Avaliação da experiência do telemonitoramento de enfermagem por mulheres com excesso de peso / Evaluación de la experiencia de la telemonitorización de enfermería por mujeres con exceso de peso / Assessment of the experience of nursing telemonitoring by overweight women

Resumo Objetivo Avaliar a experiência do monitoramento remoto de enfermagem na perspectiva de mulheres com excesso de peso. Método Estudo descritivo, de abordagem qualitativa, realizado em ambulatório de referência em obesidade em Salvador-Bahia, com 42 mulheres com excesso de peso, as quais haviam participado do grupo intervenção de um ensaio clínico randomizado. Realizaram-se entrevistas semiestruturadas entre janeiro a março de 2017 e os dados foram analisados através da técnica de análise de conteúdo temática. Resultados Dos depoimentos emergiu a categoria central "Aumentando a consciência do cuidado de si", a qual foi representada por três categorias temáticas: Vivenciando um feedback frequente e interativo com a enfermeira para o controle de peso, Melhorando o cuidado de si e Sentindo satisfação com os resultados alcançados. Conclusão e implicações para a prática As participantes vivenciaram e reconheceram a melhora do conhecimento para o controle do peso e mudanças positivas nos modos de viver ou conviver com o excesso de peso. Os resultados evidenciaram que atividades educativas por meio da telenfermagem, numa perspectiva dialógica, contribuem para potencializar o autocuidado.

Resumen Objetivo Evaluar la experiencia de la monitorización remota de enfermería en la perspectiva de las mujeres con exceso de peso. Método Estudio descriptivo, de enfoque cualitativo, realizado en ambulatorio de referencia en obesidad en Salvador-Bahia, con 42 mujeres con exceso de peso, las cuales habían participado del grupo de intervención de un ensayo clínico aleatorio. Se realizaron entrevistas semiestructuradas entre enero y marzo de 2017 y los datos fueron analizados mediante la técnica de análisis de contenido temático. Resultados De los testimonios surgió la categoría central " Aumentando la conciencia sobre el autocuidado", la cual estaba representada por tres categorías temáticas: Vivenciando un feedback frecuente e interactivo con la enfermera para el control del peso, Mejorando el autocuidado y Sintiendo satisfacción con los resultados logrados. Conclusión e implicaciones para la práctica Las participantes vivenciaron y reconocieron la mejora del conocimiento para el control del peso y cambios positivos en los modos de vivir o convivir con exceso de peso. Los resultados evidenciaron que actividades educativas por medio de la teleenfermería, en una perspectiva dialógica, contribuyen para potencializar el autocuidado.

Abstract Objective To evaluate the experience of remote nursing monitoring from the perspective of overweight women. Method Descriptive, qualitative approach study, carried out in a reference outpatient clinic in obesity in Salvador-Bahia, with 42 overweight women, who had participated in the intervention group of a randomized clinical trial. Semi-structured interviews were conducted between January and March 2017. The data were analyzed using the thematic content analysis technique. Semi-structured interviews were conducted between January and March 2017, with the data having been analyzed through thematic content analysis. Results From their statements the central category "Increasing awareness for self-care" was identified, which was represented by three thematic categories: Experiencing a frequent and interactive feedback with the nurse for weight control, Improving self-care and Feeling satisfaction with the results obtained. Conclusion and implications for practice The participants experienced and recognized improved knowledge for weight control and positive changes in ways of living or living with excess weight. The results evidenced that educational activities, through telenursing, in a dialogical perspective, contribute towards enhancing self-care.

Addressing Food Insecurity and Overweight/Obesity in Hospitalized Low-Income Latino Patients.

Food insecurity (FI), the limited or unreliable availability of safe and nutritious food, is a pressing public health concern affecting millions of U.S. citizens. Unfortunately, FI tends to impact those who are most vulnerable (e.g., low-income minorities) and potentially increases obesity risks, diet-sensitive disease risks (e.g., hypertension and type 2 diabetes), and hospital utilization. Low-income Latino patients may be particularly sensitive to adverse outcomes based on unaddressed socioeconomic needs. Nurses are in a prime position to assess and address FI in these patients. Our article will discuss how nurses can be advocates in combating FI in Latino patients with overweight/obesity.

