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1.
Rev Lat Am Enfermagem ; 27: e3154, 2019 Aug 19.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31432914

RESUMO

OBJECTIVE: to analyze the metabolic syndrome concept and to identify its essential features, antecedents, and outcomes within the context of nursing. METHOD: conceptual analysis, based on the methodological steps of a model. We carried out an integrative review by accessing four databases online: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Índice Bibliográfico Español en Ciencias de la Salud. RESULTS: the essential features most frequently involved the diagnostic criteria of metabolic syndrome. Inadequate nutrition and physical inactivity were highlighted as the most common antecedents of the syndrome, and the outcomes were occurrences of cardiovascular disease and diabetes mellitus type 2. As implication, we highlight relevant empirical data to the broad definition of the concept. CONCLUSION: we could analyze the concept under study regarding essential features, antecedents, and outcomes, operationally defining it as a potential nursing phenomenon, which demands health care focusing on reducing risks and morbidity and mortality for cardiovascular diseases.


Assuntos
Síndrome Metabólica/enfermagem , Enfermagem , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/enfermagem , Doenças Cardiovasculares/prevenção & controle , Humanos , Síndrome Metabólica/complicações , Fatores de Risco
2.
Rev. latinoam. enferm. (Online) ; 27: e3154, 2019. tab, graf
Artigo em Português | LILACS | ID: biblio-1020696

RESUMO

Objetivo analisar o conceito síndrome metabólica e identificar respectivos atributos essenciais, antecedentes e consequentes no contexto da enfermagem. Método análise conceitual, a partir dos passos metodológicos de um modelo. Realizou-se revisão integrativa, por meio de acesso on-line a quatro bases de dados: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Literatura Latino-Americana em Ciências da Saúde e Índice Bibliográfico Español en Ciencias de la Salud. Resultados os atributos essenciais mais frequentes envolveram os critérios diagnósticos da síndrome metabólica. Alimentação inadequada e sedentarismo destacaram-se como antecedentes mais comuns da síndrome, e os consequentes foram ocorrências de doenças cardiovasculares e diabetes mellitus tipo 2. Como implicação, tem-se o destaque de relevantes dados empíricos para definição ampla do conceito. Conclusão foi possível analisar o conceito em estudo no que concerne aos atributos essenciais, antecedentes e consequentes, definindo-o operacionalmente como potencial fenômeno de enfermagem que demanda cuidados direcionados para redução do risco e da morbimortalidade por doenças cardiovasculares.


Objective to analyze the metabolic syndrome concept and to identify its essential features, antecedents, and outcomes within the context of nursing. Method conceptual analysis, based on the methodological steps of a model. We carried out an integrative review by accessing four databases online: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Índice Bibliográfico Español en Ciencias de la Salud. Results the essential features most frequently involved the diagnostic criteria of metabolic syndrome. Inadequate nutrition and physical inactivity were highlighted as the most common antecedents of the syndrome, and the outcomes were occurrences of cardiovascular disease and diabetes mellitus type 2. As implication, we highlight relevant empirical data to the broad definition of the concept. Conclusion we could analyze the concept under study regarding essential features, antecedents, and outcomes, operationally defining it as a potential nursing phenomenon, which demands health care focusing on reducing risks and morbidity and mortality for cardiovascular diseases.


Objetivo analizar el concepto síndrome metabólica e identificar respectivos atributos esenciales, antecedentes y consecuentes en el contexto de la enfermería. Método análisis conceptual, desde los pasos metodológicos de un modelo. Se realizó la revisión integrativa, por medio de acceso online a cuatro bases de datos: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Literatura Latinoamericana en Ciencias de la Salud y Índice Bibliográfico Español en Ciencias de la Salud. Resultados los atributos esenciales más frecuentes involucraron los criterios diagnósticos del síndrome metabólica. Alimentación inadecuada y sedentarismo se destacaron como antecedentes más comunes del síndrome, y los consecuentes fueron ocurrencias de enfermedades cardiovasculares y diabetes mellitus tipo 2. Como implicación, se tiene el destaque de relevantes datos empíricos para la definición amplia del concepto. Conclusión ha sido posible analizar el concepto en estudio en el que concierne a los atributos esenciales, antecedentes y consecuentes, definiéndolo operacionalmente como potencial fenómeno de enfermería que demanda cuidados direccionados para la reducción del riesgo y de la morbimortalidad por enfermedades cardiovasculares.


