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1.
Estima (Online) ; 18(1)jan.-dez. 2020. ilus
Artigo em Português | BDENF - Enfermagem | ID: biblio-1096464

RESUMO

Objetivo: Identificar os efeitos da laserterapia de baixa intensidade na cicatrização do pé diabético. Método: Revisão sistemática nas bases de dados PubMed, LILACS, SciELO, CINAHL, Cochrane, Web of Science e Scopus, em que foram identificados 73 artigos, dos quais seis foram incluídos na amostra final, após verificação dos critérios de elegibilidade. Resultados: Os artigos apontaram como efeitos da laserterapia a efetividade na progressão do processo de reparo tecidual do pé diabético, alívio da dor, ação antiinflamatória, aumento da perfusão tecidual da lesão e melhora da resposta vascular e do sistema nervoso. Conclusão: O laser é uma terapia adjuvante que pode acelerar o processo de cicatrização da lesão, diminuir a dor, melhorar a neovascularização e, assim, minimizar o risco de complicações, como amputação do membro inferior e melhora da qualidade de vida de pessoas com diabetes e integridade da pele prejudicada.


Assuntos
Terapia a Laser , Cicatrização , Pé Diabético
2.
Eat Weight Disord ; 24(6): 1113-1120, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29256174

RESUMO

BACKGROUND: The Internet, particularly blogs have become an important tool for patients to disseminate and exchange information on a variety of health topics, including bariatric surgery. By virtue of its interactivity being free of judgement from health care providers, blogs expose gaps in patients' knowledge and understanding. PURPOSE: This study analyzes the main doubts expressed in blogs by patients in the postoperative period of bariatric surgery. METHOD: This is a qualitative exploratory study of 11 blogs of patients, who underwent bariatric surgery, that were available on the Internet between October 2013 and May 2017. The data were collected through a structured instrument and analyzed according to Bardin's suggestions. The sampling method used was intentional. RESULTS: Evolution of diet, weight loss, plateau effect, weight regain, physical exercises, physiological changes, complications, use of contraceptive and pregnancy were the main areas of concern. CONCLUSION: More needs to be done to educate and prepare bariatric patients for the postoperative period. The content found in blogs serves towards building better links with patients, helps them make better decisions, and provides them an opportunity to be active participants in their own treatment.


Assuntos
Cirurgia Bariátrica , Blogging , Conhecimentos, Atitudes e Prática em Saúde , Internet , Adulto , Brasil , Feminino , Humanos , Disseminação de Informação , Masculino , Período Pós-Operatório , Pesquisa Qualitativa , Adulto Jovem
3.
Artigo em Inglês | MEDLINE | ID: mdl-28428951

RESUMO

BACKGROUND: The single or combined use of herbal and dietary products with medications has shown benefits in the metabolic modulation of carbohydrates, in the restoring of the function of pancreatic beta cells, and in insulin resistance. To analyze the effect of the use of flour made from the rind of the yellow passion fruit on the glycemic control of people with diabetes mellitus type 2. METHODS: An open, prospective, randomized clinical trial was undertaken with 54 participants over an eight-week period. The participants from the case group were advised to ingest 12 g of the flour, three times daily; before breakfast, lunch and dinner. RESULTS: After eight weeks of use of the flour made from the rind of the yellow passion fruit, we did not identify significant statistical differences in the values for capillary blood glucose (p = 0.562), fasting blood glucose (p = 0.268) or glycated hemoglobin (p = 0.229) between the study groups. In the case group, we identified an increase (29.6%-37%) of the people with normal HbA1c; however, this did not have statistical relevance (p = 0.274). DISCUSSION: Based in our findings, we believe it is important to extend the time of exposure to the intervention and increase the rigor in the monitoring of adherence in future studies on this topic. Only in this way will we be able to make confident inferences in relation to the use of flour made from the rind of theyellow passion fruit as a therapeutic tool for glycemic and/or metabolic control in persons with DM 2. CONCLUSIONS: In the sample in question, the use of the flour made from the rind of the yellow passion fruit, over an eight-week period, did not improve the glycemic control of people with type 2 diabetes. Trial registration: U1111.1187.3616. Registered 6 September, retrospectively registered, in the Brazilian Clinical Trials Registry.

