Camila Aparecida Pinheiro Landim

Validação de intervenções de enfermagem em pessoas com diabetes mellitus

This descriptive, exploratory study aimed to validate nursing interventions proposed by the Nursing Interventions Classification for impaired skin integrity, deficient knowledge, ineffective therapeutic regimen management for predominant nursing diagnoses in people with diabetes. Participants were 21 specialist nurses in diabetes mellitus in Brazil, in 2007. Interventions were analyzed according to Fehrings evaluation model. The nursing interventions with the highest weighted average were care to injuries: closed drainage and circulatory precautions for the impaired skin integrity nursing diagnosis, teaching: disease process and teaching: prescribed medication for deficient knowledge and teaching: disease process and teaching: prescribed diet for ineffective therapeutic regimen management. Among the 1005 activities of nursing, 51% were validated as very characteristic by experts. Other studies should be carried out to expand the validation of the nursing interventions to people with diabetes mellitus in Brazil, searching for scientific evidences for care to these clients.Estudo descritivo e exploratorio que objetivou validar as intervencoes de enfermagem propostas pela Nursing Interventions Classification para os diagnosticos de enfermagem: Integridade da pele prejudicada, Conhecimento deficiente e Controle ineficaz do regime terapeutico predominantes em pessoas com diabetes. Participaram 21 enfermeiros especialistas em diabetes mellitus no Brasil, em 2007. As intervencoes de enfermagem que obtiveram a maior media ponderada foram cuidado com lesoes: drenagem fechada, precaucoes circulatorias para o diagnostico de enfermagem Integridade da pele prejudicada, ensino: processo de doenca, ensino: medicacao prescrita para o Conhecimento deficiente e ensino: processo de doenca e ensino: dieta prescrita para Controle ineficaz do regime terapeutico. Dentre as 1005 atividades de enfermagem, 51% foram validadas como muitissimo caracteristicas pelos especialistas. Acredita-se que outros estudos devam ser conduzidos para ampliar a validacao das intervencoes de enfermagem em pessoas com diabetes mellitus no Brasil, buscando evidencias cientificas para o cuidado dessa clientela.

Validation of nursing interventions in people with diabetes mellitus

This descriptive, exploratory study aimed to validate nursing interventions proposed by the Nursing Interventions Classification for impaired skin integrity, deficient knowledge, ineffective therapeutic regimen management for predominant nursing diagnoses in people with diabetes. Participants were 21 specialist nurses in diabetes mellitus in Brazil, in 2007. Interventions were analyzed according to Fehrings evaluation model. The nursing interventions with the highest weighted average were care to injuries: closed drainage and circulatory precautions for the impaired skin integrity nursing diagnosis, teaching: disease process and teaching: prescribed medication for deficient knowledge and teaching: disease process and teaching: prescribed diet for ineffective therapeutic regimen management. Among the 1005 activities of nursing, 51% were validated as very characteristic by experts. Other studies should be carried out to expand the validation of the nursing interventions to people with diabetes mellitus in Brazil, searching for scientific evidences for care to these clients.Estudo descritivo e exploratorio que objetivou validar as intervencoes de enfermagem propostas pela Nursing Interventions Classification para os diagnosticos de enfermagem: Integridade da pele prejudicada, Conhecimento deficiente e Controle ineficaz do regime terapeutico predominantes em pessoas com diabetes. Participaram 21 enfermeiros especialistas em diabetes mellitus no Brasil, em 2007. As intervencoes de enfermagem que obtiveram a maior media ponderada foram cuidado com lesoes: drenagem fechada, precaucoes circulatorias para o diagnostico de enfermagem Integridade da pele prejudicada, ensino: processo de doenca, ensino: medicacao prescrita para o Conhecimento deficiente e ensino: processo de doenca e ensino: dieta prescrita para Controle ineficaz do regime terapeutico. Dentre as 1005 atividades de enfermagem, 51% foram validadas como muitissimo caracteristicas pelos especialistas. Acredita-se que outros estudos devam ser conduzidos para ampliar a validacao das intervencoes de enfermagem em pessoas com diabetes mellitus no Brasil, buscando evidencias cientificas para o cuidado dessa clientela.

