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2.
J Epidemiol Community Health ; 74(9): 683-688, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32503892

RESUMO

BACKGROUND: Despite media claims that coronavirus disease 2019 (COVID-19) is uniting societies and countries in shared experience, there has been concern that the pandemic is in fact exposing and widening existing inequalities within societies. Data have shown these differences for cases and fatalities, but data on other types of adversities are lacking. Therefore, this study explored the changing patterns of adversity relating to the COVID-19 pandemic by socioeconomic position (SEP) during the early weeks of lockdown in the UK. METHODS: Data were from 12 527 UK adults in the University College London COVID-19 Social Study (a panel study that involves online weekly data collection from participants during the COVID-19 pandemic). We analysed data collected from 25 March to 14 April 2020. The sample was well-stratified and weighted to population proportions of gender, age, ethnicity, education and country of living. We used Poisson and logit models to assess 10 different types of adverse experiences depending on an index of SEP over time. RESULTS: There was a clear gradient across the number of adverse events experienced each week by SEP. This was most clearly seen for adversities relating to finances (including loss of employment and cut in income) and basic needs (including access to food and medications) but less for experiences directly relating to the virus. Inequalities were maintained with no reductions in discrepancies between socioeconomic groups over time. CONCLUSIONS: There were clear inequalities in adverse experiences during the COVID-19 pandemic in the early weeks of lockdown in the UK. Results suggest that measures taken to try to reduce such adverse events did not go far enough in tackling inequality.


Assuntos
Infecções por Coronavirus , Efeitos Psicossociais da Doença , Renda/estatística & dados numéricos , Pandemias/economia , Pneumonia Viral , Qualidade de Vida/psicologia , Quarentena/economia , Fatores Socioeconômicos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Recessão Econômica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Quarentena/psicologia , Perfil de Impacto da Doença , Condições Sociais , Reino Unido/epidemiologia , Adulto Jovem
4.
JNMA J Nepal Med Assoc ; 58(224): 286-292, 2020 Apr 30.
Artigo em Inglês | MEDLINE | ID: covidwho-287521

RESUMO

Lockdown is essential for containing the spread of SARS-CoV-2. It is the best measure to maintain extreme social distancing which has been effective in controlling the infection and saving lives. But they are causing huge loss economically, disrupting social life and causing distress around the world. Reopening too quickly or too boldly without a goal-oriented strategy could mean a second wave of infection as fierce or even worse as the first. The fundamentals of the virus remain the same - one infected person will, without a lockdown pass it onto three others on average. The consequences of lifting the lockdown are unforeseeable and the stakes are high. Due to the different spectrum of severity with same strain of virus and uncertainty of post lockdown era, lifting the lockdown will be a trial and error approach. Nevertheless, at some point the lockdown has to be lifted. The strategic approach would be innumerable testing, investigations, strong contact tracing, isolation and follow-up. In a low-income country like Nepal, this will mean negotiating a tricky balance between terminating the spread of SARS-CoV-2, and allowing people to recover their livelihoods before they slip into extreme poverty and anguish.


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Perfil de Impacto da Doença , Betacoronavirus , Coronavirus , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Efeitos Psicossociais da Doença , Monitoramento Epidemiológico , Atividades Humanas , Humanos , Nepal/epidemiologia , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Saúde Pública , Quarentena
5.
JNMA J Nepal Med Assoc ; 58(224): 286-292, 2020 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-32417872

RESUMO

Lockdown is essential for containing the spread of SARS-CoV-2. It is the best measure to maintain extreme social distancing which has been effective in controlling the infection and saving lives. But they are causing huge loss economically, disrupting social life and causing distress around the world. Reopening too quickly or too boldly without a goal-oriented strategy could mean a second wave of infection as fierce or even worse as the first. The fundamentals of the virus remain the same - one infected person will, without a lockdown pass it onto three others on average. The consequences of lifting the lockdown are unforeseeable and the stakes are high. Due to the different spectrum of severity with same strain of virus and uncertainty of post lockdown era, lifting the lockdown will be a trial and error approach. Nevertheless, at some point the lockdown has to be lifted. The strategic approach would be innumerable testing, investigations, strong contact tracing, isolation and follow-up. In a low-income country like Nepal, this will mean negotiating a tricky balance between terminating the spread of SARS-CoV-2, and allowing people to recover their livelihoods before they slip into extreme poverty and anguish.