Assuntos
Humanos , Doenças Cardiovasculares/enfermagem , Doenças Cardiovasculares/etnologia , Doenças Cardiovasculares/prevenção & controle , Síndrome Metabólica/complicações , Síndrome Metabólica/enfermagem , Fatores de Risco
3.
J Int Med Res ; 46(6): 2202-2218, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29584539

RESUMO

Objective To evaluate the effectiveness of an interdisciplinary programme led by nurses in relation to metabolic syndrome (MS) and cardiovascular risk (CVR). Methods This randomized, controlled, clinical trial included 74 patients diagnosed with MS (experimental group [EG], n = 37; control group [CG], n = 37). The intervention consisted of a 12-month interdisciplinary programme (pre-test, 6 months of intervention, 12 months of intervention, and 1-year follow-up post-intervention) coordinated by nursing. Results We found a progressive and significant reduction for all clinical, biochemical, and anthropometric parameters analysed at different time points. In the EG, remission of MS by 48.1% in the short term was observed (83.8% in the medium term) and maintained at 1 year post-intervention. In the CG, the prevalence of MS increased by 2.7% from the initial evaluation to study completion. A similar trend was observed for CVR. In the EG, 100% of subjects had a moderate-low risk of CVR at 1 year post-intervention, whereas the CG had CVR in all categories. Conclusion An interdisciplinary, nurse-led programme improves participants' metabolic and cardiovascular health, while maintaining long-term effects. Our findings suggest an important role of the professional nurse as a nexus between the patient, different professionals, and the community.


Assuntos
Doenças Cardiovasculares/terapia , Promoção da Saúde , Síndrome Metabólica/terapia , Obesidade/terapia , Idoso , Doenças Cardiovasculares/enfermagem , Centros Comunitários de Saúde , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Síndrome Metabólica/enfermagem , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Obesidade/enfermagem , Equipe de Assistência ao Paciente , Serviços Preventivos de Saúde , Avaliação de Programas e Projetos de Saúde , Fatores de Risco
4.
J Pediatr Nurs ; 40: e2-e8, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29402659

RESUMO

PURPOSE: To investigate the effect of lifestyle habits in childhood Metabolic Syndrome (MTS). DESIGN AND METHODS: Descriptive correlation study with 480 participants (5-12 years old) using a specially designed questionnaire was conducted. Anthropometric and biochemical analyses were performed. RESULTS: Fifteen percent of children exhibited predisposition for MTS. Regarding sleep habits, logistic regression analysis (LRA) showed that hour of sleep -before 22:00- was associated with decreased waist circumference (WC%) (p = .026). Midday siesta was negatively correlated with systolic (SBP) (p = .001) and diastolic blood pressure (DBP) (p = .046). In children without MTS, lack of sleep and night time sleep was positively correlated with DBP (p = .044) and fasting blood glucose (FBG) (p = .005). Regarding nutrition habits, fast food consumption was positively correlated with SBP (p = .006) and meat consumption was positively correlated with both Body Mass Index% (BMI%) (p = .038) and WC% (p = .023). LRA showed that fruit (p = .001) and legume (p = .040) consumption was associated with decreased FBG; fish consumption with decreased Low Density Lipoprotein (LDL) cholesterol (p = .031), vegetable (p = .054) and cereal consumption (p = .012) with decreased DBP. In children with MTS, fruits were associated with increased FBG (p = .034). In children without MTS, meat consumption was associated with increased LDL (p = .024), cereal with increased WC% (p = .002) and olive products with increased High Density Lipoprotein (HDL) cholesterol and BMI% (p = .037). CONCLUSIONS: The adoption of both balanced diet and sleep habits seemed to be crucial for the prevention of MTS. PRACTICE IMPLICATIONS: Clinical health nurses could develop and implement preventive intervention programs in order to avoid metabolic complications in adulthood.