Adaptação cultural e confiabilidade para o Brasil do Automated Telephone Disease Management: resultados preliminares

Objectives: To translate, culturally adapt for Brazil the Automated Telephone Disease Management (ATDM) Satisfaction Scales and evaluate the reliability of the adapted version in Brazilian adults with diabetes mellitus (DM). Methods: A methodological study whose cultural adaptation process included: translation, expert committee, back translation, semantic analysis and pretesting. This study included a sample of 39 Brazilian adults with DM enrolled in an educational program in Sao Paulo. Results: The adapted version of the instrument showed good acceptance with easy comprehension of the items by the participants, with reliability ranging between 0.30 and 0.43. Conclusion: After analyzing the psychometric properties and finalizing the validation process in the country, the instrument can be used by Brazilian researchers, making it possible to compare with other cultures.

The meaning of teaching by telephone on the insulin for patients with diabetes Mellitus

Objetivou-se identificar o significado do acompanhamento por telefone sobre o processo de preparo e aplicacao de insulina para pessoas com diabetes Mellitus (DM). Estudo descritivo, de abordagem qualitativa, com 26 pessoas com DM tipo 2 em uso de insulina, participantes de um programa brasileiro de automonitorizacao da glicemia capilar no domicilio que emprega o uso do telefone como estrategia de enfermagem. Utilizou-se entrevista dirigida, em unico contato telefonico, com questoes fundamentadas na Teoria Representacional de Significado de Ogden Richards. O significado obtido conteve aspectos relacionados ao processo ensino-aprendizagem e a ajuda percebida pela estrategia (simbolo), elementos relacionados ao manuseio da insulina (referente) e o reconhecimento do acompanhamento por telefone como comodidade, tranquilidade, atencao e tempo para o esclarecimento de duvidas(pensamento). Considera-se esta estrategia adequada para orientacao de pessoas com DM em uso de insulina.