4.
Rev Gaucha Enferm ; 36(1): 21-7, 2015 Mar.
Artigo em Português | MEDLINE | ID: mdl-26098798

RESUMO

The objective was to evaluate the results of bariatric surgery in patients in the late postoperative period using the Bariatric Analysis and Reporting Outcome System (BAROS). This cross-sectional study was conducted from November 2011 to June 2012 at a hospital in the state of Ceará, Brazil. Data were collected from 92 patients using the BAROS protocol, which analyzes weight loss, improved comorbidities, complications, reoperations and Quality of Life (QoL). Data were analysed using the chi-squared test, Fischer's exact test and the Mann-Whitney test. There was a reduction in the Body Mass Index (47.2±6.8 kg/m2 in the pre-operatory and 31.3±5.0 kg/m2 after surgery, p<0.001). The comorbidity with the highest resolution was arterial hypertension (p<0.001), and QV improved in 94.6% of patients. The main complications were hair loss, incisional hernia and cholelithiasis. The surgery provided satisfactory weight loss and improvements in the comorbidities associated to a better QL. Use of the BAROS protocol allows nurses to plan interventions and maintain the good results.


Assuntos
Cirurgia Bariátrica , Avaliação de Resultados da Assistência ao Paciente , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
5.
Rev Gaucha Enferm ; 34(3): 179-86, 2013 Sep.
Artigo em Português | MEDLINE | ID: mdl-24344601

RESUMO

The aim of this study was to investigate the vulnerability of adolescent students related to sexually transmitted diseases (STD) and the human immunodeficiency virus (HIV), identifying the main risk behaviors and prevention. This quantitative, cross-sectional study was performed in three public schools in Imperatriz--Maranhão, with 295 adolescents, using a structured questionnaire. The results show that: most young people (86.3%) who used a condom the last time they had intercourse, usually keep this practice, 82.8% of adolescents who understand the concept of HIV protect themselves against these infections and believe the main form of contamination is through sex, infected blood or through the placental barrier. We conclude that most teenager participants showed coherent knowledge about sexual practices and risk behaviors that make them vulnerable to STD/HIK presenting a positive aspect for the prevention of these diseases.


Assuntos
Comportamento do Adolescente , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Psicologia do Adolescente , Comportamento Sexual , Doenças Sexualmente Transmissíveis/prevenção & controle , Adolescente , Patógenos Transmitidos pelo Sangue , Brasil , Preservativos/estatística & dados numéricos , Estudos Transversais , Feminino , Infecções por HIV/psicologia , Infecções por HIV/transmissão , Humanos , Transmissão Vertical de Doença Infecciosa , Masculino , Sexo Seguro , Parceiros Sexuais , Doenças Sexualmente Transmissíveis/psicologia , Inquéritos e Questionários
6.
Rev Gaucha Enferm ; 34(2): 29-36, 2013 Jun.
Artigo em Português | MEDLINE | ID: mdl-24015459

RESUMO

The aim of the study was to describe the construction of a course on peripheral venipuncture using the Information and Communication Technologies. This is a methodological research, developed at the Federal University of Ceara from January to March 2012. The construction phases are: the analysis, design and development according to the theoretical framework of Galvis-Panqueva. In the analysis, objectives, content target audience, the study environment and technology infrastructure were delimited. During the design phase the environment interface and navigation structure of the course were evaluated. The development consisted in the materialization of all that was designed in the previous phase Once all three phases of construction of the course were conducted it was available in the Virtual Learning Environment SOLAR. The finalproduct of the course is presented as support of nursing students and consequently the training of future nurses in their care practice on peripheral venipuncture.


