Luciana Vládia Carvalhêdo Fragoso

Cumprimento da terapia com antidiabéticos orais em usuários da atenção primária

El objetivo de este estudio fue evaluar el cumplimiento del tratamiento farmacologico por los usuarios de antidiabeticos orales. En la investigacion participaron 437 pacientes diabeticos de ambos sexos, con edades entre 18 a 92 anos, de 12 unidades basicas de salud de la ciudad de Fortaleza - Ceara, Brasil, de marzo a junio de 2009. Con el fin de evaluar la adhesion a los antidiabeticos orales se aplicaron en los hogares dos pruebas: el Test de Batalla y el test para medir la adhesion al tratamiento, ademas del recuento de pastillas. Se constato que el 74,6%, 86,3% y 71,2% se consideran no cumplidores del tratamiento, de acuerdo a las pruebas aplicadas, respectivamente. Entre los que no cumplen el tratamiento con antidiabeticos, el 95% faltaron a las consultas del programa de tratamiento para la diabetes (p = 0,000) y el 76% presentan los niveles de glucosa en la sangre mas altos que los valores recomendados (p = 0,013). Tal vez el nucleo del problema esta en su relacion profesional/cliente y en la educacion para la salud. Por lo tanto, el rescate de las bases de la promocion de la salud debe impregnar la actuacion de los profesionales que intervienen en el cuidado de los pacientes diabeticos.This transversal study aimed to evaluate compliance with pharmacological therapy among users of oral antidiabetic drugs. The research involved 437 diabetic patients of both sexes between 18-92 years of age from12 healthcare centers located in Fortaleza, Ceara, Brazil, between March and June of 2009. In order to evaluate their adhesion to oral antidiabetic medication, both Batallas Test and the Treatment Adherence and Measurement Test were applied in households. Tablets were also counted. It was established that 74.6%, 86.3% and 71.2% were considered non-compliers according to the tests applied, respectively. Among the subjects not complying with their treatment via oral antidiabetics, 95% have missed diabetes therapeutic program appointments (p=0.000) and 76% maintain blood glucose levels above recommended values (p=0.013). It is possible that the core of the problem is in the professional-client relationship and in health education. Therefore, the revival of the foundations of health promotion need to permeate the actions of professionals involved in diabetic patient care. DESCRIPTORS: Patient compliance. Diabetes Mellitus type 2. Hypoglycemic agents.This transversal study aimed to evaluate compliance with pharmacological therapy among users of oral antidiabetic drugs. The research involved 437 diabetic patients of both sexes between 18-92 years of age from12 healthcare centers located in Fortaleza, Ceara, Brazil, between March and June of 2009. In order to evaluate their adhesion to oral antidiabetic medication, both Batallas Test and the Treatment Adherence and Measurement Test were applied in households. Tablets were also counted. It was established that 74.6%, 86.3% and 71.2% were considered non-compliers according to the tests applied, respectively. Among the subjects not complying with their treatment via oral antidiabetics, 95% have missed diabetes therapeutic program appointments (p=0.000) and 76% maintain blood glucose levels above recommended values (p=0.013). It is possible that the core of the problem is in the professional-client relationship and in health education. Therefore, the revival of the foundations of health promotion need to permeate the actions of professionals involved in diabetic patient care.

Vivências cotidianas de adolescentes com diabetes mellitus tipo 1

Investigacion de caracter cualitativo, con el objetivo de comprender las experiencias cotidianas de los adolescentes con diabetes tipo 1. Los sujetos del estudio son 14 adolescentes atendidos en una clinica para la diabetes en Fortaleza, Ceara, Brasil, de junio a octubre de 2008. La recoleccion de los datos se hizo a traves de entrevistas semi-estructuradas y se organizaron de acuerdo al analisis de contenido de Morse y Field. Se observo que el descubrimiento de la diabetes fue un momento dificil para los adolescentes debido a los cambios que tuvieron que hacer como el control terapeutico. Hacer una dieta adecuada es muy dificil como consecuencia de estimulos internos y externos a que estan sometidos y a las dificultades financieras. Los adolescentes tienen el apoyo de la familia y amigos para su tratamiento diario. Ademas, les gusta el servicio realizado por los profesionales de salud de la clinica. Sin embargo, hay mucho que mejorar como enfermeras en la valorizacion de las experiencias de la vida de los adolescentes con diabetes, como la identificacion de factores que interfieren en el control metabolico.