Microbiological profile of nosocomial infections at intensive care units

Objective: to investigate the microbiological profile of nosocomial infections at intensive care units. Method: field study, retrospective, exploratory and descriptive, with quantitative approach, which evaluated 33 records of patients with nosocomial infection at a public hospital of Piauí/PI from June to September 2014. The project was approved by the Research Ethics Committee, CAAE 35928214.0.0000.5512. Results: the nosocomial infection rate was 6,2%, being the respiratory infection the most prevalent one 33,3%, Klebsiella spp. accounted 22,2% of the cases and presented 100% sensibility to meropenem, ertapenem and imipenem antimicrobials. The indwelling catheter was the most performed procedure (87,9%); Vancomycin, metronidazole and Tazocin were the most used antimicrobials (33,3%) and the death rate was 57,6%. Conclusion: the most prevalent topography considering both units is the respiratory tract, with Klebsiella spp. as the microorganism responsible for the greatest amount of infections, and sensible, specially, to carbapenem antimicrobials. Descriptors: Infection; Microbiology; Intensive Care Units. RESUMO Objetivo: investigar o perfil microbiológico das infecções hospitalares nas unidades de terapia intensiva. Método: estudo de campo, retrospectivo, exploratório-descritivo, com abordagem quantitativa em que foram avaliados 33 prontuários de pacientes com infecção hospitalar de um hospital público do Piauí/PI referentes aos meses de junho a setembro de 2014. O projeto foi aprovado pelo Comitê de Ética em Pesquisa, CAAE 35928214.0.0000.5512. Resultados: a taxa de infecção hospitalar foi de 6,2%, sendo a infecção respiratória à topográfica mais predominante 33,3%, a Klebsiella spp. foi responsável por 22,2% dos casos de infecção apresentado sensibilidade de 100% aos antimicrobianos meropenem, ertapenem e imipenem. A sondagem vesical de demora foi o procedimento mais realizado (87,9%); A Vancomicina, o Metronidazol e o Tazocin foram os antimicrobianos mais utilizados (33,3%) e a taxa de óbito foi de 57,6%. Conclusão: a topografia mais prevalente considerando ambas unidades é a do trato respiratório, tendo como microorganismo responsável pela maior quantidade de infecção a Klebsiella spp. que se mostra sensível principalmente aos antimicrobianos carbapenêmicos. Descritores: Infecção Hospitalar; Microbiologia; Unidades de Terapia Intensiva. RESUMEN Objetivo: investigar el perfil microbiológico de las infecciones nosocomiales en las unidades de cuidados intensivos. Método: estúdio de campo, retrospectivo, descriptivo y exploratorio, con enfoque cuantitativo que evaluó 33 expedientes de pacientes con infección nosocomial en un hospital público de Piauí/PI para los meses de junio a septiembre de 2014. El proyecto fue aprobado por el Comité Ética de la Investigación, CAAE 35928214.0.0000.5512. Resultados: la tasa de infección hospitalaria fue del 6,2% con infección respiratoria la más prevalente topográfica 33,3%, Klebsiella spp. Se representó el 22,2% de los casos de infección presentados sensibiliadade 100% a meropenem antimicrobiano, ertapenem e imipenem. El catéter permanente era el procedimiento más realizado (87,9%); Vancomicina, metronidazol y Tazocin fueron los antimicrobianos más utilizados (33,3%) y la tasa de mortalidad fue de 57,6%. Conclusión: la topografía más frecuente, considerando ambas unidades es el tracto respiratorio, con el microorganismo responsable de la mayor cantidad de la infección por Klebsiella spp. que muestra principalmente sensibles a los antibióticos de carbapenem. Descriptores: Infección; Microbiología; Unidades de Cuidados Intensivos. Nursing StudentS, AESPI College. Teresina (PI), Brazil. E-mail: annakaroenny_@hotmail.com; jackalar@yahoo.com.br; Nurse, Master Professor, AESPI College. Teresina (PI), Brazil. E-mail: marcelo.mcarvalho@yahoo.com.br; Nurse, Master’s Degree Professor, FAPI College. Teresina (PI), Brazil. E-mail: lorena_lrb@yahoo.com.br; Enfermeira, Master’s Degree Professor, FAPI College. Teresina (PI), Brazil. E-mail: lennara.coelho@hotmail.com; Nurse. PhD Professor, Nursing Graduation/Postgraduation Program at the Uninovafapi College. Teresina (PI), Brazil. E-mail: camila@uninovafapi.edu.br ORIGINAL ARTICLE Santos AKS, Araújo JÁ de, Carvalho MM et al. Microbiological profile of nosocomial... English/Portuguese J Nurs UFPE on line., Recife, 10(Suppl. 