Prevalencia y factores asociados a los síntomas de ansiedad y depresión en pacientes con insuficiencia cardíaca
DOI:
https://doi.org/10.1590/ce.v30i0.99574ptPalabras clave:
Insuficiencia Cardíaca, Enfermedades Cardiovasculares, Ansiedad, Depresión, PrevalenciaResumen
Objetivo: Identificar la prevalencia y los factores sociodemográficos y clínicos asociados a los síntomas de ansiedad y depresión en pacientes con insuficiencia cardíaca en una clínica ambulatoria de cardiología.
Métodos: Se realizó un estudio transversal en una clínica ambulatoria de cardiología en João Pessoa, Paraíba, Brasil, involucrando a 88 pacientes. La ansiedad y los síntomas depresivos fueron evaluados utilizando la Hospital Anxiety and Depression Scale. Se utilizaron pruebas de asociación, correlación de Spearman y regresión de Poisson.
Resultados: La prevalencia de síntomas de ansiedad fue del 67,1%, y la prevalencia de síntomas depresivos fue del 34,1%. El estado civil, el sexo y el nivel de educación estaban significativamente asociados con síntomas de ansiedad.
Conclusiones: Se identificó una alta prevalencia de síntomas de ansiedad y depresión. Se necesitan intervenciones de salud para minimizar el impacto de los síntomas psicológicos, ya que tales medidas son esenciales para mejorar la adherencia a la terapia y la calidad de vida de los pacientes con insuficiencia cardíaca.
Citas
1. Rashid S, Qureshi AG, Noor TA, Yaseen K, Sheikh MAA, Malik M, et al. Anxiety and depression in heart failure: an updated review. Curr Probl Cardiol [Internet]. 2023 [cited 2024 Jan 4];48(11):101987. Available from: https://doi.org/10.1016/j.cpcardiol.2023.101987
2. Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJS. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res [Internet]. 2022 [cited 2024 Jan 4];118(17):3272-3287. Available from: https://doi.org/10.1093/cvr/cvac013
3. DATASUS [Internet]. Brasília, DF: Ministério da Saúde (BR); 2024 [cited 2024 Sep 5]. Morbidade Hospitalar do SUS (SIH/SUS);[about 1 screen]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/niuf.def
4. Sbolli M, Fiuzat M, Cani D, O'Connor CM. Depression and heart failure: the lonely comorbidity. Eur J Heart Fail [Internet]. 2020 [cited 2024 Jan 9];22(11):2007-2017. Available from: https://doi.org/10.1002/ejhf.1865
5. AbuRuz ME. Anxiety and depression predicted quality of life among patients with heart failure. J Multidiscip Healthc [Internet]. 2018 [cited 2024 Jan 9];11:367-373. Available from: https://doi.org/10.2147/JMDH.S170327
6. de Albuquerque DC, Barros e Silva PGM, Lopes RD, Hoffmann-Filho CR, Nogueira PR, Reis H, et al. In-Hospital Management and Long-term Clinical Outcomes and Adherence in Patients with Acute Decompensated Heart Failure: Primary Results of the First Brazilian Registry of Heart Failure (BREATHE). J Card Fail [Internet]. 2024 [cited 2024 Mar 16];30(5):639-650. Available from: https://doi.org/10.1016/j.cardfail.2023.08.014
7. Veskovic J, Cvetkovic M, Tahirovic E, Zdravkovic M, Apostolovic S, Kosevic D, et al. Depression, anxiety, and quality of life as predictors of rehospitalization in patients with chronic heart failure. BMC Cardiovasc Disord [Internet]. 2023 [cited 2024 Mar 16];23:525. Available from: https://doi.org/10.1186/s12872-023-03500-8
8. Al Shamiri MQ, Almushawah AA, Alsomali AH, Alsuwayegh MB, Aljaffer MA, Hayajneh AM, et al. The prevalence of depression and anxiety in heart failure patients in Saudi Arabia: an original study. Cureus [Internet]. 2023 [cited 2024 Mar 16];15(4):e36997. Available from: https://doi.org/10.7759/cureus.36997
9. Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, Deswal A, Drazner MH, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation [Internet]. 2022 [cited 2024 Mar 16];145(18):e895-e1032. Available from: https://doi.org/10.1161/CIR.0000000000001063
10. Jaarsma T, Hill L, Bayes-Genis A, La Rocca HPB, Castiello T, Čelutkienė J, et al. Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. J Heart Fail [Internet]. 2021 [cited 2024 Mar 16];23(1):157-174. Available from: https://doi.org/10.1002/ejhf.2008
11. de Sousa MM, Almeida TCF, Gouveia BLA, Freire MEM, de Sousa FS, Oliveira SHS. Persuasive communication and the diminution of the salt intake in heart failure patients: a pilot study. Rev Bras Enferm [Internet]. 2021 [cited 2024 Apr 9];74(2):e20200715. Available from: https://doi.org/10.1590/0034-7167-2020-0715
12. Botega NJ, Bio MR, Zomignani MA, Jr CG, Pereira WAB. Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Rev saúde pública [Internet]. 1995 [cited 2024 Apr 9];29(5):355-363. Available from: https://doi.org/10.1590/S0034-89101995000500004
