Barreras para participar en un programa de rehabilitación cardíaca: antes y durante la pandemia Covid-19
Barreras para participar en un programa de rehabilitación cardíaca
DOI:
https://doi.org/10.5433/anh.2024v6.id47913Palabras clave:
Barreras de Acceso a los Servicios de Salud, Rehabilitación Cardiaca, COVID-19, Accesibilidad a los Servicios de Salud, Estudios Longitudinales, Entrevistas por TeléfonoResumen
Objetivo: Comparar las barreras percibidas para la participación en un programa de rehabilitación cardíaca, antes y durante la pandemia de la enfermedad del coronavirus de 2019. Métodos: Estudio observacional, analítico y longitudinal realizado con 23 participantes inscritos en un programa de rehabilitación cardíaca, fases 2 y 3. Antes de la pandemia, los participantes respondieron a los 21 ítems de la Escala de Barreras para la Rehabilitación Cardíaca, puntuando de 21 a 105, donde valores más altos indican una mayor percepción de barreras. Durante el período pandémico, 18 (78%) participantes respondieron nuevamente al instrumento. Se utilizó la prueba t de Student para muestras pareadas para comparar las medias de la puntuación total y de los ítems del instrumento en ambos momentos. Resultados: Los resultados muestran una disminución en la percepción de las barreras para la participación en el Programa de Rehabilitación Cardíaca, de la primera a la segunda entrevista. Al comparar los valores medios, encontramos diferencias estadísticamente significativas para la puntuación total de la Escala de Barreras (p <0,001) y para los promedios de 17 de los 21 ítems. Concluión: Los puntajes significativamente más bajos en la segunda entrevista indican que los participantes percibieron menos barreras para asistir a la rehabilitación cardíaca durante el período pandémico que antes, cuando el servicio operaba de manera regular.
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BRASIL. Constituição da República Federativa do Brasil. Brasília (DF); 1988.
Sanders LM, Shaw JS, Guez G, Baur C, Rudd R. Health Literacy and Child Health Promotion: Implications for Research, Clinical Care, and Public Policy. Pediatrics. 2009;124(Supplement 3): S306–S314. https://doi.org/10.1542/peds.2009-1162G. DOI: https://doi.org/10.1542/peds.2009-1162G
Brasil. Ministério da Saúde. Departamento de Informática do SUS. Sistema de informações sobre morbidade hospitalar do SUS. http://tabnet.datasus.gov.br/cgi/menu_tabnet_php.htm# [Accessed 24th March 2022].
Marzolini S. Including Patients With Stroke in Cardiac Rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention. 2020;40(5): 294–301. https://doi.org/10.1097/HCR.0000000000000540. DOI: https://doi.org/10.1097/HCR.0000000000000540
Besnier F, Gayda M, Nigam A, Juneau M, Bherer L. Cardiac Rehabilitation During Quarantine in COVID-19 Pandemic: Challenges for Center-Based Programs. Archives of Physical Medicine and Rehabilitation. 2020; https://doi.org/10.1016/j.apmr.2020.06.004. DOI: https://doi.org/10.1016/j.apmr.2020.06.004
Driggin E, Madhavan M V., Bikdeli B, Chuich T, Laracy J, Biondi-Zoccai G, et al. Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the COVID-19 Pandemic. Journal of the American College of Cardiology. 2020. p. 2352–2371. https://doi.org/10.1016/j.jacc.2020.03.031. DOI: https://doi.org/10.1016/j.jacc.2020.03.031
Vigorito C, Faggiano P, Mureddu GF. COVID-19 pandemic: what consequences for cardiac rehabilitation? Monaldi Archives for Chest Disease. 2020;90(1). https://doi.org/10.4081/monaldi.2020.1315. DOI: https://doi.org/10.4081/monaldi.2020.1315
Forhan M, Zagorski BM, Marzonlini S, Oh P, Alter DA. Predicting Exercise Adherence for Patients with Obesity and Diabetes Referred to a Cardiac Rehabilitation and Secondary Prevention Program. Canadian Journal of Diabetes. 2013;37(3): 189–194. https://doi.org/10.1016/j.jcjd.2013.03.370. DOI: https://doi.org/10.1016/j.jcjd.2013.03.370
Borges GLB, Cruz MMA da, Ricci-Vitor AL, Silva PF da, Grace SL, Vanderlei LCM. Publicly versus privately funded cardiac rehabilitation: access and adherence barriers. A cross-sectional study. Sao Paulo Medical Journal. 2022;140(1): 108–114. https://doi.org/10.1590/1516-3180.2020.0782.r1.31052021. DOI: https://doi.org/10.1590/1516-3180.2020.0782.r1.31052021
Sérvio TC, Britto RR, de Melo Ghisi GL, da Silva LP, Silva LDN, Lima MMO, et al. Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients. BMC Health Services Research. 2019;19(1): 615. https://doi.org/10.1186/s12913-019-4463-9. DOI: https://doi.org/10.1186/s12913-019-4463-9