3):1432-40, Apr., 2016 1433 ISSN: 1981-8963 DOI: 10.5205/reuol.7057-60979-3-SM-1.1003sup201611 Health Care Related Infections (IRAS) are defined as any infection that affects the individual, whether at hospitals, hospital or home outpatient care, and that may be associated with some assistance therapeutic or diagnosis procedure. The Intensive Care Units (ICUs) are units for the care of clinically severe patients who require continuous monitoring and support of vital functions. It is considered a critical area, both the hemodynamic instability of hospitalized patients, as the high risk of developing IRAS. At health institutions, inpatients are exposed to a wide variety of pathogenic microorganisms, especially at intensive care units. The ICU is an environment that makes the patient more vulnerable to infection risks, both for its status as the variety of invasive procedures that are daily performed. Intensive care units are responsible for about 5% to 35% of all NIs, and also one of the main factors for high mortality rates ranging between 9% and 38%, with about 60% directly related to the presence of NI. At these units, infections are initially associated with clinical severity of patients, diagnostic and therapeutic interventions such as the use of invasive procedures (bladder catheterization, intravenous catheters, intubations, tracheostomy, mechanical ventilation), patients using immunosuppressant, with chronic diseases and traumatized, with resistant microorganisms colonization, and prolonged stay at the institution are considered relevant risk factors that can be directly associated with nosocomial infection. Along with this, it is important the sign of resistant microorganisms (MR) and related infections in health care; it is noticed a gradual emergence of multidrug-resistant bacteria at the hospital environment in recent decades, becoming a threat to public health worldwide, being related to the indiscriminate and inappropriate use of antimicrobials, whether at a hospital or by the community, the situation worsens as it contributes to increased morbidity and mortality of patients and costs related to their hospitalization and, above all, by reducing the technological arsenal or by the lack of therapeutic option for the treatment of infections caused by some microorganisms. Bacterial populations can become resistant to antimicrobial agents by mutation and selection, or by acquirement of new resistant genetic material from another bacterium. A single change can result in several different resistances to various antimicrobials or even multiple classes of non-related drugs. This study aims to investigate the microbiological profile of nosomial infections at intensive care units. Field study, retrospective, exploratory and descriptive, with quantitative approach, performed at two intensive care units/ICU of a high complexity hospital, reference at the estate of Piauí/PI, with 15 beds, divided into ICU-1, with eight beds, and ICU-2, with seven beds, with a hospitalization average of 73,5 patients per month. Mostly, their patients have neurological problems and are recovering from major surgeries; one bed of each unit is intended for patients in isolation. The sample consisted of all patients with nosocomial infection at intensive care units (1 and 2) of the hospital, with positive culture result, and/or nosocomial infection suggestive clinical data as the institution protocol from January to September 2014. The instrument used for data collecting was a semi-structured form that allowed collecting data directly from medical records of hospitalized patients at intensive care units (1 and 2) with a nosocomial infection diagnosis from June to September 2014. Data were collected with the help of semistructured form and tabulated with the help of Microsoft Excel program that allowed calculating the percentages and means, condensed into tables and a figure to be analyzed. This study research project as approved by the Research Ethics Committee CAAE no. 35928214.0.0000.5512. This study was conducted at the two intensive care units (ICU) named ICU-1 and ICU-2, from June to September 2014, with a 33 NI patients sample, 20 positive cultures, among the 533 hospitalized patients, constituting a nosocomial infection rate of 6,2% for the period; 11 types of isolated microorganisms were identified. Table 1 shows the topography of these infections and the main antimicrobials used by the evaluated patients. INTRODUCTION

