Luciana Puchalski Kalinke

Perfil sociodemográfico e clínico de dependentes químicos em tratamento: análise de prontuários

Resumen Crosscut descriptive research study carried out at a rehabilitative unit of a psychiatric hospital, objectifying to feature the clinical sociodemographic profile of chemically dependents under treatment. Data of 350 records from 2010 were collected. Patients’ mean age was 35.8 years: 39.4% were single; 67.3% studied up to incomplete high-school level; 45.1% were unemployed. Mean age of the first drug use was under 18 years: 54.9% were alcohol dependents and 43.7% were crack users; 79.6% took more than one substance, 99.4% reported daily use, 13% presented some kind of psychiatric comorbidities and 30.1%, clinical comorbidities; 69% had family members involved in substance abuse, among them, 48.3% were parents, alcohol standing out in 86% of the cases. Chemical dependency runs in varied ages, star ting early in adolescence, causing significant changes in biological, family, social, and occupational scopes.Investigacion descriptiva transversal realizada en una unidad de rehabilitacion de un hospital psiquiatrico con el objetivo de caracterizar el perfil sociodemografico y clinico de dependientes quimicos en tratamiento. Fueron recogidos datos de 350 prontuarios referentes al ano de 2010. La media de edad de los pacientes fue de 35,8 anos: 39,4% eran solteros; 67,3% estudiaron hasta la ensenanza primaria; y 45,1% eran desempleados. La media de edad del primer consumo de drogas ocurrio antes de los 18 anos: 54,9% eran dependientes de alcohol y 43,7%, de crack; 79,6% utilizaban mas de una substancia; 99,4% hacian uso diario; 13% presentaban algun tipo de comorbilidades psiquiatricas y 30,1% comorbilidades clinicas; 69% tenian familiares envueltos con drogas, y de esos, 48,3% eran padres, con destaque para el alcohol en 86% de los casos. Conclusion: la dependencia quimica alcanza diversas edades, iniciando precozmente en la adolescencia, ocasionando significativas alteraciones en el ambito biologico, familiar, social y ocupacional.

Clinical sociodemographic profile of chemically dependents under treatment: record analysis

Resumen Crosscut descriptive research study carried out at a rehabilitative unit of a psychiatric hospital, objectifying to feature the clinical sociodemographic profile of chemically dependents under treatment. Data of 350 records from 2010 were collected. Patients’ mean age was 35.8 years: 39.4% were single; 67.3% studied up to incomplete high-school level; 45.1% were unemployed. Mean age of the first drug use was under 18 years: 54.9% were alcohol dependents and 43.7% were crack users; 79.6% took more than one substance, 99.4% reported daily use, 13% presented some kind of psychiatric comorbidities and 30.1%, clinical comorbidities; 69% had family members involved in substance abuse, among them, 48.3% were parents, alcohol standing out in 86% of the cases. Chemical dependency runs in varied ages, star ting early in adolescence, causing significant changes in biological, family, social, and occupational scopes.Investigacion descriptiva transversal realizada en una unidad de rehabilitacion de un hospital psiquiatrico con el objetivo de caracterizar el perfil sociodemografico y clinico de dependientes quimicos en tratamiento. Fueron recogidos datos de 350 prontuarios referentes al ano de 2010. La media de edad de los pacientes fue de 35,8 anos: 39,4% eran solteros; 67,3% estudiaron hasta la ensenanza primaria; y 45,1% eran desempleados. La media de edad del primer consumo de drogas ocurrio antes de los 18 anos: 54,9% eran dependientes de alcohol y 43,7%, de crack; 79,6% utilizaban mas de una substancia; 99,4% hacian uso diario; 13% presentaban algun tipo de comorbilidades psiquiatricas y 30,1% comorbilidades clinicas; 69% tenian familiares envueltos con drogas, y de esos, 48,3% eran padres, con destaque para el alcohol en 86% de los casos. Conclusion: la dependencia quimica alcanza diversas edades, iniciando precozmente en la adolescencia, ocasionando significativas alteraciones en el ambito biologico, familiar, social y ocupacional.