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Perfil de Impacto da Doença , Betacoronavirus , Coronavirus , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Efeitos Psicossociais da Doença , Monitoramento Epidemiológico , Atividades Humanas , Humanos , Nepal/epidemiologia , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Saúde Pública , Quarentena
6.
Bone Joint J ; 102-B(5): 611-617, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32349599

RESUMO

AIMS: To identify a suite of the key physical, emotional, and social outcomes to be employed in clinical practice and research concerning Perthes' disease in children. METHODS: The study follows the guidelines of the COMET-Initiative (Core Outcome Measures in Effectiveness Trials). A systematic review of the literature was performed to identify a list of outcomes reported in previous studies, which was supplemented by a qualitative study exploring the experiences of families affected by Perthes' disease. Collectively, these outcomes formed the basis of a Delphi survey (two rounds), where 18 patients with Perthes' disease, 46 parents, and 36 orthopaedic surgeons rated each outcome for importance. The International Perthes Study Group (IPSG) (Dallas, Texas, USA (October 2018)) discussed outcomes that failed to reach any consensus (either 'in' or 'out') before a final consensus meeting with representatives of surgeons, patients, and parents. RESULTS: In total, 23 different outcome domains were identified from the systematic review, and a further ten from qualitative interviews. After round one of the Delphi survey, participants suggested five further outcome domains. A total of 38 outcomes were scored in round two of the Delphi. Among these, 16 outcomes were scored over the prespecified 70% threshold for importance (divided into six main categories: adverse events; life impact; resource use; pathophysiological manifestations; death; and technical considerations). Following the final consensus meeting, 14 outcomes were included in the final Core Outcome Set (COS). CONCLUSION: Core Outcome Sets (COSs) are important to improve standardization of outcomes in clinical research and to aid communication between patients, clinicians, and funding bodies. The results of this study should be a catalyst to develop high-quality clinical research in order to determine the optimal treatments for children with Perthes' disease. Cite this article: Bone Joint J 2020;102-B(5):611-617.


Assuntos
Doença de Legg-Calve-Perthes/psicologia , Doença de Legg-Calve-Perthes/cirurgia , Medidas de Resultados Relatados pelo Paciente , Perfil de Impacto da Doença , Adolescente , Criança , Pré-Escolar , Técnica Delfos , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pais/psicologia , Pesquisa Qualitativa , Revisões Sistemáticas como Assunto
7.
Adv Clin Exp Med ; 29(4): 469-473, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32343889

RESUMO

BACKGROUND: The effect multiple sclerosis (MS) has on the social functioning and integration of patients has been recently considered as an important factor of the disease. OBJECTIVES: To assess social participation of MS patients with regard to demographic and disease-related variables. MATERIAL AND METHODS: The study comprised 201 MS patients: 140 women, 61 men, aged 24-69 years. The World Health Organization Disability Assessment Schedule (WHODAS 2.0) was applied to assess the aspects of social functioning and the Beck Depression Inventory (BDI) was applied to evaluate the level of depression. Disease duration, degree of disability in Expanded Disability Status Scale (EDSS), most disabling symptoms and type of treatment were determined. WHODAS 2.0 scores (total and within particular domains) and their relationships with age, gender, disease-related variables and level of depression were analyzed. RESULTS: The results of WHODAS 2.0 for 27.4% of patients exceeded the 90th percentile compared to the population norms (with the highest scores for "getting around" and "participation in society" domains). The results of BDI and WHODAS 2.0 were strongly correlated (p < 0.001; ß = 0.73) and mobility impairment was related to both of them (p < 0.001; ß = -0.12 and 0.25, respectively). Other disabling symptoms were associated with scores in domains "understanding and communicating", "getting around" and "participation in society". CONCLUSIONS: Social participation of the MS patients is affected by the impact of disease and associated with depression. Particular symptoms of neurological deficit (motor and visual impairment, fatigue) influence social functioning more than general disease-related variables.


Assuntos
Depressão/diagnóstico , Depressão/psicologia , Fadiga/diagnóstico , Esclerose Múltipla/psicologia , Qualidade de Vida , Participação Social , Adulto , Idoso , Depressão/etiologia , Avaliação da Deficiência , Pessoas com Deficiência , Fadiga/etiologia , Fadiga/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/fisiopatologia , Escalas de Graduação Psiquiátrica , Perfil de Impacto da Doença , Transtornos da Visão , Adulto Jovem
8.
Am J Ophthalmol ; 216: 7-17, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32277941

