Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea.
Las enfermedades cardiovasculares están entre las principales causas de incapacidad y mortalidad en el mundo, pero existe un modo de tratamiento para estas denominado intervención coronaria percutánea (ICP). Después de un diagnóstico o procedimiento cardiaco, los pacientes presentan síntomas psicológicos que a menudo pasan desapercibidos e interfieren con su condición de salud. El objetivo del presente artículo fue evaluar la intensidad de los síntomas de ansiedad y depresión en pacientes adultos y adultos mayores hospitalizados después de una ICP. Se utilizó un diseño transversal, analítico, correlacional y comparativo. En total, participaron 266 pacientes a quienes se les había realizado ICP, estos tenían un promedio de edad de 64.5 años... Ver más
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Cristina Pilla Della Méa - 2018
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Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. Intervención coronaria percutánea Acta Colombiana de Psicología Universidad Católica de Colombia Artículo de revista Núm. 2 , Año 2018 :Volumen 21 No. 2 2 Intervenção coronária percutânea Hospitalização Depressão Ansiedade Hospitalización 21 Depresión Las enfermedades cardiovasculares están entre las principales causas de incapacidad y mortalidad en el mundo, pero existe un modo de tratamiento para estas denominado intervención coronaria percutánea (ICP). Después de un diagnóstico o procedimiento cardiaco, los pacientes presentan síntomas psicológicos que a menudo pasan desapercibidos e interfieren con su condición de salud. El objetivo del presente artículo fue evaluar la intensidad de los síntomas de ansiedad y depresión en pacientes adultos y adultos mayores hospitalizados después de una ICP. Se utilizó un diseño transversal, analítico, correlacional y comparativo. En total, participaron 266 pacientes a quienes se les había realizado ICP, estos tenían un promedio de edad de 64.5 años (DE = 8.9), 68 % eran hombres y 64.3 % presentaban diagnóstico de infarto agudo de miocardio (IAM). Se utilizó el Inventario de Ansiedad de Beck (BAI) y el Inventario de Depresión de Beck - Segunda Edición (BDI-II) como instrumentos de investigación, y la recolección de datos se realizó durante la hospitalización del paciente. El análisis de datos se llevó a cabo por medio de las pruebas Chi-Cuadrado, Kolmogorov-Smirnov y ANOVA, con un nivel de significancia de p ≤ .05. Los resultados muestran que la mayoría de los pacientes presentó síntomas de ansiedad graves (29.7 %) y síntomas depresivos de intensidad mínima (51.9 %). Estos resultados destacan la importancia de evaluar y tratar los síntomas psicológicos post ICP, debido a que estos interfieren en la adhesión al tratamiento y en la calidad de vida del paciente. Pasqualotti, Adriano Bettinelli, Luiz Antonio Della Méa, Cristina Pilla Ansiedad Lucena, K. D. T., Peixoto, E. A., Deininger, L. Souza C., Martins, V. D. M. S., Bezerra, Á. L. A., & Meira, R. M. B. (2016). Assistência aos pacientes submetidos a cateterismo cardíaco em uma urgência hospitalar. Revista de Enfermagem UFPE On Line, 10(1), 32-39. https://doi.org/10.5205/reuol.8423-73529-1-RV1001201605 O'Neil, A., Sanderson, K., & Oldenburg, B. (2010). Depression as a predictor of work resumption following myocardial infarction (MI): A review of recent research evidence. Health and Quality of Life Outcomes, 8(95), 1-11. https://dx.doi.org/10.1186%2F1477-7525-8-95 Norlund, F., Olsson, E. M., Burell, G., Wallin, E., & Held, C. (2015). Treatment of depression and anxiety with internet-based cognitive behavior therapy in patients with a recent myocardial infarction (U-CARE Heart): Study protocol for a randomized controlled trial. Trials, 16(1), 1-8. https://doi.org/10.1186/s13063-015-0689-y