Effect of remote nursing monitoring on overweight in women: clinical trial.

OBJECTIVE: to evaluate the effect of remote nursing monitoring on the improvement of anthropometric measurements of overweight women. METHOD: controlled, randomized clinical trial, carried out in a reference outpatient clinic for treatment of obesity. The baseline sample was composed of 101 women randomly assigned to two groups, 51 in the intervention group (IG) and 50 in the control group (CG). The IG received remote monitoring through telephone calls and conventional monitoring, and the CG received conventional monitoring. Women were assessed at the baseline and after three months of intervention. A paired t-test and analysis of covariance were used to evaluate intragroup differences in anthropometric measurements, and the statistical significance of 5% was adopted. Eighty one women completed the study. RESULTS: in the intergroup comparison after the intervention, a reduction of 1.66 kg in the mean weight (p = 0.017) and of 0.66 kg/m2 in the mean BMI (p = 0.015) was found in the intervention group. There was a borderline statistically significant (p = 0.055) reduction of 2.5 cm in WC with in the intervention group. CONCLUSION: the remote monitoring was beneficial in reducing anthropometric measurements. RBR-3hzdgv.

Factors influencing the adoption of health promoting behaviors in overweight pregnant women: a qualitative study.

BACKGROUND: The ability to adopt and implement health promotion behaviors is one of the most important determinants of health status. Various factors affect the successful changing of behaviors and choosing a healthy lifestyle. The present study aims at exploring the experiences of overweight pregnant women in terms of the factors influencing selection and adoption of health promoting behaviors during pregnancy. METHODS: This qualitative study reports the findings of individual and group in-depth interviews with 32 overweight pregnant women using semi-structured questions which was conducted in Tabriz-Iran in 2017 and lasted for 6 months. The data collection continued until the saturation of the data. Participants were selected using purposive sampling and study inclusion criteria. Interviews were recorded and transcribed. Thereafter, content analysis was made using MAXQDA v. 10. Strength of data was verified by both participants and external control. RESULTS: The reported effective factors led to identification of the two themes of two contextual perceived barriers and facilitators, which were classified into four main categories and nine subcategories: 1. Individual barriers (disabilities-additional needs in pregnancy and mental barriers) 2. Socio- environmental barriers (adverse effects of the environment, adverse effects of the relatives and financial pressures) 3. Individual facilitators (intrinsic incentives, abundance and individual skills) 4. Socio- environmental (social and family support, incentive environments, and raising awareness). CONCLUSION: The adoption of health behaviors and healthy lifestyle is under the mutual influence of individual characteristics and socio-environmental factors. What should be considered in planning and designing interventions is focused on removing barriers and strengthening facilitators, in particular by moderating social factors and taking into account individual needs and personal expectations.

The Effects of a Health Partner Program on Alleviating Depressive Symptoms Among Healthy Overweight/Obese Individuals.

Background and Purpose: Although lifestyle interventions have been shown to be effective in losing weight and increasing physical activity in community settings, little is known whether these programs may also ameliorate negative mood states in healthy overweight/obese adults when such programs are delivered in workplace settings. The aim of the study was to determine whether a health partner program may alleviate depressive symptoms among healthy overweight/obese individuals at 1 year. Methods: A secondary data analysis was performed using the Center for Health Discovery and Well Being database at Emory University in the United States. A total of 297 healthy overweight/obese university employees were recruited from the health partner program. Participants worked with health partners to establish an individualized health action plan, which might include changes in diet or exercise, modification of risk-related behaviors (e.g., tobacco use, alcohol use), and stress reduction strategies such as yoga. Depressive symptoms were measured by the Beck Depression Inventory-II at baseline and one-year follow-up. Results: At baseline, 9.7% of participants had depressive symptoms. At one-year follow-up, these participants had a small-to-moderate improvement in depressive symptoms (Cohen's d = 0.423), and the changes in depressive symptoms were statistically significant (p < 0.001). Implications for Practice: Since overweight/obese individuals are more likely to experience depressive symptoms than normal-weight individuals, early interventions to steer these individuals to better mental health are therefore essential. This study has demonstrated the potential benefits of a health partner program on alleviating depressive symptoms among overweight/obese individuals and this should be integrated into clinical practice.

