Lorena Lauren Chaves Queiroz

Cobertura vacinal do esquema básico para o primeiro ano de vida nas capitais do Nordeste brasileiro

O estudo SERVIDIAH (Avaliacao de Servicos de Atencao Basica a Saude para Diabeticos e Hipertensos) foi realizado em 2010 no Estado de Pernambuco, Brasil. Foi constituida uma amostra aleatoria de 785 hipertensos e 823 diabeticos oriunda dos cadastros de 208 equipes da Estrategia Saude da Familia (ESF) sorteadas em 35 municipios do estado. Os usuarios foram entrevistados por meio de formulario padronizado, e tiveram afericao de peso, altura e pressao arterial e, para os diabeticos, da hemoglobina glicada (HbA1c). A idade media foi em torno de 60 anos, com sobrerrepresentacao de mulheres (70%). A pressao arterial foi controlada em 43,7% dos hipertensos e 25,8% dos diabeticos; 30,5% dos diabeticos apresentaram HbA1c abaixo de 7%. Apesar de 70% apresentarem sobrepeso ou obesidade, poucos referiram estar seguindo dieta para perder peso. O estudo, nesta amostra representativa de hipertensos e diabeticos cadastrados na ESF de Pernambuco, mostra que melhorias devem ser buscadas a fim de aprimorar a prevencao das complicacoes desses agravos, cuja incidencia esta crescente.

Impact of Cardiovascular Interventions on the Quality of Life in the Elderly

INTRODUCTION The elderly population is growing rapidly. Political and socio-economic changes led to the demographic transition in this population with the highest number of surgeries and as well as many comorbidities. OBJECTIVE To evaluate the impact of cardiovascular intervention on quality of life of elderly patients after three and six months. METHODS Analytical prospective cohort study with elderly between 60 and 80 years of age, of both sexes, with a diagnosis of coronary artery disease and underwent cardiovascular intervention during the period June 2010 to June 2011. Data were collected by individual interviews in the pre and postoperative periods (after three and six months) by telephone. We used the SF-36 to analyse quality of life in order to assess the physical and mental health of the study population. RESULTS Of the 44 individuals evaluated, 59.1% were men, 75% in the range of 65 to 74 years, 38.6% were white and 38.6% were black, 31.8% were uneducated, 43.2% were married and 68.2% had less than a minimum wage. Prevailed patients: non-diabetics (68.2%), non-obese (81.8%), hypertensive (84.1%), non-alcoholic and non-smokers (68.2% and 61.4%, respectively). A significant increase in the average of the SF-36 scores between pre and post-surgical periods (three and six months) for the domains: functional capacity, pain, general health, vitality and emotional aspect. CONCLUSION The elderly population undergoing intervention may have cardiovascular benefits and improvements of quality of life. Physical fitness improvement measures can be taken to resume that capability.