semi-structured interviews and the Inventory of Stress Symptoms for Adults Lipp (ISSL). For quantitative data analysis was used for statistical and qualitative data content analysis along the lines of Bardin.The results showed the prevalence of overweight patients (n = 14), with hypertension (n = 23), previous myocardial infarction in their medical history (n = 19) and the presence of family history of hypertension (n = 19), diabetes mellitus (n = 16), myocardial infarction (n = 20), stroke (n = 17) and sudden death (n = 13). Looking at the habits of life through the passage of time, it was found significant change for better between the assessments regarding: physical activity (p = 0,022), quitting smoking (p = 0,001), and the type of food elected (p <0,01). Moreover, it was noted that the resumption of activities after the event was impaired (p = 0,012). In relation to stress, 100% of the sample had with significant symptoms of stress in the first evaluation, 96.43% in the second one and 89.29% in the third one. In phase three evaluations of the stress resistance was more prevalent. Physical symptoms were more prevalent in the first evaluation (n = 16), in the second and the third one, the psychological symptoms were the most prevalent (n = 12) and (n = 13) respectively. The results showed that the way the patients relate to the team and with its treatment, as well with as the changes resulting from AMI can positively or negatively influence adherence to the treatment. / Diante das altas taxas de mortalidade por doen?as cardiovasculares, ? necess?rio que se promovam trabalhos de preven??o e reabilita??o que abordem aspectos f?sicos e emocionais. Buscou-se nesse estudo compreender a ades?o do paciente coronariopata ao tratamento p?s-infarto avaliando poss?veis mudan?as nos h?bitos de vida e na incid?ncia de stress na passagem do tempo em tr?s momentos: na interna??o, tr?s e seis meses ap?s o evento. A amostra contou com 31 participantes, sendo 26 homens e cinco mulheres; com idade entre 40 a 82 anos internados no hospital das cl?nicas da UNICAMP. Na coleta dos dados foram utilizados um roteiro de entrevista semiestruturada e o Invent?rio de Sintomas de Stress para Adultos de Lipp (ISSL). Para os dados quantitativos foi utilizada a an?lise estat?stica e para os dados qualitativos a an?lise de conte?do segundo os moldes de Bardin. Os resultados apontaram uma preval?ncia de pacientes com sobrepeso (n=14), com hipertens?o arterial instalada (n=23), com IAM pr?vios em seu hist?rico m?dico (n=19) e com a presen?a de antecedentes familiares de hipertens?o arterial (n=19), de diabetes mellitus (n=16), de IAM (n=20), de acidente vascular cerebral (n=17) e de morte s?bita (n=13), considerados fatores de risco no desencadear de doen?as cardiovasculares. Analisando os h?bitos de vida, constatou-se que houveram mudan?as significativas, para melhor, em rela??o a: realiza??o de atividade f?sica (p=0,022); ao ato de parar de fumar (p=0,001); e ao tipo de alimenta??o consumida (p<0,001). A retomada de atividades ap?s o IAM ficou prejudicada (p=0,012). Em rela??o ao stress, 100% da amostra apresentava sintomas significativos na primeira avalia??o, 96,43% na segunda e 89,29% na terceira. Nas tr?s avalia??es a fase do stress mais prevalente foi da resist?ncia. Os sintomas f?sicos prevaleceram na primeira avalia??o (n=16), na segunda (n=12) e terceira (n=13), prevaleceram os psicol?gicos. Os resultados demonstraram que a forma como o paciente se relaciona com a equipe, com o seu tratamento e com as mudan?as decorrentes do infarto, podem influenciar positiva ou negativamente na ades?o ao tratamento.