Assuntos
Bem-Estar da Criança/estatística & dados numéricos , Promoção da Saúde/organização & administração , Síndrome Metabólica/prevenção & controle , Estado Nutricional , Obesidade Pediátrica/prevenção & controle , Atitude Frente a Saúde , Índice de Massa Corporal , Criança , Pré-Escolar , Feminino , Preferências Alimentares/psicologia , Grécia , Humanos , Modelos Logísticos , Masculino , Síndrome Metabólica/enfermagem , Obesidade Pediátrica/enfermagem , Fatores de Risco
5.
BMC Health Serv Res ; 17(1): 813, 2017 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-29212477

RESUMO

BACKGROUND: Metabolic syndrome (MetS), the clustering of multiple leading risk factors, predisposes individuals to increased risk for developing type 2 diabetes and/or cardiovascular disease (CVD). Cardio-metabolic disease risk increases with greater remoteness where specialist services are scarce. Nurse-led interventions are effective for the management of chronic disease. The aim of this clinical trial is to determine whether a nurse-implemented health and lifestyle modification program is more beneficial than standard care to reduce cardio-metabolic abnormalities and future risk of CVD and diabetes in individuals with MetS. METHODS: MODERN is a multi-centre, open, parallel group randomized controlled trial in regional Victoria, Australia. Participants were self-selected and individuals aged 40 to 70 years with MetS who had no evidence of CVD or other chronic disease were recruited. Those attending a screening visit with any 3 or more risk factors of central obesity, dyslipidemia (high triglycerides or low high density lipoprotein cholesterol) elevated blood pressure and dysglycemia were randomized to either nurse-led health and lifestyle modification (intervention) or standard care (control). The intervention included risk factor management, health education, care planning and scheduled follow-up commensurate with level of risk. The primary cardio-metabolic end-point was achievement of risk factor thresholds to eliminate MetS or minimal clinically meaningful changes for at least 3 risk factors that characterise MetS over 2 year follow-up. Pre-specified secondary endpoints to evaluate between group variations in cardio-metabolic risk, general health and lifestyle behaviours and new onset CVD and type 2 diabetes will be evaluated. Key outcomes will be measured at baseline, 12 and 24 months via questionnaires, physical examinations, pathology and other diagnostic tests. Health economic analyses will be undertaken to establish the cost-effectiveness of the intervention. DISCUSSION: The MODERN trial will provide evidence for the potential benefit of independent nurse-run clinics in the community and their cost-effectiveness in adults with MetS. Findings will enable more nurse-led clinics to be adopted outside of major cities and encompassing other chronic diseases as a key primary preventative initiative. TRIAL REGISTRATION: MODERN is registered with the Australian New Zealand Clinical Trials Registry ( ACTRN12616000229471 ) on 19 February 2016 (retrospectively registered). Secondary identifiers: MODERN is an investigator-initiated trial funded by the National Health and Medical Research Council of Australia from 2014 to 2017 via a Project Grant (ID No. APP1069043) and was approved by the Australian Catholic University Human Research Ethics Committee (Project No: 2014 244 V) and the Department of Health Human Research Ethics Committee (Project No:38/2014) for the release of Medicare claims information.


Assuntos
Diabetes Mellitus Tipo 2/etiologia , Diabetes Mellitus Tipo 2/prevenção & controle , Síndrome Metabólica/complicações , Síndrome Metabólica/enfermagem , Padrões de Prática em Enfermagem , Comportamento de Redução do Risco , Adulto , Idoso , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/enfermagem , Doenças Cardiovasculares/prevenção & controle , Análise Custo-Benefício , Diabetes Mellitus Tipo 2/enfermagem , Feminino , Educação em Saúde , Humanos , Masculino , Síndrome Metabólica/terapia , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários , Vitória
6.
Arch Psychiatr Nurs ; 30(6): 671-677, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27888958

RESUMO

AIM: This quality improvement project aims at stressing the importance of screening for metabolic syndrome (MS) on patients with serious mental illness (SMI) managed with second generation antipsychotic (SGA) medication. METHOD: One hundred charts of patients who were on SGA (n=100) were randomly selected from more than 1000 charts for the purpose of this project with (n=50) charts for pre-intervention and (n=50) charts for post intervention. A chi-square test of independence was calculated comparing the frequency of labs and vital done in pre-intervention and post-intervention period. RESULTS: A significant interaction was found [χ2(2)=32.67, p<.001] indicating that providers were more likely to order labs in postintervention (62%) than in pre-intervention (22%). No significant relationship was found for vital signs [χ2(1)=.542, p>.05]. The use of the screening and monitoring tool showed that gaps exist in the screening for MS among patients on SGA. IMPLICATION TO PRACTICE: Advanced health nurse practitioners are well placed to take the lead in screening, monitoring, and implementing the necessary measures to address MS among patients with serious mental illness.


