Thaiza Teixeira Xavier Nobre

Aspectos da personalidade e sua influência na percepção da dor aguda em pacientes submetidos à cirurgia cardíaca

OBJECTIVE: To determine the role and influence of personality in acute pain perception of post cardiac surgery patients. METHOD: This is a cross-sectional, analytical, prospective with correlational nature, developed in Natal, Rio Grande do Norte, Brazil. The sample consisted of 25 patients, 64% female, less than 60 years (52%). RESULTS: Pain intensity was measured by numeric pain scale of 1 to 5 days postoperatory and personality styles was by Millon Inventory of Personality Styles. Pain perception was experienced with magnitudes ranging from mild to moderate from 1st to 5th day after surgery and related to personality characteristics. In patients with less pain intensity was observed a significant elevation of the highest score factors in the preservation, individualism, introversion and in the patients with greater intensity of pain were: protection, extraversion, shyness, discrepancy, affection, accommodation, withdrawal, communication and firmness. CONCLUSION: The occurrence of the painful phenomenon in patients post-cardiac surgery appears to be associated with behavioral manifestations and varying magnitudes as the time of surgery, type and position of drains, besides the immediate postoperative period. To characterize psychological aspects as personality characteristics may influence patterns of behavior as these observed.

High prevalence of Berardinelli-Seip Congenital Lipodystrophy in Rio Grande do Norte State, Northeast Brazil

AbstractBackgroundBerardinelli-Seip Congenital Lipodystrophy (BSCL) is a rare disease characterized by the almost complete absence of adipose tissue. Although a large number of BSCL cases was previously identified in Rio Grande do Norte (RN), a state in Northeast Brazil, its prevalence in RN regions and municipalities remains unknown. The purpose of this study was to better characterize the prevalence of BSCL in RN.MethodsA descriptive study was conducted using secondary data obtained from the Association of Parents and People with BSCL of RN to determine its prevalence. The patients’ socio-demographic characteristics and geolocalization were analyzed.ResultsWe estimated a total of 103 BSCL cases in RN, resulting in a prevalence of 3.23 per 100,000 people. The Central Potiguar mesoregion, Seridó territory, Carnaúba dos Dantas and Timbaúba dos Batistas municipalities had a much higher prevalence of BSCL, with 20.56, 20.66, 498.05 and 217.85 per 100,000 people, respectively.ConclusionsTogether, our results showed that BSCL is highly prevalent in RN and confirmed that our state has one of the highest prevalences of this lipodystrophy worldwide. More studies are still needed to better estimate the prevalence and incidence of BSCL in RN as well as in other states in Brazil. Trial registration Study Number 31809314.0.0000.5568

Functional capacity and associated factors in community-dwelling and institutionalized elderly