RESUMO

PURPOSE: To evaluate functional vision, general health status, and work productivity in individuals with and without dry eye disease (DED). DESIGN: Cross-sectional study. METHODS: Setting: General US population (2018). STUDY POPULATION: Adults ≥18 years with (n = 1003) or without (n = 1006) self-reported DED. MAIN OUTCOME MEASURES: All respondents completed the National Eye Institute Visual Function Questionnaire (VFQ) and the EuroQol 5-dimensions 5-levels (EQ-5D-5L). All respondents with DED completed the eye dryness score (EDS) visual analogue scale, Ocular Comfort Index (OCI), and Work Productivity and Activity Impairment (WPAI) questionnaire. Half of respondents with DED completed the Impact of Dry Eye on Everyday Life (IDEEL) questionnaire; the other half completed the Dry Eye Questionnaire 5 (DEQ-5) and Standardized Patient Evaluation of Eye Dryness (SPEED), McMonnies, and Symptom Assessment in Dry Eye (SANDE) questionnaires. All analyses were descriptive. RESULTS: Respondents with DED reported more comorbidities, greater exposure to adverse environmental conditions, and lower (worse) mean (standard deviation) scores on the modified Rasch-scored 28-item VFQ (VFQ-28R) total score (68.8 [11.9] vs 81.2 [12.7]) and EQ-5D-5L (0.82 [0.13] vs 0.88 [0.14]) than respondents without DED. Respondents with DED and EDS ≥60 (highest discomfort) fared worse on OCI, VFQ-28R, and WPAI than respondents with DED and EDS <40 (lowest discomfort). Similar findings were observed with IDEEL, DEQ-5, SPEED, McMonnies, and SANDE scores. CONCLUSIONS: There is a substantial burden of DED on functional vision, general health status, and productivity; and further, these parameters appear to worsen with increasing EDS.


Assuntos
Síndromes do Olho Seco/epidemiologia , Perfil de Impacto da Doença , Adulto , Idoso , Efeitos Psicossociais da Doença , Estudos Transversais , Síndromes do Olho Seco/fisiopatologia , Síndromes do Olho Seco/psicologia , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Medidas de Resultados Relatados pelo Paciente , Vigilância em Saúde Pública , Qualidade de Vida/psicologia , Inquéritos e Questionários , Estados Unidos/epidemiologia , Visão Ocular/fisiologia
9.
Am J Ophthalmol ; 216: 80-89, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32289294

RESUMO

PURPOSE: To assess whether chronic central serous chorioretinopathy (cCSC) patients without a complete resolution of subretinal fluid (SRF) after either half-dose photodynamic therapy (PDT) or high-density subthreshold micropulse laser (HSML) treatment may benefit from crossover treatment. DESIGN: Multicenter prospective interventional case series. METHODS: cCSC patients with persistent SRF at the final visit of the PLACE trial were included. Patients received crossover treatment with either half-dose PDT or HSML. RESULTS: Thirty-two patients received PDT and 10 patients received HSML. At the first evaluation visit (6-8 weeks after treatment), 81% of patients in the PDT group had complete resolution of SRF, while none of the HSML-treated patients had complete resolution of SRF. At final visit (1 year after baseline), 78% (P = .030) and 67% (P = .109) of the patients, respectively, had a complete resolution of SRF. The mean retinal sensitivity in the PDT group increased from 21.7 dB (standard error [SE]: 0.9) to 23.4 dB (SE: 0.8) at evaluation visit 1 (P = .003), to 24.7dB (SE: 0.8) at final visit (P < .001), while there were no significant changes in the HSML group (23.7 dB [SE: 1.6] at baseline, 23.8 dB [SE: 1.4] at evaluation 1, and 23.3 dB [SE: 1.4] at final visit). The mean visual acuity and mean visual quality-of-life questionnaire score did not change significantly in both groups. CONCLUSIONS: Crossover to half-dose PDT after previous unsuccessful HSML treatment for cCSC may lead to improved anatomic and functional endpoints, while crossover to HSML after half-dose PDT does not seem to significantly affect these endpoints.


Assuntos
Coriorretinopatia Serosa Central/terapia , Fotocoagulação/métodos , Fotoquimioterapia/métodos , Acuidade Visual/fisiologia , Adulto , Coriorretinopatia Serosa Central/tratamento farmacológico , Coriorretinopatia Serosa Central/fisiopatologia , Coriorretinopatia Serosa Central/cirurgia , Doença Crônica , Corantes/administração & dosagem , Estudos Cross-Over , Método Duplo-Cego , Feminino , Angiofluoresceinografia , Humanos , Verde de Indocianina/administração & dosagem , Lasers Semicondutores/uso terapêutico , Masculino , Pessoa de Meia-Idade , Fármacos Fotossensibilizantes/uso terapêutico , Estudos Prospectivos , Qualidade de Vida/psicologia , Perfil de Impacto da Doença , Líquido Sub-Retiniano , Inquéritos e Questionários , Tomografia de Coerência Óptica , Falha de Tratamento
10.
Arch Phys Med Rehabil ; 101(7): 1152-1161, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32169458