Assuntos
Antipsicóticos/uso terapêutico , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Síndrome Metabólica/prevenção & controle , Melhoria de Qualidade , Adulto , Antipsicóticos/efeitos adversos , Humanos , Programas de Rastreamento , Síndrome Metabólica/induzido quimicamente , Síndrome Metabólica/enfermagem , Estudos Retrospectivos
7.
J Clin Nurs ; 25(17-18): 2579-89, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27501160

RESUMO

AIMS AND OBJECTIVES: The objective of this study was to change the anthropometric, clinical, biochemical indicators and the rate of metabolic syndrome among obese adults in community. BACKGROUND: Obesity is an indicator of metabolic syndrome and cardiometabolic diseases. Obesity increases national health care expenditure in Taiwan. The high prevalence of obesity is not only a public health issue but also an economic problem. Changes in lifestyle can help to prevent metabolic syndrome for individuals with obesity. DESIGN: A randomised controlled trial was applied. METHODS: In this randomised controlled trial by location, 136 metabolically abnormal obese individuals were included. The related indicators with metabolic syndrome were measured at baseline and after six months. The experimental group participated in a six-month community-based programme including provided exercise environments, exercise skills and volunteers' reminding. The control group was only provided environment and skills. RESULTS: One hundred and thirty-one participants completed this trail. In comparison with the baseline, the intervention group showed a significant increase in high-density lipoprotein cholesterol (2·34 mg/dl), and decrease in body weight (1·09 kg), waist circumference (3·63 cm), systolic blood pressure (10·52 mmHg), diastolic blood pressure (5·21 mmHg), fasting blood glucose (5·84 mg/dl) and body mass index (0·74 kg/m(2) ). In the control group, significant decrease in body mass index and waist circumference were discovered. Compared to the changes between the two groups, the results showed there were significant differences in waist circumference, systolic blood pressure, diastolic blood pressure and high-density lipoprotein cholesterol. CONCLUSIONS: The community-based intervention could help to improve high-density lipoprotein cholesterol, reduce body weight, body mass index, waist circumference, blood pressure and fasting blood glucose in metabolically abnormal obese. RELEVANCE TO CLINICAL PRACTICE: This community-based programme helped metabolically abnormal obese individuals become metabolically healthy. In the future, community nurses will work with village heads and volunteers. They can encourage residents in the communities to have healthy lifestyle. As a result, the goal of this programme will be successfully achieved with less time and effort.


Assuntos
Terapia por Exercício , Síndrome Metabólica/reabilitação , Obesidade Mórbida , Apoio Social , Antropometria , Colesterol/sangue , Serviços de Saúde Comunitária , Feminino , Humanos , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/enfermagem , Pessoa de Meia-Idade , Inquéritos e Questionários , Taiwan , Resultado do Tratamento
8.
Stud Health Technol Inform ; 225: 510-4, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27332253

RESUMO

OBJECTIVES: This study developed and evaluated four mobile applications (apps) that provide tailored nursing recommendations for metabolic syndrome management. METHODS: Mobile apps for obesity, gestational diabetes, hypertension, and hyperlipidemia management were developed according to the system development life cycle and evaluations by experts and users. RESULTS: Six lifestyle management and five disease-specific knowledge domains were extracted. Functions such as 'Log in' and 'Record data using diary' to be used in all of the apps were extracted, while disease-specific functions were also extracted, including 'Determine the goal' to be used in the obesity app. The proficiency and efficiency of the algorithms ranged from 69.0 to 100.0. In a heuristics evaluation all of the problems were resolved and all of the usability scores exceeded 3.5 out of 5. CONCLUSION: This study demonstrates that metabolic syndrome can be effectively managed using special functions provided by smartphones, such as automatic feedback, alerts, diaries, and social media integration. Future work will include integrating and harmonizing these four apps in order to improve their semantic interoperability.


