Autocuidado relacionado con la calidad de vida en pacientes con cardiopatía isquémica

2020 
Introduction. The patient who suffered acute myocardial infarction (AMI) must adhere to treatment (at), improve their self-care and make lifestyle changes to restore their health; otherwise, there may be an impact on their health-related quality of life (HRQLl). Objective: to analyze the relationship between self-care and the quality of life of the patient with ischemic heart disease. Material and methods: correlational, prospective and cross-sectional study. Non-probabilistic sample n = 101 patients selected for convenience; it included adults, both sexes, post AMI. Data collected with questionnaire sf-36; self-care agency scale, biochemical and anthropometric parameters. Data analysis with descriptive statistics and Pearson’s test, significance p <0.05. Results: age between 34 and 86 years, men predominated (89.1%) and 57.4% had basic education. 39% had high blood pressure and 44% diabetes mellitus ii; 51.5% were overweight and 18.8% were obese. 67.5% depended on their wife, children or both for their care. 93% had the perception of better HRQL, 69% showed good self-care agency and 30% regular. Self-care is correlated with HRQL(r = 0.447, p = 0.000), mainly with the power capacity (r = 0.443, p = 0.000) and the ability to operationalize (r = 0.418, p = 0.000). Conclusion: by improving the capacity for self-care, the health status of the post-AMI patient is modified and reflected in their quality of life, but the areas of opportunity in matters of secondary prevention and control of risk factors should be reinforced, otherwise there are risks of a new AMI.
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