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Previous issue date: 2014-08-12 / A insufici?ncia card?aca cr?nica (ICC) ? a via final comum da maioria das doen?as que acometem o cora??o, sendo respons?vel por elevados ?ndices de mortalidade e de interna??o hospitalar, bem como redu??o expressiva da qualidade de vida das pessoas afetadas. Interven??es com vistas ? otimiza??o da ades?o do paciente ao seu regime m?dico, e melhora do comportamento de autocuidado, t?m se mostrado eficazes na preven??o de interna??es n?o planejadas e melhora do resultado em pacientes, entretanto, estudos t?m mostrado a problem?tica da n?o ader?ncia, e alguns instrumentos psicol?gicos vem sendo utilizados para mostrar que tra?os indicam dificuldades com a ades?o ao tratamento. Tendo isso em vista, o objetivo deste trabalho constitui avaliar as evid?ncias de validade do Millon Behavioral Medicine Diagn?stic (MBMD) em popula??o de pacientes com ICC. Participaram do estudo indiv?duos com ICC, dos sexos masculino e feminino, com faixa et?ria entre 18 e 85 anos, atendidos em hospital de refer?ncia da cidade de Natal-RN. Um total de 120 pacientes responderam, al?m do MBMD, outro question?rio estruturado com itens referentes a aspectos sociodemogr?ficos e cl?nicos. Os resultados indicaram que o par?metro de fidedignidade do MBMD mostrou-se satisfat?rio, demonstrando a const?ncia dos resultados para avalia??es realizadas com o instrumento em quest?o. Em se tratando da popula??o pesquisada, p?de-se verificar que a doen?a foi mais prevalente no sexo masculino, mas as mulheres apresentaram as maiores m?dias nos indicadores referentes a h?bitos negativos de sa?de e humor deprimido. Os mais jovens e aqueles que n?o tinham companheiro apresentaram as maiores m?dias em grupos de itens que tratavam de sentimentos de tristeza e des?nimo. N?o foram verificadas diferen?as relacionadas a h?bitos negativos de sa?de e ader?ncia problem?tica entre pacientes em classes funcionais diferentes. Mais estudos nessa linda de pesquisa, com popula??es maiores e de outras regi?es do pa?s, s?o necess?rios no intuito de amplia??o dos dados aqui apresentados. / Chronic heart failure (CHF) is the final common pathway of most diseases affecting the
heart, being responsible for a high level of mortality and hospitalization, as well as
significant reduction in quality of life of those affected. Interventions that claim to
optimize patient adherence to their medical regimen, and improve self-care behavior,
have proven effective in preventing unplanned admissions and improves the outcome
for patients, however, studies have shown the problem of non-adherence, and some
psychological instruments have been used to show that traces indicate difficulties with
treatment adherence. Having shown this, the aim of this work is to evaluate the evidence
of validity of the Millon Behavioral Medicine Diagnostic (MBMD) in a population of
patients with CHF. The study included individuals with CHF, males and females,
between the age of 18 and 85 years, treated in a reference hospital in the city of NatalRN.
A total of 120 patients answered, in addition to the MBMD, another questionnaire
structured with sociodemographic aspects and clinical itens. The results indicated that
the parameter of the MBMD reliability was satisfactory the most of extracted factors,
and some scale. In terms of the population studied, we could verify that the disease was
more prevalent in men, but women had the highest average in indicators related to
negative health habits and depressed mood. Younger pacients and those who had no
partner had the highest averages in groups of items that dealt with feelings of sadness
and discouragement. Hasn?t been observed differences related to negative health habits
and problematic adherence among patients in different functional classes. More studies
in this research line, with a larger population and from other regions of the country, are
needed in order to expand the data presented here
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19463 |
| Date | 12 August 2014 |
| Creators | Carvalho, Maria Fernanda de Oliveira |
| Contributors | 34616055068, http://lattes.cnpq.br/1325459110950508, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Dresch, Virg?nia, 58543945020, http://lattes.cnpq.br/0862322262206467, Diniz, Rosiane, Alchieri, Jo?o Carlos |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM PSICOLOGIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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