RESUMO

OBJECTIVE: To examine the relationship between disease-related risk factors, protective factors, coping, and resilience on quality of life in adults with multiple sclerosis (MS). DESIGN: Quantitative descriptive research employing structural equation modeling. SETTING: Online survey fielded to community members associated with the Greater New England Chapter of the National Multiple Sclerosis Society. PARTICIPANTS: Convenience sample of 271 individuals with MS. INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: The Leeds Multiple Sclerosis Quality of Life (LMSQoL) scale was the primary outcome. Other measures entered into the model included the Brief Resilience Scale (BRS) and the Coping Orientation to Problems Experienced (COPE) scale modeled as 2 latent variables: emotion-based coping and problem-based coping. Disability level, fatigue, walking impairment, fear of falling, falls, and pain were modeled as a latent variable for risk factors while physical activity, self-efficacy, social support, optimism, and health locus of control were modeled as a latent variable of protective factors. RESULTS: BRS had a total effect of -0.44 on LMSQoL, significant at P<.001. Protective factors also directly and significantly increased QoL (total effect size -0.46; P<.001). Emotion-based coping and problem-based coping had insignificant effects on QoL. Risk factors had a complex influence on QoL, mediated by resilience, protective factors, emotion-based coping, and problem-based coping. Risk factors had total effect size of 0.32 on quality of life (significant at P<.001). Whereas higher risk factors decreased QoL, both directly and indirectly, resilience increased the likelihood of higher QoL with a slightly higher effect size. The model fit the data reasonably well and explained 96.7% of the variance in QoL in people with MS. CONCLUSIONS: The model suggests that developing interventions that increase protective factors and broaden and build resilience may contribute to improved quality of life in individuals with MS.


Assuntos
Avaliação da Deficiência , Pessoas com Deficiência/psicologia , Esclerose Múltipla/diagnóstico , Esclerose Múltipla/psicologia , Qualidade de Vida , Adaptação Psicológica , Adulto , Fatores Etários , Pessoas com Deficiência/reabilitação , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/terapia , Resiliência Psicológica , Medição de Risco , Papel (figurativo) , Fatores Sexuais , Perfil de Impacto da Doença , Inquéritos e Questionários , Resultado do Tratamento , Estados Unidos
11.
Actas dermo-sifiliogr. (Ed. impr.) ; 111(2): 89-106, mar. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-191500

RESUMO

La terapia con luz es una alternativa en el tratamiento de la hidradenitis supurativa. El objetivo de este estudio fue evaluar la eficacia, la efectividad y la seguridad de las distintas modalidades de terapia con luz en la hidradenitis supurativa mediante una revisión sistemática que actualiza la realizada en 2015 procedente de la Cochrane Library. Se identificaron los estudios mediante una búsqueda electrónica en las bases de datos: MEDLINE, EMBASE, Centre for Reviews and Dissemination database de la Universidad de York, Cochrane Database of Systematic Reviews, Cochrane Skin Group Specialised Skin Register, Centre of Evidence Based Dermatology de la Universidad de Nottingham y TESEO; finalmente se incluyeron 6 series de casos, 3 revisiones sistemáticas y 2 ensayos clínicos de pacientes tratados con terapia fotodinámica convencional o intralesional, láser Nd:YAG, CO2 o diodo y luz intensa pulsada, con un total de 248 pacientes tratados


Treatment options for hidradenitis suppurativa include light-based therapy. This systematic review aimed to update our understanding of the efficacy, effectiveness and safety of these treatments for hidradenitis suppurativa by evaluating the literature published since the 2015 Cochrane review on this topic. We conducted an electronic search of the following databases: MEDLINE, EMBASE, University of York Centre for Reviews and Dissemination database, Cochrane Database of Systematic Reviews, Cochrane Skin Group Specialised Skin Register, University of Nottingham's Centre of Evidence Based Dermatology database, and TESEO. The systematic review included 6 case series, 3 systematic reviews, and 2 clinical trials on the use of conventional and intralesional photodynamic therapy, intense pulsed light therapy, and Nd:YAG, carbon dioxide, and diode laser therapy for hidradenitis suppurative in 248 patients


Assuntos
Humanos , Hidradenite Supurativa/terapia , Terapia de Luz Pulsada Intensa/métodos , Resultado do Tratamento , Terapia a Laser , Bibliometria , Análise de Dados , Perfil de Impacto da Doença , Fotoquimioterapia
12.
Am J Ophthalmol ; 213: 186-194, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32006484

