[Show abstract][Hide abstract]ABSTRACT: Objective: to analyze the complications related to peritonitis and catheter exit-site infections, in patients on peritoneal dialysis at home. Method: quantitative and cross-sectional study, carried out with 90 patients on peritoneal dialysis at home, in a municipality in the Northeast region of Brazil. For data collection, it was used two structured scripts and consultation on medical records. Descriptive analysis and comparison tests among independent groups were used, considering p<0.05 as level of statistical significance. Results: by comparing the frequency of peritonitis and the length of treatment, it was found that patients over two years of peritoneal dialysis were more likely to develop peritonitis (X2=6.39; p=0.01). The number of episodes of peritoneal catheter exit-site infection showed association with the length of treatment (U=224,000; p=0.015). Conclusion: peritonitis and catheter exit-site infection are associated with the length of treatment.
[Show abstract][Hide abstract]ABSTRACT: OBJECTIVE
To determine if there is a relationship between adherence to nutritional recommendations and sociodemographic variables in Brazilian patients with type 2 diabetes mellitus.METHODS
Cross-sectional observational study using a stratified random sample of 423 individuals. The Food Frequency Questionnaire (FFQ) was used, and the Fisher's exact test was applied with 95% confidence interval (p<0.05).RESULTSOf the 423 subjects, 66.7% were women, mean age of 62.4 years (SD = 11.8), 4.3 years of schooling on average (SD = 3.6) and family income of less than two minimum wages. There was association between the female gender and adherence to diet with adequate cholesterol content (OR: 2.03; CI: 1.23; 3.34), between four and more years of education and adherence to fractionation of meals (OR: 1 92 CI: 1.19; 3.10), and income of less than two minimum wages and adherence to diet with adequate cholesterol content (OR: 1.74; CI: 1.03, 2.95).CONCLUSION
Adherence to nutritional recommendations was associated with the female gender, more than four years of education and family income of less than two minimum wages.
Preview · Article · Sep 2015 · Revista da Escola de Enfermagem da U S P
[Show abstract][Hide abstract]ABSTRACT: Estudio cuantitativo, transversal, con el objetivo de analizar la relación entre la
calidad del sueño de los pobres y el síndrome metabólico en estudiantes
universitarios. Durante 2011 y 2012 se evaluaron la calidad del sueño y los
componentes del síndrome metabólico de 701 estudiantes universitarios en Fortaleza,
Brasil. En la evaluación de la magnitud de las asociaciones se utilizó robusto de
regresión de Poisson ajustado por edad y sexo. La prevalencia del síndrome metabólico
y la mala calidad del sueño fue de 1,6% y 95,3% respectivamente. Hubo un aumento del
5% de riesgo de desarrollar el síndrome metabólico entre los universitarios malos
durmientes (p=0,013). Se puede concluir en la investigación que los estudiantes
universitarios clasificados como malos durmientes eran más propensos a tener el
[Show abstract][Hide abstract]ABSTRACT: Medication adherence among people with diabetes has a direct impact on metabolic control and is influenced by multiple factors. In this study, the Brief Medication Questionnaire (BMQ) was used to assess medication adherence to oral glucose-lowering agents in 60 people with diabetes. This instrument investigates barriers to adherence by assessing regimens, beliefs and recall from the perspective of the individual. Overall, 25.0% of participants had BMQ scores indicating complete adherence and 21.7% had scores indicating probable adherence to oral glucose-lowering agents. There were no significant associations between adherence and clinical or sociodemographic variables. The regimen domain predominated, indicating treatment adherence in 81.7% of participants. Our findings showed that factors other than medication use, such as an individual's beliefs and recall, can serve as a basis for intervention studies aimed at improving medication adherence to oral glucose-lowering agents in people with diabetes.
[Show abstract][Hide abstract]ABSTRACT: This cross-sectional study checks specific self-care activities of patients with diabetes mellitus enrolled in a self-monitoring blood glucose program from August to December 2012 in two Primary Health Care units in the interior of São Paulo, Brazil.The sample was composed of 74 female and male individuals, aged 18 years old or older. The Summary of Diabetes Self-Care Activities Questionnaire was used. It contains six dimensions: general diet, specific diet, physical activity, blood glucose monitoring, foot care, medication usage, plus three items about smoking. Eight out of the 15 self-care activities were within desirable levels, namely: healthy diet, not eating sweets, blood glucose testing and as frequently as recommended, drying between toes after washing feet, and taking medications (three items).The results enabled the identification of gaps in specific self-care activities among patients with diabetes mellitus.