Assuntos
Registros Médicos , Síndrome Metabólica/enfermagem , Aplicativos Móveis , Cuidados de Enfermagem/métodos , Sistemas de Alerta , Consulta Remota/métodos , Telefone Celular , Humanos , Síndrome Metabólica/diagnóstico , Interface Usuário-Computador
9.
J Am Psychiatr Nurses Assoc ; 21(4): 233-43, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26282669

RESUMO

Metabolic syndrome defines a collection of cardiometabolic illnesses that predict risk for poor physical health and early death and is highly prevalent among those with serious mental illness. Despite recommendations for routine monitoring, those with serious mental illness frequently do not receive physical health screenings. We conducted a quality improvement (QI) project to increase rates of metabolic syndrome screening in three New York City Assertive Community Treatment (ACT) teams. The project, conducted from December 2010 to May 2011, involved educational sessions for staff and consumers and a systematic screening protocol. We collected complete metabolic syndrome screening measurements for 71% of participating ACT consumers. We found metabolic risk to be nearly universal among participants, with over half diagnosed with metabolic syndrome. We also found high rates of previously undiagnosed hypertension, diabetes, and dyslipidemia. We describe the resources and obstacles we encountered in our QI project to make systematic metabolic screening a routine part of ACT care. This QI project suggests that ACT teams can take a leadership role in screening their consumers for physical health issues, aligning with recent policy trends to better integrate behavioral health and primary care services.


Assuntos
Serviços Comunitários de Saúde Mental , Programas de Rastreamento/enfermagem , Síndrome Metabólica/enfermagem , Diagnóstico de Enfermagem , Melhoria de Qualidade , População Urbana , Adulto , Doença Crônica/enfermagem , Comorbidade , Enfermagem Baseada em Evidências , Feminino , Enfermagem Domiciliar , Humanos , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/enfermagem , Síndrome Metabólica/diagnóstico , Pessoa de Meia-Idade , Cidade de Nova Iorque , Equipe de Assistência ao Paciente , Educação de Pacientes como Assunto
10.
Issues Ment Health Nurs ; 36(6): 464-73, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26241573

RESUMO

The purpose of this pilot study was to determine if metabolic risk factors can be stabilized or improved with weekly motivational interviewing/coaching and medical follow-up care focused on lifestyle behavioral change in individuals with serious mental illness. Individuals were followed for 18 weeks following discharge from an inpatient psychiatric service. All individuals were prescribed an antipsychotic medication and had at least two risk factors for metabolic syndrome. Weight, waist circumference, blood pressure, LDLs, triglycerides, and blood glucose levels were evaluated during the study period. In addition, each individual selected a lifestyle behavior to improve over the 18-week period. Weekly motivational interviewing, and staggered health promotion appointments were designed to keep individuals focused on health and behavior change. While some individuals showed improvement, others showed deterioration in the physiological markers for metabolic syndrome. Only a small number completed the 18-week study. The nature of current psychiatric care is focused on rapid stabilization and discharge; individuals with serious mental illness may have difficulty focusing on lifestyle behavioral change while transitioning to independent living following an acute exacerbation of mental illness.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde , Estilo de Vida , Transtornos Mentais/psicologia , Entrevista Motivacional , Adulto , Feminino , Humanos , Masculino , Transtornos Mentais/complicações , Transtornos Mentais/metabolismo , Síndrome Metabólica/enfermagem , Síndrome Metabólica/prevenção & controle , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Cooperação do Paciente , Projetos Piloto , Qualidade de Vida , Adulto Jovem
12.
Obes Res Clin Pract ; 9(6): 584-91, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25858422

RESUMO

BACKGROUND: This study was attempted to investigate whether lifestyle modifications supported by regional health nurses should improve cardio-metabolic factors--including adipocytokines, oxidative stress, and arterial stiffness--in subjects with metabolic syndrome. METHODS: Thirty-six subjects with metabolic syndrome were enrolled, 28 of whom completed the 6-month lifestyle modifications (male:female=19:9). Blood and urine test results were examined in relation to metabolic factors before and after 6-month nutritional and physical activity modifications. In addition, oral glucose tolerance tests were performed and arterial stiffness was measured by brachial-ankle pulse wave velocity and radial augmentation index before and after them. RESULTS: Six-month lifestyle modifications significantly reduced body weight, homeostasis model assessment index, and low-density lipoprotein cholesterol (LDL-C). They significantly attenuated oxidative stress measured by the urinary 8-hydroxy-2-deoxyguanosine/creatinine ratio. They also lowered brachial and central systolic blood pressure. They tended to decrease waist circumferences and the levels of C-reactive protein. However they did not significantly change the levels of adipocytokines, including tumour necrosis factor, soluble tumour necrosis factor receptors, and interleukin 6, or arterial stiffness measured by brachial-ankle pulse wave velocity and radial augmentation index. CONCLUSIONS: Six-month lifestyle modifications supported by regional health nurses lowered body weight, insulin resistance, LDL-C, oxidative stress, and peripheral and central blood pressure in subjects with metabolic syndrome.


