Larissa Castelo Guedes Martins

Estudio longitudinal de los diagnósticos de enfermería respiratorios en niños con infección respiratoria aguda

OBJECTIVE To determine the baseline prevalence and incidence rates of Impaired Gas Exchange (IGE), Ineffective Airway Clearance (IAC) and Ineffective Breathing Pattern (IBP) in children with acute respiratory infection. METHOD A prospective open cohort study was conducted in two public hospitals specialized in child care in the months from January to June of 2011. The sample consisted of 136 children with acute respiratory infection, which lasted a minimum of six and maximum of ten consecutive days. The data were collected through examination of the child and interviews with their parents. The diagnostic inference process was developed by trained nurses. RESULTS The three diagnoses showed high rates at the beginning of follow-up period, with a reduction in the days after. There were similar rates of IBP and IGE. The temporal development of IBP was similar to that of IAC, but in lower proportions. Incidence rates in cases per 100 person / day were to IAC 39.28, 17.04 for DIG, and 13.31 for PRI. CONCLUSION The three diagnoses studied appeared early and in high proportions. New cases of IAC appear more quickly when compared to the other two diagnoses.

Physical activity level in people with high blood pressure

This study aimed to analyze the level of physical activity for people with high blood pressure cared for in a health center. This cross-sectional study was conducted with 310 individuals between 18 and 69 years of age through the International Physical Activity Questionnaire (IPAQ). The majority (80%) of participants presented low or moderate levels of physical activity. The analysis of association between sociodemographic variables and physical activity level revealed that older men from the interior of the state with higher educational levels have a greater chance of exhibiting lower levels of physical activity. The logistic regression model revealed that origin, schooling and diabetes are predictors of low physical activity level. The conclusion is that part of the sample does not match the desirable profile to practice regular physical activity.4El objetivo de este estudio fue analizar el nivel de actividad fisica de personas portadoras de hipertension arterial, acompanadas en un centro de atencion ambulatorial. Se trata de un estudio transversal desarrollado con 310 individuos de 18 a 69 anos. Se utilizo como base el International Physical Activity Questionnaire (IPAQ). La mayor parte del grupo (80%) fue encuadrada en los niveles de baja y moderada actividad fisica. En el analisis de asociacion entre las variables sociodemograficas y el nivel de actividad fisica, se verifico que personas del sexo masculino, procedentes del interior del Estado, con mas edad y con mayor nivel de escolaridad son mas propensas a desarrollar un nivel de actividad fisica bajo. En el modelo de regresion logistica, la procedencia, tiempo de escolaridad y de diabetes fueron indicadores obtenidos como factores de prediccion significativos para el nivel bajo de actividad fisica. Se concluye que parte de la muestra no posee un perfil deseable en relacion a la practica regular de actividad fisica.

Predictive factors of the nursing diagnosis sedentary lifestyle in people with high blood pressure.

OBJECTIVES To verify the reproducibility of defining the characteristics and related factors in order to identify a sedentary lifestyle in patients with high blood pressure. DESIGN AND SAMPLE A cross-sectional study. 310 patients diagnosed with high blood pressure. MEASURES Socio-demographics and variables related to defining the characteristics and related factors of a sedentary lifestyle. The coefficient Kappa was utilized to analyze the reproducibility. The sensitivity, specificity, and predictive value of the defining characteristics were also analyzed. Logistic regression was applied in the analysis of possible predictors. RESULTS The defining characteristic with the greatest sensitivity was demonstrates physical deconditioning (98.92%). The characteristics chooses a daily routine lacking physical exercise and verbalizes preference for activities low in physical activity presented higher values of specificity (99.21% and 95.97%, respectively). CONCLUSIONS The following indicators were identified as powerful predictors (85.2%) for the identification of a sedentary lifestyle: demonstrates physical deconditioning, verbalizes preference for activities low in physical activity, and lack of training for accomplishment of physical exercise.

Validation of Clinical Indicators of Imbalanced Nutrition: Less Than Body Requirements in Early Childhood

This is a clinical validation study of the nursing diagnosis of imbalanced nutrition: less than body requirements based on the diagnostic accuracy measures. Measures of sensitivity and specificity were calculated based on the latent class analysis method using a random effects model in a sample of 123 children between 0 and 6 years old. The prevalence of the diagnosis was estimated to be 27.6% using the latent class model. Indicators that exhibited the best measures of diagnostic accuracy included insufficient interest in food and satiety immediately upon ingesting food. A total of seven clinical indicators were validated clinically.

Instrument for evaluation of sedentary lifestyle in patients with high blood pressure

OBJECTIVE this article describes the diagnostic accuracy of the International Physical Activity Questionnaire to identify the nursing diagnosis of sedentary lifestyle. METHOD a diagnostic accuracy study was developed with 240 individuals with established high blood pressure. The analysis of diagnostic accuracy was based on measures of sensitivity, specificity, predictive values, likelihood ratios, efficiency, diagnostic odds ratio, Youden index, and area under the receiver-operating characteristic curve. RESULTS statistical differences between genders were observed for activities of moderate intensity and for total physical activity. Age was negatively correlated with activities of moderate intensity and total physical activity. CONCLUSION the analysis of area under the receiver-operating characteristic curve for moderate intensity activities, walking, and total physical activity showed that the International Physical Activity Questionnaire present moderate capacity to correctly classify individuals with and without sedentary lifestyle.

