scholarly journals Prevalence of depression and anxiety disorders in hospitalized patients at the dermatology clinical ward of a university hospital

2012 ◽  
Vol 87 (3) ◽  
pp. 403-407 ◽  
Author(s):  
Maria Rita Polo Gascón ◽  
Cristiana Mara Ribeiro ◽  
Livia Maria de Araújo Bueno ◽  
Glaucia Rosana Guerra Benute ◽  
Mara Cristina Souza de Lucia ◽  
...  

BACKGROUND: The objective of this study was to estimate the prevalence of depression and anxiety disorders in hospitalized patients at the dermatology ward at a university hospital in São Paulo, Brazil. OBJECTIVE: To assess the prevalence of mood and anxiety disorders in hospitalized patients at the dermatology ward at a university hospital in São Paulo. METHOD: A total of 75 patients, men and women, aged between 18 and 76 years, took part in the research. The study employed a descriptive, cross sectional and correlational method. The data was collected by means of a social demographic questionnaire and the PRIME-MD. RESULTS: It was found that 45.3 percent of the subjects presented with depressive symptoms, and 52 percent presented with symptoms of anxiety and that this survey showed moderate and high significant correlations (p<0,01; r= 0,616) for depression and anxiety. CONCLUSION: These facts could evidence the relationship between physical and psyche, just as the literature presents.

2008 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Monize Secomandi Mestriner ◽  
Aparecida Sílvia Mellin ◽  
Aline Lopes da Silva

ABSTRACTObjective: identifying the incident of breastfeeding and causes of precocious wean among mothers from Brazil’s Unified National Health System (SUS) ambulatory. Methodology: descriptive study, from cross-sectional boarding. The primary data were carried through interviews of 25 mothers with the use of a prepared script, they were the total amount of presence on the waiting room of child care ambulatory of a University Hospital in Campinas, São Paulo, Brazil, in March 2007. It was applied a convenience sampling using the presence on consultation of child less than one year old. The collected data was analyzed on basis of the resources of the descriptive statistic. Results: the age group of the mothers varied between 17 and 42 years, predominantly low schooling, 13 of them (52,0 %) less than eight years of study, characteristic waited for the resident population in the area around to the hospital. Twelve of then were already mothers and they have previously breast-feeding experience. During the interview 14 were breast-feeding with precocious introduction of foods in eight cases (57,1%). Alleged motives for wean were little milk, in the majority form. Most of then (92,0%) received directions on breastfeeding after child birth and 14 (60,9%) during the prenatal period, which indicates that necessarily, both ways of instruction doesn’t achieved the expected effects. Conclusions: In spite of the instructions of the health professionals there were wean before the sixth month of 72,7 % and schooling and occupation were not significant factors for wean. Descriptors: breastfeeding; wean; maternal and child health.RESUMOObjetivos: identificar a ocorrência de amamentação e causas de desmame precoce entre mães usuárias do ambulatório do Sistema Único de Saúde do Brasil (SUS). Metodologia: estudo descritivo, de caráter transversal, cujos dados foram coletados por meio de entrevistas dirigidas por roteiro estruturado, aplicados a 25 mães, em sala de espera do ambulatório de puericultura de Hospital Universitário de Campinas, São Paulo, Brasil, em março de 2007. Foi usada a amostragem por conveniência, sendo critério de inclusão a presença em consulta de menores de um ano. Os dados coletados foram analisados com base na estatística descritiva. Resultados: a faixa etária das mães variou entre 17 e 42 anos, escolaridade predominantemente baixa, 13 delas (52,0%) com até oito anos de estudo, característica esperada para a população residente na área adstrita ao hospital. Doze eram multíparas e amamentaram anteriormente. Durante a entrevista, 14 amamentavam com introdução precoce de alimentos em oito casos (57,1%). Dos motivos alegados para o desmame, o de “pouco leite” foi maior. A maioria (92,0%) recebeu orientações sobre amamentação no pós-parto e 14 (60,9%) no pré-natal, o que indica que necessariamente estas não surtiram os efeitos esperados. Conclusões: A despeito da orientação dos serviços de saúde houve desmame antes do sexto mês 72,7%, sendo que escolaridade e ocupação não foram fatores significativos para o desmame. Descritores: aleitamento materno; desmame; saúde materno-infantil.RESUMENObjetivos: identificar ocurrencia de lactación y motivos del destete precoz entre mães usuárias do ambulatório do Sistema Único de Saúde do Brasil (SUS). Metodología: estudio descritivo de carater transversal. Los datos primarios han sido colectados por medio de entrevistas, dirigidas por guión, aplicadas a 25 madres, la totalidad de las presentes en sala de espera de ambulatorio de puericultura del Hospital Universitario de Campinas, São Paulo, Brasil, en marzo de 2007. Ha sido usada muestra por conveniencia, y ha sido criterio de inclusión, la presencia en consulta de menores de un año. Los datos colectados han sido analizados, basados en los recursos de la estadística descriptiva. Resultados: la edad de las madres ha variado entre 17 y 42 años, de escolaridad baja, 13 de ellas (52,0%) con ocho años de estudio, característica esperada para la población residente en el área junto al hospital. Durante la entrevista, 14 amamantaban con introducción precoz de alimentos, en ocho casos (57,1%). De los motivos alegados para el destete, el de “poca leche”, ha sido el prioritario. La mayoría (92,0%) ha recibido orientaciones sobre lactación en el sobreparto y 14 (60,9%) en el prenatal, lo que indica que necesariamente, estas no han surtido los efectos esperados. Conclusiones: Respecto a la orientación de los servicios de salud ha habido el destete antes del sexto mes 72,7%, pero la escolaridad y la ocupación no han sido factores significantes para el destete. Descriptores: lactación materna; destete; salud materna infantil.