Qualidade de vida do paciente com neoplasia hematológica submetido à quimioterapia

This study aimed to analyze the quality of life of patients with hematological neoplasia undergoing chemotherapy. A quantitative research was carried out based on the application of the WHOQOL-bref generic questionnaire. The sample was composed of 16 patients in the outpatient high risk chemotherapy sector in a teaching hospital in the city of Curitiba-PR between February and April of 2010. The results showed a prevalence of males with ages between 20 and 64 years old. Among the types of hematological neoplasias, 46.7% were acute lymphocytic leukemia, 33.3% were acute myelogenous leukemia, and 20% were divided between non-Hodgkin’s lymphoma, multiple myeloma, and hairy cell leukemia. The treatment period varied between 2 weeks and 24 months, and the number of chemotherapy sessions between 1 and 80. The analysis showed that the physical and psychological domains suffered the most changes, however, no statistically significant difference between all domains was observed. Cancer arguably changes every aspect of an individual’s life and brings profound changes in their routine and habits of life. Thus, the necessity and importance of nursing care intervention in this process is observed.This study aimed to analyze the quality of life of patients with hematological neoplasia undergoing chemotherapy. A quantitative research was carried out based on the application of the WHOQOL-bref generic questionnaire. The sample was composed of 16 patients in the outpatient high risk chemotherapy sector in a teaching hospital in the city of Curitiba-PR between February and April of 2010. The results showed a prevalence of males with ages between 20 and 64 years old. Among the types of hematological neoplasias, 46.7% were acute lymphocytic leukemia, 33.3% were acute myelogenous leukemia, and 20% were divided between non-Hodgkin’s lymphoma, multiple myeloma, and hairy cell leukemia. The treatment period varied between 2 weeks and 24 months, and the number of chemotherapy sessions between 1 and 80. The analysis showed that the physical and psychological domains suffered the most changes, however, no statistically significant difference between all domains was observed. Cancer arguably changes every aspect of an individual’s life and brings profound changes in their routine and habits of life. Thus, the necessity and importance of nursing care intervention in this process is observed.

TRANSLATION INTO BRAZILIAN PORTUGUESE AND TRANSCULTURAL ADAPTATION OF WOUND QUALITY OF LIFE INSTRUMENT

Objective: To translate and culturally adapt the Wound Quality of Life instrument into Brazilian Portuguese. Methods: Methodological study that followed the steps of translation, synthesis, back-translation, review by the expert committee and pre-test as recommended international methodology. Pretest performed in a public hospital in the State of Paraná with 40 participants, from October to December 2015. The content validity was determined by concordance rate between committee members. Results: The questionnaire proved to be reliable with satisfactory internal consistency (Cronbach’s alpha = 0.878699) and good practicability evidenced by the time in which participants filled it: seven minutes. Conclusion: The adapted version is semantic and culturally similar to the original version with reliable and satisfactory psychometric measures for the Brazilian population with chronic wounds.

Determinantes intra e interpessoais percebidos pela família como causa da recaída do dependente químico