Assuntos
Aconselhamento Diretivo/métodos , Inflamação/fisiopatologia , Síndrome Metabólica/enfermagem , Síndrome Metabólica/fisiopatologia , Enfermagem em Saúde Pública/organização & administração , Regionalização/organização & administração , Comportamento de Redução do Risco , Adulto , Idoso , Índice Tornozelo-Braço , Biomarcadores/sangue , Pressão Sanguínea , Proteína C-Reativa/metabolismo , Feminino , Seguimentos , Teste de Tolerância a Glucose , Humanos , Resistência à Insulina , Japão/epidemiologia , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/terapia , Pessoa de Meia-Idade , Estresse Oxidativo , Fatores de Risco , Rigidez Vascular
13.
NASN Sch Nurse ; 30(4): 207-13, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25816425

RESUMO

School nurses are well aware of the childhood obesity epidemic in the United States, as one in three youth are overweight or obese. Co-morbidities found in overweight or obese adults were not commonly found in youth three decades ago but are now increasingly "normal" as the obesity epidemic continues to evolve. This article is the second of six related articles discussing the co-morbidities of childhood obesity and discusses the complex association between obesity and insulin resistance, metabolic syndrome, and polycystic ovary syndrome. Insulin resistance increases up to 50% during puberty, which may help to explain why youth are more likely to develop co-morbidities as teens. Treatment of these disorders is focused on changing lifestyle habits, as a child cannot change his or her pubertal progression, ethnicity, or family history. School nurses and other personnel can assist youth with insulin resistance, metabolic syndrome, and polycystic ovary syndrome by supporting their efforts to make changes, reinforcing that insulin resistance is not necessarily type 2 diabetes even if the child is taking medication, and intervening with negative peer pressure.


Assuntos
Resistência à Insulina , Síndrome Metabólica/enfermagem , Papel do Profissional de Enfermagem , Obesidade Pediátrica/enfermagem , Síndrome do Ovário Policístico/enfermagem , Serviços de Enfermagem Escolar/métodos , Adolescente , Criança , Feminino , Humanos , Síndrome Metabólica/prevenção & controle , Obesidade Pediátrica/prevenção & controle , Síndrome do Ovário Policístico/prevenção & controle , Fatores de Risco , Serviços de Saúde Escolar/organização & administração , Estados Unidos
14.
Medsurg Nurs ; 23(4): 245-50, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25318338

RESUMO

Management of metabolic syndrome (MetS), a group of disease processes that involves numerous body systems, is a complex combination of pharmacologic and nonpharmacologic modalities using current evidence-based guidelines. A case of an Asian-American adult with MetS is presented to highlight the increasing prevalence of this syndrome in Asian Americans compared to other racial groups.


Assuntos
Prática Avançada de Enfermagem/métodos , Dislipidemias/tratamento farmacológico , Enfermagem Baseada em Evidências/métodos , Hipertensão/tratamento farmacológico , Resistência à Insulina/fisiologia , Síndrome Metabólica/enfermagem , Papel do Profissional de Enfermagem , Adiponectina/sangue , Adulto , Idoso , Americanos Asiáticos/estatística & dados numéricos , Comorbidade , Dislipidemias/epidemiologia , Feminino , Humanos , Hipertensão/epidemiologia , Síndrome Metabólica/sangue , Síndrome Metabólica/epidemiologia , Grupos Minoritários/estatística & dados numéricos , Prevalência , Fatores de Risco , Estados Unidos/epidemiologia
15.
J Psychosoc Nurs Ment Health Serv ; 52(9): 32-6, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25019253