2020 ◽  
Vol 20 (81) ◽  
Author(s):  
Gídeon Depintor Duarte ◽  
Beatriz Aparecida Ozello Gutierrez ◽  
Rosana Alves Vieira ◽  
Teresa Mota Pereira ◽  
Thais Bento Lima Da Silva

Estima-se que de 35 a 45% do orçamento total do hospital é associado à administração de materiais, sendo a gestão de estoque um processo importante na gestão estratégica voltada para a otimização de gastos em saúde. Assim, a gestão de estoque é desafiadora, pois o seu controle demanda a melhoria contínua dos seus processos. O presente estudo objetivou analisar os processos de gestão de medicamentos em hospital universitário. Essa pesquisa quantitativa de caráter transversal e exploratório desenvolvida em hospital universitário do município de São Paulo, Brasil, analisou a previsão de consumo dos medicamentos, elaborada pelo setor do almoxarifado (excluindo-se soros e químicos), comparando com o consumo declarado pelas unidades. Os dados encontrados apontaram que existe a oportunidade de melhora no fluxo logístico em algumas unidades áreas em que a previsão de consumo é significativamente maior que o consumo efetivo e, por outro lado a previsão é insuficiente para atender a demanda em uma das unidades.  Contrapondo-se a esses desajustes, identificou-se que a previsão de consumo e consumo efetivo declarado estão equiparadas em outras unidades. A utilização do sistema de gerenciamento de materiais e a gestão dos setores envolvidos permitem que o hospital tenha êxito no planejamento demonstrado nas previsões de consumo que são equivalentes ao consumo efetivo.Palavras-chave: Acesso a Medicamentos Essenciais e Tecnologias em Saúde, Administração de Serviços de Saúde, Hospitais Universitários. ABSTRACTIt is estimated that 35 to 45% of the hospital's total budget is associated with materials management, with inventory management being an important process in strategic management aimed at optimizing health spending. Thus, inventory management is challenging, as its control demands the continuous improvement of its processes. The present study aimed to analyze the medication management processes in a university hospital. This cross-sectional and exploratory quantitative research carried out at a university hospital in the city of São Paulo, Brazil, analyzed the forecast for the consumption of medicines, prepared by the warehouse sector (excluding serums and chemicals), comparing with the consumption declared by the units. The data found pointed out that there is an opportunity for improvement in the logistical flow in some units in which the consumption forecast is significantly higher than the actual consumption and, on the other hand, the forecast is insufficient to meet the demand in one of the units. In contrast to these imbalances, it was identified that the consumption forecast and declared effective consumption are similar in other units. The use of the materials management system and the management of the sectors involved allow the hospital to be successful in the planning shown in the consumption forecasts that are equivalent to the actual consumption.Keywords: Access to Essential Medicines and Health Technologies, Health Services Administration, Hospitals University.


2021 ◽  
Author(s):  
Asem A. Alageel ◽  
Rayyan A. Alyahya ◽  
Raed A Alghamdi ◽  
Ban A. Alzaid ◽  
Aryaf. S Alsubaie ◽  
...  