Pesquisa qualitativa, descritiva, realizada em uma unidade de internamento de reabilitacao para dependentes de substâncias psicoativas no estado do Parana, em 2012, com o objetivo de identificar as causas de recaida de dependentes quimicos com base em determinantes intrapessoais e interpessoais percebidos pelos familiares. Foram realizadas 19 entrevistas semiestruturadas com familiares de dependentes quimicos em tratamento. Os resultados foram analisados segundo determinantes intrapessoais e interpessoais propostos por Marlatt e Witkiewitz e organizados em categorias tematicas com interpretacao qualitativa dos dados. Os determinantes intrapessoais autoeficacia,motivacao, enfrentamento, estados emocionais, fissura e o determinante interpessoal apoio social emergiram dos relatos dos familiares, com excecao do determinante intrapessoal expectativa de resultados. Concluiu-se que a identificacao desses determinantes no tratamento da dependencia quimica pode auxiliar os profissionais de saude a desenvolverem estrategias de prevencao da recaida de dependentes quimicos. (AU) Descriptive qualitative research conducted in an in-patient rehabilitation center for drug users in the state of Parana, Brazil, in 2012, which aimedto identify the causes of these patients’ relapses based on intrapersonal and interpersonal determinants perceived by family members. Nineteen(19) semi-structured interviews were carried out with the family members of drug users who were under going treatment. Results were analyzed according to Marlatt and Witkiewitz’s intrapersonal and interpersonal determinants and organized in thematic categories by means of Qualitative Data Interpretation. Self-efficacy, motivation, coping, emotional states, craving as intrapersonal determinants, and social support as an interpersonal determinant emerging from the family members’ accounts, with the exception of the intrapersonal determinant of outcome expectancy. It was there fore concluded that the identification of such determinants in the treatment of chemical dependency may help health professionals to develop strategies to prevent drug users’ relapses. (AU) Estudio cualitativo descriptivo realizado en una unidad de internacion de rehabilitacion para dependientes de sustancias psicoactivas del estado deParana, en 2012,. Su objetivo fue identificar las causas de recaida del adicto en base a los determinantes intrapersonales e interpersonales observados por la familia. Se realizaron 19 entrevistas semi-estructuradas con familiares de dependientes quimicos en tratamiento. Los resultados fueron analizados segun los determinantes intrapersonales e interpersonales propuestos por Marlatt y Witkiewitz y organizados en categorias tematicas con interpretacion cualitativa de datos. Los determinantes intrapersonales auto-eficacia, motivacion, enfrentamiento, estados emocionales, fisuray el determinante interpersonal apoyo social surgieron de los relatos de los familiares, a excepcion del determinante intrapersonal expectativa de resultados. Llegamos a la conclusion que la identificacion de los determinantes en el tratamiento de la dependencia quimica puede ayudar a los profesionales de la salud a desarrollar estrategias para la prevencion de recaida del dependiente quimico.(AU)