RESUMO

PURPOSE: To report the baseline characteristics of participants enrolled in TAGS (Treatment of Advanced Glaucoma Study). DESIGN: Pragmatic randomized control trial (RCT). METHODS: Participants with newly diagnosed advanced glaucoma in at least 1 eye were recruited. Participants were patients with open angle glaucoma presenting with advanced glaucoma in at least 1 eye as defined by the Hodapp-Parrish-Anderson (HPA) criteria for severe defect. Participants were randomly allocated to receive either primary augmented trabeculectomy or primary medical management. When both eyes were eligible, the same intervention was undertaken in both eyes, and the index eye for analysis was the eye with the less severe visual field mean defect (MD). Main outcome measurements were visual field profile, defined by the HPA classification; clinical characteristics; quality of life, as measured by the National Eye Institute Visual Function Questionnaire 25 (VFQ-25), the EuroQual-5 Dimension (EQ-5D 5L), Health Utility Index-3 (HUI-3), and the Glaucoma Profile Instrument (GPI). RESULTS: A total of 453 patients were recruited. The mean visual field MD was -15.0 dB ± 6.3 in the index eye and -6.2 dB in the non-index eye. Of index eyes (HPA "severe" classification) at baseline, more than 70% of participants had a MD <-12.00 dB, and nearly 90% had more than 20 points defective at the 1% level. The mean LogMAR visual acuity of the index eye was 0.2 ± 0.3. CONCLUSIONS: TAGS is the first RCT to compare medical versus surgical treatments for patients presenting with advanced open angle glaucoma in a publicly funded health service. The study will provide clinical, health-related quality of life, and economic outcomes to inform future treatment choices for those presenting with advanced glaucoma.


Assuntos
Anti-Hipertensivos/uso terapêutico , Glaucoma de Ângulo Aberto/diagnóstico , Trabeculectomia/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Glaucoma de Ângulo Aberto/fisiopatologia , Glaucoma de Ângulo Aberto/terapia , Humanos , Pressão Intraocular/fisiologia , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Perfil de Impacto da Doença , Transtornos da Visão/fisiopatologia , Acuidade Visual/fisiologia , Campos Visuais/fisiologia
14.
Artigo em Inglês | MEDLINE | ID: mdl-31991624

RESUMO

Dengue has long been a public health problem in tropical and subtropical countries. In 2015, a dengue outbreak occurred in Taiwan, where 43,784 cases were reported. This study aims to assess the impact of dengue on Southern Taiwan's economic growth according to the economic growth model-based regression approach recommended by the World Health Organization (WHO). Herein, annual data from Southern Taiwan on the number of dengue cases, income growth, and demographics from 2010-2015 were analyzed. The percentage of reduction of the average income per capita in 2015 due to the dengue outbreak was estimated. Dengue was determined to have a negative linear economic impact on Southern Taiwan's economic growth. In particular, a reduction of 0.26% in the average income per capita was estimated in Southern Taiwan due to the 2015 outbreak. If the model is applied alongside other dengue outbreak forecast models, then the forecast for economic reduction due to a future dengue outbreak may also be estimated. Prevention and recovery policies may subsequently be decided upon based on not only the number of dengue cases but also the degree of economic burden resulting from an outbreak.


Assuntos
Efeitos Psicossociais da Doença , Dengue/economia , Dengue/epidemiologia , Surtos de Doenças/economia , Desenvolvimento Econômico , Dengue/mortalidade , Surtos de Doenças/estatística & dados numéricos , Feminino , Custos de Cuidados de Saúde , Humanos , Renda , Masculino , Perfil de Impacto da Doença , Taiwan
15.
Rev. Rol enferm ; 43(1,supl): 218-221, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193184

RESUMO

Prostate cancer causes changes, such as erectile dysfunction, with a significant impact on the perception of quality of life (QoL). The aim of this study is to identify changes in perception of QoL related to erectile dysfunction over time. A descriptive, analytical and longitudinal study was conducted with the participation of oncological patients from the ambulatory urology department of an oncology hospital unit of the North of Portugal. The sample, obtained through convenience non-probabilistic sampling between October 2015 and July 2016, included 60 patients. The instrument used for data collection was IIEF-5 (Interna-tional Index of Erectile Function-5) that evaluates the severity degree of erectile dysfunction (ED). Sexual function did not present clinical or statistical differences along the studied period. Cultural issues related to privacy preservation may justify our sexual function scores. Early identification of QoL changes may guide nurses to patient-centered care