Nursing care of overweight children: A concept analysis.

AIM: To report an analysis of the concept nursing care of overweight children. BACKGROUND: Patient care is the essence of nursing practice. Nursing professionals must define how to serve specific population groups, including overweight children, presenting real solutions to their problem. A clear conceptual analysis is necessary to unify nursing language and to contribute to nursing practice. DESIGN: Concept analysis. DATA SOURCES: The following databases were searched: COCHRANE, SCOPUS, LILACS, CINAHL, MEDLINE/PubMed, and CAPES Theses Library of Brazil. REVIEW METHODS: Walker and Avant's concept analysis methodology was adopted in this study. Twenty-two articles were analyzed, and the uses, attributes, antecedents, and outcomes of the concept were identified. The nursing care assumptions proposed by Virginia Henderson comprised the theoretical referential. RESULTS: The attributes of nursing care for overweight children included investigation, guidance, and monitoring of dietary, clinical, academic, and social aspects, along with evaluation of lifestyle and anthropometric data related to the affected children and their families. CONCLUSION: This study enabled the construction of a defined concept for nursing care of overweight children that may be useful in the construction of a medium-range theory. Further research is recommended to verify the usefulness of the nursing approach.

[Analysis of clinical relevance applied to 3methods of reducing weight in overweight or obesity followed-up for one year]. / Análisis de relevancia clínica aplicado a 3métodos de reducción de peso en pacientes con sobrepeso u obesidad seguidos durante un año.

OBJECTIVE: To analyse the effect of the use/implementation of 3methods to reduce weight in overweight or obese patients during one year of follow up. MATERIAL AND METHODS: The design corresponds to a double-blind, randomised, controlled clinical trial with 3arms, and 12 months of follow-up. Patients were randomised into 3intervention groups: obesity motivational intervention, with a nurse previously trained in motivational intervention by expert psychologists (G1; n=60); lower intensity consultation, non-motivational group, with digital platform support (G2; N=61), and a third group that received recommendations for weight loss and follow-up in Primary Care Clinic (G3; n=59). Anthropometric variables (weight, height, and abdominal-waist circumference) were measured, and the percentage of patients who managed to reduce their weight ≥5% was considered as the main measurement of treatment effectiveness. RESULTS: All groups significantly decreased body weight at the end of the study, with a reduction in G1 (-5.6kg) followed by G2 (-4.3kg), and G3 (-1.7kg), with an overall mean: -3.9kg. The indicators of clinical relevance were in G1/G3: relative risk (RR): 4.99 (95% CI: from 2.71 to 9.18); relative risk reduction (RRR): 399.1% (171.3 to 818.0); Absolute risk reduction (RAR): 65.3% (from 51.5 to 79.1) and NNT: 2 (from 2 to 2). In the G2/G3 groups: RR: 3.01 (from 1.57 to 5.76); RRR: 200.5% (from 57.0 to 475.5); RAR: 32.8% (from 16.9 to 48.7) and NNT: 4 (from 3 to 6). In the G1/G2 groups: RR: 1.66 (from 1.25 to 2.20); RRR: 66.1% (from 25.3 to 120.1); RAR: 32.5% (from 16.6 to 48.4) and NNT: 4 (from 3 to 7). CONCLUSIONS: All 3groups were able to reduce weight. Although the group with motivational intervention achieved the greatest decrease, as well as the most favourable clinical relevance indicators.

The Role of the Faith Community Nurse in Weight Management.

