Rogério José de Almeida

Quality of life of medical residents from a teaching hospital

Objetivos: Avaliar a qualidade de vida de medicos residentes de um hospital escola situado na cidade de Goiânia, Goias. Metodos: Trata-se de um estudo transversal descritivo com abordagem quantitativa. A pesquisa foi realizada por meio de um censo entrevistando todos os medicos residentes do hospital. Foram aplicados dois questionarios, sendo um com dados sociodemograficos e ocupacionais e o outro o instrumento World Health Organization Quality of Life - Bref (WHOQOL-Bref), que avalia a qualidade de vida. A analise estatistica utilizada foi a parametrica, com o uso da escala intervalar, analise de variância Scheffe e teste do qui-quadrado, considerando o nivel de p<0,05. Resultados: Foram entrevistados 84 medicos residentes, com media de idade de 29,8±3,6 anos, sendo 54 (64,3%) do sexo feminino e 53 (63,1%) solteiros. Trinta e oito entrevistados estavam cumprindo o primeiro ano de residencia medica, 39 o segundo ano e sete o terceiro ano. A media da carga horaria semanal era de 63,19±11,30 horas, e 56 (66,7%) referiram possuir outro emprego alem da residencia. A qualidade de vida total apresentou o escore 3,44±0,54, o dominio fisico 3,51±0,61, o psicologico 3,43±0,63, o de relacoes sociais 3,42±0,80 e o de meio ambiente 3,39±0,54. A percepcao da qualidade de vida apresentou um escore de 2,99±1,00 e a satisfacao pessoal com a saude de 3,04±1,17. Os homens apresentaram escore mais alto para a qualidade de vida total (media 3,64) do que as mulheres (media 3,32) (p=0,005). A diferenca significativa entre os sexos apareceu tambem no dominio fisico (p=0,005) e psicologico (p=0,004), nos quais as mulheres apresentaram escores mais baixos (medias respectivamente de 3,8 e 3,7) do que os homens (medias respectivamente de 4,3 e 4,2). Conclusoes: A analise geral da qualidade de vida apresentou uma media boa, sendo todos os dominios enquadrados nesta classificacao. A autoavaliacao evidenciou uma percepcao regular da propria qualidade de vida. O sexo feminino foi preditor de pior qualidade de vida geral e nos dominios fisico e psicologico.

HEMODIÁLISE E SEUS IMPACTOS PSICOSSOCIAIS EM MULHERES EM IDADE FÉRTIL

Objetivou compreender os impactos psicossociais da hemodialise na vivencia de mulheres em idade fertil. E um estudo transversal descritivo com abordagem qualitativa e exploratoria. Foram feitas entrevistas semiestruturadas com oito mulheres em idade fertil em tratamento de hemodialise por um periodo minimo de 24 meses em um hospital escola. As entrevistas foram analisadas na perspectiva da Teoria Fundamentada nos Dados. As categorias que emergiram da codificacao dos discursos foram: enfrentamento e suporte social; mudancas na vida cotidiana; autoimagem e sexualidade; perspectivas futuras. Evidenciou-se que as principais estrategias de enfrentamento se referem ao suporte familiar e religioso. Dentre as mudancas cotidianas, destacaram-se a indisposicao para as tarefas diarias, o comprometimento profissional e o prejuizo da participacao na vida dos filhos. A forma como vivenciam sua sexualidade e autoimagem impacta diretamente em seu meio familiar e conjugal. As perspectivas de futuro das mulheres se vinculam principalmente a esperanca de um transplante renal. Descritores: Dialise Renal; Impacto Psicossocial; Insuficiencia Renal Cronica; Saude da Mulher.

CONHECIMENTO DOS ACADÊMICOS DE MEDICINA ACERCA DO HPV E DO CÂNCER DE COLO UTERINO

Human papillomavirus (HPV) is known to induce tissue lesions with oncogenic potential in epithelial tissues. Given the high global prevalence of HPV infection and associated neoplasia, we evaluated the knowledge of medical students about the characteristics of HPV and the effect of this virus infection in the general population’s health. The importance of assessing the knowledge of medical students about the HPV is based on the necessity of training medical doctors with experince on the subject in order to promote the prevention and control new HPV cancer related cases in the population. This is a descriptive study performed with medical students at the Pontifical Catholic University of Goias (Goiânia, Goias, Brazil), through the application of validated questionnaire that assessed the level of knowledge about HPV infection, HPV vaccine and cervical cancer, the primary tumor associated with the virus. The overall percentage of correct answers obtained from the students was 80%. By evaluating the average of responses along the development of each semester in the course. It was concluded that there was significant progression in the HPV knowledge.

Percepção de homens após infarto agudo do miocárdio

Objective: To understand men’s perception about their feelings, repercussions of lifestyle change and family participation after acute myocardial infarction (AMI). Methods: Qualitative descriptive study conducted between March and June 2016 in Goiânia, Goias, Brazil, using semi-structured interviews with adult men who had an episode of infarction. The analysis of the interviews was based on Grounded Theory, from which the following explanatory categories emerged: Feelings experienced by the patients after diagnosis of AMI; Repercussion of lifestyle change with focus on feeding and physical activity; Family involvement and support. Results: In the midst of the whirlwind of feelings that accompanied the diagnosis of AMI, the fear of finitude and of abandoning the family stood out. Lifestyle change, as an essential element of non-drug treatment, was initiated. However, with regard to feeding, they were partially insufficient due to the lack of adequate nutritional guidelines. As for physical activity, there was adequate awareness, but the difficulty of maintaining the new habit prevailed. Families have proved to be the main source of social support, being decisive in this process. The adherence was partial and the lack of continuity was the main obstacle. Conclusion: The success of continuous therapeutic planning depends on users’ adherence, who experience difficulties in this aspect, even in the face of adequate social support. There is a clear need for raising awareness of secondary prevention and its benefits, of food education and of maintaining habit changes.