Full-text · Article · Dec 2014 · Revista gaúcha de enfermagem / EENFUFRGS
[Show abstract][Hide abstract]ABSTRACT: Objective To associate the sleep quality of Brazilian undergraduate students with health indicators. Method A cross-sectional study was developed with a random sample of 662 undergraduate students from Fortaleza, Brazil. The demographic data, Pittsburgh Sleep Quality Index and health data indicators (smoking, alcoholism, sedentary lifestyle, nutritional condition and serum cholesterol) were collected through a self-administered questionnaire. Blood was collected at a clinical laboratory. In order to estimate the size of the associations, a Poisson Regression was used. Results For students who are daily smokers, the occurrence of poor sleep was higher than in non-smokers (p<0.001). Prevalence rate values were nevertheless close to 1. Conclusion The likelihood of poor sleep is almost the same in smokers and in alcoholics.
Objetivo Associar a qualidade do sono de universitários brasileiros com indicadores de saúde. Método Estudo transversal desenvolvido com uma amostra aleatória de 662 estudantes universitários de Fortaleza-Brasil. Foram coletados dados sociodemográficos, indicadores de saúde (tabagismo, alcoolismo, sedentarismo, estado nutricional e níveis séricos de colesterol) e o Índice de Qualidade do Sono de Pittsburgh através de um questionário autoadministrado. As amostras sanguíneas foram analisadas em um laboratório clínico e para estimar a magnitude das associações foi adotada a Regressão de Poisson. Resultados Nos universitários que fumam diariamente a ocorrência de má qualidade do sono foi superior em relação aos não fumantes (p<0,001). Contudo, a razão de prevalência foi de aproximadamente 1. Conclusão As chances de apresentar má qualidade do sono foram praticamente idênticas entre tabagistas e etilistas.
Full-text · Article · Dec 2014 · Revista da Escola de Enfermagem da U S P
[Show abstract][Hide abstract]ABSTRACT: to relate neck circumference with metabolic syndrome and its criteria among college students.
cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C.
1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006). As neck circumference decreases, pressure levels improve (p<0.001). Additionally, college students with high fasting blood sugar (p=0.003) and high triglyceride levels (p<0.001) presented higher values of neck circumference.
neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students.
Full-text · Article · Dec 2014 · Revista Latino-Americana de Enfermagem
[Show abstract][Hide abstract]ABSTRACT: to evaluate the structure, process and results of the Capillary Blood Glucose Self-monitoring Program in a Brazilian city.
epidemiological, cross-sectional study. The methodological framework of Donabedian was used to construct indicators of structure, process and outcome. A random sample (n = 288) of users enrolled and 96 health professionals who worked in the program was studied. Two questionnaires were used that were constructed for this study, one for professionals and one for users, both containing data for the evaluation of structure, process and outcome. Anthropometric measures and laboratory results were collected by consulting the patients' health records. The analysis involved descriptive statistics.
most of the professionals were not qualified to work in the program and were not knowledgeable about the set of criteria for patient registration. None of the patients received complete and correct orientations about the program and the percentage with skills to perform conducts autonomously was 10%. As regards the result indicators, 86.4% of the patients and 81.3% of the professionals evaluated the program positively.
the evaluation indicators designed revealed that one of the main objectives of the program, self-care skills, has not been achieved.
Preview · Article · Oct 2014 · Revista Latino-Americana de Enfermagem
[Show abstract][Hide abstract]ABSTRACT: This descriptive study aimed at analyzing the difficulties faced by mothers of type-1 diabetic teenagers and children in view of the child's daily activities and based on the principle that emotional, social, personal and economic factors concerning the family interfere with achieving good metabolic control. Data were obtained by means of a semi-structured interview guide applied to 30 mothers. Data analysis followed the standards preconized for descriptive studies in which directed interviews are used. Results showed that: mothers have difficulties in dealing with children's daily activities such as social gatherings, in motivating them to develop physical activities, diet, school adjustment, relationship with the health team as well as with the children's behaviors regarding their brothers/sisters. Results indicated the need for planned and integrated work by a multiprofessional team with the families, considering all the aspects addressed in this study and their interdependence, aiming at a successful care to diabetic children and adolescents.
