Banca de DEFESA: TATYANE GOMES DE OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : TATYANE GOMES DE OLIVEIRA
DATE: 30/11/2022
TIME: 14:00
LOCAL: Via google meet
TITLE:

POST-TRAUMATIC STRESS DISORDER, BODY COMPOSITION, MUSCLE STRENGTH AND THICKNESS, FUNCTIONAL CAPACITY AND QUALITY OF LIFE OF POST COVID-19 PATIENTS: A CROSS-SECTIONAL STUDY

KEY WORDS:

COVID-19; mental disorders; functional physical performance; quality of life.

PAGES: 146
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

The main systemic manifestations of patients with COVID-19, highlights the commitment of cardiovascular, metabolic and central nervous systems, as well as musculoskeletal dysfunctions and emotional impacts due to traumatic events during hospitalization. Post traumatic stress disorder (PTSD), characterized by involuntary and intrusive distressing memories can be considered an emotional impact that deserves to be investigated. The objective of this research was to verify the prevalence of PTSD and its association with body composition, muscle strength and thickness, functional capacity and quality of life of patients who had the moderate and severe form of COVID-19, after a minimum period of four months after discharge from the ward and/or ICU. This is a cross-sectional study, approved by the institutional ethics committee (CAAE: 43309621.6.0000.5208), under the number of opinion nº 4,666,479 and developed at the Cardiopulmonary Physiotherapy Laboratory of the Department of Physiotherapy of the Federal University of Pernambuco. Individuals of both sexes, aged between 45 and 70 years, who had COVID-19 duly proven and who had been admitted to the ICU or ward and presented clinically recovered, from the 4th month of recovery, were included. Individuals with musculoskeletal changes that prevented the performance of functional tests, cognitive changes that hindered the understanding of the questionnaires, hemodynamic instability and who performed a post-discharge training program were excluded from the study. Individuals were evaluated for PTSD, level of physical activity quality of life, body composition, inspiratory and expiratory muscle strength, palmar grip strength, mobility and balance, quadriceps muscle thickness of the dominant lower limb, distance covered in the 6 min walk test and quality of life. This dissertation presents as results the following articles: "Risk factors associated with post-traumatic stress disorder in post-COVID-19 patients: a systematic review". In this review, it was observed that factors such as the female gender, age group between 40 and 50 years and previous pathologies mainly of psychological order constituted risk factors associated with PTSD in post-COVID-19 patients. It was also observed that education level, economic status, belief in increased mortality from COVID-19, admission to the ICU, length of hospital stay, The death of a patient in the ICU and isolation during hospitalization also contributed to higher rates of PTSD. And an original article: "Post-traumatic stress Disorder in individuals who required Hospitalization for COVID-19: A cross-sectional Study". The prevalence of PTSD in the individuals evaluated was 48.3%, however, another 38.7% had partial symptoms. In individuals with PTSD, 65.5% were obese, 62.1% hypertensive and sedentary (p = 0.009). These individuals had hospitalization in the ICU and a higher number of days hospitalized, respectively (p <0.001 and p = 0.010). As for functionality, individuals with PTSD also had more time to perform the TUG (p = 0.014), less distance covered predicted in 6MWT min (p = 0.001) and reduction in all domains of the SF-36 questionnaire.  As a conclusion, there is a relative prevalence of PTSD after 4 months of hospital discharge in individuals recovered from COVID-19 and functional repercussions. 

COMMITTEE MEMBERS:
Presidente - 1132522 - MARIA DAS GRACAS RODRIGUES DE ARAUJO
Interna - 1144465 - JULIANA FERNANDES DE SOUZA BARBOSA
Externo à Instituição - CRISTIANO DOS SANTOS GOMES - UFRN