scholarly journals Avaliação da medida da pressão arterial de indivíduos acompanhados por um serviço de atenção psicossocial / Evaluation of blood pressure measure from individuals accompanied by a psychosocial care service

2018 ◽  
Vol 63 (3) ◽  
pp. 179
Author(s):  
Jaciane Araujo Cavalcante ◽  
Gessi Carvalho de Araujo
Keyword(s):  
Blood Pressure ◽  
Care Service ◽  
Psychosocial Care ◽  
Blood Pressure Measure ◽  
Pressure Measure

O presente trabalho possui como objetivo avaliar o monitoramento da pressão arterial e índice de massa corporal de pessoas com transtornos mentais, acompanhados por um serviço de atenção psicossocial tipo II de Palmas no período de 2010 a junho de 2016. Metodologia: Para a realização do estudo foram utilizados prontuários de pacientes que foram admitidos no ano de 2000 a junho de 2016. A amostra constituiu-se de 246 indivíduos com idade compreendida entre 18 e 60 anos. Assim, foram analisados os dados quanto aos seguintes aspectos: idade, sexo, tempo de admissão, presença do monitoramento da pressão arterial, peso, altura e índice de massa corporal. Resultados: No primeiro atendimento, na unidade, a verificação da pressão arterial ocorreu em 92,2% da amostra, e a presença do índice de massa corporal em 28% da amostra, mas verificou-se a falta de acompanhamento destes achados nos atendimentos subsequentes. Conclusões: Este estudo demonstrou a necessidade da monitorização da pressão arterial em indivíduos acompanhados por serviços de atenção psicossocial, bem como a contínua avaliação do estado nutricional e do risco de mortalidade dos mesmos. Desta forma, considerando que a terapêutica medicamentosa adotada para tratamento de transtornos mentais pode ocasionar ganho de peso e aumento da pressão arterial, dessa forma a monitorização destes indivíduos reduz o risco cardiovascular e melhora a qualidade de vida.Descritores: Hipertensão, Transtornos mentais, Serviços de saúde mental

scholarly journals Sensing and Storing the Blood Pressure Measure by Patients through A Platform and Mobile Devices †

Sensors ◽  
2018 ◽  
Vol 18 (6) ◽  
pp. 1805 ◽  
Author(s):  
Vladimir Villarreal ◽  
Mel Nielsen ◽  
Manuel Samudio
Keyword(s):  
Blood Pressure ◽  
Mobile Devices ◽  
Blood Pressure Measure ◽  
Pressure Measure

scholarly journals Roll-over test in primigravidae attending a public primary care service

1997 ◽  
Vol 115 (5) ◽  
pp. 1533-1536
Author(s):  
Luiz Francisco Marcopito
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Roc Curve ◽  
Operating Characteristic ◽  
Care Setting ◽  
Care Service ◽  
Primary Care Service ◽  
Pregnancy Induced Hypertension ◽  
Predictive Values ◽  
Induced Hypertension

OBJECTIVE:To determine the roll-over test (ROT) performance in predicting pregnancy-induced hypertension (PIH) in primigravidae aged 15-29 years in a public primary care service. METHOD: Prospective cohort study enrolling 369 consecutive and initially normotensive primigravidae. The ROT was applied within 28-32 weeks of pregnancy. PIH was defined as diastolic blood pressure (DBP) 90 mm Hg or systolic blood pressure (SBP) 140 mm Hg, or a rise in DBP 15 mm Hg or a rise in SBP 30 mm Hg. The ROT prognostic properties were calculated, and a receiver operating characteristic (ROC) curve was constructed. RESULTS: For the 20 mm Hg cutoff point, sensitivity was 20% and specificity was 93%. Positive and negative predictive values were, respectively, 23% and 92%, for a PIH cumulative incidence of 9.5%. With other cutoff points, the ROC curve showed a poor discriminatory value of the test. CONCLUSION: The ROT was not useful for predicting PIH in a primary prenatal care setting.

Features and Factors Associated with Drinking Problems or Illegal Drugs Use: A Cross Sectional Cohort Study with Patients of a Psychosocial Care Service

2016 ◽  
Vol 3 (3) ◽  
pp. 192-200
Author(s):  
Giuliano Di Pietro ◽  
Ravena Melo Ribeiro da Silva ◽  
Jessyca Costa Santos ◽  
Tenisson Santos Santana ◽  
Breno A. de Menezes Rezende ◽  
...  
Keyword(s):  
Cohort Study ◽  
Care Service ◽  
Psychosocial Care ◽  
Illegal Drugs ◽  
Cross Sectional ◽  
Drinking Problems ◽  
Factors Associated

PP27 Pre-hospital lactate monitoring: a worthy adjunct to systolic blood pressure and shock index in triggering blood product administration in patients with suspected traumatic haemorrhage?

2019 ◽  
Vol 36 (1) ◽  
pp. e11.1-e11
Author(s):  
JE Griggs ◽  
RM Lyon ◽  
M Sherriff ◽  
J Leung ◽  
G Wareham
Keyword(s):  
Blood Pressure ◽  
Logistic Regression ◽  
Systolic Blood Pressure ◽  
Point Of Care ◽  
Care Service ◽  
Standard Operating Procedure ◽  
Continuous Variable ◽  
Physiological Parameters ◽  
Shock Index ◽  
Transfusion Therapy