Profile of hospitalized patients in a burn care unit

Objective: to identify the profile of patients admitted to a burn treatment unit. Method: field research, exploratory and descriptive, with quantitative approach with 29 patients hospitalized in the burn care unit. Data collection was conducted from consultation in the medical records. The project was approved by the Research Ethics Committee, CAAE 5877814.4.0000.5512. Results: burns by contact were more frequent (82,7%), adults, the more delay seeking care and remained hospitalized on average 40 days. The average extent of burn was greater than 20% of the body surface with second-degree injuries occurring in 100% of patients. Conclusion: the major respondents were male, predominantly children and adults, who mostly had burns by contact and remained on average 40 days, as well as second degree burns. Descriptors: Burns; Nursing; Burn Unit. RESUMO Objetivo: identificar o perfil dos pacientes internados em uma unidade de tratamento de queimados. Método: estudo de campo, exploratório e descritivo, com abordagem quantitativa, composto por 29 pacientes internados na unidade de tratamento de queimados. A coleta de dados foi realizada a partir de consulta nos prontuários. O projeto foi aprovado pelo Comitê de Ética em Pesquisa, CAAE 5877814.4.0000.5512. Resultados: as queimaduras por contato foram mais frequentes (82,7%), os adultos, os que mais demoram a procurar atendimento e permaneceram internados em média 40 dias. A média de extensão das queimaduras foi maior que 20% da superfície corporal, com lesões de segundo grau ocorrendo em 100% dos pacientes. Conclusão: a maioria dos entrevistados foi do sexo masculino, predominando crianças e adultos, que apresentavam na sua maioria queimaduras por contato e permaneciam em média mais 40 dias, como também, queimaduras de segundo grau. Descritores: Queimaduras; Enfermagem; Unidade de Queimados. RESUMEN Objetivo: identificar el perfil de los pacientes ingresados en una unidad de tratamiento de quemaduras. Método: campo de estudio, exploratorio y descriptivo, con enfoque cuantitativo con 29 pacientes hospitalizados en la unidad de cuidado de quemaduras. La recolección de datos se llevó a cabo a partir de la consulta de los registros médicos. El proyecto fue aprobado por el Comité Ético de Investigación, CAAE 5877814.4.0000.5512. Resultados: las quemaduras por contacto fueron más frecuentes (82,7%), los adultos, más retrasar la búsqueda de atención y permanecieron hospitalizados un promedio de 40 días. El grado promedio de quemadura fue mayor que 20% de la superficie del cuerpo con lesiones de segundo grado se producen en 100% de los pacientes. Conclusión: la mayoría de los encuestados eran hombres, en su mayoría niños y adultos, que tenían en su mayoría quemaduras por contacto y permanecieron un promedio de 40 días, así como quemaduras de segundo grado. Descriptores: Burns; Enfermería; Unidad de Quemados. Student, undergraduate course Nursing, Piaui Higher Education Association/Aespi. Teresina (PI), Brazil. E-mail: danielflima93@hotmail.com; E-mail: lunadiasl@hotmail.com; Nurse, Master Teacher, Piaui Higher Education Association/Aespi. Teresina (PI), Brazil. E-mail: marcelo.mcarvalho@yahoo.com.br; Nurse, Professor, Faculty Fapi.Teresina (PI), Brazil. E-mail: lorena_lrb@yahoo.com.br; Nurse, Master Teacher, Piaui Higher Education Association/Aespi. Teresina (PI), Brazil. E-mail: nataliamfsmaia@gmail.com; Nurse, PhD Professor, Graduate Studies in the Family Health Program, University Center Uninovafapi. Teresina (PI), Brazil. E-mail: camila@uninovafapi.edu.br ORIGINAL ARTICLE Lima DF, Lima LNS,Carvalho MM de et al. Profile of hospitalized patients in a burn... English/Portuguese J Nurs UFPE on line., Recife, 10(Suppl. 3):1423-31, Apr., 2016 1424 ISSN: 1981-8963 DOI: 10.5205/reuol.7057-60979-3-SM-1.1003sup201610 The human body is a complex organism consisting of many systems which play a key role in its operation. To remain in homeostasis, it is required that the systems function on a regular basis and the body is constantly protected, the skin is a fundamental barrier in protecting the body against external agents. Burns are all injuries that occur in the skin or mucous membranes, being caused directly or indirectly by contact with heat or cold, electric current, radiation, chemicals and even those caused by some types of animals or plants. When the burn reaches 10% of the burned surface area (BSA) of a child is considered a risk for the same, as for an adult this figure reaches 15%. These lesions may achieve different tissues and are evaluated in degrees, according to the depth of tissue damage; can be classified as: the depth (1) 1st degree burn: when the impairment of the tissue occurs in the epidermis and the injured place shows characteristics such as redness, heat and pain; (2) 2nd degree burn: when the deterioration becomes in the epidermis and dermis, and the lesion site has pain, erythema, edema, flictenas, erosion and ulceration, and (3) 3rd degree burn: when there is destruction of both epidermis and dermis, and still can reach the subcutaneous tissue; tendons; ligaments; muscles and bones; It has no pain due to destruction of nerve endings. The depth of the burn can be further classified into 4th degree, which presented all third-degree burn characteristics, however presenting opaque and dry form. Burn victims are exposed to various complications such as cardiovascular overload causing hypotension, renal function impairment leading to hypovolemia and shock; also they are more susceptible to infections, and the prevention and control occur through a multidisciplinary approach, involving clinical surgeon, nursing staff, physical therapists, pediatricians, dietitians and psychologists. ● Identify the profile of patients admitted in a burn treatment unit. Field research, exploratory and descriptive, with quantitative approach, performed in treating burn unit of a referral hospital for Piauí, with 289 beds, 17 of these burn care unit. It offers outpatient care services, laboratory tests, urgent care/emergency and hospitalization. The study population consisted of 29 burn patients admitted in the burn care unit of the hospital in September and October 2014. Inclusion criteria included patients that would be hospitalized for more than 24 hours. And as exclusion criteria, admitted for less than 24 hours. The study was conducted using a semistructured form to collect data directly from medical records of burn patients hospitalized in the burn treatment unit during the months of September and October 2014. Data collection was done from medical records, with the help of semi-structured form, then tabulated using Microsoft Excel program, allowing calculate the percentages and averages. To assist in the organization of statistical data, the results were analyzed from tables and discussion based on the literature. Statistical significance was set at p <0.05, with a 95% confidence interval. This study was conducted with reference to the Guidelines and Regulatory Standards for Research Involving Human Subjects and the research project was registered in Brazil Platform and approved with the CAAE 5877814.4.0000.5512. This study had the participation of 29 patients hospitalized in the burn treatment unit in September and October of 2014. OBJECTIVE INTRODUCTION