Over two thirds of U.S. adults are overweight or obese; many view long-term behavior change as unachievable. Faith community nurses are ideally positioned to help people learn strategies for successful weight management. This article discusses the role of faith in lifestyle modification, and the use of the 5 A's Model for weight management.

Factores asociados al sobrepeso y la obesidad infantil en España, según la última encuesta nacional de salud (2011) / Factors associated with overweight and childhood obesity in Spain according to the latest national health survey (2011)

Objective: To describe the factors associated with overweight/obesity in Spain according to the latest National Health Survey (2011). Method: Descriptive cross-sectional study with 3,752 children aged 2 to 15 years (boys=2,007; girls=1,745). Main variables: overweight; obesity; gender; level of education of the head of the family; monthly income; hours of sleep; physical exercise; hours of TV and/or computer use; daily breakfast; parents' weight perception. Diagnostic criterion was based on WHO growth patterns, defined overweight with +1SD and obesity, +2SD. Results: Boys more obese than girls. Children whose parents had a lower level of education, those who did not practice physical activity and whose parents had an income of less than 900€ per month showed a higher percentage of overweight/obesity. Conclusions: Children whose parents had a lower education and monthly income presented a higher percentage of obesity. Sleeping the recommended hours and doing some type of physical activity reduces obesity.

Objetivo: Descrever os fatores associados com sobrepeso/obesidade na Espanha, segundo dados da última Pesquisa Nacional de Saúde (2011). Método: Estudo descritivo transversal com 3.752 crianças de 2 a 15 anos (meninos=2007; meninas=1.745). Principais variáveis: excesso de peso; obesidade; sexo; nível de escolaridade do chefe da família; renda mensal; horas de sono; exercício; horas de utilização da televisão e/ou computador; desjejum diário; percepção de obesidade dos pais. O diagnóstico baseou-se em padrões de crescimento da OMS, sendo o excesso de peso +1DP e a obesidade +2DP. Resultados: Meninos mais obesos que meninas. Crianças cujos pais tinham menos anos de estudo, aquelas que não praticam atividade física e cujos pais possuíam uma renda menor de 900 € mensal mostraram maior percentual de obesidade. Conclusão: Menor nível de escolaridade e baixa renda contribuem mais para a obesidade. Dormir as horas recomendadas e fazer algum tipo de atividade física reduz a obesidade.

Objetivo: Describir los factores asociados al sobrepeso/obesidad en España según datos de la última Encuesta Nacional de Salud (2011). Métodos: Estudio descriptivo transversal en población infantil de 2 a 15 años. Participaron 3752 individuos (niños n=2007 y niñas n=1745). Muestreo aleatorio polietápico estratificado. Principales variables: sobrepeso; obesidad; sexo; nivel de estudios del progenitor; ingresos mensuales; horas de sueño; ejercicio físico; horas de uso de televisión y/u ordenador; desayuno diario; percepción ponderal de los progenitores. Los criterios diagnósticos fueron los estándares de OMS, definiéndose sobrepeso con +1SD y obesidad, +2SD. Resultados: Niños más obesos que niñas. Niños/as cuyos progenitores presentaban un nivel de estudios bajo, niños/as que no hicieron ningún ejercicio y cuyos progenitores ganaron menos que 900€ mensuales presentaron un mayor sobrepeso/obesidad. Conclusión: Niños/as con progenitores con bajo nivel de estudios y de ingresos presentaron mayor obesidad. Dormir las horas recomendadas y hacer actividad física disminuye la obesidad.

Video consultations as add-on to standard care among patients with type 2 diabetes not responding to standard regimens: a randomized controlled trial.

