Vanderlei José Hass

Sleep quality in type 2 diabetics.

Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c > 7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients.Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c >7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients. DESCRIPTORS: sleep disorders; diabetes mellitus, type 2; quality of life

Validação do diagnóstico de enfermagem Angústia Espiritual: análise por especialistas

Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature - is not interested in nature - was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature is not interested in nature was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.

Impact of a participatory program to reduce noise in a Neonatal Unit

This study evaluated the impact of a participatory program to reduce noise in a neonatal intermediate care unit of a university hospital. A time-series quasi-experimental design was used, in which sound pressure levels were measured before and after the intervention was implemented using the Quest-400 dosimeter. Non-parametric statistical tests were used to compare noise with the level of significance fixed at 5%. Results showed significant reduction of sound pressure levels in the neonatal unit after the intervention program was implemented (p<0.0001). The average Leq before the intervention was 62.5dBA and was reduced to 58.8dBA after the intervention. A reduction of 7.1dBA in the average Lmax(from 104.8 to 87.7dBA) and of 30.6dBA in the average Lpeak(from 138.1 to 107.5dBA) was observed. The program was proven to be effective in significantly reducing noise levels in the neonatal unit, although levels were still more intense than recommended.O objetivo deste estudo foi avaliar o impacto de um programa participativo na reducao do ruido ambiente em uma unidade neonatal, de um hospital universitario. Utilizou-se delineamento quase-experimental do tipo tempo-serie, no qual os niveis de pressao sonora foram dimensionados antes e apos a implantacao do programa de intervencao, utilizando o dosimetro Quest-400. Para a analise comparativa do ruido, utilizaram-se os testes estatisticos nao-parametricos (α=0,05). Constatou-se reducao significativa dos niveis de pressao sonora da unidade neonatal, apos a implantacao do programa de intervencao (p<0,0001). O Leq medio foi de 62,5dBA antes da intervencao e reduziu para 58,8dBA apos a intervencao. Houve reducao de 7,1dBA no Lmax medio (de 104,8 para 87,7dBA) e de 30,6dBA no Lpeak medio (de 138,1 para 107,5dBA). Concluiu-se que o programa foi efetivo na reducao do nivel sonoro da unidade neonatal, embora ainda se mantenha mais intenso que o recomendavel.

Validation of the nursing diagnosis Spiritual Anguish: analysis by experts

Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature - is not interested in nature - was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature is not interested in nature was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.

Qualidade do sono em diabéticos do tipo 2

Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c > 7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients.Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c >7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients. DESCRIPTORS: sleep disorders; diabetes mellitus, type 2; quality of life

Impacto de um programa participativo de redução do ruído em unidade neonatal

This study evaluated the impact of a participatory program to reduce noise in a neonatal intermediate care unit of a university hospital. A time-series quasi-experimental design was used, in which sound pressure levels were measured before and after the intervention was implemented using the Quest-400 dosimeter. Non-parametric statistical tests were used to compare noise with the level of significance fixed at 5%. Results showed significant reduction of sound pressure levels in the neonatal unit after the intervention program was implemented (p<0.0001). The average Leq before the intervention was 62.5dBA and was reduced to 58.8dBA after the intervention. A reduction of 7.1dBA in the average Lmax(from 104.8 to 87.7dBA) and of 30.6dBA in the average Lpeak(from 138.1 to 107.5dBA) was observed. The program was proven to be effective in significantly reducing noise levels in the neonatal unit, although levels were still more intense than recommended.O objetivo deste estudo foi avaliar o impacto de um programa participativo na reducao do ruido ambiente em uma unidade neonatal, de um hospital universitario. Utilizou-se delineamento quase-experimental do tipo tempo-serie, no qual os niveis de pressao sonora foram dimensionados antes e apos a implantacao do programa de intervencao, utilizando o dosimetro Quest-400. Para a analise comparativa do ruido, utilizaram-se os testes estatisticos nao-parametricos (α=0,05). Constatou-se reducao significativa dos niveis de pressao sonora da unidade neonatal, apos a implantacao do programa de intervencao (p<0,0001). O Leq medio foi de 62,5dBA antes da intervencao e reduziu para 58,8dBA apos a intervencao. Houve reducao de 7,1dBA no Lmax medio (de 104,8 para 87,7dBA) e de 30,6dBA no Lpeak medio (de 138,1 para 107,5dBA). Concluiu-se que o programa foi efetivo na reducao do nivel sonoro da unidade neonatal, embora ainda se mantenha mais intenso que o recomendavel.

Impacto de un programa participativo de reducción de ruido en una unidad neonatal

This study evaluated the impact of a participatory program to reduce noise in a neonatal intermediate care unit of a university hospital. A time-series quasi-experimental design was used, in which sound pressure levels were measured before and after the intervention was implemented using the Quest-400 dosimeter. Non-parametric statistical tests were used to compare noise with the level of significance fixed at 5%. Results showed significant reduction of sound pressure levels in the neonatal unit after the intervention program was implemented (p<0.0001). The average Leq before the intervention was 62.5dBA and was reduced to 58.8dBA after the intervention. A reduction of 7.1dBA in the average Lmax(from 104.8 to 87.7dBA) and of 30.6dBA in the average Lpeak(from 138.1 to 107.5dBA) was observed. The program was proven to be effective in significantly reducing noise levels in the neonatal unit, although levels were still more intense than recommended.O objetivo deste estudo foi avaliar o impacto de um programa participativo na reducao do ruido ambiente em uma unidade neonatal, de um hospital universitario. Utilizou-se delineamento quase-experimental do tipo tempo-serie, no qual os niveis de pressao sonora foram dimensionados antes e apos a implantacao do programa de intervencao, utilizando o dosimetro Quest-400. Para a analise comparativa do ruido, utilizaram-se os testes estatisticos nao-parametricos (α=0,05). Constatou-se reducao significativa dos niveis de pressao sonora da unidade neonatal, apos a implantacao do programa de intervencao (p<0,0001). O Leq medio foi de 62,5dBA antes da intervencao e reduziu para 58,8dBA apos a intervencao. Houve reducao de 7,1dBA no Lmax medio (de 104,8 para 87,7dBA) e de 30,6dBA no Lpeak medio (de 138,1 para 107,5dBA). Concluiu-se que o programa foi efetivo na reducao do nivel sonoro da unidade neonatal, embora ainda se mantenha mais intenso que o recomendavel.

Validación del diagnóstico de enfermería Angustia Espiritual: análisis por especialistas

Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature - is not interested in nature - was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature is not interested in nature was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.

Calidad del sueño en diabéticos tipo 2

Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c > 7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients.Sleeping disorders in type 2 diabetic patients constitute risk factors for aggravating diabetes since they can affect the metabolic control through insulin resistance syndrome. This was an observational, cross-sectional study. The majority (52%) of subjects had scores indicating poor sleep quality. The Pittsburgh Sleep Quality Index (PSQI) scores showed patients with a time after diagnosis over 10 years and hypertension had the poorest sleep quality. For those with hemoglobin A1c >7% taking sleeping medicines and those who had normal body mass index (BMI), the sleep quality was even poorer. The findings of the present study reinforce the relevance of this topic since there are no specific tools for sleep evaluation of type 2 diabetics making it difficult to make any assertions on the sleep quality of these patients. DESCRIPTORS: sleep disorders; diabetes mellitus, type 2; quality of life