Gama, G. G. G., Musi, F. C., Pires, C. G. S., & Guimarães, A. C. (2012). Crenças e comportamentos de pessoas com doença arterial coronária. Ciência & Saúde Coletiva, 17(2), 3371-3383. http://dx.doi.org/10.1590/S1413-81232012001200022 May, H. T., Horne, B. D., Carlquist, J. F., Sheng, X., Joy, E., & Catinella, A. P. (2009). Depression after coronary artery disease is associated with heart failure. Journal of the American College of Cardiology, 53(16), 1440-1447. https://doi.org/10.1016/j.jacc.2009.01.036 Mattos, L. A., Lemos Neto, P. A., Rassi Jr., A., Marin-Neto, J. A., Sousa, A. G. M., Devito, F. S., ... Brito Jr., F. S. (2008). Diretrizes da Sociedade Brasileira de Cardiologia- Intervenção Coronária Percutânea e Métodos Adjuntos Diagnósticos em Cardiologia Intervencionista (II Edição). Arquivos Brasileiros de Cardiologia, 91(6), 1-58. Retrieved from http://publicacoes.cardiol.br/consenso/2008/diretriz INTERVENCAO_PERCUTANEA-9106.pdf Mastrogiannis, D., Giamouzis, G., Dardiotis, E., Karayannis, G., Chroub-Papavaiou, A., Kremeti, D., . Triposkiadis, F. (2012). Depression in patients with cardiovascular disease. Cardiology Research and Practice, 2012(1), 1-10. https://doi.org/10.1155/2012/794762 Magalhães, C. C., Serrano Júnior, C. V., Consolim-Colombo, F. M., Nobre, F., Fonseca, F. A. H., & Fernando, J. F. (2015). Tratado de Cardiologia da SOCESP. 3. ed. São Paulo, SP: Manole. Kala, P., Hudakova, N., Jurajda, M., Kasparek, T., Ustohal, L., Parenica, J., ... Kanovsky, J. (2016). Depression and Anxiety after acute myocardial infarction treated by primary PCI. PloS One, 11 (4), 1-9. https://doi.org/10.1371/journal.pone.0152367 Levine, G. N., Bates, E. R., Blankenship, J. C., Bailey, S. R., Bittl, J. A., Cercek, B., ... Yancy, C. W. (2011). 2011 ACCF/ AHA/SCAI guideline for percutaneous coronary intervention a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation, 124(23), 574-651. https://doi.org/10.1161/CIR.0b013e31823ba622 Khawaja, I. S., Westermeyer, J. J., Gajwani, P., & Feinstein, R. E. (2009). Depression and coronary artery disease: The association, mechanisms, and therapeutic implications. Psychiatry (Edgmont), 6(1), 38-51. https://doi.org/10.1016/j.tics.2014.02.011 Jeenger, J., Wadhwa, S., & Mathur, D. M. (2014). Prevalence of depression and anxiety symptoms in first attack myocardial infarction patients of mewar region : A cross sectional study. International Journal of Current Research and Review, 6(7), 79-85. Retrieved from http://www.ejmanager.com/mnstemps/45/45-1396272685.pdf Huffman, J. C., Celano, C. M., & Januzzi, J. L. (2010). The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes. Neuropsychiatric Disease and Treatment, 6, 123-136. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2874336/pdf/ndt-6-123.pdf Piegas, L. S., & Haddad, N. (2011). Intervenção Coronariana percutânea no Brasil: Resultados do Sistema ónico de Saúde. Arquivos Brasileiros de Cardiologia, 96(4), 317-324. http://dx.doi.org/10.1590/S0066-782X2011005000035 Gomes-Oliveira, M. H., Gorenstein, C., Lotufo Neto, F., Andrade, L. H., & Wang, Y. P. (2012). Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample. Revista Brasileira de Psiquiatria, 34(4), 389-394. doi: https://10.1016/j.rbp.2012.03.005 Gorenstein, C., Pang, W. A., Argimon, I. L., & Werlang, B. S. G. (2011). Manual do Inventário de Depressão de Beck- BDI- II. São Paulo, SP: Casa do Psicólogo. Gus, I., Ribeiro, R. A., Kato, S., Bastos, J., Medina, C., Zazlavsky, C., ... Gottschall, C. A. M. (2015). Variations in the prevalence of risk factors for coronary artery disease in Rio Grande do Sul-Brazil: A comparative analysis between 2002 and 2014. Arquivos Brasileiros de Cardiologia, 105(6), 573-579. https://doi.org/10.5935/abc.20150127 Hosseini, S. H., Ghaemian, A., Mehdizadeh, E., & Ashraf, H. (2014). Levels of anxiety and depression as predictors of mortality following myocardial infarction: A 5-year follow-up. Cardiology Journal, 21(4), 370-377. https://doi.org/10.5603/CJ.a2014.0023 Pacheco, A. J. C., & Santos, C. S. V. B. (2015). Depressão em pessoas com doença cardíaca: Relação com a ansiedade e o controlo percebido. Revista Portuguesa de Enfermagem de Saúde Mental, 14, 64-71. http://dx.doi.org/10.19131/rpesm.0107 Volpato, G. L. (2017). Método lógico para redação científica. 