Correlação entre índice de massa corporal e circunferência da cintura em crianças

OBJETIVO: Establecer una correlacion entre la circunferencia de la cintura y el Indice de Masa Corporal (IMC) en la determinacion del exceso de peso y distribucion de grasa en ninos de escuelas publicas en Fortaleza - CE. METODOS: Se trata de un estudio transversal, realizado en 12 escuelas de la red publica de la ciudad de Fortaleza- CE. Participaron 727 ninos de ambos sexos, con edad que vario de 6 a 11 anos. La recoleccion de datos ocurrio de marzo a junio de 2008. RESULTADOS: Los resultados de la encuesta mostraron que, de acuerdo con el IMC, 11,4% de los ninos se encontraban con sobrepeso, 6,6% eran obesos y 30,9% presentaron obesidad central. CONCLUSION: No todos los ninos obesos presentaban obesidad central, demostrando que solo una medida antropometrica no es eficaz para determinar el estandar de adiposidad en la infancia.

Correlação entre indicadores antropométricos e a qualidade do sono de universitários brasileiros

The current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted.

Correlation between anthropometric indicators and sleep quality among Brazilian university students

The current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted.

Oral antidiabetic drug therapy compliance among Brazilian public health system users

El objetivo de este estudio fue evaluar el cumplimiento del tratamiento farmacologico por los usuarios de antidiabeticos orales. En la investigacion participaron 437 pacientes diabeticos de ambos sexos, con edades entre 18 a 92 anos, de 12 unidades basicas de salud de la ciudad de Fortaleza - Ceara, Brasil, de marzo a junio de 2009. Con el fin de evaluar la adhesion a los antidiabeticos orales se aplicaron en los hogares dos pruebas: el Test de Batalla y el test para medir la adhesion al tratamiento, ademas del recuento de pastillas. Se constato que el 74,6%, 86,3% y 71,2% se consideran no cumplidores del tratamiento, de acuerdo a las pruebas aplicadas, respectivamente. Entre los que no cumplen el tratamiento con antidiabeticos, el 95% faltaron a las consultas del programa de tratamiento para la diabetes (p = 0,000) y el 76% presentan los niveles de glucosa en la sangre mas altos que los valores recomendados (p = 0,013). Tal vez el nucleo del problema esta en su relacion profesional/cliente y en la educacion para la salud. Por lo tanto, el rescate de las bases de la promocion de la salud debe impregnar la actuacion de los profesionales que intervienen en el cuidado de los pacientes diabeticos.This transversal study aimed to evaluate compliance with pharmacological therapy among users of oral antidiabetic drugs. The research involved 437 diabetic patients of both sexes between 18-92 years of age from12 healthcare centers located in Fortaleza, Ceara, Brazil, between March and June of 2009. In order to evaluate their adhesion to oral antidiabetic medication, both Batallas Test and the Treatment Adherence and Measurement Test were applied in households. Tablets were also counted. It was established that 74.6%, 86.3% and 71.2% were considered non-compliers according to the tests applied, respectively. Among the subjects not complying with their treatment via oral antidiabetics, 95% have missed diabetes therapeutic program appointments (p=0.000) and 76% maintain blood glucose levels above recommended values (p=0.013). It is possible that the core of the problem is in the professional-client relationship and in health education. Therefore, the revival of the foundations of health promotion need to permeate the actions of professionals involved in diabetic patient care. DESCRIPTORS: Patient compliance. Diabetes Mellitus type 2. Hypoglycemic agents.This transversal study aimed to evaluate compliance with pharmacological therapy among users of oral antidiabetic drugs. The research involved 437 diabetic patients of both sexes between 18-92 years of age from12 healthcare centers located in Fortaleza, Ceara, Brazil, between March and June of 2009. In order to evaluate their adhesion to oral antidiabetic medication, both Batallas Test and the Treatment Adherence and Measurement Test were applied in households. Tablets were also counted. It was established that 74.6%, 86.3% and 71.2% were considered non-compliers according to the tests applied, respectively. Among the subjects not complying with their treatment via oral antidiabetics, 95% have missed diabetes therapeutic program appointments (p=0.000) and 76% maintain blood glucose levels above recommended values (p=0.013). It is possible that the core of the problem is in the professional-client relationship and in health education. Therefore, the revival of the foundations of health promotion need to permeate the actions of professionals involved in diabetic patient care.

