Janeisa Franck Virtuoso

Diagnostic Accuracy of Anthropometric Indicators in the Prediction of Urinary Incontinence in Physically Active Older Women

Purpose To determine the diagnostic accuracy and the cutoff point of the variables conicity index, waist to height ratio and fat percentage to detect urinary incontinence in physically active older women. Method A total of 152 women were analyzed. The instruments used were the International Physical Activity Questionnaire (IPAQ [Area 4]) to check the level of physical activity, and the Diagnostic Form to obtain sociodemographic data and presence of urinary incontinence. To calculate the conicity index, waist to height ratio and fat percentage, body mass, height and waist circumference were measured. Descriptive and inferential statistics were used. Cutoff points, sensitivity (S) and specificity (SP) were determined by receiver operating characteristic (ROC) curves. A 5% significance level was adopted. Results The prevalence of urinary incontinence was of 32.2%. The cutoff point with better sensitivity and specificity for the conicity index was 1.23 (S = 87.8; SP = 35.9); for the waist to height ratio, it was 0.57 (S = 79.6; SP = 45.6); and for the fat percentage, it was 39.71 (S = 89.8; SP = 42.7). The area under the ROC curve was 0.666 for the conicity index, 0.653 for the waist to height ratio, and 0.660 for the fat percentage. Conclusions The cutoff points for the anthropometric measurements conicity index, waist to height ratio and fat percentage indicate that these measures can be used to predict urinary incontinence in physically active older women. Furthermore, fat percentage seemed to be the best measure for this population.

EFICÁCIA DA DINÂMICA DE GRUPO EM EDUCAÇÃO EM SAÚDE EM MULHERES COM INCONTINÊNCIA URINÁRIA

Introduction: Group dynamics is reported as a viable and cost-effective way to for promotion and health education among women. Objectives: Determine the level of knowledge about urinary incontinence among women who use the Public Health Network; verify the effectiveness of a health education protocol using group dynamics toward this population. Patients and Methods: We carried out a pilot study with application of a pre- and post-tests in six incontinent women. As a research instrument, we designed a health education and urinary incontinence questionnaires. We applied the questionnaires in late and immediate pre- and post-intervention periods. The meetings were based on an open group dynamics using lectures and recreational activities on topics related to urinary incontinence. Results: In the pre-intervention period, issues related to modifiable factors for the urinary incontinence treatment, as well as those related to the types of therapies used by physical therapists to treat incontinence of urine showed the highest percentage of error (83.3% of women). The participants showed a significant improvement in the level of knowledge regarding urinary incontinence from the pre-intervention moment to the immediate post-intervention moment (p = 0.005), as well as from the pre-intervention moment to the late post-intervention moment (p = 0.009). Conclusion: The present study showed that an open group dynamics using the proposed protocol was effective to improve the level of knowledge regarding urinary incontinence in women users of the Public Health Network in late and immediate post-intervention periods.

FATORES DE RISCO PARA INFECÇÃO DO SÍTIO CIRÚRGICO EM CIRURGIAS POTENCIALMENTE CONTAMINADAS

Objective: to associate the risk factors of the postoperative period of potentially contaminated surgeries, with the occurrence of surgical site infections in the postoperative period in the hospital and home setting. Method: the data collection period was from February to June 2015, 84 patients were followed up on the first three post-operative days and seven days after hospital discharge, the collection was performed through questionnaires designed to evaluate the surgical site, the clinical conditions of the patient and chart analysis. In order to verify the influencing risk factors and classifications of surgical site infections, a questionnaire was used with variables that were analyzed in a descriptive manner through simple frequency, percentage, and position and dispersion measurements. Statistical tests were performed for the association and significance level of the risk factors. Results: none of the patients interviewed developed a deep infection of the surgical or organ / space site, seven developed superficial surgical site infections in the post-operative period in hospital and 41 developed a surgical site infection at home. The analyzed risk factors were not significant for the development of infections. Conclusions: it is recommended that institutions implement a post discharge monitoring and follow-up service in order to improve the reliability of the incidence rates of surgical site infections; improving the quality of patient care; epidemiological understanding and identification of risk factors. In addition, it proposes to facilitate the referral and counter referral process through training in the Family Health Strategy in order to identify these risk factors, and by acting in a network

Pré-operatório de cirurgias potencialmente contaminadas: fatores de risco para infecção do sítio cirúrgico

Objetivo Associar fatores de risco do periodo pre-operatorio, de cirurgias potencialmente contaminadas, realizadas em hospital escola da regiao Sul do Brasil, com a ocorrencia da infeccao do sitio cirurgico no periodo pos-operatorio hospitalar e em domicilio. Metodos Estudo transversal descritivo quantitativo realizado de fevereiro a junho de 2015 com 90 participantes mediante a coleta de dados realizada sob a forma de entrevista individual e observacao, desde o periodo pre-operatorio, pos-operatorio imediato e mediato ate sete dias apos alta hospitalar. Para analise de dados utilizou-se o Statistical Package for Social Sciences, sendo as variaveis categoricas analisadas descritivamente atraves da frequencia simples e porcentagens e as numericas pelas medidas de posicao e dispersao. Resultados A infeccao do sitio cirurgico no periodo pos-operatorio hospitalar ocorreu em (10%) e no pos-operatorio domiciliar em 46,7%. Fatores de risco: sexo, idade, doencas de base, medicacoes, etilismo e tabagismo foram significativos para o desenvolvimento destas infeccoes. Conclusao Recomenda-se a realizacao de historico de enfermagem e acompanhamento dos pacientes cirurgicos, durante o periodo pre-operatorio e recuperacao operatoria, para reduzir a infeccao do sitio cirurgico.

AUTOESTIMA E DEPRESÃO EM IDOSOS PRATICANTES DE EXERCÍCIOS FÍSICOS

To investigate the relationship between self-esteem and depression in old people practitioners of physical exercise (PE). The sample consisted of 174 old people Study Group of the Third Age (GETI). We assessed sociodemographics, presence of depression and self-esteem by Rosenberg Scale. We used descriptive and inferential statistics (p≤0,05). The prevalence of depression was 9,2%. Self-esteem averaged was 34,86 points. By comparing the average selfesteem among elderly (32,69±4,65) and depression (35,06±3,72), there was significant difference (p=0,04). It should encourage the practice of PE, self-esteem as they help the old people and, consequently, reduce depressive symptoms.