2nd. ed. Botucatu, SP: Best Writing. Richter, V. C., Coelho, M., Arantes, E. C., Dessotte, C. A. M., Schimidt, A., Dantas, R. A. S., ... Furuya, R. K. (2015). Estado de saúde e saúde mental de pacientes após intervenção coronária percutânea. Revista Brasileira de Enfermagem, 68(4), 676-682. http://dx.doi.org/10.1590/0034-7167.2015680415i http://purl.org/coar/resource_type/c_6501 Text http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/publishedVersion http://purl.org/redcol/resource_type/ART http://purl.org/coar/resource_type/c_2df8fbb1 info:eu-repo/semantics/article Roest, A. M., Martens, E. J., Jonge, P., & Denollet, J. (2010). Anxiety and risk of incident coronary heart disease: A meta-analysis. Journal of the American College of Cardiology, 56(1), 38-46. https://doi.org/10.1016/j.jacc.2010.03.034 Zhao, Z., Luo, J., Wang, J., & Su, Y. (2008). Depression and anxiety before and after percutaneous coronary intervention and their relationship to age. Journal of Geriatric Cardiology, 5(4), 203-206. Retrieved from http://www.jgc301.com/ch/reader/create_pdf.aspx?file_no=20080403&flag=1 Watkins, L. L., Koch, G. G., Sherwood, A., Blumenthal, J. A., Davidson, J. R. T., O'Connor, C., & Sketch, M. H. (2013). Association of anxiety and depression with all-cause mortality in individuals with coronary heart disease. Journal of the American Heart Association, 2(2), 1-11. https://doi.org/10.1161/JAHA.112.000068 Fernandes, M., Nascimento, N. F. S., & Costa, K. N. F. M. (2010). Prevalência e determinantes de sintomas depressivos em idosos atendidos na atenção primária de saúde. Revista da Rede de Enfermagem do Nordeste, 11 (1), 19-27. Retrieved from http://www.revistarene.ufc.br/vol11n1html_site/a02v11n1.html Trotter, R., Gallagher, R., & Donoghue, J. (2011). Anxiety in patients undergoing percutaneous coronary interventions. Heart & Lung: The Journal of Acute and Critical Care, 40(3), 185-192. https://doi.org/10.1016Zj.hrtlng.2010.05.054 Timerman, A., Ferreira, J. F. M., & Bertolami, M. (2012). Manual de Cardiologia. São Paulo, SP: Editora Atheneu. Ski, C. F., Jelinek, M., Jackson, A. C., Murphy, B. M., & Thompson, D. R. (2016). Psychosocial interventions for patients with coronary heart disease and depression: A systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 15(5), 305-316. https://doi.org/10.1177/1474515115613204 Schmidt, M. M., Quadros, A. S., Abelin, A. P., Minozzo, E. L., Wottrich, S. H., Kunert, H. Z., . Gottschall, C. A. M. (2011). Psychological characteristics of patients undergoing percutaneous coronary interventions. Arquivos Brasileiros de Cardiologia, 97(4), 331-337. http://dx.doi.org/10.1590/S0066-782X2011005000104 Sardinha, A., Araújo, C. G. S., Silva, A. C. D. O., & Nardi, A. E. (2011). Prevalência de transtornos psiquiátricos e ansiedade relacionada à saúde em coronariopatas participantes de um programa de exercício supervisionado. Revista de Psiquiatria Clinica, 38(2), 61-65. http://dx.doi.org/10.1590/S0101-60832011000200004 Furuya, R. K., Costa, E. de C. A., Coelho, M., Richter, V. C., Dessotte, C. A. M., Schmidt, A., ... Rossi, L. A. (2013). Ansiedade e depressão entre homens e mulheres submetidos a intervenção coronária percutânea. Revista da Escola de Enfermagem da USP, 47(6), 1333-1337. https://doi.org/10.1590/S0080-623420130000600012 Centemero, M. P. (2014). Doença arterial coronária crônica: Tratamento por intervenção coronária percutânea. In