Abstract Background: Depression and anxiety are indicators of mental health and quality of life. Studies found a high prevalence of depression and anxiety disorders among specific populations, such as medical students, residents and fellows. However, postgraduate students unarguably suffer from many private and career life stressors. Unfortunately, research about the prevalence of depression and anxiety among postgraduate students are greatly lacking.Methods: A cross-sectional online survey; a self-questionnaire divided into five sections. Socio-demographic characteristics, the Patient Health Questionnaire for Depression (PHQ9), Generalized Anxiety Disorder 7 item (GAD7), insomnia and suicide. Results: The number of participants was 1,005, The prevalence of depression and GAD that warrant treatments are 27.4% and 23.6%, respectively. Most of the participants who screened positive for depression and GAD were not aware of having these disorders. Females were at a higher risk of depression (OR: 1.5, 95% CL: 1.10 to 2.15) and GAD (OR:1.49, 95% CL 1.07 to 2.07). Insomnia is associated significantly with depression (P<0.001) and GAD (P<0.001). Depression increases the risk for active suicide thoughts (OR= 7.453) (P<0.001). Limitations: Due to the nature of cross-sectional studies, causal relationships cannot be identified.Conclusion: We have identified a higher prevalence of depression and GAD among postgraduate students compared with the general population. However, they appear to be underrepresented in mental health literature, so further research is necessary.


2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A366-A367
Author(s):  
P. R. Menezes ◽  
M. Scazufca ◽  
O. P. Almeida ◽  
R. Araya ◽  
I. M. Cruz ◽  
...  

2019 ◽  
Vol 19 (74) ◽  
Author(s):  
Ticiane Nishimoto ◽  
Eric Magalhães de Moraes ◽  
Eduardo Ryoiti Tatebe ◽  
Guilherme Do Espírito Santo Silva ◽  
Paula Cristina Souto de Camargo

RESUMONo contexto da cardiologia, os pacientes portadores de cardiopatias em uso de terapia de anticoagulação frequentemente realizam o exame de tempo de protrombina (TP) para monitorar o grau de anticoagulação do sangue e manutenção do TP para acompanhamento da medicação anticoagulante. O objetivo do projeto foi analisar e propor intervenções de melhoria no processo deste atendimento ambulatorial para a realização do exame de TP dos pacientes em uso de terapia de anticoagulação, em um hospital público universitário de alta complexidade, especializado em cardiologia, pneumologia e cirurgias cardíaca e torácica, localizado na cidade de São Paulo. Trata-se de um estudo de caso e os dados coletados foram analisados quantitativamente em caráter exploratório, transversal e descritivo, sendo retrospectivo referente ao período de novembro de 2016 e abril de 2017. Os dados foram obtidos através de fontes internas da instituição, além de análise observacional do local e pareceres das partes envolvidas, apresentados como fase diagnóstica e proposta de intervenção. De acordo com os dados coletados, foram realizados em média 4750 exames de TP por mês, representando 25% do volume de atendimentos ambulatoriais da instituição. Aproximadamente 55% dos pacientes estavam fora da faixa terapêutica, apresentando baixa eficácia do controle de anticoagulação. Todos os pacientes após a realização do exame de TP, passam por uma consulta breve de avaliação do médico, para analisar o resultado do exame e ajustar a medicação se necessário (ponto peculiar deste exame), apresentando um cuidado fragmentado por especialidade e centrado no atendimento médico. A partir dos dados observados,  diagnóstico situacional, levantamento bibliográfico e benchmarking realizado em um hospital especializado em cardiologia de São Paulo, foi recomendada a implantação de um serviço centralizado com a criação de um “ambulatório de anticoagulação”, incluindo serviços como: sistematização eletrônica específica para registro do exame de TP e conduta terapêutica; criação da tabela de anticoagulação do paciente; utilização de testes rápidos de TP do tipo; atuação da equipe multiprofissional com destaque para ações de educação em saúde e auto cuidado; serviço para dúvidas e orientações; Avaliação para introdução de novas medicações que não exijam o controle do INR.Palavras-chave: ambulatório, cardiologia, anticoagulação, tempo de protrombina. ABSTRACTIn the context of cardiology, patients with cardiopathies using anticoagulation therapy often perform the prothrombin time (PT) test to monitor the degree of blood anticoagulation and maintenance of PT to monitor anticoagulant medication. The objective of the project was to analyze the process of this outpatient care to perform the PT examination of patients undergoing anticoagulation therapy in a high complexity public university hospital specialized in cardiology, pulmonology and cardiac and thoracic surgeries, located in the city from Sao Paulo. It is a case study and the data collected were quantitatively analyzed in an exploratory, cross-sectional and descriptive character, being retrospective for the period of November 2016 and April 2017. Data were obtained through internal sources of the institution, in addition to observational analysis of the site and opinions of the parties involved, presented as diagnostic phase and intervention proposal. According to the data collected, an average of 4750 PT examinations per month were performed, representing 25% of the institution's outpatient services. Approximately 55% of the patients were out of the therapeutic range, presenting low efficacy of anticoagulation control. All patients after the PT exam, undergo a brief evaluation of the physician, to analyze the result of the examination and adjust the medication if necessary (peculiar point of this examination), presenting a care fragmented by specialty and focused on the care doctor. Based on the observed data, situational diagnosis, bibliographic survey and benchmarking carried out in a specialized hospital in cardiology of São Paulo, it was recommended the implementation of a centralized service with the creation of an "anticoagulation clinic", including services such as: Specific electronic systematization for recording PT and therapeutic management; creation of the patient's anticoagulation table; use of rapid type TP tests; performance of the multiprofessional team with emphasis on health education and self-care actions; service for questions and directions; Evaluation for the introduction of new medications that do not control INR.Keywords: ambulatory, cardiology, anticoagulation, prothrombin time.