University of the Third Age: the impact of continuing education on the quality of life of the elderly

1 Pontifícia Universidade Católica de Goiás, Escola de Ciências Médicas, Farmacêuticas e Biomédicas, Curso de Medicina. Goiânia, Goiás, Brasil. 2 Pontifícia Universidade Católica de Goiás, Escola de Ciências Sociais e da Saúde, Curso de Psicologia. Goiânia, Goiás, Brasil. 3 Pontifícia Universidade Católica de Goiás, Escola de Ciências Médicas, Farmacêuticas e Biomédicas, Curso de Medicina, Programa de Pós-Graduação em Ciências Ambientais e Saúde. Goiânia, Goiás, Brasil.Objetivo: Verificar, em idosos da Universidade Aberta para Terceira Idade (UnATI) da PUC Goias, Goiânia, Brazil, se a qualidade de vida e maior ou menor entre os veteranos participantes da UnATI e calouros, e avaliar se existe diferenca estatistica significativa entre homens e mulheres, calouros e veteranos na obtencao da qualidade de vida. Metodo: Estudo observacional de caso-controle com abordagem quantitativa realizado com 100 idosos da UnATI. Foram pesquisados 50 calouros e 50 veteranos e aplicados dois questionarios, sendo um com dados sociodemograficos e o outro o World Health Organization Quality of Life - Old (WHOQOL-OLD) que avalia a qualidade de vida em idosos. Foram feitas analises descritivas (porcentagem, media e desvio-padrao), de variância (ANOVA) e multivariada de variância (MANOVA), aplicando-se p≤0,05 para os dados estatisticamente significantes. Resultados: A maioria dos idosos era do sexo feminino (90%), com idade entre 60 e 86 (media de 68,37±5,28) anos. A qualidade de vida total apresentou score de 3,68±0,50 (calouros) e 3,87±0,55 (veteranos). Houve diferenca estatistica significativa nos dominios: funcionamento do sensorio (veteranos =4,28±0,65 e calouros =3,95±0,80) (p=0,025); atividade passada, presente e futura (veteranos =4,0±0,72 e calouros =3,59±0,79) (p=0,008). A analise multivariada da variância identificou que a qualidade de vida total, tanto nos participantes do sexo masculino (calouros =3,15 e veteranos =4,21) quanto nos do sexo feminino (calouras =3,78 e veteranas =3,86), alcancou scores mais altos depois que se tornaram alunos veteranos (p=0,007). Conclusao: Os alunos veteranos apresentaram uma maior qualidade de vida do que os novos alunos ingressantes. A educacao continuada proporcionada pela UnATI tem um impacto positivo na qualidade de vida dos idosos.

Perspectives of professors of medicine about medical ethics

This article aims to characterize the perspectives of professors from a medicine course about medical ethics. It is a descriptive cross-sectional study with a quantitative approach. Two questionnaires were applied to the 86 professors of the medicine course at PUC-Goias: a socio-demographic questionnaire and another which assessed knowledge and interest in medical ethics. A descriptive analysis was performed using the Kolmogorov-Smirnov, Spearman, Mann-Whitney, chi-square and t tests (<0.05). The results found that the medical professors are aware of the Code of Medical Ethics and recommend its application during all modules of the course. A minority updated their knowledge of the subject frequently, have read the code completely and used it to prepare their lessons. We concluded that the higher the self-assessment of knowledge about medical ethics and the importance of this for the professor’s own training, the greater the interest in using the Code in relation to his or her students, specifically in the preparation and implementation of lessons.

Perspectivas de los docentes de medicina acerca de la ética médica

This article aims to characterize the perspectives of professors from a medicine course about medical ethics. It is a descriptive cross-sectional study with a quantitative approach. Two questionnaires were applied to the 86 professors of the medicine course at PUC-Goias: a socio-demographic questionnaire and another which assessed knowledge and interest in medical ethics. A descriptive analysis was performed using the Kolmogorov-Smirnov, Spearman, Mann-Whitney, chi-square and t tests (<0.05). The results found that the medical professors are aware of the Code of Medical Ethics and recommend its application during all modules of the course. A minority updated their knowledge of the subject frequently, have read the code completely and used it to prepare their lessons. We concluded that the higher the self-assessment of knowledge about medical ethics and the importance of this for the professor’s own training, the greater the interest in using the Code in relation to his or her students, specifically in the preparation and implementation of lessons.

Perspectivas de docentes de medicina a respeito da ética médica

This article aims to characterize the perspectives of professors from a medicine course about medical ethics. It is a descriptive cross-sectional study with a quantitative approach. Two questionnaires were applied to the 86 professors of the medicine course at PUC-Goias: a socio-demographic questionnaire and another which assessed knowledge and interest in medical ethics. A descriptive analysis was performed using the Kolmogorov-Smirnov, Spearman, Mann-Whitney, chi-square and t tests (<0.05). The results found that the medical professors are aware of the Code of Medical Ethics and recommend its application during all modules of the course. A minority updated their knowledge of the subject frequently, have read the code completely and used it to prepare their lessons. We concluded that the higher the self-assessment of knowledge about medical ethics and the importance of this for the professor’s own training, the greater the interest in using the Code in relation to his or her students, specifically in the preparation and implementation of lessons.