No disponible


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Próstata/complicações , Disfunção Erétil/epidemiologia , Cuidados de Enfermagem/métodos , Prostatectomia/estatística & dados numéricos , Questionário de Saúde do Paciente/estatística & dados numéricos , Qualidade de Vida , Perfil de Impacto da Doença
16.
Rev. Rol enferm ; 43(1,supl): 222-225, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193312

RESUMO

Quality of life (QoL) assessment represents an emerging focus in the health area since it use can complement clinical practice and optimize resources. Urinary incontinence is a common consequence in the oncologic pathology of the prostate that severely affects QoL.A descriptive, analytical and longitudinal study was conducted with the participation of oncological patients from the ambulatory urology department of an oncology hospital unit of the North of Portugal. The sample, obtained through convenience non-probabilistic sampling between October 2015 and July 2016, included 60 patients. The ICIQ-SF was used. The impact on QOL was classified as: zero (0), no impact; from 1 to 3, slight impact; 4 to 6, moderate; from 7 to 9, severe; and, of 10 or more, very serious. Urinary incontinence had a moderate impact on the perception of QoL of patients in M0 and M1. It was observed that as the symptoms decreased, the patients' perception of QoL increased and M3 and M6 had a slight impact


No disponible


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Próstata/complicações , Cuidados de Enfermagem/métodos , Incontinência Urinária/epidemiologia , Psicometria/instrumentação , Prostatectomia/estatística & dados numéricos , Questionário de Saúde do Paciente/estatística & dados numéricos , Qualidade de Vida , Perfil de Impacto da Doença , Estudos Longitudinais , Efeito Idade
17.
Rev. Rol enferm ; 43(1,supl): 500-506, ene. 2020. tab
Artigo em Português | IBECS | ID: ibc-193426

RESUMO

Background: Diabetes Mellitus is a chronic disease responsible for disability, entailing high costs for the National Health Service. Investing in health literacy and empowerment are crucial for effective disease management. Objectives: To analyze the knowledge about the disease and quality of life of people with Type 2 Diabetes Mellitus. Methodology: Cross-sectional, exploratory, descriptive and correlational study. A sociodemographic and clinical characterization questionnaire and the portuguese version of DKT, DES-SF and EQ-5D-5L were applied to a convenience sample of 410 subjects. Results and discussion: The sample reveals a low level of knowledge and high perception of quality of life, especially in men, showing mean +/- SD of DKT and EQ-5D-5L, 51.90 +/- 13.83 and 0.90 +/- 0.15, respectively. A significant positive association between knowledge and QOL (rs = 0.060, p <0.01) was found, which reinforces other studies findings. Conclusions: From the study emerges the need for health education programs that enable especially in the field of food and soft skills especially in response to adversity, thus raising the quality of life of these people


No disponible


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Complicações do Diabetes/epidemiologia , Diabetes Mellitus Tipo 2/epidemiologia , Qualidade de Vida , Educação em Saúde/tendências , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Portugal/epidemiologia , Complicações do Diabetes/enfermagem , Diabetes Mellitus Tipo 2/enfermagem , Perfil de Impacto da Doença , Indicadores de Qualidade de Vida , Estudos Transversais
18.
Enferm. glob ; 19(57): 243-252, ene. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193652

RESUMO

INTRODUCCION: La parálisis cerebral es considerada como un grupo de trastornos permanentes del desarrollo que originan limitaciones en la actividad diaria. Una de las complicaciones en las personas con parálisis cerebral es la disminución de la calidad de vida. OBJETIVO: El objetivo de este estudio es conocer la calidad de vida de las personas adultas institucionalizadas con parálisis cerebral infantil y conocer si existen diferencias en el índice de calidad de vida en función de las características funcionales. MÉTODO: Estudio observacional descriptivo trasversal en personas adultas institucionalizas con parálisis cerebral infantil realizado en los centros APCA y ASPROPACE entre marzo y septiembre de 2017. Se administró el cuestionario San Martín para medir la Calidad de Vida, Gross motor classification system, cuestionario Barthel, Escala CFCS para medir función motora, dependencia física, nivel de comunicación y relacionarlas con variables sociodemográficas y clínicas. La selección de los participantes se llevó a cabo mediante un muestreo estratificado aleatorio. Se contó con la aprobación de las direcciones de los centros. RESULTADOS: Participaron 39 personas con edad media de 32,54 años. La puntuación media global del cuestionario San Martin fue de 102,97 puntos. Las dimensiones más afectadas fueron bienestar material, desarrollo personal e inclusión social. No se obtuvo significación estadística en la puntuación global del cuestionario en función de las variables secundarias. CONCLUSIONES: Los resultados de este estudio han demostrado que la Calidad de vida de adultos con parálisis cerebral en los sujetos estudiados es buena