Full-text · Article · Jul 2014 · Revista Latino-Americana de Enfermagem
[Show abstract][Hide abstract]ABSTRACT: Objective:
identify the modifiable risk factors for type 2 diabetes mellitus in college students and associate these factors with their sociodemographic variables.
cross-sectional study, involving 702 college students from Fortaleza-CE, Brazil. Sociodemographic, anthropometric, physical exercise data and blood pressure and fasting plasma glucose levels were collected.
the most prevalent risk factor was sedentariness, followed by overweight, central obesity, high fasting plasma glucose and arterial hypertension. A statistically significant association was found between overweight and sex (p=0.000), age (p=0.004) and marital status (p=0.012), as well as between central obesity and age (p=0.018) and marital status (p=0.007) and between high fasting plasma glucose and sex (p=0.033).
distinct risk factors were present in the study population, particularly sedentariness and overweight.
Full-text · Article · Jun 2014 · Revista Latino-Americana de Enfermagem
[Show abstract][Hide abstract]ABSTRACT: This cross-sectional study aimed to analyze the adherence to drug and non-drug treatments in 17 Family Health Strategy units. A total of 423 patients with type 2 diabetes mellitus were selected through stratified random sampling in Family Health Strategy units of a city in the state of Minas Gerais, Brazil, in 2010. The results showed that the prevalence rate of adherence to drug therapy was higher than 60% in the 17 units investigated; in relation to physical activity, adherence was higher than 60% in 58.8% units; and for the diet plan, there was no adherence in 52.9% units. Therefore, we concluded that adherence to drug therapy in most units was high and the practice of physical activity was heterogeneous, and in relation to diet adherence, it was low in all units. We recommend strengthening of institutional guidelines and educational strategies, in line with SUS guidelines, so that, professionals may face the challenges imposed by the lack of adherence.
Full-text · Article · Apr 2014 · Revista da Escola de Enfermagem da U S P
[Show abstract][Hide abstract]ABSTRACT: The aim of this study was to analyze relationship between sociodemographic factors and poor sleep quality in Brazilian university students. Cross-sectional study, surveyed 701 students in Fortaleza, Ceará, Brazil. We applied a questionnairre with sociodemographic questions and Pittsburgh Sleep Quality Index. We did not identify associations and/or statistically significant linear trends between sleep quality and sociodemographic analyzed factors. However, the analysis found that the relative risk in college aged ≥ 31 years, in those who lived alone and with relatives (other than parents) there is greater vulnerability to poor sleep quality.
Full-text · Article · Mar 2014 · Texto e Contexto Enfermagem
[Show abstract][Hide abstract]ABSTRACT: Regular physical activity is fundamental to therapeutic programmes for people with diabetes. Studies have shown that telephone support is an innovative strategy that can increase adherence to exercise programmes. This study tested activity levels before and after a 4-month intervention where participants were given an exercise programme and telephone support either with or without a structured education programme. The results verify the efficacy of telephone support as a strategy to increase physical activity levels and identified improvements in metabolic profile in people with diabetes who were given this support alongside a structured education programme.
Full-text · Article · Jan 2014 · Journal of Diabetes Nursing
[Show abstract][Hide abstract]ABSTRACT: We present a cross-sectional study that aims to describe the sociodemographic and clinical conditions of individuals with diabetes mellitus and to analyze their knowledge of treatment five years after the end of an educational program in which they took part. In 2010, 40 individuals who had participated in a diabetes educational program for 12 months in 2005 at a primary care service were interviewed. A form was used for data collection that included their knowledge of the notion, physiopathology, and treatment of the disease; exercise; nutrition; foot care; self-monitoring of capillary blood glucose at home; hypoglycemia; chronic complications; special situations; and family support. The results showed that the volunteers incorporated the information about the notion, physiopathology, and treatment of the disease; exercise; foot care; self-monitoring; care associated with hypoglycemia; chronic complications; and special situations. In contrast, nutrition and family support require further reinforcement. It is concluded that five years after the end of the educational program, the participants kept most of the information provided.
Full-text · Article · Oct 2013 · Revista da Escola de Enfermagem da U S P