Nirla Gomes Guedes

Análise de indicadores de risco para hipertensão arterial em crianças e adolescentes

The aim of this study was to evaluate the risk indicators for high blood pressure in children and teenagers. A cross-sectional study developed with 342 individuals of 6-18 years of age in a school of Fortaleza city. The most individuals were male (51.5%). The age mean was 11.7 years (+/-3.19). It was frequent the scholars with overweight/obesity (16.8%) and blood pressure above of the 90th percentile (44.7%). Sedentarism, smoking and drinking were present in 51.5%, 38% and 15.5% of the sample. The systolic blood pressure was correlated with the variable age, weight, height, waist and hip circumferences, subscapular skinfold thickness and body mass index. There was correlation of the diastolic blood pressure with age, weight, height, and waist and hip circumferences. It was confirm the influence of risk factors on the blood pressure values of children and teenagers. The systolic blood pressure was especially influenced by anthropometric indicators.The aim of this study was to evaluate the risk indicators for high blood pressure in children and teenagers. A cross-sectional study developed with 342 individuals of 6-18 years of age in a school of Fortaleza city. The most individuals were male (51,5%). The age mean was 11,7 years ( 3,19). It was frequent the scholars with overweight / obesity (16,8%) and blood pressure above of the 90th percentile (44,7%). Sedentarism, smoking and drinking were present in 51,5%, 38% and 15,5% of the sample. The systolic blood pressure was correlated with the variable age, weight, height, waist and hip circumferences, subscapular skin-fold thickness and body mass index. There was correlation of the diastolic blood pressure with age, weight, height, and waist and hip circumferences. It was confirm the influence of risk factors on the blood pressure values of children and teenagers. The systolic blood pressure was especially influenced by anthropometric indicators.

Crises hipertensivas em portadores de hipertensão arterial em tratamento ambulatorial

This study assessed the sociodemographic characteristics and the characteristics of therapeutic adhesion of 27 bearers of arterial hypertension undergoing ambulatorial treatment who had hypertensive urgencies crises or emergencies in the city of Fortaleza in the period between October of 2002 and May of 2003. The majority were women, between 50 and 60-years old, with little formal education, treatment time shorter than 5 years and time of diagnosis varying from 5 to 10 years. The use of medicine was the treatment that was most mentioned, followed by the reduction of the consumption of salt and attendance to medical appointments. However, attending the appointments and receiving orientation did not seem to change their behavior, since most of the patients that were interviewed practiced no physical exercises and demonstrated little knowledge of the illness, for they attributed the rise of the arterial pressure to emotional factors.O presente estudo avaliou as caracteristicas sociodemograficas e de adesao terapeutica de 27 portadores de hipertensao arterial em tratamento ambulatorial que apresentaram crises de urgencias ou emergencias hipertensivas e haviam sido atendidos em uma unidade de leito-dia e em uma unidade de emergencia da cidade de Fortaleza-Ceara, no periodo de outubro de 2002 a maio de 2003. A maioria era mulher, com idade de 50 a 60 anos, pouca escolaridade, tempo de tratamento inferior a cinco anos e tempo de diagnostico entre cinco e dez anos. O uso dos remedios foi o tratamento mais referido, seguido pela reducao do consumo de sal e comparecimento as consultas. No entanto, o fato de comparecerem as consultas e receberem orientacao parece nao modificar o comportamento, uma vez que a maioria dos entrevistados nao praticava exercicios fisicos e demonstrava deficiencia no conhecimento sobre a doenca, atribuindo a elevacao da pressao arterial a fatores emocionais.This study assessed the socio-demographic characteristics and the characteristics of therapeutic adhesion of 27 bearers of arterial hypertension undergoing ambulatorial treatment who had hypertensive urgencies crises or emergencies in the city of Fortaleza in the period between October of 2002 and May of 2003. The majority were women, between 50 and 60-years old, with little formal education, treatment time shorter than 5 years and time of diagnosis varying from 5 to 10 years. The use of medicine was the treatment that was most mentioned, followed by the reduction of the consumption of salt and attendance to medical appointments. However, attending the appointments and receiving orientation did not seem to change their behavior, since most of the patients that were interviewed practiced no physical exercises and demonstrated little knowledge of the illness, for they attributed the rise of the arterial pressure to emotional factors.

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.

Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

OBJETIVO: el estudio tiene como objetivo la validacion clinica del diagnostico de enfermeria riesgo de aspiracion en pacientes con accidente cerebrovascular. METODO: un estudio de cohorte prospectivo desarrollado con 24 pacientes hospitalizados para el tratamiento del ictus agudo. El instrumento utilizado para la recoleccion de datos contiene los factores de riesgo de aspiracion respiratoria, validado en el analisis conceptual y por expertos. RESULTADOS: los factores de riesgo para aspiracion respiratoria mas presentes en los pacientes fueron: disfagia (54,2%) y disminucion de la movilidad fisica (41,7%). La prevalencia del diagnostico de enfermeria riesgo de aspiracion fue del 58,3% y la prevalencia en 48 horas (el tiempo del seguimiento) de la aspiracion respiratoria fue de 37,5%. Los factores de riesgo disfagia y la disminucion de la movilidad fisica se asociaron significativamente con la aspiracion respiratoria. CONCLUSION: los factores de riesgo disminucion de la movilidad fisica y disfagia son buenos predictores para el diagnostico de enfermeria riesgo de aspiracion. Este trabajo permitio contribuir a la mejora de la taxonomia NANDA-I y, por lo tanto, el lenguaje de la sistematizacion de la atencion de enfermeria.OBJECTIVE the studys objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). METHOD a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. RESULTS the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. CONCLUSION the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.