INTRODUCTION: Cerebral palsy is considered a group of permanent developmental disorders that causelimitations in daily activity. One of the complications in people with cerebral palsy is the decrease inquality of life. OBJECTIVE: The objective of this study is to know the quality of life for institutionalized adults with infantile cerebral palsy and to know if there are differences in the quality of life index based on functional characteristics. METHOD: Cross-sectional descriptive observational study in institutionalized adults with infantile cerebralpalsy performed in the APCA and ASPROPACE centers between March and September 2017. The San Martín questionnaire was administered to measure the Quality of Life, Gross motor classification system, Barthel questionnaire, Scale CFCS to measure motor function, physical dependence, level ofcommunication and relate them with sociodemographic and clinical variables. The selection of the participants was carried out by random stratified sampling. It was approved by the centers' addresses. RESULTS: Participants were 39 people with an average age of 32.54 years. The overall average score ofthe San Martin questionnaire was 102.97 points. The most affected dimensions were material wellbeing, personal development and social incluison. No statistical significance was obtained in the overall score of the questionnaire based on the secondary variables. CONCLUSIONS: The results of this study have shown that the quality of life of adults with cerebral palsy inthe subjects studied is good


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Paralisia Cerebral/psicologia , Qualidade de Vida/psicologia , Função Executiva/fisiologia , Transtornos das Habilidades Motoras/psicologia , Transtorno de Comunicação Social/psicologia , Paralisia Cerebral/enfermagem , Perfil de Impacto da Doença , População Institucionalizada , Atividades Cotidianas/psicologia , Estudos Transversais , Questionário de Saúde do Paciente/estatística & dados numéricos , Psicometria/estatística & dados numéricos
19.
Enferm. glob ; 19(57): 390-401, ene. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193656

RESUMO

INTRODUCCIÓN: La incontinencia urinaria (IU) es la pérdida involuntaria de orina que constituye un problema social o higiénico importante y es demostrable de forma objetiva. Es un síntoma común que aparece en muchas enfermedades, afectando a todos los grupos de edad y a ambos sexos. En España se estima una prevalencia global de 24% en la mujer y 7% en el hombre, aumentando con la edad hasta el 50% y 29% respectivamente. A pesar de su repercusión en la calidad de vida se encuentra infradiagnosticada por diversos motivos. OBJETIVO: Determinar la prevalencia de la IU y sus factores asociados. MATERIAL Y MÉTODO: En este estudio epidemiológico observacional retrospectivo se recogieron datos de las historias clínicas de pacientes con IU de la Unidad de Suelo Pélvico del Área de Salud Este de Valladolid. RESULTADOS: Los tipos de incontinencia más frecuentes fueron: de esfuerzo (43,13%) y mixta (39,21%). Los factores de riesgo y patología asociada más importantes fueron episiotomía (57,1%) y cistocele (32,6%) en las mujeres y adenocarcinoma de próstata (60%) en los hombres. Tras tratamiento rehabilitador en un intervalo de 2 a 3 meses mejoraron las respuestas en los cuestionarios de incontinencia urinaria (ICIQ-SF). CONCLUSIONES: Los datos recopilados están en consonancia con estudios revisados, y viendo los avances en prevención y tratamiento de IU resulta coherente su abordaje multidisciplinar


INTRODUCTION: Urinary incontinence (UI) is the involuntary loss of urine that is a major social or hygienic problem and is objectively provable. It is a common symptom that appears in many diseases, affecting all age groups and both sexes. In Spain it is estimated a prevalence of 24% in women and 7% in men, increasing with age up to 50% and 29% respectively. Despite its impact on quality of life, it is under-diagnosed for various reasons. OBJECTIVE: To determine the prevalence of UI and its associated factors. MATERIAL AND METHOD: In this retrospective longitudinal epidemiological study data were collected from the medical histories of patients with UI belonging to the Pelvic Floor Unit of the East Health Area in Valladolid. RESULTS: The most frequent types of incontinence were: effort (43,13%) and mixed (39,21%). The most important risk factors and associated diseases were episiotomy (57.1%) and cystocele (32.6%) in women and adenocarcinoma of prostate (60%) in men. Responses in the questionnaires of urinary incontinence (ICIQ-SF) improved after 2-3 months of rehabilitation treatment. CONCLUSIONS: The collected data are consistent with studies reviewed, and seeing the progress in prevention and treatment of UI, multidisciplinary approach is coherent


