Prevalence and Factors Associated with Metabolic Syndrome in Patients at a Psychosocial Care Center: A Cross-Sectional Study.

BACKGROUND: Metabolic syndrome (MS) is associated with greater risk of morbimortality and it has high prevalence in people with mental illness. OBJECTIVE: Estimate the prevalence of Metabolic Syndrome (MS) and its associated factors in the patients of a Psychosocial Care Center (CAPS in Brazilian Portuguese) in the city of Salvador, state of Bahia, Brazil. METHOD: Cross-sectional study set at CAPS in the city of Salvador-Bahia between August 2019 and February 2020. MS was evaluated according to the National Cholesterol Education Program's Adult Treatment Panel III. In addition to descriptive statistics, gross and adjusted prevalence ratios were described. RESULTS: MS was found in 100 (35.2%) individuals, 116 (40.9%) were obese and 165 (58.1%) had increased waist circumference. Polypharmacy was identified in 63 (22.3%) patients and 243 (85.9%) used antipsychotics. Under gross evaluation, women (PR = 1.88; 95%CI: 1.35-2.63) and those who used antidepressants (PR = 1.41; 95%CI: 1.05-1.88) showed an association with MS. After logistic regression, depression (PR = 1.86; 95%CI: 1.38-2.51), acanthosis (PR = 1.50; 95%CI: 1.18-1.90), use of antipsychotics (PR = 1.88; 95%CI: 1.13-2.75), and hypertriglyceridemic waist (PR = 3.33; 95%CI: 2.48-4.46) were associated with MS. CONCLUSION: The prevalence of MS signals multimorbidity among individuals with mental disorders and suggests a need for clinical screening.

ASPECTOS QUE INFLUENCIAM A VIVÊNCIA DA SEXUALIDADE PELA MULHER CLIMATÉRICA / ASPECTS THAT INFLUENCE THE EXPERIENCE OF SEXUALITY BY CLIMATERIC WOMEN

Objetivo: Descrever evidências científicas que abordem os aspectos que influenciam na vivência da sexualidade pela mulher climatérica e discutir as principais intervenções que o enfermeiro pode realizar na tentativa de promover a qualidade da vida sexual destas. Método: Trata-se de uma Revisão integrativa. Foram adotados os seguintes critérios de inclusão: artigos científicos com texto completo disponível, em português, inglês e espanhol, publicado nos últimos dez anos e relacionados à temática proposta. Resultados: A amostra foi composta por 19 artigos, 18 disponíveis no idioma português e um em espanhol, publicados entre os anos de 2006 a 2016. Conclusão: Os sintomas climatéricos nem sempre são o fator principal que influenciam na vivência da sexualidade da mulher climatérica, mas pode vir associado a fatores psicológicos. A contribuição do enfermeiro ao conhecimento sobre o assunto ainda apresenta respostas que permanecem abertas.

Objective: To describe scientific evidences about the aspects that influence the climacteric woman's experience of sexuality, as well as the interventions that the nurse can perform in an attempt to seek to promote quality for the sexual life of these women. Method: This study is an integrative review. It was used the following inclusion criterias: scientific articles with full text available in Portuguese, English and Spanish, published in the last ten years and related to the proposed theme. Results: 19 articles were selected and analyzed,18 available in the Portuguese language and one in Spanish, published between the years 2006 and 2016. Conclusion: Climacteric symptoms are not always the main factor influencing the climacteric woman's sexuality, but may be associated with psychological factors. The nurse's contribution to the knowledge on the subject still presents answers that remain open.

Development of an Educational Protocol Based on a Nursing Team's Knowledge of Pulse Therapy in Adolescents in Brazil.

The aim of this study was to assess the knowledge of nursing teams that care for hospitalized adolescents undergoing glucocorticoid infusion and to develop an educational protocol for nursing care during pulse therapy. This descriptive, exploratory study with a qualitative approach was developed in a unit specializing in adolescent health at a university hospital in the state of Rio de Janeiro, Brazil. The instrument used for data collection was a semistructured interview conducted in a private room on the unit. The main results indicated that nursing knowledge was focused on the need to evaluate hemodynamic parameters, the care required during infusion therapy, and the complications resulting from the treatment. Educational material was developed to support a holistic view of the adolescent undergoing pulse therapy. Based on information received from the nursing team, it was determined that, although the team performed all the technical aspects of the infusion procedure well, their care did not address specific needs of the adolescent patient, guidance on infection prevention, or hemodynamic evaluation. After evaluating the nursing team's experience, knowledge, and perceptions, the researchers were able to develop appropriate protocols to guide care for hospitalized adolescents undergoing glucocorticoid infusion therapy.