ABSTRACT Objective: to investigate the influence of sociodemographic and health factors on the functional capacity of community-dwelling and institutionalized elderly. Method: this is a descriptive exploratory study with a sample of 120 elderly men and women aged 60 years or older, residents of Jequie, Brazil, allocated to two groups of 60 elderly each. The first group was composed of community-dwelling elderly and the second of institutionalized elderly. The instrument consisted of four parts: 1) Sociodemographic and health characterization; 2) Pain-related aspects; 3) Numerical Pain Scale 4) Barthel’s Index. Statistical analyses were conducted using SPSS 13.0 software, while descriptive analysis was performed using the chi-square (x 2 ) and Fischer Exact tests, with a p value≤0.05 . This study was approved by the Ethics Committee of the State University of Southwest Bahia/UESB, opinion (N o .224/08). Results: with respect to functional capacity, most of the community-dwelling elderly were classified as independent (86.7%) in all activities except personal hygiene, in which 86.7% were considered dependent. Most of the institutionalized elderly (70.0%) were classified as dependent as follows: transfer for personal hygiene (53.3%), bed-chair transfer (66.7%), walking (53.3%) and climbing stairs (60.0%). A statistically significant difference was found between functional capacity and pain (p only in the institutionalized elderly. Conclusion: thus, it was concluded that functional capacity in the study sample was influenced by pain only in the group of institutionalized elderly. Descriptors: elderly; daily activities; social and health conditions. RESUMO Objetivo: investigar a influencia de fatores sociodemograficos e de saude na capacidade funcional de idosos residentes na comunidade e asilados. Metodo: trata-se de um estudo exploratorio descritivo, com uma amostra de 120 idosos com 60 anos ou mais, de ambos os sexos, residentes no municipio de Jequie/BA, divididos em dois grupos de 60 idosos cada. O primeiro grupo representado por idosos residentes na comunidade e o segundo grupo por idosos asilados. O instrumento foi constituido de quatro partes: 1) Caracterizacao sociodemografica e de saude; 2) Aspectos relacionados a dor; 3) Escala Numerica da Dor e 4) Indice de Barthel. As analises estatisticas foram realizadas pela aplicacao do software SPSS versao 13.0, sendo realizada analise descritiva, aplicacao do Teste do Qui-Quadrado (x 2 ) e o Teste Exato, com p-valor≤0,05 . Esta pesquisa foi aprovada pelo Comite de Etica da Universidade Estadual do Sudoeste da Bahia/UESB, parecer (no. 224/08). Resultados: em relacao a capacidade funcional a maioria dos idosos da comunidade foi classificada como independentes (86,7%), sendo denominados dependentes apenas na atividade de higiene pessoal (86,7%). Enquanto que os idosos da comunidade 70,0% foram denominados como dependentes, sendo dependentes nas atividades transferencia para higiene intima (53,3%), transferencia cama-cadeira (66,7%), deambulacao (53,3%) e subir escadas (60,0%). Verificou-se diferenca estatistica significativa apenas nos idosos asilados entre capacidade funcional e dor ( p ). Conclusao: desta forma, conclui-se que na amostra estudo que a capacidade funcional sofreu influencia apenas da dor no grupo dos idosos asilados. Descritores: idoso; atividades cotidianas; condicoes sociais e de saude. RESUMEN Objective: investigar la influencia de factores sociodemograficos y de salud y capacidad funcional en adultos mayores residentes de la comunidad y los solicitantes de asilo. Metodos: este es un estudio exploratorio, con una de 120 personas mayores de 60 anos o mas, de ambos sexos, que viven en Jequie, BA, divididos en dos grupos de 60 pacientes de edad avanzada cada uno. El primer grupo representado por residentes de la comunidad de edad avanzada y el segundo grupo de ancianos institucionalizados. El instrumento consta de cuatro partes: 1) Caracterizacion de sociodemograficas y de salud, 2) Problemas relacionados con el dolor, 3) Escala numerica del dolor, y 4) el indice de Barthel. El analisis estadistico se realizo con el programa SPSS version 13.0, se realizo un analisis descriptivo y la aplicacion de la Chi-cuadrado (x 2 ) y la prueba exacta, valor de p≤0,05. Este estudio fue aprobado por el Comite de Etica de la Universidad Estatal del Sudoeste de Bahia/UESB , la opinion ( No. 224/08 ). Resultados: en relacion con la capacidad funcional de la mayoria de los ancianos de la comunidad fueron clasificados como independientes (86,7%) y se denomina solo depende de la actividad de la higiene personal (86,7%). Mientras que los ancianos de la comunidad el 70,0% fueron nombrados como dependientes, y dependientes de las actividades de transferencia para la higiene personal (53,3%), la transferencia de la cama-silla (66,7%), a pie (53,3%) y la escalada escaleras (60,0%). No fue estadisticamente significativa solo en los ancianos institucionalizados entre la capacidad funcional y el dolor (p Conclusion: por lo tanto, llegamos a la conclusion de que la muestra del estudio que se sometieron a la capacidad funcional solo afecta el dolor de los adultos mayores en hogares de ancianos. Descriptores: ancianos; actividades diarias; las condiciones sociales y de salud.