Perfil de internações hospitalares em unidade psiquiátrica de um hospital geral

Pesquisa descritiva, transversal que teve por objetivo descrever o perfil das internacoes em unidade psiquiatrica de um hospital geral do estado do Parana. Os dados foram coletados de janeiro a junho de 2011, por meio de um questionario estruturado com informacoes de 240 internacoes. Foram analisados os dados sociodemograficos e da internacao, expressos em frequencias e percentuais. Os resultados revelam perfil de internacoes voluntarias de individuos com problemas de utilizacao abusiva de substâncias psicoativas, advindos da atencao primaria de saude, sendo um familiar o responsavel pela internacao. Evidenciou-se em 47,5% do total o diagnostico de transtornos relacionados ao uso/abuso de alcool e drogas e em 75,5% foi observada a melhora do quadro na alta. O tempo medio de internacao foi de 26,2 dias. Para o enfermeiro, estes resultados podem contribuir para planejar o cuidado de enfermagem e acoes assistenciais que visem ao tratamento eficaz, com desfecho positivo.(AU) This is a cross-sectional, descriptive study aimed at describing the hospitalization profile in the psychiatric unit of a general hospital in the state of Parana. Data was collected from January to July, 2011 using a structured questionnaire with information on 240 hospitalizations. Demographic and hospitalization data were analyzed and expressed as frequencies and percentages. The results show a profile of voluntary admissions by individuals struggling with psychoactive substance abuse and who come from primary healthcare. A family member was usually responsible for hospitalization. We found that in 47.5% of cases the diagnosis was related substance abuse and clinical improvement at discharge was observed in 75.5% of admissions. Average length of hospitalization was 26.2 days. These results can help nurses in planning care and assistance actions that seek effective treatments with more positive outcomes.(AU) Se trata de una investigacion descriptiva transversal que tuvo como objetivo describir el perfil de las internaciones en la unidad psiquiatrica de un hospital general del Estado de Parana. Los datos fueron recogidos entre enero y julio de 2011, a traves de un cuestionario estructurado con informacion de 240 internaciones. Fueron analizados los datos sociodemograficos y de internacion, expresados como frecuencias y porcentajes. Los resultados muestran un perfil de internacion voluntaria de personas con problemas de abuso de sustancias psicoactivas, derivadas de la atencion primaria de salud y que un familiar es responsable de la hospitalizacion. Es evidente que en el 47,5% del total el diagnostico fue de trastornos relacionados con abuso de alcohol y drogas y que hubo mejoria clinica en el alta en el 75,5% de los casos. El promedio de estadia hospitalaria fue de 26,2 dias. Para las enfermeras, estos resultados pueden ayudar a planificar los cuidados de enfermeria y las medidas de asistencia con miras a un tratamiento eficaz con resultados positivos.(AU)This is a cross-sectional, descriptive study aimed at describing the hospitalization profile in the psychiatric unit of a general hospital in the state of Paraná. Data was collected from January to July, 2011 using a structured questionnaire with information on 240 hospitalizations. Demographic and hospitalization data were analyzed and expressed as frequencies and percentages. The results show a profile of voluntary admissions by individuals struggling with psychoactive substance abuse and who come from primary healthcare. A family member was usually responsible for hospitalization. We found that in 47.5% of cases the diagnosis was related substance abuse and clinical improvement at discharge was observed in 75.5% of admissions. Average length of hospitalization was 26.2 days. These results can help nurses in planning care and assistance actions that seek effective treatments with more positive outcomes.

Perfil sociodemográfico y clínico de dependientes químicos en tratamiento: análisis de prontuarios

Resumen Crosscut descriptive research study carried out at a rehabilitative unit of a psychiatric hospital, objectifying to feature the clinical sociodemographic profile of chemically dependents under treatment. Data of 350 records from 2010 were collected. Patients’ mean age was 35.8 years: 39.4% were single; 67.3% studied up to incomplete high-school level; 45.1% were unemployed. Mean age of the first drug use was under 18 years: 54.9% were alcohol dependents and 43.7% were crack users; 79.6% took more than one substance, 99.4% reported daily use, 13% presented some kind of psychiatric comorbidities and 30.1%, clinical comorbidities; 69% had family members involved in substance abuse, among them, 48.3% were parents, alcohol standing out in 86% of the cases. Chemical dependency runs in varied ages, star ting early in adolescence, causing significant changes in biological, family, social, and occupational scopes.Investigacion descriptiva transversal realizada en una unidad de rehabilitacion de un hospital psiquiatrico con el objetivo de caracterizar el perfil sociodemografico y clinico de dependientes quimicos en tratamiento. Fueron recogidos datos de 350 prontuarios referentes al ano de 2010. La media de edad de los pacientes fue de 35,8 anos: 39,4% eran solteros; 67,3% estudiaron hasta la ensenanza primaria; y 45,1% eran desempleados. La media de edad del primer consumo de drogas ocurrio antes de los 18 anos: 54,9% eran dependientes de alcohol y 43,7%, de crack; 79,6% utilizaban mas de una substancia; 99,4% hacian uso diario; 13% presentaban algun tipo de comorbilidades psiquiatricas y 30,1% comorbilidades clinicas; 69% tenian familiares envueltos con drogas, y de esos, 48,3% eran padres, con destaque para el alcohol en 86% de los casos. Conclusion: la dependencia quimica alcanza diversas edades, iniciando precozmente en la adolescencia, ocasionando significativas alteraciones en el ambito biologico, familiar, social y ocupacional.