Nivel de actividad física en portadores de hipertensión arterial

This study aimed to analyze the level of physical activity for people with high blood pressure cared for in a health center. This cross-sectional study was conducted with 310 individuals between 18 and 69 years of age through the International Physical Activity Questionnaire (IPAQ). The majority (80%) of participants presented low or moderate levels of physical activity. The analysis of association between sociodemographic variables and physical activity level revealed that older men from the interior of the state with higher educational levels have a greater chance of exhibiting lower levels of physical activity. The logistic regression model revealed that origin, schooling and diabetes are predictors of low physical activity level. The conclusion is that part of the sample does not match the desirable profile to practice regular physical activity.4El objetivo de este estudio fue analizar el nivel de actividad fisica de personas portadoras de hipertension arterial, acompanadas en un centro de atencion ambulatorial. Se trata de un estudio transversal desarrollado con 310 individuos de 18 a 69 anos. Se utilizo como base el International Physical Activity Questionnaire (IPAQ). La mayor parte del grupo (80%) fue encuadrada en los niveles de baja y moderada actividad fisica. En el analisis de asociacion entre las variables sociodemograficas y el nivel de actividad fisica, se verifico que personas del sexo masculino, procedentes del interior del Estado, con mas edad y con mayor nivel de escolaridad son mas propensas a desarrollar un nivel de actividad fisica bajo. En el modelo de regresion logistica, la procedencia, tiempo de escolaridad y de diabetes fueron indicadores obtenidos como factores de prediccion significativos para el nivel bajo de actividad fisica. Se concluye que parte de la muestra no posee un perfil deseable en relacion a la practica regular de actividad fisica.

Nursing diagnosis sedentary lifestyle in individuals with hypertension: an analysis of accuracy

OBJECTIVE Assessing the accuracy of the defining characteristics (DC) of the nursing diagnosis Sedentary Lifestyle (SL) in people with hypertension. METHOD A cross-sectional study carried out in a referral center in the outpatient care of people with hypertension and diabetes, with a sample of 285 individuals. The form used in the study was designed from operational definitions constructed for each DC of the diagnosis. Four nurses with training to carry out diagnostic inferences did the clinical assessment for the presence of SL. RESULTS The prevalence of SL was 55.8%. Regarding measures of accuracy, the main DC for SL was chooses a daily routine lacking physical exercise, with sensitivity of 100% and specificity of 84.13%. Two DC stood out in the logistic regression, namely: reports preference for activities low in physical activity and poor performance in instrumental activities of daily living (IADL). CONCLUSION The results allowed identifying the best clinical indicators for SL in hypertensive adults.

Nível de atividade física em portadores de hipertensão arterial

This study aimed to analyze the level of physical activity for people with high blood pressure cared for in a health center. This cross-sectional study was conducted with 310 individuals between 18 and 69 years of age through the International Physical Activity Questionnaire (IPAQ). The majority (80%) of participants presented low or moderate levels of physical activity. The analysis of association between sociodemographic variables and physical activity level revealed that older men from the interior of the state with higher educational levels have a greater chance of exhibiting lower levels of physical activity. The logistic regression model revealed that origin, schooling and diabetes are predictors of low physical activity level. The conclusion is that part of the sample does not match the desirable profile to practice regular physical activity.4El objetivo de este estudio fue analizar el nivel de actividad fisica de personas portadoras de hipertension arterial, acompanadas en un centro de atencion ambulatorial. Se trata de un estudio transversal desarrollado con 310 individuos de 18 a 69 anos. Se utilizo como base el International Physical Activity Questionnaire (IPAQ). La mayor parte del grupo (80%) fue encuadrada en los niveles de baja y moderada actividad fisica. En el analisis de asociacion entre las variables sociodemograficas y el nivel de actividad fisica, se verifico que personas del sexo masculino, procedentes del interior del Estado, con mas edad y con mayor nivel de escolaridad son mas propensas a desarrollar un nivel de actividad fisica bajo. En el modelo de regresion logistica, la procedencia, tiempo de escolaridad y de diabetes fueron indicadores obtenidos como factores de prediccion significativos para el nivel bajo de actividad fisica. Se concluye que parte de la muestra no posee un perfil deseable en relacion a la practica regular de actividad fisica.

ELABORAÇÃO DE INSTRUMENTO DE COLETA DE DADOS PARA INFERÊNCIA DOS DIANÓSTICOS DE ENFERMAGEM BAIXA AUTOESTIMA CRÔNICA E BAIXA AUTOESTIMA SITUACIONAL EM PACIENTES COM HUMOR DEPRIMIDO

2Enfermeiro. Doutor. Professor Associado IV da Universidade Federal do Ceará (UFC). Enfermeira. Doutora. Professora adjunta da Universidade Estadual do Ceará (UECE). Enfermeira. Mestre. Universidade Federal do Ceará (UFC). Enfermeira. Universidade Federal do Ceará (UFC). Enfermeiro. Coordenador de Enfermagem do CAPS AD do Município de QuixeramobimCeará. Enfermeiro. Especialista. Coordenador de Enfermagem do Hospital de Saúde Mental Professor Frota Pinto (HSM). ELABORAÇÃO DE INSTRUMENTO DE COLETA DE DADOS PARA INFERÊNCIA DOS DIANÓSTICOS DE ENFERMAGEM BAIXA AUTOESTIMA CRÔNICA E BAIXA AUTOESTIMA SITUACIONAL EM PACIENTES COM HUMOR DEPRIMIDO

Estilo de vida sedentário em indivíduos com hipertensão arterial

OBJECTIVE to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension. METHOD cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. RESULTS SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL. CONCLUSION the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.