Profile of hospital infections in the intensive care units of an emergency hospital

Objective: evaluating the profile of nosocomial infections in intensive care units of a tertiary public hospital. Method: an exploratory, descriptive, prospective, cross-sectional study of a quantitative approach, from the epidemiological survey conducted in medical records of two intensive care units in Piaui/PI. The sample consisted of 27 patients who acquired infection. There was used Action statistical software. The test results were displayed in tables and figures and the discussion was based on the literature. The study had the project approved by the Research Ethics Committee, CAAE: 35877614.0.0000.5512. Results: the hospital infection rate was of 43,5%. Regarding invasive procedures, all patients received urinary catheterization and peripheral venous access; there was identified superiority in cases of respiratory infection. The bacterium with the largest number of episodes was Pseudomonas aeruginosa (34,6%). Conclusion: hospital infection rates in this service were quite high. Descriptors: Nosocomial Infection; Epidemiology; Intensive Care Unit. RESUMO Objetivo: avaliar o perfil das infecções hospitalares em unidades de terapia intensiva de um hospital público terciário. Método: estudo exploratório, descritivo, prospectivo, de corte transversal, com abordagem quantitativa, a partir do levantamento epidemiológico realizado em prontuários de duas unidades de terapia intensiva do Piauí/PI. A amostra foi constituída por 27 pacientes que adquiriram infecção. Foi utilizado o software de estatística Action. Os resultados das análises foram expostos em tabelas e figuras e a discussão foi feita com base na literatura. O estudo teve o projeto aprovado pelo Comitê de Ética em Pesquisa, CAAE: 35877614.0.0000.5512. Resultados: a taxa de infecção hospitalar foi de 43,5%. Quanto aos procedimentos invasivos, todos os pacientes receberam sondagem vesical e acesso venoso periférico, identificou-se superioridade nos casos de infecção respiratória. A bactéria com maior número de episódios foi a Pseudomonas aeruginosa (34,6%). Conclusão: as taxas de infecção hospitalar neste serviço mostraram-se bastante elevadas. Descritores: Infecção Hospitalar; Epidemiologia; Unidade de Terapia Intensiva. RESUMEN Objetivo: evaluar el perfil de las infecciones nosocomiales en las unidades de cuidados intensivos de un hospital público de tercer nivel. Método: un estudio exploratorio, descriptivo, prospectivo, transversal, con enfoque cuantitativo, a partir de la encuesta epidemiológica realizada en gráficos de dos unidades de cuidados intensivos de Piauí/PI. La muestra se formó con 27 pacientes que adquirieron la infección. Se utilizó el software estadístico Action. Los resultados del análisis se muestran en las tablas y figuras, y la discusión se basó en la literatura. El estudio tenía el proyecto aprobado por el Comité de Ética en la Investigación, CAAE: 35877614.0.0000.5512. Resultados: la tasa de infección hospitalaria fue de 43,5%. En cuanto a los procedimientos invasivos, todos los pacientes recibieron cateterización urinaria y el acceso venoso periférico, ha identificado superioridad en los casos de infección respiratoria. La bacteria con el mayor número de episodios fue la Pseudomonas aeruginosa (34,6%). Conclusión: las tasas de infección hospitalaria en este servicio eran bastante altas. Descriptores: Infección Nosocomial; Epidemiología; Unidad de Cuidados Intensivos. Nursing Student, College AESPI. Teresina (PI), Brazil. Email: alicevsantos@hotmail.com; Nursing Student of the College AESPI. Teresina (PI), Brazil. Email: renata18amaral@hotmail.com; Nurse, Master Teacher at the College AESPI. Teresina (PI), Brazil. Email: marcelo.mcarvalho@yahoo.com.br; Nurse, Master’s Student, Teaching at the College FAPI. Teresina (PI), Brazil. Email: lorena_lrb@yahoo.com.br; Nurse, Professor Post-Doc, Graduate/Postgraduate Nursing Program, Federal University of Piaui/PPGENF/UFPI. Teresina (PI), Brazil. Email: mestradosaudedafamilia@uninovafapi.com.br; Nurse, Professor, Graduate/Postgraduate Nursing Program of the College UNINOVAFAPI. Teresina (PI), Brazil. Email: camila@uninovafapi.edu.br ORIGINAL ARTICLE Santos AV, MRP da, Carvalho MM de et al. Profile of hospital infections in the intensive...