RESUMO

The prevalence of metabolic syndrome and associated illness is approximately double in individuals with mental illness compared with the general public. An educational intervention on metabolic syndrome was provided to mental health counselors, who performed intake assessments of patients newly admitted to two outpatient mental health facilities. Researchers of the current study first measured mastery of metabolic syndrome content following the educational intervention; they then conducted a chart audit on new admissions to measure changes in clinician behavior. Prior to the intervention, neither facility screened for metabolic syndrome at intake or referred patients with a body mass index (BMI) >25 for medical evaluation. A paired t test showed no significant difference in the educational pre-posttest scores; however, following the intervention, 53 of 132 patients had a documented BMI >25, and 47 of 53 patients were referred to a primary care provider for evaluation. The current study's findings suggest that mental health counselors who screen for metabolic syndrome and associated illnesses will increase the rate of detection of these chronic conditions.


Assuntos
Aconselhamento/educação , Síndrome Metabólica/diagnóstico , Síndrome Metabólica/enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Enfermagem Psiquiátrica/educação , Adulto , Idoso , Centros Comunitários de Saúde Mental , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , North Carolina , Estudos de Casos Organizacionais
17.
Oncol Nurs Forum ; 41(1): 21-9, 2014 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-24368236

RESUMO

PURPOSE/OBJECTIVES: To examine the trajectory of changes in body composition and metabolic profile in men who receive androgen-deprivation therapy (ADT) for prostate cancer. DESIGN: Prospective longitudinal design with repeated measures. SETTING: Urban medical center in the southwestern United States. SAMPLE: 55 men starting radiation therapy for prostate cancer. METHODS: Changes in the parameters of metabolic syndrome were estimated with ADT (n=31) and non-ADT (n=24) groups by repeated-measures analysis of variance implemented by general linear mixed-effects models. Models included interactions between groups and follow-up time to test differences between the groups. MAIN RESEARCH VARIABLES: Body composition and metabolic variables. FINDINGS: The ADT group demonstrated a transient increase in waist circumference at the nine-month time point and significant changes in measures of insulin resistance were noted at the three month point. Values for diastolic and systolic blood pressure, plasma glucose, high-density lipoprotein, and triglycerides were not altered for either group. Differences in metabolic variables or measures of body composition did not differ significantly between the groups. CONCLUSIONS: The findings demonstrate the development of insulin resistance in men receiving ADT as early as three months after starting ADT. IMPLICATIONS FOR NURSING: Addressing survivorship concerns can lead to the development of nursing interventions designed to reduce adverse effects associated with ADT.


Assuntos
Adenocarcinoma/tratamento farmacológico , Antagonistas de Androgênios/efeitos adversos , Androgênios , Antineoplásicos Hormonais/efeitos adversos , Composição Corporal/efeitos dos fármacos , Hormônio Liberador de Gonadotropina/antagonistas & inibidores , Síndrome Metabólica/epidemiologia , Neoplasias Hormônio-Dependentes/tratamento farmacológico , Neoplasias da Próstata/tratamento farmacológico , Adenocarcinoma/epidemiologia , Adenocarcinoma/enfermagem , Adenocarcinoma/radioterapia , Idoso , Antagonistas de Androgênios/uso terapêutico , Androgênios/fisiologia , Antineoplásicos Hormonais/uso terapêutico , Glicemia/análise , Terapia Combinada , Comorbidade , Progressão da Doença , Jejum/sangue , Humanos , Resistência à Insulina , Lipídeos/sangue , Masculino , Síndrome Metabólica/induzido quimicamente , Síndrome Metabólica/enfermagem , Pessoa de Meia-Idade , Neoplasias Hormônio-Dependentes/epidemiologia , Neoplasias Hormônio-Dependentes/enfermagem , Neoplasias Hormônio-Dependentes/radioterapia , Obesidade Abdominal/induzido quimicamente , Estudos Prospectivos , Neoplasias da Próstata/epidemiologia , Neoplasias da Próstata/enfermagem , Neoplasias da Próstata/radioterapia
18.
Soins Psychiatr ; (285): 36-8, 2013.
Artigo em Francês | MEDLINE | ID: mdl-23631086

RESUMO

In order to promote physical activity to users of psychiatric services, the Maison Blanche public health facility organised a sports discovery day with a specialised partner, the French Federation of Adapted Sport (FFSA). Feedback on the day revealed a high level of satisfaction. Such initiatives favour physical activity among users and thereby help to fight the negative somatic effects of mental illness and antipsychotic drugs.