Nursing interventions for stroke patients: an integrative literature review

The objective of this study was to analyze the knowledge on nursing interventions for hospitalized stroke patients. An integrative literature review was performed by accessing five online databases, in September 2009. The descriptors used in the search were nursing care and stoke, in Portuguese, English and Spanish. A total 223 articles were found, and 12 were selected. It was found in the articles that there was a greater number of clinical nursing interventions, followed by educational, managerial and research interventions. Clinical interventions are more related to the biological aspects of patients. As to the educational interventions, the articles point at the fundamental role of nurses, as well as that of relatives and caregivers. The main managerial intervention was the coordination of health care. As for research interventions, only one was identified and described as the development and improvement of health care practice through clinical evidence.The objective of this study was to analyze the knowledge on nursing interventions for hospitalized stroke patients. An integrative literature review was performed by accessing five online databases, in September 2009. The descriptors used in the search were nursing care and stoke, in Portuguese, English and Spanish. A total 223 articles were found, and 12 were selected. It was found in the articles that there was a greater number of clinical nursing interventions, followed by educational, managerial and research interventions. Clinical interventions are more related to the biological aspects of patients. As to the educational interventions, the articles point at the fundamental role of nurses, as well as that of relatives and caregivers. The main managerial intervention was the coordination of health care. As for research interventions, only one was identified and described as the development and improvement of health care practice through clinical evidence.

Pressão arterial de crianças e adolescentes de uma escola pública de Fortaleza - Ceará

Objective: To analyze the evolution of systolic blood pressure (SAP), diastolic blood pressure (DAP) and anthropometric measurement values of children and teenagers who presented altered arterial pressure on a first evaluation. Methods: Follow-up study, performed from October / 2004 to December / 2005, at a public school in Fortaleza. One hundred fifty-one subjects between six and seventeen years old were accompanied and evaluated for a period of one year. Results: It was observed that the SAP and DAP of children and teenagers decreased along the evaluations. The variables age, education, weight, height, body mass index, waist perimeter, hip perimeter, arm and subscapular skin fold circumference were correlated positive and significantly with SAP and DAP values. There was a difference in median among the variables: Gender, kinship degree for arterial hypertension, passive smoker with SAP and DAP. Conclusion: It was observed that the SAP and DAP of children and adolescents decreased along the evaluations.

Nursing interventions related to health promotion in hypertensive patients

Objectives: To identify the health promotion compentencies of nursing interventions for patient with hypertension. Methods: The methodology of an integrative literature review was followed, using the eight competencies for the practice of health promotion that were defined at the Galway Consensus Conference. Sixteen articles were analyzed. Results: The domains of competence for health promotion practice that were most evident were: catalyzing change, assessment of needs, and partnerships. Only one article mentioned the use of nursing taxonomies for planning care in patients with hypertension. Conclusion: The results of this study will support nursing competencies for practicing health promotion in patients with hypertension.

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.

Atividade física de escolares: análise segundo o modelo teórico de promoção da saúde de Pender

Estudo com objetivo de descrever habitos de atividade fisica presentes no cotidiano de escolares e analisar a pratica de atividade fisica e seus determinantes, a partir do primeiro componente do modelo teorico de promocao da saude de Pender. Estudo transversal, realizado em 2004 e 2005, com 79 escolares de escola publica de Fortaleza. Coleta de dados em entrevista e exame fisico. Os dados foram analisados com base no modelo teorico citado. A maioria dos escolares tinha pratica ativa de atividades fisicas (60). Os adolescentes, proporcionalmente, foram mais ativos (80,4%). Os sedentarios tiveram prevalencia maior de sobrepeso e obesidade (21,1%). Grande parte dos escolares desenvolvia atividades fisicas ao ar livre, que nao requeriam estrutura fisica e boas condicoes economicas. Os resultados mostraram ser possivel trabalhar a relacao entre o primeiro componente do modelo teorico de promocao da saude de Pender e o cotidiano dos escolares referentes as praticas de atividades fisicas.

Analysis of risk indicators for the arterial hypertension in children and teenagers

The aim of this study was to evaluate the risk indicators for high blood pressure in children and teenagers. A cross-sectional study developed with 342 individuals of 6-18 years of age in a school of Fortaleza city. The most individuals were male (51.5%). The age mean was 11.7 years (+/-3.19). It was frequent the scholars with overweight/obesity (16.8%) and blood pressure above of the 90th percentile (44.7%). Sedentarism, smoking and drinking were present in 51.5%, 38% and 15.5% of the sample. The systolic blood pressure was correlated with the variable age, weight, height, waist and hip circumferences, subscapular skinfold thickness and body mass index. There was correlation of the diastolic blood pressure with age, weight, height, and waist and hip circumferences. It was confirm the influence of risk factors on the blood pressure values of children and teenagers. The systolic blood pressure was especially influenced by anthropometric indicators.The aim of this study was to evaluate the risk indicators for high blood pressure in children and teenagers. A cross-sectional study developed with 342 individuals of 6-18 years of age in a school of Fortaleza city. The most individuals were male (51,5%). The age mean was 11,7 years ( 3,19). It was frequent the scholars with overweight / obesity (16,8%) and blood pressure above of the 90th percentile (44,7%). Sedentarism, smoking and drinking were present in 51,5%, 38% and 15,5% of the sample. The systolic blood pressure was correlated with the variable age, weight, height, waist and hip circumferences, subscapular skin-fold thickness and body mass index. There was correlation of the diastolic blood pressure with age, weight, height, and waist and hip circumferences. It was confirm the influence of risk factors on the blood pressure values of children and teenagers. The systolic blood pressure was especially influenced by anthropometric indicators.