OBJECTIVE: To examine whether video consultations preceded by measurements of blood glucose, weight and blood pressure as add-on to standard care could contribute to achieving and maintaining good diabetes control among patients with poorly regulated type 2 diabetes (T2D). DESIGN: Randomized controlled trial. METHODS: 165 patients with T2D were randomized 1:1 to telemedicine intervention as add-on to clinic-based care or control (clinic-based care). The intervention consisted of monthly video conferences with a nurse via a tablet computer and lasted for 32 weeks. Regularly self-monitored measurements of blood sugar, blood pressure and weight were uploaded and visible to patient and nurse. Both groups were followed up six months after the end of the intervention period. PRIMARY ENDPOINT: HbA1c after eight months. RESULTS: Video conferences preceded by uploads of measurements as add-on to clinic-based care led to a significant reduction of HbA1c compared to that in standard care (0.69% vs 0.18%, P = 0.022). However, at six-month follow-up, the inter-group difference in HbA1c-reduction was no longer significant. Non-completers had higher HbA1c levels at baseline and a lower degree of education. CONCLUSION: Video consultations preceded by uploading relevant measurements can lead to clinically and statistically significant improvements in glycemic control among patients who have not responded to standard regimens. However, continuing effort and attention are essential as the effect does not persist when intervention ends. Furthermore, future studies should focus on differentiation as the most vulnerable patients are at greater risk of non-adherence.

Implementing guidelines for preventing, identifying and treating adolescent overweight and obesity-School nurses' perceptions of the challenges involved.

AIMS AND OBJECTIVES: To gain a better understanding of school nurses' perceptions of the challenges involved in implementing national guidelines on managing overweight and obesity in adolescents. BACKGROUND: National guidelines for the management of childhood overweight and obesity are developed in many countries to translate scientific knowledge into practice. However, several challenges are involved in their implementation. DESIGN AND METHODS: A qualitative design with focus group interviews was chosen for data collection. Six focus group interviews with 21 school nurses were conducted. Data were analysed by qualitative content analyses. RESULTS: National guidelines provided new directions for managing overweight and obesity in school health services. School nurses were assigned new tasks and responsibilities, which they felt they were not sufficiently prepared for, nor were they supported by extra resources. Challenges in implementation of the guidelines were identified at various levels: system level (implementation strategy, available resources, training and support, professional collaboration, referral options); individual school nurse level (perceived competence, burden of responsibility, attitudes and emotions); subject level (sensitivity of weight-related issues); and professional level (scepticism to a body mass index cut-off of 25 kg/m2 as the starting point for intervention). CONCLUSIONS: School nurses felt overwhelmed in terms of implementing the guidelines. This indicates barriers not being sufficiently identified or acted upon during implementation. Further, the nurses' scepticism about the body mass index cut-off for intervention, and their experience that measuring and follow-up of adolescents' weight development was their responsibility alone, indicates that important discussions are needed on this as an adequate measure as well as on the professional division of responsibilities. RELEVANCE TO CLINICAL PRACTICE: Having a proper strategy for implementation, and ensuring that necessary clinical structures and resources are available, is crucial. Including school nurses in developing and implementing such strategies is vital for success in implementing national guidelines.

Dietary advice on prescription: experiences with a weight reduction programme.

AIMS AND OBJECTIVES: To describe overweight persons' experiences with weight reduction and participation in the dietary advice on prescription. BACKGROUND: Approximately 20% of overweight individuals are able to successfully lose weight. Experiences from earlier weight reduction programmes indicate that those who succeed typically manage to avoid overeating to handle stress and have high motivation to lose weight. Those who fail have low self-control and engage in negative health behaviours such as eating when experiencing negative emotions and stress. DESIGN: The study used a descriptive qualitative design and was conducted at a Primary Health Care Centre in south-west Sweden. METHODS: The first nineteen study participants who completed the weight reduction programme in two years responded in writing to five open questions about their experiences with the programme. Data were analysed using inductive content analysis. RESULTS: The participants appreciated the face-to-face meetings with the nurse because they felt seen and listened to during these sessions. They also felt their life situations and self-discipline had an impact on how well they were able to follow the programme. Dietary advice on prescription advice was considered to be helpful for achieving behavioural changes and losing weight. People who succeeded in sustainably losing weight described the importance of support from partners or close friends. CONCLUSIONS: To achieve sustainable weight reduction, it is important to individualise the programme in order to address each person's life situation and the unique difficulties they may encounter. RELEVANCE TO CLINICAL PRACTICE: Motivational interviewing appears to be a good technique for developing a successful relationship between the nurse and the patient. The dietary advice on prescription advice was perceived to be a good way to improve food habits and can easily be used at many Primary Health Care Centres. Patient's partners should also be offered the opportunity to participate in the programme.