Assuntos
Centros Comunitários de Saúde Mental , Comportamento Cooperativo , Comunicação Interdisciplinar , Síndrome Metabólica/enfermagem , Síndrome Metabólica/reabilitação , Atividade Motora , Transtornos Psicóticos/enfermagem , Transtornos Psicóticos/reabilitação , Esportes/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada/enfermagem , Terapia Combinada/psicologia , Feminino , França , Acesso aos Serviços de Saúde , Hospitais Psiquiátricos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Inquéritos e Questionários , Adulto Jovem
19.
Issues Ment Health Nurs ; 34(5): 350-8, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23663022

RESUMO

The aim of this study was to explore mental health staffs' experiences of assisting people with psychotic disorders to implement lifestyle changes in an effort to prevent metabolic syndrome. Qualitative interviews were conducted with 12 health care professionals working in psychosis outpatient care in Sweden. Data were analysed using a qualitative content analysis. The results illustrate that implementation of lifestyle changes among people with psychotic disorders was experienced as difficult, but possible. The greatest obstacles experienced in this work were difficulties due to the reduction of cognitive functions associated with the disease. Guidelines available to staff in order to help them identify and prevent physical health problems in the group were not always followed and the content was not always relevant. Staff further described feelings of uncertainty about having to motivate people to take anti-psychotic medication while simultaneously being aware of the risks of metabolic deviations. Nursing interventions focusing on organising daily routines before conducting a more active prevention of metabolic syndrome, including information and practical support, were experienced as necessary. The importance of healthy eating and physical activity needs to be communicated in such a way that it is adjusted to the person's cognitive ability, and should be repeated over time, both verbally and in writing. Such efforts, in combination with empathic and seriously committed community-based social support, were experienced as having the best effect over time. Permanent lifestyle changes were experienced as having to be carried out on the patient's terms and in his or her home environment.


Assuntos
Estilo de Vida , Síndrome Metabólica/enfermagem , Síndrome Metabólica/prevenção & controle , Transtornos Psicóticos/enfermagem , Adolescente , Adulto , Assistência Ambulatorial , Antipsicóticos/efeitos adversos , Antipsicóticos/uso terapêutico , Transtornos Cognitivos/enfermagem , Transtornos Cognitivos/psicologia , Comunicação , Empatia , Exercício , Comportamento Alimentar , Feminino , Fidelidade a Diretrizes , Alfabetização em Saúde , Humanos , Masculino , Síndrome Metabólica/induzido quimicamente , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Equipe de Assistência ao Paciente , Transtornos Psicóticos/tratamento farmacológico , Transtornos Psicóticos/psicologia , Apoio Social , Suécia , Adulto Jovem
20.
J Nurs Scholarsh ; 45(1): 52-9, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23368731

RESUMO

PURPOSE: This article provides a brief overview of the diagnostic criteria and genomic risk factors for the components of metabolic syndrome (MetS). ORGANIZING CONSTRUCTS: Contributions of cardiovascular, obesity, and diabetes genomic risk factors to the development of MetS as reported in the literature have been reviewed. FINDINGS: The genomic risk factors for the development of MetS are strongly linked to the genomic risk factors that make up the components of the disease. Many of the cardiovascular and renal genomic risk factors for MetS development are similar to those found in the development of hypertension and dyslipidemia. Obesity may act as a master trigger to turn on the gene expression changes necessary for the other components of the disease. Studies in the genomics of type 2 diabetes show a number of overlapping genes and polymorphisms that influence both the development of diabetes and MetS. CONCLUSIONS: Although health practitioners now have some insights into the genomics of risk factors associated with MetS, the overall understanding of MetS remains inadequate. Clinical applications based on some of the discussed genomic risk factors are being developed but are not yet available for the diagnosis and treatment of MetS. CLINICAL RELEVANCE: A broad knowledge of the genomic contributions to disease processes will enable the clinician to better utilize genomics to assess and tailor management of patients.


Assuntos
Genômica , Síndrome Metabólica/genética , Síndrome Metabólica/enfermagem , Doenças Cardiovasculares/genética , Diabetes Mellitus Tipo 2/genética , Humanos , Obesidade/genética , Polimorfismo Genético , Fatores de Risco
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