Cunha CM, da Cunha DCPT, Manzato R de O, Nepomuceno E, da Silva D, Dantas RAS. Validation of the Brazilian Version of the Patient Activation Measure 13. Journal of Nursing Measurement. 2019;27(1): 97–113. https://doi.org/10.1891/1061-3749.27.1.97. DOI: https://doi.org/10.1891/1061-3749.27.1.97
Ghisi GL de M, Santos RZ dos, Schveitzer V, Barros AL, Recchia TL, Oh P, et al. Desenvolvimento e validação da versão em português da Escala de Barreiras para Reabilitação Cardíaca. Arquivos Brasileiros de Cardiologia. 2012;98(4): 344–352. https://doi.org/10.1590/S0066-782X2012005000025. DOI: https://doi.org/10.1590/S0066-782X2012005000025
Jean Mundahl Engels PD. Imputation of missing longitudinal data: a comparison of methods. Journal of Clinical Epidemiology. 2003;56(10): 968–976. https://doi.org/10.1016/S0895-4356(03)00170-7. DOI: https://doi.org/10.1016/S0895-4356(03)00170-7
Malta DC, Gomes CS, Szwarcwald CL, Barros MB de A, Silva AG da, Prates EJS, et al. Distanciamento social, sentimento de tristeza e estilos de vida da população brasileira durante a pandemia de Covid-19. Saúde em Debate. 2020;44(spe4): 177–190. https://doi.org/10.1590/0103-11042020e411. DOI: https://doi.org/10.1590/0103-11042020e411
Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, Ganz F, Torralba R, Oliveira D V., et al. Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. The journal of nutrition, health & aging. 2020;24(9): 938–947. https://doi.org/10.1007/s12603-020-1500-7. DOI: https://doi.org/10.1007/s12603-020-1500-7
Botero JP, Farah BQ, Correia M de A, Lofrano-Prado MC, Cucato GG, Shumate G, et al. Impact of the COVID-19 pandemic stay at home order and social isolation on physical activity levels and sedentary behavior in Brazilian adults. Einstein (São Paulo). 2021;19. https://doi.org/10.31744/einstein_journal/2021AE6156. DOI: https://doi.org/10.31744/einstein_journal/2021AE6156
Silva DRP da, Werneck AO, Malta DC, Souza Júnior PRB de, Azevedo LO, Barros MB de A, et al. Changes in the prevalence of physical inactivity and sedentary behavior during COVID-19 pandemic: a survey with 39,693 Brazilian adults. Cadernos de Saúde Pública. 2021;37(3). https://doi.org/10.1590/0102-311x00221920. DOI: https://doi.org/10.1590/0102-311x00221920
Britto RR, Supervia M, Turk-Adawi K, Chaves GS da S, Pesah E, Lopez-Jimenez F, et al. Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries. Brazilian Journal of Physical Therapy. 2020;24(2): 167–176. https://doi.org/10.1016/j.bjpt.2019.02.011. DOI: https://doi.org/10.1016/j.bjpt.2019.02.011
Hennis AJM, Coates A, del Pino S, Ghidinelli M, Gomez Ponce de Leon R, Bolastig E, et al. COVID-19 and inequities in the Americas: lessons learned and implications for essential health services. Revista Panamericana de Salud Pública. 2021;45: 1. https://doi.org/10.26633/RPSP.2021.130. DOI: https://doi.org/10.26633/RPSP.2021.130
Carvalho T de, Milani M, Ferraz AS, Silveira AD da, Herdy AH, Hossri CAC, et al. Diretriz Brasileira de Reabilitação Cardiovascular – 2020. Arquivos Brasileiros de Cardiologia. 2020;114(5): 943–987. https://doi.org/10.36660/abc.20200407. DOI: https://doi.org/10.36660/abc.20200407
Souza TS de, Aleluia ÍRS, Pinto EB, Pinto Junior EP, Pedreira RBS, Fraga-Maia H, et al. Organização e oferta da assistência fisioterapêutica em resposta à pandemia da COVID-19 no Brasil. Ciência & Saúde Coletiva. 2022;27(6): 2133–2142. https://doi.org/10.1590/1413-81232022276.00752022. DOI: https://doi.org/10.1590/1413-81232022276.00752022
Buttery AK. Cardiac Rehabilitation for Frail Older People. In: 2020. p. 131–147. https://doi.org/10.1007/978-3-030-33330-0_13. DOI: https://doi.org/10.1007/978-3-030-33330-0_13
Quindry JC, Franklin BA, Chapman M, Humphrey R, Mathis S. Benefits and Risks of High-Intensity Interval Training in Patients With Coronary Artery Disease. The American Journal of Cardiology. 2019;123(8): 1370–1377. https://doi.org/10.1016/j.amjcard.2019.01.008. DOI: https://doi.org/10.1016/j.amjcard.2019.01.008
Rangel-S ML, Lamego G, Paim M, Brotas A, Lopes A. SUS na mídia em contexto de pandemia. Saúde em Debate. 2022;46(134): 599–612. https://doi.org/10.1590/0103-1104202213401. DOI: https://doi.org/10.1590/0103-1104202213401
Schmied C. ‘Cardiac rehabilitation works’: but it should be tailored individually, started early, and followed for a lifetime. European Heart Journal. 2019. p. 686–688. https://doi.org/10.1093/eurheartj/ehy618. DOI: https://doi.org/10.1093/eurheartj/ehy618
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Derechos de autor 2024 Pedro Paulo Fernandes de Aguiar Tonetto, Arthur Marco Peres Ribeiro, Carina Aparecida Marosti Dessotte, Rosana Aparecida Spadoti Dantas (Autor)
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