Fatores associados à circunferência abdominal em idosos participantes de grupos de convivência

This study aimed to identify factors associated with waist circumference in elderly participants from community groups. It is an analytical type of research with cross-sectional design and quantitative approach. The study site was the center of coexistence of the elderlyin the municipality of Vitoria da Conquista/BA with a sample of 110 elderly. The instrument was composed of the sociodemographic variables, health and anthropometric measurements (body mass index and increased abdominal circumference). Data were analyzed using frequency distribution and application of chi-square test (χ2), by using the statistical program SPSS version 20.0. It was found statistical difference between Increased Abdominal Circumference and the study variables: arterial hypertension (p=0.04), Alcoholism (p=0.00), presence of disease (p=0.01) and female sex (p=0.00). The investigated elderly have body fat levels that reflect risks to health, being necessary to carry out preventive measures against obesity.

Nurses' knowledge about Berardinelli-Seip Congenital Lipodystrophy

Berardinelli-Seip Congenital Lipodystrophy (BSCL) is a rare autosomal recessive disease characterized by the almost complete absence of adipose tissue. Due to a strong founder effect that resulted in a higher prevalence of BSCL in Rio Grande do Norte (RN), a state in northeastern Brazil, it has been essential that health professionals develop knowledge about this disease. Nurses are often the first point of contact with patients during health care assistance. The purpose of this study was to investigate the knowledge of these professionals about BSCL in two main hospitals in RN state. A questionnaire was applied to 199 nurses working in the Hospital Regional Mariano Coelho—HRMC (Regional Hospital Mariano Coelho), in Currais Novos–RN, and in the Hospital Universitário Onofre Lopes—HUOL (University Hospital Onofre Lopes), in Natal–RN. This study showed that most nursing professionals do not know about the disease, although they have already received patients with BSCL in those hospitals. The nurses from HRMC and HUOL lacked knowledge of BSCL and the healthcare of these patients requires immediate improvement. Significant efforts are required to close the gap between current and needed practice patterns.

Evaluation of the Fertility and Mortality in Women at Fertile Age

The female population is passing through many transformations as on the familiar life as for the society. This inequality among the genders reflects on the health, mainly, on the women. The women morbidity and mortality surveillance is one of the priorities of the Health Ministry. This worksheet aims to evaluate the fertile women fertility and mortality, from 10 to 49 years old, in Trairi/RN. It is descriptive, ecological and temporary, whose analysis is based on the Mortality Information System data, in a period of 5 years (2010-2014), at the Vth Public Health Regional Center (URSAP), which embraces the Trairi region, composed by 21 cities, in Rio Grande do Norte. The data processing and analysis were used by the SPSS software. It was observed the mortality coefficient with a decline from 2011 (0.84) and back to increase in 2014 (0.94). This reveals the necessity of better health actions and monitoring from other factors that may interfere on women health.

Evaluation of Child Health by Basic Indicators of Health: Historical Series 2005-2014

The continuous assessment of child health services generates knowledge about the real needs of health services and actions in order to achieve better results and indicators. Thus, this study proposes to analyze child health indicators, based on the information systems of health services. This is a descriptive, ecological epidemiological study carried out using secondary data from the following information systems: Information System on Live Births and Mortality Information System, in a historical series of ten years (2005-2014) of the state of Rio Grande do Norte and its health micro regions. It was observed a decrease in infant, neonatal, preterm, late neonatal and postnatal mortality coefficients when compared to the first and last year of the observed period, as well as the concentration of these in micro-regions of health. There was also a positive association between the early neonatal component and infant death. In this perspective, it is important to evaluate the quality of prenatal care, childbirth, puerperium, the first week of integral health and follow-up of the child’s growth and development, as well as to relate the socio-demographic conditions that may be associated with infant morbimortality. Therefore, the importance of situational health assessment studies for the effectiveness of care provided is highlighted, identifying weaknesses and monitoring the effectiveness of strategies.