Duração de sintomas por COVID-19 em pacientes pós-internamento em hospitais terciários no Ceará / Duration of symptoms caused by COVID-19 in patients discharged from tertiary hospitals in Ceará

Apesar do avanço no conhecimento sobre COVID-19, pouco ainda se sabe sobre o percurso da doença e seus desfechos a longo prazo. Assim, surge a investigação pós pandemia centrada nas sequelas e complicações causadas pelo Coronavírus. Desse modo, objetivou-se investigar vestígios sintomatológicos e tempo de duração em pacientes pós internamento por COVID-19 advindos de três hospitais regionais cearenses. Trata-se de um estudo descritivo, analítico do tipo transversal com abordagem quantitativa realizado no período de agosto a outubro de 2021 por meio da telepesquisa. A amostra final foi constituída de 49 pacientes na primeira onda e 153 na segunda, totalizando 202 participantes. Os dados foram tabulados em planilha eletrônica Excel® e analisados conforme estatística descritiva. Apresenta-se uma prevalência de pacientes do sexo masculino, 31 (63,3%) no primeiro período investigado, e 86 (56,2%) no segundo período. Na investigação de sintomas físicos destacou-se fadiga/cansaço, apresentando 23 (46,9%) e 69 (45,1%) conforme onda, seguido de inapetência 13 (26,5%) e (40,5%). Falta de ar teve destaque na segunda onda com 39 (25,5%). Sintomas como perda de memória, tosse e dor no peito aparecem como sendo os mais duradouros, sendo prevalentes por até 4 meses após a alta hospitalar. Enquanto na 2ª onda dor no peito é citada com duração de até 6 meses. Neste contexto, este estudo expõe os principais sintomas relatados, apontando para a necessidade iminente de estratégias públicas de serviços de acompanhamento e intervenção junto a estes pacientes.

Despite advances in knowledge about COVID-19, little is known about the course of the disease and its long-term outcomes. Therefore, post-pandemic research has focused on the sequelae and complications caused by the Coronavirus. Thus, the objective was to investigate symptomatological remains and their duration of discharged patients hospitalized for COVID-19 from three regional hospitals in Ceará. This is a descriptive, analytical cross-sectional study with a quantitative approach carried out from August to October 2021 through telesurvey. The final sample consisted of 49 patients in the first wave of the pandemic and 153 in the second, totaling 202 participants. Data were tabulated in an Excel® spreadsheet and analyzed according to descriptive statistics. There is a prevalence of male patients, 31 (63.3%) in the first period investigated, and 86 (56.2%) in the second wave. In the investigation of physical symptoms, fatigue/tiredness stood out, identified in 23 (46.9%) and 69 (45.1%) individuals according to the wave, followed by a lack of appetite in 13 (26.5%) and (40.5%). Shortness of breath was highlighted in the second period among 39 (25.5%) individuals. Symptoms such as memory loss, cough, and chest pain appear to be the most lasting, and were prevalent for up to 4 months after hospital discharge. While in the 2nd wave chest pain was cited lasting up to 6 months. In this context, this study exposes the main symptoms reported, pointing to the imminent need for public strategies for monitoring and intervention services with these patients.

Climate and climate-sensitive diseases in semi-arid regions: a systematic review.

OBJECTIVES: We aim to describe the relationships between climate variables and climate-sensitive diseases (CSDs) in semi-arid regions, highlighting the different main groups of CSDs and their climate patterns. METHODS: This systematic review considered Medline, Science Direct, Scopus and Web of Science. The data collection period was August and September 2019 and included studies published between 2008 and 2019. This study followed a protocol based on the PRISMA statement. Data analysis was done in a qualitative way. RESULTS: The most of works were from Africa, Asia and Iran (71%), where temperature was the main climatic variable. Although the studies provide climatic conditions that are more favorable for the incidence of vector-borne and respiratory diseases, the influence of seasonal patterns on the onset, development and end of CSDs is still poorly understood, especially for gastrointestinal disorders. Moreover, little is known about the impact of droughts on CSDs. CONCLUSIONS: This review summarized the state of art of the relationship between climate and CSDs in semi-arid regions. Moreover, a research agenda was provided, which is fundamental for health policy development, priority setting and public health management.

Educação em saúde no domicílio de idosos hipertensos e/ou diabéticos / Home health education of hypertensive and/or diabetic elderly

Objetivo: relatar a experiência de sessões educacionais sobre saúde cardiovascular no domicílio de idosos com hipertensão arterial e/ou Dibetes Mellitus. Método: trata-se de um estudo descritivo, tipo relato de experiência, que consistiu na realização de sessões educativas sobre saúde cardiovascular no domicílio de 164 idosos hipertensos e/ou diabéticos. Analisaram-se os dados de modo descritivo. Resultados: notou-se que as idosas aderiram mais às atividades do que os idosos. Destacou-se que a maioria dos idosos pensava que a alimentação saudável era dispendiosa, impressionando-se com a explicação sobre os aditivos do cigarro e seus malefícios. Verifica-se que os idosos que não praticavam atividade física justificaram a ausência dessa prática pelo desinteresse e pela falta de entusiasmo. Conclusão: conclui-se que a visita domiciliar é uma estratégia para se desenvolver sessões educativas sobre saúde cardiovascular de idosos hipertensos e/ou diabéticos, principalmente os do sexo masculino e com risco cardiovascular aumentado.(AU)

Objective: to report the experience of educational sessions on cardiovascular health in the home of elderly people with arterial hypertension and/or Diabetes Mellitus. Method: this is a descriptive study, of the experience report type, which consisted of educational sessions on cardiovascular health at home with 164 hypertensive and/or diabetic elderly people. The data were analyzed descriptively. Results: it was noted that the elderly adhered to the activities more than the elderly. It was highlighted that the majority of the elderly thought that healthy eating was expensive, being impressed with the explanation about cigarette additives and their harmful effects. It appears that the elderly who did not practice physical activity justified the absence of this practice due to lack of interest and lack of enthusiasm. Conclusion: it is concluded that home visit is a strategy to develop educational sessions on cardiovascular health of hypertensive and/or diabetic elderly, especially male and with increased cardiovascular risk.(AU)

Objetivo: informar la experiencia en sesiones educativas sobre salud cardiovascular en el hogar de ancianos con hipertensión arterial y/o diabetes mellitus. Método: este es un estudio descriptivo, un informe de experiencia, que consistía en la realización de sesiones educativas sobre salud cardiovascular en el hogar con 164 ancianos hipertensos y/o diabéticos. Los datos fueron analizados descriptivamente. Resultados: se observó que las ancianas se adhirieron a las actividades más que los ancianos. Se destacó que la mayoría de los ancianos pensaba que una alimentación saludable era costosa; se quedaron impresionados por la explicación de los aditivos de cigarrillos y sus efectos nocivos. Los ancianos que no practicaban actividad física lo justificaban la ausencia de esta práctica por su falta de interés y falta de entusiasmo. Conclusión: se concluye que las visitas domiciliarias son una estrategia para desarrollar sesiones educativas sobre salud cardiovascular de ancianos hipertensos y/o diabéticos, especialmente hombres y personas con mayor riesgo cardiovascular.(AU)