Evidências de validade do Millon Behavioral Medicine Diagnostic na avaliação de aderência terapêutica em pacientes com insuficiência cardíaca crônica
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...
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| Format: | Dissertação |
| Jezik: | por |
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Universidade Federal do Rio Grande do Norte
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| Online pristup: | https://repositorio.ufrn.br/jspui/handle/123456789/19463 |
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| Sažetak: | 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 |
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