Levantamento dos fatores de risco para doenças crônicas em universitários - doi:10.5020/18061230.2007.p168

The study proposed to identify the risk factors for diabetes mellitus (DM), systemic arterial hypertension (HAS) and cardiovascular diseases (DCV) in college students of a private institution in the city of Fortaleza. Two hundred students joined in the study, being submitted to an evaluation survey, in which were obtained data on: sex, age, history of tobacco use, alcoholism, sedentariness and family antecedents of DM, HAS, hypercholesterolemia and ischemic event. Those that presented three or more risk factors for DM, HAS and DCV being then, directed for accomplishment of anthropometric evaluation, capillary glucose measure and measurement of arterial pressure. The sample consisted of 172 students (128F/44M). The results pointed out that 121 (70.3%) of the students did not practice physical activities, 124 (72.1%) of the subjects presented family antecedents for DM, 131 (76.2%) for HAS, 104 (60.5%) for hypercholesterolemia and 91 (52.9%) for previous ischemic event, 43 (25%) presented overweight and 10 (5.9%) first-degree obesity, 30 (17.5%) had arterial pressure ? 130/60 mmHg. The results indicate the need for educational programs in the studied institution aiming at health education and prevention of chronic diseases.

Use of lancets or needles in the blood glucose self-monitoring at home

Estudio descriptivo transversal. Dirigido a entender el comportamiento de las personas con diabetes mellitus en relacion con la practica de uso de lancetas y / o agujas en la automonitorizacion de la glucosa en la sangre en el pais El estudio se realizo en la Centro de Saude Escola Joel Domingos Machado, da Faculdade de Medicina de Ribeirao Preto en agosto de 2008 a julio 2009. Los datos fueron recolectados a traves de entrevistas directas. 57 sujetos participaron. Los resultados mostraron que 41 (71,9%) personas lancetas reutilizacion y / o agujas, la frecuencia de 5.1 veces (52,6%). Todos los sujetos informaron que no compartian la misma lanceta y / o agujas con otros. Es necesario aumentar los estudios futuros para investigar los riesgos y beneficios de esta practica, asi como cursos de capacitacion sobre educacion en diabetes para los profesionales de la salud, con el objetivo de atender a la complejidad de la atencion para los usuarios.Estudo descritivo transversal que teve como objetivo conhecer o comportamento de pessoas com diabetes mellitus em relacao a pratica de utilizacao das lancetas e/ou agulhas na automonitorizacao da glicemia capilar no domicilio. O estudo foi realizado em uma Unidade Basica de Saude no municipio de Ribeirao Preto-SP, de agosto de 2008 ate julho de 2009. Os dados foram obtidos atraves de entrevista dirigida, com 57 sujeitos. Os resultados mostraram que 41 (71,9%) pessoas reutilizavam as lancetas e/ou agulhas, na frequencia de 1 a 5 vezes (52,6%). Todos os sujeitos referiram que nao compartilham a mesma lanceta e/ou agulha com outras pessoas. Torna-se necessario incrementar estudos futuros para investigar os riscos e beneficios dessa pratica, como tambem cursos de capacitacao em educacao em diabetes para os profissionais de saude, visando atender a complexidade do cuidado dos usuarios.Sectional descriptive study that aimed to understand the behavior of people with diabetes mellitus in relation to the practice of use of lancets and / or needles in self-monitoring of blood glucose at home The study was conducted at the Centro de Saúde Escola Joel Domingos Machado, da Faculdade de Medicina de Ribeirão Preto-SP, from August 2008 to July 2009. Data were collected through direct interviews, involving 57 subjects. The results showed that 41 (71.9%) people reuse lancets and / or needles, in a frequency of 1-5 times (52.6%). All subjects reported they did not share the same lancet and / or needles with others. It is necessary to enhance future studies to investigate the risks and benefits of this practice, as well as training courses on diabetes education for healthcare professionals, aiming to meet the complexity of care for users.

