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Nutr J ; 18(1): 41, 2019 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337389


BACKGROUND: The Paleolithic diet has been studied in the scope of prevention and control of chronic noncommunicable diseases (CNCD). The objective of this study was to analyze the influence of the Paleolithic diet on the prevention and control of CNCD in humans, specifically on anthropometric markers, through a systematic review with meta-analysis. METHODS: What is the effect of the Paleolithic diet on anthropometric parameters (weight, body mass index and waist circumference) compared to other control diets based on recommendations in adults? We included only randomized studies with humans that used the Paleolithic Diet in the prevention and control of CNCD published in Portuguese, English or Spanish. The search period was until March 2019, in the LILACS, PubMed, Scielo, Science Direct, Medline, Web of Science and Scopus databases. The abstracts were evaluated by two researchers. We found 1224 articles, of which 24 were selected and 11 were included in the meta-analysis. The effect of dietary use on body weight, body mass index and waist circumference was evaluated. RESULTS: The summary of the effect showed a loss of - 3.52 kg in the mean weight (CI 95%: - 5.26; - 1.79; p < 0,001; I2 = 24%) of people who adopted the Paleolithic diet compared to diets based on recommendations. The analysis showed a positive association of adopting the Paleolithic diet in relation to weight loss. The effect was significant on weight, body mass index and waist circumference. CONCLUSION: The Paleolithic diet may assist in controlling weight and waist circumference and in the management of chronic diseases. However, more randomized clinical studies with larger populations and duration are necessary to prove health benefits. TRIAL REGISTRATION: CRD42015027849 .

PLoS One ; 11(11): e0165311, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27851752


The objective of this study was to test the effectiveness of an educational intervention with use of educational technology (flipchart) to promote quality of life (QOL) and treatment adherence in people with hypertension. It was an intervention study of before-and-after type conducted with 116 hypertensive people registered in Primary Health Care Units. The educational interventions were conducted using the flipchart educational technology. Quality of life was assessed through the MINICHAL (lowest score = better QOL) and the QATSH (higher score = better adherence) was used to assess the adherence to hypertension treatment. Both were measured before and after applying the intervention. In the analysis, we used the Student's t-test for paired data. The average baseline quality of life was 11.66 ± 7.55, and 7.71 ± 5.72 two months after the intervention, showing a statistically significant reduction (p <0.001) and mean of differences of 3.95. The average baseline adherence to treatment was 98.03 ± 7.08 and 100.71 ± 6.88 two months after the intervention, which is statistically significant (p < 0.001), and mean of differences of 2.68. The conclusion was that the educational intervention using the flipchart improved the total score of quality of life in the scores of physical and mental domains, and increased adherence to hypertension treatment in people with the disease.

Tecnologia Educacional , Educação em Saúde , Hipertensão/terapia , Adesão à Medicação , Qualidade de Vida , Adulto , Idoso , Pressão Sanguínea , Índice de Massa Corporal , Peso Corporal , Demografia , Diástole , Feminino , Humanos , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Sístole , Circunferência da Cintura
Rev Esc Enferm USP ; 47(5): 1077-83, 2013 Oct.
Artigo em Português | MEDLINE | ID: mdl-24346446


The objective of the study was to validate the content of the dimensions that constituted nonadherence to treatment of arterial systemic hypertension. It was a methodological study of content validation. Initially an integrative review was conducted that demonstrated four dimensions of nonadherence: person, disease/treatment, health service, and environment. Definitions of these dimensions were evaluated by 17 professionals, who were specialists in the area, including: nurses, pharmacists and physicians. The Content Validity Index was calculated for each dimension (IVCi) and the set of the dimensions (IVCt), and the binomial test was conducted. The results permitted the validation of the dimensions with an IVCt of 0.88, demonstrating reasonable systematic comprehension of the phenomena of nonadherence.

Hipertensão/tratamento farmacológico , Adesão à Medicação/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Terminologia como Assunto
Cien Saude Colet ; 17(1): 179-89, 2012 Jan.
Artigo em Português | MEDLINE | ID: mdl-22218551


The scope of the study was to examine the communication practices of nurses in consultation of arterial hypertension in the Family Health Program in Fortaleza, Ceará, revealing the elements that cause asymmetry of power between nurses and the hypertensive individuals verbal expression. The theoretical references are Critical Discourse Analysis and Pragmatics. This is an exploratory descriptive and qualitative study, in which participant observation was conducted in a Basic Family Health Unit. The following discourses arose: the nurse as conductor of the interaction with verbal and nonverbal discursive commands; the hypertensive subject as subjugated by the nurse; the nurse as an articulated instrument that communicates a body of social practice; the body of the hypertensive person as a tool that supports an imaginary power load; the interaction between nurse and the hypertensive person in a one-sided situation, obliging the hypertensive individual to obey orders. The relationship between the nurse and the hypertensive person develops asymmetrically, built on symbolic materials of social practices under the legitimacy of the paradigm of current Nursing Consultation in our society.

Atitude do Pessoal de Saúde , Comunicação , Hipertensão/enfermagem , Relações Enfermeiro-Paciente , Padrões de Prática em Enfermagem , Brasil , Saúde da Família , Humanos
Rev Bras Enferm ; 62(4): 535-9, 2009.
Artigo em Português | MEDLINE | ID: mdl-19768328


A hypertensive crisis is a sudden and symptomatic elevation of blood pressure at risk of acute deterioration of target organs. Although the prevalence in the literature of the burden is 1%, the risk of complications and death associated with the problem of health in the emergency services have revealed the need for deeper issues related to access to the service of health. It is a quantitative and descriptive research, held in a public hospital Fortaleza city, between April and July of 2006, with 118 patients. The results show that people with hypertensive crisis has sought health services, especially the emergency, in order to get care. The study indicates access as a key element in meeting the needs of users who seek the services of health, and the waiting time, the resolution and the reception, important parameters on the quality of care.

Serviço Hospitalar de Emergência/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Hipertensão/terapia , Adulto , Idoso , Brasil , Feminino , Hospitais , Humanos , Masculino , Pessoa de Meia-Idade
Rev Bras Enferm ; 59(6): 805-7, 2006.
Artigo em Português | MEDLINE | ID: mdl-17469491


It is a reflective study that aimed at discussing the education of the nurse concerning the care in a perspective of change of the professional practice. The curricular guidelines for the profession are based Guidelines and Basis for National Edcucation which have aims to educate capable nurses to transform the practical reality of the Brazilian nursing. However, we realize that only the implementation of such guidelines does not make possible the education of critical, reflexive and transforming professionals regarding the real world.

Educação em Enfermagem , Enfermagem/normas