New cardiovascular guidelines: Clinical practice evidence for the nurse practitioner.

PURPOSE: Guidelines for the prevention and treatment of cardiovascular disease (CVD) have recently changed. Goals of these guidelines have shifted to the promotion of health and control of risk rather than solely on treatment of CVD. This article summarizes the six new cardiovascular screening, prevention, and treatment guidelines for use in practice. DATA SOURCES: Published and peer-reviewed guidelines published jointly and in collaboration with the National Heart Lung and Blood Institute by the American Heart Association and the American College of Cardiology constitute the evidence base for this article. CONCLUSIONS: The potential for making lifestyle changes a way of life instead of a diet or program is an important point to make in clinical visits. If nurse practitioners (NPs) could promote a way-of-life lifestyle change to individuals in America, even change at a modest level, we could improve the health of the nation. IMPLICATIONS FOR PRACTICE: NPs need to be aware of new guidelines and best practices to improve the cardiovascular health of their patients. We summarized these new guidelines into an easy-to-interpret format for use in practice.

Results of a Culturally Adapted Internet-Enhanced Physical Activity Pilot Intervention for Overweight and Obese Young Adult African American Women.

PURPOSE: This study evaluated a culturally relevant, social cognitive theory-based, Internet-enhanced physical activity (PA) pilot intervention developed for overweight/obese African American (AA) female college students. DESIGN: Using a 3-month, single group, pretest-posttest design, participants accessed a culturally relevant PA promotion website and engaged in four moderate-intensity PA sessions each week. RESULTS: Study completers (n = 25, mean age = 21.9 years) reported a decrease in sedentary screen time (p < .0001); however, no changes in moderate-to-vigorous PA were reported (p = .150). A significant increase in self-regulation for PA (p < .0001) and marginally significant increases in social support (p = .052) and outcome expectations (p = .057) for PA were observed. No changes in body mass index (p = .162), PA enjoyment (p = .151), or exercise self-efficacy (p = .086) were reported. CONCLUSIONS: Findings of this exploratory study show some preliminary support for Internet-enhanced approaches to promote PA among overweight/obese AA women. IMPLICATIONS FOR PRACTICE: Future studies with larger samples are needed to further explore culturally relevant Internet-enhanced PA programs in this underserved population.

Nurse provision of healthy lifestyle advice to people who are overweight or obese.

A cross-sectional survey was conducted in a regional area in Australia to measure nurses' perceptions, practices, and knowledge in regard to providing healthy lifestyle advice to people who are overweight or obese. Responses were compared between geographic regions. Participation was voluntary and anonymous. Of the 79 nurse participants, 68% considered that provision of healthy lifestyle advice was within their scope of practice. Only 28% reported frequently estimating body mass index in the practice setting. Nurses often recommended increasing activity levels (44%), but recommended reducing daily caloric intake less often (25%). Nurses' knowledge about weight management was variable and the proportion of correct answers to knowledge items ranged from 33-99%. Nurses have many opportunities to deliver healthy lifestyle advice in a range of practice settings. The variation in practices and knowledge of nurses indicates a need for improved healthy lifestyle education for undergraduate and practicing nurses.