13. Dancey CP, Reidy JG, Rowe R. Estatística sem matemática para as ciências da saúde. Porto Alegre: Penso, 2017. 502 p.
14. Barros AJD, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol [Internet] 2003 [cited 2024 Jul 15];3:21. Available from: https://doi.org/10.1186/1471-2288-3-21
15. Hiriscau EI, Bodolea C. the role of depression and anxiety in frail patients with heart failure. Diseases [Internet]. 2019 [cited 2024 Apr 9];7(2):45. Available from: https://doi.org/10.3390/diseases7020045
16. Alemoush RA, Al-Dweik G, AbuRuz ME. The effect of persistent anxiety and depressive symptoms on quality of life among patients with heart failure. Appl Nurs Res [Internet]. 2021 [cited 2024 Jun 15];62:151503. Available from: https://doi.org/10.1016/j.apnr.2021.151503
17. Hamatani Y, Iguchi M, Ikeyama Y, Kunugida A, Ogawa M, Yasuda N, et al. Prevalence, temporal change, and determinants of anxiety and depression in hospitalized patients with heart failure. J Card Fail [Internet]. 2022 [cited 2024 Jun 15];28(2):181-190. Available from: https://doi.org/10.1016/j.cardfail.2021.07.024
18. Yang X, Wen Y, Peng H, Zhu H, Wang WE, Zhou J. Gender differences in anxiety, depression, insomnia, and quality of life in heart failure with preserved ejection fraction: a multicenter, cross-sectional study. J Cardiovasc Nurs [Internet]. 2023 [cited 2024 Jun 15];38(5):425-432. Available from: https://doi.org/10.1097/jcn.0000000000000951
19. Vasiliadis HM, Desjardins F, Roberge P, Grenier S. Sex differences in anxiety disorders in older adults. Curr Psychiatry Rep [Internet]. 2020 [cited 2024 Jul 5];22:75. Available from: https://doi.org/10.1007/s11920-020-01203-x
20. de Lima JG, de Barros ALBL, Lopes JL. Self-care behavior among patients with heart failure: relationship between sociodemographic and clinical variables. Texto Contexto Enferm [Internet]. 2023 [cited 2024 Jan 4];32:e20230191. Available from: https://doi.org/10.1590/1980-265X-TCE-2023-0191en
21. Figueiredo JHC, de Oliveira GMM, Pereira BB, Figueiredo AEB, Nascimento EM, Garcia MI, et al. Synergistic effect of disease severity, anxiety symptoms and elderly age on the quality of life of outpatients with heart failure. Arq Bras Cardiol [Internet]. 2020 [cited 2024 Jul 5];114(1):25-32. Available from: https://doi.org/10.5935/abc.20190174
22. Lin CY, Ganji M, Griffiths MD, Bravell ME, Broström A, Pakpour AH. Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: a longitudinal study. Eur J Cardiovasc Nurs [Internet]. 2020 [cited 2024 Jul 5];19(2):155-164. Available from: https://doi.org/10.1177/1474515119873648
23. Wu M, Shen L, Wang Q, Liu L, Lu S, Jin J, et al. Anxiety and depression prevalence and risk factors among patients with cardiovascular diseases in post-COVID-19 China. Front Public Health [Internet]. 2022 [cited 2024 Aug 7];9:758874. Available from: https://doi.org/10.3389/fpubh.2021.758874
24. Albus C, Waller C, Fritzsche K, Gunold H, Haass M, Hamann B, et al. Significance of psychosocial factors in cardiology: update 2018: Position paper of the German Cardiac Society. Clin Res Cardiol [Internet]. 2019 [cited 2024 Aug 7];108(11):1175-1196. Available from: https://doi.org/10.1007/s00392-019-01488-w
25. Wang B, Xia L, Yu J, Feng Y, Hong J, Wang W. The multiple mediating effects of health literacy and self-care confidence between depression and self-care behaviors in patients with heart failure. Heart Lung [Internet]. 2020 [cited 2024 Aug 7];49(6):842-847. Available from: https://doi.org/10.1016/j.hrtlng.2020.09.011
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2025 Danielly Faria Santos de Lima, Juliana Pessoa de Souza, Lidiane Lima de Andrade, Oriana Deyze Correia Paiva Leadebal, Maria Eliane Moreira Freire, Suzanne Fredericks, Mailson Marques de Sousa

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Cogitare Enfermagem se reserva el derecho de realizar, en el artículo publicado, cambios de orden normativa, ortográfica y gramatical con el fin de mantener el estándar culto del idioma, respetando, sin embargo, el estilo de los autores.
El estudio publicado es de total responsabilidad del(os) autor(es), siendo exclusivamente responsabilidad de Cogitare Enfermagem la evaluación del manuscrito, en calidad de vehículo de publicación científica.
No se permitirá la adición o cambio de autoría durante la etapa de evaluación o después de la aceptación del texto presentado.
Cogitare Enfermagem no se responsabiliza por posibles violaciones a la Ley Nº 9.610/1998, Ley Brasileña de Derechos de Autor. Cogitare Enfermagem permite que el autor retenga los derechos de autor de los artículos aceptados para su publicación, sin restricciones.



