Assuntos
Instrução por Computador , Educação em Enfermagem , Tecnologia Educacional , Flebotomia/enfermagem , Recursos Audiovisuais , Currículo , Humanos , Hipermídia , Modelos Teóricos , Materiais de Ensino , Interface Usuário-Computador
7.
Int J Nurs Pract ; 19(4): 423-30, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23915412

RESUMO

The aim of this paper is to identify the prevalence of the most frequent drug interactions in patients using oral antidiabéticos and their association with capillary glucose and medication adherence. In total, 579 type 2 diabetes mellitus patients from 12 health institutions in Fortaleza, Brazil were interviewed in 2009. A form was applied, including questions on medication use, comorbidities, lifestyle, body mass index and random capillary glucose. Results revealed that 26.7% used five or more different drugs simultaneously and daily. Statistically significant drug interactions occurred between antidiabéticos and diuretics, angiotensin-converting enzyme inhibitors, anti-lipidaemics and corticoids. No significant association was found between polypharmacy, medication adherence and glucose. It is important for nurses, in consensus with other health professionals, to consider the possibility of other drugs that mean less risk for diabetes patients' glucose control or of increased antidiabetics doses.


Assuntos
Diabetes Mellitus Tipo 2/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Interações Medicamentosas , Feminino , Humanos , Hipoglicemiantes/farmacologia , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente
8.
Rev Gaucha Enferm ; 33(2): 86-94, 2012 Jun.
Artigo em Português | MEDLINE | ID: mdl-23155585

RESUMO

Despite advances in obstetrics, prematurity is still a major public health problem because of the neonatal morbidity and mortality it causes. The objective of this study was to investigate maternal risk factorsfor premature births in a public maternity in the city of Imperatriz-MA. A cross-sectional comparative study was conducted with 116 mothers, through structured interviews. The data were analyzed using Epi-Info version 3.5.1. The variables that showed statistically significant association with preterm delivery were monthly income below two minimum wages (p = 0.046), stress during pregnancy (p = 0.027), primiparity (p = 0.044), absent or inadequate prenatal care (p <0.001) and clinical complications in pregnancy (p<0.001). The results show that the maternal risk factors implicated in prematurity are related mainly with lifestyle, socioeconomic and clinical variables, and prenatal care.


Assuntos
Nascimento Prematuro/epidemiologia , Adulto , Estudos Transversais , Feminino , Maternidades , Hospitais Públicos , Humanos , Gravidez , Fatores de Risco , Adulto Jovem
9.
Rev Esc Enferm USP ; 46(4): 858-64, 2012 Aug.
Artigo em Português | MEDLINE | ID: mdl-23018394

RESUMO

The objective of this paper was to identify critically ill patients at risk for pressure ulcer (PU) using the Braden scale and digital photographs. A sample of 42 subjects was evaluated for 15 days, between March and June 2009, in Fortaleza, Brazil. A total of 47 lesions were identified, 23 (48.9%) as stage I and 24 (51.1%) as stage II. It is necessary for nurses to become familiar with and adopt the technologies used to assess and treat PU in order to lessen the negative effects of this public health problem.


Assuntos
Avaliação em Enfermagem , Fotografação , Lesão por Pressão , Medição de Risco/métodos , Adolescente , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Lesão por Pressão/diagnóstico , Adulto Jovem
10.
Rev Bras Enferm ; 64(4): 671-6, 2011.
Artigo em Português | MEDLINE | ID: mdl-22378512

RESUMO

This cross-sectional study aimed to identify nursing diagnoses in critical patients at risk of developing pressure ulcer. It was carried out at an Intensive Care Unit in Fortaleza-CE, Brazil, using an intentional sample of thirteen subjects at risk of pressure ulcer, evaluated according to the Waterlow scale. In total, 45 nursing diagnoses were evidenced, seventeen of which were clinically significant for the development of pressure ulcer. The frequency levels for nine of these nursing diagnoses were ≥ 80%, mainly: Impaired skin integrity (100%), Impaired walking (87%), Impaired swallowing (80%), Impaired bed mobility (80%) and Impaired gas exchange (80%). The knowledge of those nursing diagnoses is important in detecting the effects and clinical basis of skin lesions.


Assuntos
Diagnóstico de Enfermagem , Lesão por Pressão/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco
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