Fatores de risco para doenças crônicas não transmissíveis em universitários / Risk factors for chronic noncommunicable diseases in university students

Estudo transversal cujo objetivo foi identificar a frequência de fatores de risco para doenças crônicas não transmissíveis em 206 acadêmicos de Enfermagem de uma instituição pública de ensino superior do Piauí. Os dados foram coletados por meio de um formulário, além de medidas antropométricas e de pressão arterial. Realizou-se análise estatística por meio do teste de Pearson Chi-Square, com nível de significância em 5%. Da amostra, 75,2% eram mulheres, média de idade de 21,38 anos; 53,4% se declararam pardos; 95,6% solteiros; e 51% não moravam com a família; 87,4% pertencem às classes econômicas B e C. Verificou-se que 21,8% estavam com excesso de peso; 163 (79,1%) eram sedentários e apenas 3% fumantes. A obesidade central foi encontrada em 23,8% dos universitários, commaior proporção entre as mulheres. A frequência no consumo de bebida alcoólica e os níveis pressóricos elevados foram de 51,9% e9,7%, respectivamente, sendo ambas as variáveis maiores entre os homens. Considerando o conhecimento desses fatores de risco no grupo estudado, ressalta-se a necessidade de ações efetivas, tais como controlar o peso corporal e o uso do álcool, estimular a prática de atividade físicae controlar os níveis pressóricos.

Cross-sectional study aimed to identify the frequency of risk factors for chronic diseases in 206 nursing students of a public institution of higher education in Piauí. Data were collected through a form, as well as anthropometric measurements and blood pressure. Statistical analysis was performed using the Pearson Chi-Square test, with significance level of 5%. Most study individuals were women (75.2%); the mean age was 21.38 years; 53.4% stated they were browns; 95.6% were single; 51% did not live with the family; 87.4% are economically included in classes B and C. It was found that 21.8% were overweight; 163 (79.1%) were inactive; and only 3% were smokers. Central obesity was found in 23.8% of university students, with a higher proportion among women. The frequency of alcohol consumption and high blood pressure was 51.9% and 9.7%, respectively, and both variables were higher for men. Considering the knowledge of these risk factors we emphasize the need for more effective actions to control these factors in the study group, such as, controlling body weight and alcohol use, encouraging physical activity; and controlling blood pressure values.

Fatores associados à internação hospitalar em clientes com doenças crônicas / Factors associated with hospital admission in patients with chronic diseases

Objetivou-se descrever o perfil de clientes adultos e idosos hospitalizados por agravamento de uma DCNT. Estudo descritivo e transversal, com abordagem quantitativa, realizado nos meses de janeiro e março de 2012 com 60 adultos e idosos nas enfermarias de clínica médica feminina e masculina de um Hospital Universitário, no Estado do Rio de Janeiro. Para a coleta de dados, foram utilizados dois instrumentos: um para as variáveis sociodemográficas e outro para avaliar os hábitos de vida considerados inadequados para as DCNT. Os dados foram organizados em tabelas com distribuição de frequências absolutas e relativas. A maioria dos participantes erado sexo masculino (58,33%). A faixa etária predominante era de 61 a 70 anos (25%). Quanto ao perfil antropométrico e os hábitos de vida considerados inadequados, 66,7% estavam com sobrepeso, 50% eram etilistas, 26,7% tabagistas e 78,3% sedentários. A hospitalização constitui um momento importante para o enfermeiro fornecer informações sobre o controle da doença crônica, pois elas apresentam etiologia multifatorial.

The aim is to describe the profile of adult and elderly patients hospitalized for aggravation of NCD. A descriptive and cross sectional study with quantitative approach, carried out in the months of January and March 2012 with 60 adultsand elderly inpatients in the general medical male and female wards of a University Hospital in the State of Rio de Janeiro. Two instruments were used for data collection: one for the socio-demographic variables and other to evaluate the habits of life considered inappropriate to the NCD. The data were organized into tables with absolute and relative frequency distribution. Most of the participants were male (58.33%). The prevailing age group ranges from 61 to 70 years (25%). As for the anthropometric profile and habits of life considered inappropriate, 66.7% were overweight, 50% were drinking, 78.3% smokers and 26.7% sedentary. Hospitalization constitutes an important moment so the nurse may provide information on chronic disease control, since they present multifactorial etiology and improper living habits will be subject to modification.