Assuntos
Humanos , Masculino , Feminino , Incontinência Urinária/epidemiologia , Cuidados de Enfermagem/métodos , Programas de Rastreamento/tendências , Distúrbios do Assoalho Pélvico/epidemiologia , Prevalência , Espanha/epidemiologia , Estudos Retrospectivos , Incontinência Urinária/psicologia , Fatores de Risco , Qualidade de Vida/psicologia , Perfil de Impacto da Doença
20.
Enferm. glob ; 19(57): 648-662, ene. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193664

RESUMO

OBJETIVO: Identificar la efectividad de la intervención educativa em el postoperatorio de personas con estomias intestinales de eliminación. MÉTODO: Revisión sistemática de la literatura registrada en el PRÓSPERO: 42018094601 y realizada en abril de 2018, en las bases MEDLINE, Web of Science, CINAHL, SCOPUS, Cochrane, LILACS y BDENF vía Biblioteca Virtual em Salud (BVS), además de las listas de referencia de los artículos seleccionados para encontrar literatura relevante adicional. Se incluyen artículos con diseño experimental (por ejemplo, estudios no controlados, estudios controlados y ensayos clínicos randomizados y controlados) y cuasi-experimental, sin restricción de idioma y tiempo. RESULTADOS: Se seleccionaron 6 estudios y el tipo de intervención educativa más prevalente fue la educación estándar para el grupo de control y educación estándar más acompañamiento telefónico para el grupo experimental. La mayoría de los participantes tenía edad a partir de 50 años y el tiempo de duración de las intervenciones educativas varió de 3 a 6 semanas. CONCLUSIÓN: Se verificó efecto positivo de la intervención educativa en el postoperatorio de personas con estomias intestinales de eliminación en los aspectos: conocimiento, satisfacción, tiempo de internación, aspectos físicos, mentales y sociales, calidad de vida, conocimiento sobre prácticas de autocuidado con alimentación y estomia, ajuste a la estomia y complicaciones


OBJETIVO: Identificar o efeitoda intervenção educativa no pós-operatório de pessoas com estomias intestinais de eliminação. MÉTODO: Revisão sistemática da literatura registrada no PRÓSPERO: 42018094601 y realizada em abril de 2018, nas bases MEDLINE, Web of Science, CINAHL, SCOPUS, Cochrane, e LILACS e BDENF via Biblioteca Virtual em Saúde (BVS), além das listas de referência dos artigos selecionados para encontrar literatura relevante adicional. Incluíram-se artigos com desenho experimental (incluindo estudos não controlados, estudos controlados e ensaios clínicos randomizados e controlados) e quase-experimental, sem restrição de idioma e tempo. RESULTADOS: Foram selecionados 6 estudos e o tipo de intervenção educativa mais prevalente foi educação padrão para o grupo controle e educação padrão mais acompanhamento telefônico para o grupo experimental. A maioria dos participantes tinha idade a partir de 50 anos e o tempo de duração das intervenções educativas variou de 3 até 6 semanas. CONCLUSÃO: Verificou-se efeito positivo da intervenção educativa no pós-operatório de pessoas com estomias intestinais de eliminação nos aspectos: conhecimento, satisfação, tempo de internação, aspectos fisicos, mentais e sociais, qualidade de vida, conhecimento sobre práticas de autocuidado com alimentação e estomia, ajustamento a estomia e complicações


OBJECTIVE: To identify the effect of educational intervention in the postoperative period of people with intestinal elimination ostomies. METHODS: Systematic review of the literature on PROSPERO: 42018094601 carried out in April 2018, in the bases MEDLINE, Web of Science, CINAHL, SCOPUS, Cochrane, and LILACS and BDENF via the Virtual Health Library (VHL), in addition to the reference lists of articles selected for finding additional relevant literature (including uncontrolled studies, controlled studies and randomized controlled trials) and quasi-experimental, without language and time restriction. RESULTS: 6 studies were selected and the type of most prevalent educational was standard education for the control group and standard education plus telephone follow-up for the experimental group. The majority of the participants were 50 years old and the duration of the educational interventions varied from 3 to 6 weeks. CONCLUSION: There was a positive effect of educational intervention in the postoperative period of people with intestinal elimination ostomies in the following aspects: knowledge, satisfaction, hospitalization time, physical, mental and social aspects, quality of life, knowledge about self-care practices with feeding and ostomy, adjustment to the ostomy and complications


Assuntos
Humanos , Estomas Cirúrgicos , Cuidados Pós-Operatórios/métodos , Complicações Pós-Operatórias/prevenção & controle , Estomia/enfermagem , Educação de Pacientes como Assunto/métodos , Avaliação de Eficácia-Efetividade de Intervenções , Perfil de Impacto da Doença
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