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Cardiovascular diseases are presented as a major cause of death and disability in actuality. These changes include coronary artery disease or ischemic etiology and present multi-factorial. This study aimed to evaluate the effects of a cognitive-behavioral intervention on quality of life, depression, anxiety and under risk factors in ischemic patients who had shown an episode of acute illness in the last three months. Study participants were 71 patients, who were divided into two groups; control (n = 35) and experimental (n = 36) and evaluated in three times: soon after the first contact with researcher; after 14 weeks (revaluation) and after six months (follow up). In assessments the patients responded to a structured interview, the inventory quality of life of the World Health Organization (WHOQUOL), the Beck Depression Inventory (BDI) and the anxiety of Beck Inventory (BAI). The experimental group was subjected to a program of cognitivebehavioral intervention, between the top two ratings. This program has been structured into eight weekly group sessions, with duration of two hours each. During the sessions were worked techniques of management of anxiety, relaxation and visualization, techniques for solving problems and discussed information about heart disease and its risk factors. Among the participants, the majority were male, had more than 55 years, was married, had studied for a maximum period of ten years and were retired. With respect to sociodemographic data, no statistical differences were found between the two groups. There was a significant decrease in body weight and body mass index among the subjects of the experimental group in the course of the evaluations, as well as an increase in the number of leisure activities. The results also suggest a decrease in depressive symptoms of patients in the experimental group in relation to the control group, and following the revaluation, and an improvement in the quality of life of the experimental group in the course of progressive evaluations, which was not observed with respect the control group. It is considered that the programme of cognitive-behavioral intervention showed positive results in the rehabilitation of patients ischemic and secondary prevention of coronary artery disease, promoting physical and emotional changes important.

Efeitos de uma intervenção cognitivo-comportamental sobre fatores de risco e qualidade de vida em pacientes cardíacos