Correlation between body mass index and waist circumference in children

OBJETIVO: Establecer una correlacion entre la circunferencia de la cintura y el Indice de Masa Corporal (IMC) en la determinacion del exceso de peso y distribucion de grasa en ninos de escuelas publicas en Fortaleza - CE. METODOS: Se trata de un estudio transversal, realizado en 12 escuelas de la red publica de la ciudad de Fortaleza- CE. Participaron 727 ninos de ambos sexos, con edad que vario de 6 a 11 anos. La recoleccion de datos ocurrio de marzo a junio de 2008. RESULTADOS: Los resultados de la encuesta mostraron que, de acuerdo con el IMC, 11,4% de los ninos se encontraban con sobrepeso, 6,6% eran obesos y 30,9% presentaron obesidad central. CONCLUSION: No todos los ninos obesos presentaban obesidad central, demostrando que solo una medida antropometrica no es eficaz para determinar el estandar de adiposidad en la infancia.

Daily experiences of adolescents with type 1 diabetes mellitus

Investigacion de caracter cualitativo, con el objetivo de comprender las experiencias cotidianas de los adolescentes con diabetes tipo 1. Los sujetos del estudio son 14 adolescentes atendidos en una clinica para la diabetes en Fortaleza, Ceara, Brasil, de junio a octubre de 2008. La recoleccion de los datos se hizo a traves de entrevistas semi-estructuradas y se organizaron de acuerdo al analisis de contenido de Morse y Field. Se observo que el descubrimiento de la diabetes fue un momento dificil para los adolescentes debido a los cambios que tuvieron que hacer como el control terapeutico. Hacer una dieta adecuada es muy dificil como consecuencia de estimulos internos y externos a que estan sometidos y a las dificultades financieras. Los adolescentes tienen el apoyo de la familia y amigos para su tratamiento diario. Ademas, les gusta el servicio realizado por los profesionales de salud de la clinica. Sin embargo, hay mucho que mejorar como enfermeras en la valorizacion de las experiencias de la vida de los adolescentes con diabetes, como la identificacion de factores que interfieren en el control metabolico.

INFECÇÕES RELACIONADAS À ASSISTÊNCIA À SAÚDE E FATORES ASSOCIADOS NO PÓS-OPERATÓRIO DE TRANSPLANTE HEPÁTICO

Objetivo: identificar a incidencia das infeccoes relacionadas a assistencia a saude e seus fatores associados, durante o primeiro mes do pos-operatorio de pacientes adultos submetidos ao transplante hepatico em um hospital publico de Fortaleza. Metodo: estudo retrospectivo, descritivo com abordagem quantitativa, realizado com 53 receptores de figado no primeiro semestre do ano de 2015. Os dados foram coletados atraves dos prontuarios, fichas ambulatoriais e de notificacao de infeccoes. Resultados: dos pacientes avaliados, 15 (28,3%) apresentaram infeccao durante o primeiro mes, em que o mais prevalente foi a sepse clinica (n=6; 37,4%), seguida de infeccao do trato respiratorio (n=3; 18,8%), trato urinario (n=3;18,8%), sitio cirurgico (n=3; 18,8%) e por ultimo, infeccao de corrente sanguinea (n=1; 6,2%). Os que apresentaram associacao estatistica em relacao a nao ocorrencia de infeccoes foram o grupo dos pacientes casados e a indicacao de cirrose por hepatite C. A media dos dias de internacao no pos-operatorio, o uso do imunossupressor micofenolato de mofetil e a media do uso de alguns dispositivos invasivos, foram identificados como os fatores associados a ocorrencia de infeccoes, sendo estatisticamente significativos para p=<0,05. Conclusao: a identificacao da incidencia das infeccoes relacionadas a assistencia a saude e seus fatores associados em pacientes submetidos ao transplante hepatico, podera subsidiar o direcionamento das acoes de saude, com a finalidade de diminuir a morbimortalidade associada as infeccoes e otimizando a recuperacao desses pacientes.

Correlacion entre los indicadores antropometricos y la calidad del sueno en universitarios brasilenos

The current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted.