Relationship between quality of life and sociodemographic, clinical and lifestyle characteristics of patients undergoing hemodialysis

Introduction: In chronic diseases, QoL depends on several factors such as the type and duration of the disease, its treatment and side effects, the severity of symptoms, medication effects, patient age, limitations and self-care capacity. In chronic kidney disease it has also become a measure of health outcome.Objective: assess the association between QoL and socioeconomic, lifestyle and clinical factors of patients on HD.Methods: This is a cross-sectional epidemiological census, carried out among 1,024 patients on hemodialysis from all hemodialysis units at the metropolitan region in the Espirito Santo's, Brazil . Sociodemographic, lifestyle and clinical characteristics data were used. QoL was assessed using the Short-Form health Survey-36 (SF-36). Data were analysed by multiple linear regression.Results: The best QoL was represented by mental health (72.16) and the worst QoL by the physical aspect (26.78). After multiple linear regression, predictors of QoL were identified, with emphasis on males, a predictor of better QoL for 5 of the 8 domains and the summaries of the physical and mental components. Education, associated with 5 domains, gives greater reference to income. Physical activity was a predictor of 7 of the 8 QoL domains and the summary of the physical component. Among the clinical variables, the number of complications is associated with 7 of the 8 domains and summaries of the physical and mental components.Conclusion: Male sex is highlighted as a predictor of better physical and mental health and elderly people with better mental health, despite the impairment in physical health. The absence of physical activity is associated with worse physical and mental health. Clinically, having 3 or more intradialytic complications was associated with worse physical and mental QoL

Self-assessment of the health status and leisure activities of individuals on haemodialysis.

Self-assessment of health status is an important marker of social and health aspects. Haemodialysis is an option for renal replacement therapy that alters daily life and impacts social participation and the performance of tasks that give the subject a socially accepted role. In this scenario, leisure activities have the potential to generate well-being and are associated with several aspects of daily life, but few studies have analysed their relationship with the self-assessment of health status. This is a cross-sectional, census study with 1024 individuals from haemodialysis units of a Southeast Brazilian region, with the application of a questionnaire in 2019. We calculated the difference between the proportions of self-assessment of health status (positive and negative) and the two logistic regression models. The chances of individuals on haemodialysis negatively evaluating their health increase when they do not perform artistic leisure activities (OR 2.15; 95% CI 1.35-3.43), physical and sports activities (OR 3.20; 95% CI 1.86-5.52), intellectual (OR 2.21; 95% CI 1.44-3.41), manuals (OR 1.82; 95% CI 1.22-2.72), social (OR 2.74; 95% CI 1.74-4.31), tourist (OR 2.08; 95% CI 1.37-3.17) and idleness and contemplative (OR 1.92; 95% CI 1.29-2.85). Negative health self-assessment is associated with not practicing artistic, manual, physical and sporting, social, intellectual, tourist, and contemplative leisure activities, which have the function of providing social participation and giving meaning to life.

O ensino do exercício profissional da Terapia Ocupacional com foco em pessoas idosas: proposta de organização das práticas na Graduação / The teaching of the professional practices of Occupational Therapy with elderly people: propose of organization of the practices in the Graduation / La enseñanza de la práctica profesional de Terapia Ocupacional con un enfoque en las personas mayores: propuesta para la organización de prácticas en cursos de Pregrad

O trabalho descreve a organização das ações, projetos, práticas e disciplinas oferecidas aos alunos do Curso de Terapia Ocupacional da Universidade Federal do Espírito Santo, para atuarem junto a pessoas idosas. Para tanto, conheceu-se a rede de serviços do município de São Paulo, realizaram-se reuniões com a Secretaria Municipal de Saúde de Vitória, ES, e com uma Unidade de Saúde da Família. Conclui-se que foi possível contemplar os diferentes níveis de complexidade da atenção, e idosos em diferentes níveis de fragilidade. Palavras-chave: Educação Profissional em Saúde Pública; Idoso; Terapia Ocupacional; Educação.

This paper describes an organization of the actions, projects, practices and disciplines with the elderly offered to the students of the Occupational Therapy Course of the Federal University of Espírito Santo. For that purpose, the service network of the city of São Paulo was met, meetings were held with the Municipal Health Department of Vitória City and with a Family Health Unit. It was concluded that it was possible to contemplate the different levels of complexity of care and the elderly in different levels of fragility.

El trabajo describe la organización de acciones, proyectos, prácticas y disciplinas ofrecidas a los estudiantes del Curso de Terapia Ocupacional en la Universidad Federal de Espírito Santo, para trabajar con personas mayores. Para ello, se conoció la red de servicios del municipio de São Paulo, se realizaron reuniones con la Secretaría Municipal de Salud de Vitória, ES, y con una Unidad de Salud Familiar. Se concluyó que era posible contemplar los diferentes niveles de complejidad de la atención y los ancianos en diferentes niveles de fragilidad.

A formação em terapia ocupacional: entre o ideal e o real / The formation in occupational therapy: between the ideal and the real

Este estudo teórico visa discutir o processo de idealização da profissão, pelos alunos da Universidade Federaldo Espírito Santo, em confronto com a realidade das experiências práticas, relacionando essa questão ao processo de formação do terapeuta ocupacional. Para tal discussão foram utilizados, como referência, estudos que abordam a identidade e formação em Terapia Ocupacional, a teoria de transversalidade e de produção de subjetividade. Indica que a idealização da Terapia Ocupacional, a forma como será construída no processo de formação, pode ser determinante da qualidade das ações na realidade dosatendimentos. Propõe pensar a formação como um espaço aberto,multivetorial, que possa produzir diferenciações, experimentações,afi rmar modos de existência singulares, ressaltando a importânciada relação professor-aluno nesse processo.

This theoretical study aims at discussing the process of idealization of the profession, by students of the Federal University of Espírito Santo, in confrontation with the reality ofpractical experiences, relating this question with the formation of the occupational therapist. For this discussion were used as reference studies on the identity and training in Occupational Therapy, transversality theory and production of subjectivity.Indicates that the idealization of Occupational Therapy, how will be built in the training process, can be determinant of the quality of the actions in the reality of care. It proposes to consider training as an open space, multivector, which can produce differentiations, trials, state natural modes of existence, emphasizing the importance of the teacher-student relationship in the process.

Conselhos de Fisioterapia e Terapia Ocupacional no Brasil: é possível construir interfaces entre a defesa e melhoria das condições de trabalho para os profissionais e a qualidade de atenção à saúde da população? / Physical Therapy and Occupational Therapy Consels in Brazil

Nos anos de 1960 e 1970, acompanhando itinerário similar ao de outros países, desenvolveu-se um intenso movimento pelo reconhecimento legal das profissões de Terapia Ocupacional e Fisioterapia no Brasil. Este movimento resultou de um trabalho conjunto entre terapeutas ocupacionais...