Prática da utilização de lancetas ou agulhas na automonitorização da glicemia capilar no domicílio

Estudio descriptivo transversal. Dirigido a entender el comportamiento de las personas con diabetes mellitus en relacion con la practica de uso de lancetas y / o agujas en la automonitorizacion de la glucosa en la sangre en el pais El estudio se realizo en la Centro de Saude Escola Joel Domingos Machado, da Faculdade de Medicina de Ribeirao Preto en agosto de 2008 a julio 2009. Los datos fueron recolectados a traves de entrevistas directas. 57 sujetos participaron. Los resultados mostraron que 41 (71,9%) personas lancetas reutilizacion y / o agujas, la frecuencia de 5.1 veces (52,6%). Todos los sujetos informaron que no compartian la misma lanceta y / o agujas con otros. Es necesario aumentar los estudios futuros para investigar los riesgos y beneficios de esta practica, asi como cursos de capacitacion sobre educacion en diabetes para los profesionales de la salud, con el objetivo de atender a la complejidad de la atencion para los usuarios.Estudo descritivo transversal que teve como objetivo conhecer o comportamento de pessoas com diabetes mellitus em relacao a pratica de utilizacao das lancetas e/ou agulhas na automonitorizacao da glicemia capilar no domicilio. O estudo foi realizado em uma Unidade Basica de Saude no municipio de Ribeirao Preto-SP, de agosto de 2008 ate julho de 2009. Os dados foram obtidos atraves de entrevista dirigida, com 57 sujeitos. Os resultados mostraram que 41 (71,9%) pessoas reutilizavam as lancetas e/ou agulhas, na frequencia de 1 a 5 vezes (52,6%). Todos os sujeitos referiram que nao compartilham a mesma lanceta e/ou agulha com outras pessoas. Torna-se necessario incrementar estudos futuros para investigar os riscos e beneficios dessa pratica, como tambem cursos de capacitacao em educacao em diabetes para os profissionais de saude, visando atender a complexidade do cuidado dos usuarios.Sectional descriptive study that aimed to understand the behavior of people with diabetes mellitus in relation to the practice of use of lancets and / or needles in self-monitoring of blood glucose at home The study was conducted at the Centro de Saúde Escola Joel Domingos Machado, da Faculdade de Medicina de Ribeirão Preto-SP, from August 2008 to July 2009. Data were collected through direct interviews, involving 57 subjects. The results showed that 41 (71.9%) people reuse lancets and / or needles, in a frequency of 1-5 times (52.6%). All subjects reported they did not share the same lancet and / or needles with others. It is necessary to enhance future studies to investigate the risks and benefits of this practice, as well as training courses on diabetes education for healthcare professionals, aiming to meet the complexity of care for users.