A. Timerman (Org.), Condutas Terapêuticas do Instituto Dante Pazzanese de Cardiologia (pp. 109-114). São Paulo, SP: Atheneu. Feng, H., Chien, W., Cheng, W., Chung, C., Cheng, S., & Tzeng, W (2016). Risk of anxiety and depressive disorders in patients with myocardial infarction. Medicine, 95(34), 1-8. https://doi:10.1097/MD.0000000000004464 application/pdf https://actacolombianapsicologia.ucatolica.edu.co/article/view/1459 Emslie, C., Ridge, D., Ziebland, S., & Hunt, K. (2007). Exploring men's and women's experiences of depression and engagement with health professionals: More similarities than differences? A qualitative interview study. BMC Family Practice, 8(43), 1-10. https://doi.org/10.1186/1471-2296-8-43 application/pdf application/xml text/html text/html application/pdf https://creativecommons.org/licenses/by-nc-sa/4.0/ Journal article Anxiety Hospitalization Percutaneous coronary intervention Depression Cardiovascular diseases are among the leading causes of disability and death. One of the forms of treatment for them is the percutaneous coronary intervention (PCI). After a diagnosis or cardiac procedure, patients have psychological symptoms that often go unnoticed and interfere with their health condition. The aim of this article was to evaluate the intensity of anxiety and depression symptoms in adult and elderly patients hospitalized after PCI. The design of the study was cross-sectional, analytical, correlational and comparative. Participants were 266 patients who had undergone PCI. Their average age was 64.5 years (SD =8.9 years) and most of them were men (68%) with a diagnosis of acute myocardial infarction (AMI) (64.3%). The research instruments used were the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory - Second Edition (BDIII). Data collection was performed during the patients’ hospitalization and statistical analysis was carried out by means of the Chi-SquareTest, the Kolmogorov –Smirnov Test and ANOVA. The level of significance used was p ≤ .05. Results showed that the majority of patients presented severe symptoms of anxiety (29.7%) and minimum intensity depressive symptoms (51.9%). The study highlights the importance of assessing and treating psychological symptoms after PCI as these interfere with the patient’s adherence to treatment and with their quality of life. Inglés Publication Cristina Pilla Della Méa - 2018 Bonetti, A., Silva, D. G. V., & Trentini, M. (2013). O método da pesquisa convergente assistencial em um estudo com pessoas com doença arterial coronariana. Escola Anna Nery Revista de Enfermagem, 17(1), 179-183. http://dx.doi.org/10.1590/S1414-81452013000100025 Ceccarini, M., Manzoni, G. M., & Castelnuovo, G. (2014). Assessing depression in cardiac patients: What measures should be considered?. Depression Research and Treatment, 2014, 1-17. https://doi.org/10.1155/2014/148256 Anxiety and depression symptoms in adults and elderly in post-percutaneous coronary intervention. Carvalho, I. G., Bertolli, E. dos S., Paiva, L., Rossi, L. A., Dantas, R. A. S., & Pompeo, D. A. (2016). Anxiety, depression, resilience and self-esteem in individuals with cardiovascular diseases. Revista Latino-Americana de Enfermagem, 24(e2836), 1-10. https://doi.org/10.1590/1518-8345.1405.2836 Brasil. (2015). Morbidade Hospitalar do SUS por local de internação Notas Técnicas. Retrieved from www.datasus.gov.br Bonow, R. O., Mann, D. L., Zipes, D. P., & Libby, P. (2013). Braunwald - Tratado de Doenças Cardiovasculares. 