2021 ◽  
Author(s):  
Luiz Vinicius Leao Moreira ◽  
Gabriela Barbosa ◽  
Luciano Kleber de Souza Luna ◽  
Alberto Fernando Oliveira Justo ◽  
Ana Paula Cunha Chaves ◽  
...  

Objective: To assess the COVID-19 frequency rates in hospitalized patients (HP) and healthcare workers (HCW), viral load inference, and the impact of vaccination and variants of concern (VOC) during the first pandemic wave. Methods: We evaluated the COVID-19 diagnostics at Hospital Sao Paulo, Brazil, from March 2020 to April 2021, in 10,202 samples (6,502 HP and 3,700 HCW) tested by RT-qPCR, inferring viral load by cycle threshold (Ct) values, and frequency rates. Results: SARS-CoV-2 was detected in 31.27% of individuals (32.23% HP and 29.80% HCW). The mean age of HP positives was 57.26 +/- 18.29 years (median = 59), with a mean Ct value of 25.55 +/- 6.07. Neither age nor Ct values in both groups have significantly differed during the first and second waves or even since the predominance of VOC P.1 on March 2021. Conclusions: The COVID-19 epidemic curves of HP and HCW accompanied the variations reported in Sao Paulo city, as well as the variation of hospitalization and occupancy of ICU beds. The VOC P.1 has no impact on the viral load, since its predominance in March 2021. The vaccination of HCW may have contributed to a decrease in the positivity rates, although more studies will provide a better understanding of the impact of immunization on the COVID-19 pandemic.


2021 ◽  
Author(s):  
Asem Alageel ◽  
Rayyan Abdullah Alyahya ◽  
Raed A. Alghamdi ◽  
Ban A. Alzaid ◽  
Aryaf S Alsubaie ◽  
...  

Abstract Background: Depression and anxiety are indicators of mental health and quality of life. Studies found a high prevalence of depression and anxiety disorders among specific populations, such as medical students, residents and fellows. However, postgraduate students unarguably suffer from many private and career life stressors. Unfortunately, research about the prevalence of depression and anxiety among postgraduate students are greatly lacking.Methods: A cross-sectional online survey; a self-questionnaire divided into five sections. Socio-demographic characteristics, the Patient Health Questionnaire for Depression (PHQ9), Generalized Anxiety Disorder 7 item (GAD7), insomnia and suicide.Results: The number of participants was 1,005, The prevalence of depression and GAD that warrant treatments are 27.4% and 23.6%, respectively. Most of the participants who screened positive for depression and GAD were not aware of having these disorders. Females were at a higher risk of depression (OR: 1.5, 95% CL: 1.10 to 2.15) and GAD (OR:1.49, 95% CL 1.07 to 2.07). Insomnia is associated significantly with depression (P<0.001) and GAD (P<0.001). Depression increases the risk for active suicide thoughts (OR= 7.453) (P<0.001). Conclusion: We have identified a higher prevalence of depression and GAD among postgraduate students compared with the general population. However, they appear to be underrepresented in mental health literature, so further research is necessary. The limitations of this study were centered on the nature of cross-sectional studies, causal relationships cannot be identified.


