Avaliação da adesão à prevenção secundária e qualidade de vida a longo prazo após síndrome coronariana aguda

Abstract

INTRODUCTION: Secondary prevention after an acute coronary syndrome (ACS) event is fundamental, as other ischemic events are common after the initial event and quality of life ends up being an ally in the evaluation, since it is an increasingly important measure. OBJECTIVES: To evaluate, in the long term, adherence to secondary prevention and quality of life of patients after ACS, in addition to developing an educational booklet with guidelines to increase adherence. METHODS: This is a cross-sectional study nested within a cohort carried out with patients hospitalized from October/2013 to September/2015 in four public/private reference hospitals in cardiology in the city of Aracaju, Sergipe. The study verified, after 72 months of ACS, adherence to prescribed medications, physical exercise and quality of life, through a specific questionnaire, the International Physical Activity Questionnaire and the Short Form-36. The findings were compared with those obtained after 6 months of ACS. The booklet was elaborated in the format of cordel literature. RESULTS: The sample consisted of 46 patients, with a mean age between 60 and 69 years, 63.04% of whom were male. Quality of life improved in the domains of pain, social and emotional aspects. Antithrombotics, including acetylsalicylic acid, were being used by 73.9% of the volunteers, while only 69.5% of the sample used beta-blockers and statins. Most patients (73.91%) were sedentary. CONCLUSION: In patients with ACS, there was a long-term improvement in quality of life and adherence to prescribed medications, with an increase in sedentary lifestyle