9. ed. Rio de Janeiro, RJ: Elsevier. Bochi, C. S., Ribeiro, A. C. G., & Paes, M. R. (2014). Perfil sociodemográfico e clínico dos pacientes com ansiedade em uma unidade de dor torácica. Revista de Enfermagem UFPE On Line, 8(8), 2833-2839. https://doi.org/10.5205/reuol.6081-52328-1-SM.0808201434 Blay, S. L., Andreoli, S. B., Fillenbaum, G. G., & Gasta, F. L. (2007). Depression morbidity in later life: Prevalence and correlates in a developing country. The American Journal of Geriatric Psychiatry, 15(9), 790-799. http://dx.doi.org/10.1097/JGP.0b013e3180654179 Chaudhury, S., & Srivastava, K. (2013). Relation of depression, anxiety, and quality of life with outcome after percutaneous transluminal coronary angioplasty. The Scientific World Journal, 2013, 1-5. https://doi:10.1155/2013/465979 Blankenship, J. C., Marshall, J. J., Pinto, D. S., Lange, R. A., Bates, E. R., Holper, E. M., ... Chambers, C. E. (2013). Effect of percutaneous coronary intervention on quality of life: A consensus statement from the society for cardiovascular angiography and interventions. Catheterization and Cardiovascular Interventions, 81(2), 243-259. https://doi.org/10.1002/ccd.24376 Beck, J. S. (2013). Terapia cognitivo-comportamental: Teoria e prática. 2. ed. Porto Alegre, RS: Artmed. Cunha, J. A. (2001). Manual da versão em português das Escalas Beck. São Paulo, SP: Casa do Psicólogo. Damen, N. L., Versteeg, H., Boersma, E., Jaegere, P. P., Van Geuns, R. J. M., Van Domburg, R. T., & Pedersen, S. S. (2013). Indication for percutaneous coronary intervention is not associated with symptoms of anxiety and depression. International Journal of Cardiology, 168(5), 4897-4898. https://doi:10.1016/j.ijcard.2013.07.022 Dessotte, C. A. M., Silva, F. S., Furuya, R. K., Ciol, M. A., Hoffman, J. M., & Dantas, R. A. S. (2015). Somatic and cognitive-affective depressive symptoms among patients with heart disease: Differences by sex and age. Revista Latino-Americana de Enfermagem, 23(2), 208-215. https://doi.org/10.1590/0104-1169.0287.2544 2018-07-01 2018-07-01T00:00:00Z 2018-07-01T00:00:00Z https://actacolombianapsicologia.ucatolica.edu.co/article/download/1459/1832 https://actacolombianapsicologia.ucatolica.edu.co/article/download/1459/2787 https://actacolombianapsicologia.ucatolica.edu.co/article/download/1459/1987 https://actacolombianapsicologia.ucatolica.edu.co/article/download/1459/2033 https://actacolombianapsicologia.ucatolica.edu.co/article/download/1459/2032 247 https://actacolombianapsicologia.ucatolica.edu.co/article/download/1459/1833 0123-9155 10.14718/ACP.2018.21.2.11 https://doi.org/10.14718/ACP.2018.21.2.11 257 1909-9711 |
institution |
UNIVERSIDAD CATÓLICA DE COLOMBIA |
thumbnail |
https://nuevo.metarevistas.org/UNIVERSIDADCATOLICADECOLOMBIA/logo.png |
country_str |
Colombia |
collection |
Acta Colombiana de Psicología |
title |
Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. |
spellingShingle |
Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. Pasqualotti, Adriano Bettinelli, Luiz Antonio Della Méa, Cristina Pilla Intervención coronaria percutánea Intervenção coronária percutânea Hospitalização Depressão Ansiedade Hospitalización Depresión Ansiedad Anxiety Hospitalization Percutaneous coronary intervention Depression |
title_short |
Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. |
title_full |
Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. |
title_fullStr |
Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. |
title_full_unstemmed |
Síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. |
title_sort |
síntomas de ansiedad y depresión en adultos y ancianos en la postintervención coronaria percutánea. |
title_eng |
Anxiety and depression symptoms in adults and elderly in post-percutaneous coronary intervention. |
description |