2019 ◽  
Vol 27 ◽  
pp. e45731
Author(s):  
Silmar Maria Silva ◽  
Fabio Jose Silva ◽  
Patricia Campos Pavan Baptista ◽  
Mirian Cristina dos Santos Almeida ◽  
Maria Carmen Martinez ◽  
...  

Objetivo: verificar a associação da resiliência com a capacidade para o trabalho em trabalhadores de enfermagem. Método: estudo transversal realizado com 375 trabalhadores de enfermagem de um hospital universitário, na cidade de São Paulo, Brasil, por meio de três instrumentos autoaplicáveis: um para caracterização sociodemográfica e profissional, a Escala de Resiliência e o Índice de Capacidade para o Trabalho. Os dados foram analisados por meio de regressão linear múltipla. O projeto foi aprovado por Comitê de Ética em Pesquisa da instituição. Resultados: Entre os trabalhadores participantes, 15,2% apresentaram baixa resiliência e 30,4% mostraram capacidade para o trabalho comprometida. Quanto maior o escore do Índice de Capacidade para o Trabalho, maior a pontuação da Escala de Resiliência (b=0,722; p<0,001). Conclusão: a resiliência foi associada de forma positiva à capacidade para o trabalho.ABSTRACTObjective: to verify the association of resilience with work ability in nursing workers. Method: cross-sectional study carried out with 375 nursing workers from a university hospital in the city of São Paulo, Brazil, using three self-applicable instruments: one for sociodemographic and professional characterization, the Resilience Scale and the Work Ability Index. Data were analyzed using multiple linear regression analysis. The research project was approved by the Institution’s Research Ethics Committee. Results: Among participants workers, 15.2% showed low resilience and 30.4% have some level of impaired work ability. The higher the Work Ability Index score, the higher the Resilience Scale score (b=0.722; p<0.001). Conclusion: resilience was positively associated with the work ability.RESUMENObjetivo: verificar la asociación de resiliencia con capacidad laboral en trabajadores de enfermería. Método: estudio transversal realizado con 375 trabajadores de enfermería de un hospital universitario en la ciudad de São Paulo, Brasil, utilizando tres instrumentos auto-aplicables: uno para caracterización sociodemográfica y profesional, la Escala de Resiliencia y el Índice de Capacidad Laboral. Los datos se analizaron mediante análisis de regresión lineal múltiple. El proyecto de investigación fue aprobado por el Comité de Ética de Investigación de la Institución. Resultados: Entre los trabajadores participantes, el 15.2% mostró baja capacidad de recuperación y el 30.4% tiene algún nivel de capacidad laboral deteriorada. Cuanto más alto sea el puntaje del Índice de Habilidad de Trabajo, más alto será el puntaje de la Escala de Resiliencia ( = 0.722; p <0.001). Conclusión: la resiliencia se asoció positivamente con la capacidad de trabajo.


Author(s):  
Uyen Nguyen Thi Hong

Background: Depression and anxiety are common problems of cancer patients. They affect importantly the patients’ health, the decision to be treated, and the outcome of the treatment. Objectives: This study aimed to assess the prevalence of depression and anxiety among cancer patients being treated at Hue University Hospital in 2019 and to reveal its correlation factors. Materials and methods: A cross-sectional study was conducted on 104 cancer patients hospitalized for the treatment. Using the CES-DR and GAD-7 scales to assess depression and anxiety disorders. Chisquare Tests and multivariate logistic regression were performed. Results: The rate of depression (CES-DR) and anxiety (GAD-7) was 77.9% and 63.5%, respectively. Multivariate regression analysis showed the correlation of anxiety among cancer patients to stage III, stage IV of cancer, and the presence of difficulty in paying healthcare costs. Whilst, depression had significant associations with gender (female), late stages of cancer (III, IV), and type of cancer (lung cancer, breast cancer, stomach cancer). Conclusions: The prevalence of anxiety and depression was found relatively important in our study among cancer patients. Thus, it is necessary to propose solutions to improve the mental health of cancer patients to increase treatment efficiency.


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