Las enfermedades cardiovasculares están entre las principales causas de incapacidad y mortalidad en el mundo, pero existe un modo de tratamiento para estas denominado intervención coronaria percutánea (ICP). Después de un diagnóstico o procedimiento cardiaco, los pacientes presentan síntomas psicológicos que a menudo pasan desapercibidos e interfieren con su condición de salud. El objetivo del presente artículo fue evaluar la intensidad de los síntomas de ansiedad y depresión en pacientes adultos y adultos mayores hospitalizados después de una ICP. Se utilizó un diseño transversal, analítico, correlacional y comparativo. En total, participaron 266 pacientes a quienes se les había realizado ICP, estos tenían un promedio de edad de 64.5 años (DE = 8.9), 68 % eran hombres y 64.3 % presentaban diagnóstico de infarto agudo de miocardio (IAM). Se utilizó el Inventario de Ansiedad de Beck (BAI) y el Inventario de Depresión de Beck - Segunda Edición (BDI-II) como instrumentos de investigación, y la recolección de datos se realizó durante la hospitalización del paciente. El análisis de datos se llevó a cabo por medio de las pruebas Chi-Cuadrado, Kolmogorov-Smirnov y ANOVA, con un nivel de significancia de p ≤ .05. Los resultados muestran que la mayoría de los pacientes presentó síntomas de ansiedad graves (29.7 %) y síntomas depresivos de intensidad mínima (51.9 %). Estos resultados destacan la importancia de evaluar y tratar los síntomas psicológicos post ICP, debido a que estos interfieren en la adhesión al tratamiento y en la calidad de vida del paciente.
|
description_eng |
Cardiovascular diseases are among the leading causes of disability and death. One of the forms of treatment for them is the percutaneous coronary intervention (PCI). After a diagnosis or cardiac procedure, patients have psychological symptoms that often go unnoticed and interfere with their health condition. The aim of this article was to evaluate the intensity of anxiety and depression symptoms in adult and elderly patients hospitalized after PCI. The design of the study was cross-sectional, analytical, correlational and comparative. Participants were 266 patients who had undergone PCI. Their average age was 64.5 years (SD =8.9 years) and most of them were men (68%) with a diagnosis of acute myocardial infarction (AMI) (64.3%). The research instruments used were the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory - Second Edition (BDIII). Data collection was performed during the patients’ hospitalization and statistical analysis was carried out by means of the Chi-SquareTest, the Kolmogorov –Smirnov Test and ANOVA. The level of significance used was p ≤ .05. Results showed that the majority of patients presented severe symptoms of anxiety (29.7%) and minimum intensity depressive symptoms (51.9%). The study highlights the importance of assessing and treating psychological symptoms after PCI as these interfere with the patient’s adherence to treatment and with their quality of life.
|
author |
Pasqualotti, Adriano Bettinelli, Luiz Antonio Della Méa, Cristina Pilla |
author_facet |
Pasqualotti, Adriano Bettinelli, Luiz Antonio Della Méa, Cristina Pilla |
topicspa_str_mv |
Intervención coronaria percutánea Intervenção coronária percutânea Hospitalização Depressão Ansiedade Hospitalización Depresión Ansiedad |
topic |
Intervención coronaria percutánea Intervenção coronária percutânea Hospitalização Depressão Ansiedade Hospitalización Depresión Ansiedad Anxiety Hospitalization Percutaneous coronary intervention Depression |
topic_facet |
Intervención coronaria percutánea Intervenção coronária percutânea Hospitalização Depressão Ansiedade Hospitalización Depresión Ansiedad Anxiety Hospitalization Percutaneous coronary intervention Depression |
citationvolume |
21 |
citationissue |
2 |
citationedition |
Núm. 2 , Año 2018 :Volumen 21 No. 2 |
publisher |
Universidad Católica de Colombia |
ispartofjournal |
Acta Colombiana de Psicología |
source |
https://actacolombianapsicologia.ucatolica.edu.co/article/view/1459 |
language |
Inglés |
format |
Article |
rights |
http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/4.0/ Cristina Pilla Della Méa - 2018 |
references_eng |
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