IntroductionPre-hospital identification of patients with suspected occult traumatic haemorrhage is problematic. Physiological parameters and clinical gestalt are inadequate surrogates for ongoing haemorrhage. Lactate monitoring may hold stronger predictive clinical utility to identify patients with suspected traumatic haemorrhage above other physiological parameters.MethodsA single centre, service evaluation of pre-hospital lactate monitoring. A point of care test was introduced into a Helicopter Emergency Medical Service in the United Kingdom. Clinicians adhered to strict education and governance, supported by standard operating procedure. Systolic blood pressure (SBP) and shock index (SI) was measured in patients that received pre-hospital transfusion therapy. A predetermined ‘cut off’ value of lactate >2.5 mmol was acknowledged. In-hospital follow up established further transfusion therapy.ResultsWilcoxon rank sum compared pre-lactate (n=22) and post-lactate (n=6) groups. Monte Carlo permutations were used to obtain exact probabilities. No statistically significant differences were found between groups for: SBP, p=0.955; and, SI, p=0.401. Univariate logistic regression identified the odds ratio (OR) and confidence interval (CI) for each continuous variable as: SBP, 0.97 (CI 0.94 to 1.01); SI, 26.91 (CI 1.11 to 652.48) and lactate >2.5 mmol, 2.33 (CI 0.23 to 23.91). Multivariate logistic regression identified OR as: SBP, 0.99 (CI 0.95 to 1.04); SI, 22.98 (CI 0.56 to 946.44); and lactate >2.5 mmol, 3.05 (CI 0.14 to 65.86).ConclusionLactate monitoring has been successfully introduced into an enhanced care service. The Results confirm SBP is not predictive of further transfusion. The OR for SI shows greater predictive power. Limited by a small dataset, the Results are hypothesis-generating only.

scholarly journals Factors associated with visit-to-visit variability of blood pressure in hypertensive patients at a Primary Health Care Service, Tabanan, Bali, Indonesia

2018 ◽  
Vol 6 (4) ◽  
pp. 191-199 ◽  
Author(s):  
Gusti Ayu Riska Pertiwi ◽  
Anak Agung Ngurah Aryawangsa ◽  
I Putu Yuda Prabawa ◽  
Ida Bagus Amertha Putra Manuaba ◽  
Agha Bhargah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Primary Health Care Service ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Primary Health

scholarly journals Níveis tensionais e fatores associados à hipertensão arterial

2018 ◽  
Vol 12 (12) ◽  
pp. 3312
Author(s):  
Jéssica Fernandes Oliveira ◽  
Zilmar Augusto de Souza Filho ◽  
Renan Sallazar Ferreira Pereira ◽  
Jordana Pereira Gonzaga
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Care Service ◽  
Health Care Service ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factores De Riesgo ◽  
Las Mujeres ◽  
Quantitative Descriptive

RESUMO Objetivo: avaliar os níveis tensionais e fatores associados à hipertensão arterial de usuários atendidos em um serviço de pronto atendimento à saúde. Método: trata-se de um estudo quantitativo, descritivo, exploratório, transversal, com 100 usuários. Avaliaram-se os fatores com a regressão logística binária, com valores significativos de p≤0,20, e, os resultados se apresentam em tabelas e figuras, discutidos posteriormente com a literatura. Resultados: encontrou-se que a média dos níveis tensionais dos homens foi de PAS 130,6 (20,0) mmHg e PAD 78,9 (12,2) mmHg e das mulheres de PAS 119,5 (22,9) mmHg e PAD 71,4(11,4) mmHg. Verificou-se que a prevalência de hipertensão foi de 26,0% (IC95% 17,0–35,0) entre os homens (32%) e nas mulheres (20%) e a hipertensão arterial referida foi de 10% (IC95% 4,0–16,0). Conclusão: revela-se que os níveis tensionais dos homens foram mais elevados que entre as mulheres e a prevalência de hipertensão arterial foi maior do que a estimada para a população brasileira. Descritores: Pressão Arterial; Hipertensão; Pacientes Ambulatoriais; Estilo de Vida; Doenças Cardiovasculares; Fatores de Risco.ABSTRACTObjective: to evaluate the blood pressure levels and factors associated with arterial hypertension of users attended at a prompt health care service. Method: this is a quantitative, descriptive, exploratory, cross-sectional study with 100 users. The factors with binary logistic regression, with significant values of p≤0.20, were evaluated, and the results are presented in tables and figures, discussed later with the literature. Results: the mean of the men's blood pressure levels was found to be SBP 130.6 (20.0) mmHg and DBP 78.9 (12.2) mmHg and SBP 119.5 (22.9) mmHg and PAD 71.4 (11.4) mmHg. The prevalence of hypertension was 26.0% (CI95% 17.0-35.0) among men (32%) and women (20%), and hypertension was 10% (IC95 % 4.0-16.0). Conclusion: it is shown that men's blood pressure levels were higher than among women and the prevalence of arterial hypertension was higher than that estimated for the Brazilian population.  Descriptors: Arterial Pressure; Hypertension; Outpatients; Life Style; Cardiovascular Diseases; Risk Factors.RESUMENObjetivo: evaluar los niveles tensionales y factores asociados a la hipertensión arterial de usuarios atendidos en un servicio de pronta atención a la salud. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, transversal, con 100 usuarios. Se evaluaron los factores con la regresión logística binaria, con valores significativos de p≤0,20, y, los resultados se presentan en tablas y figuras, discutidos posteriormente con la literatura. Resultados: se encontró que el promedio de los niveles tensionales de los hombres fue de PAS 130,6 (20,0) mmHg y PAD 78,9 (12,2) mmHg y de las mujeres de PAS 119,5 (22,9) mmHg y PAD 71,4 (11,4) mmHg. Se verificó que la prevalencia de hipertensión fue del 26,0% (IC95% 17,0-35,0) entre los hombres (32%) y en las mujeres (20%) y la hipertensión arterial referida fue del 10% (IC95) Conclusión: se revela que los niveles tensionales de los hombres fueron más elevados que entre las mujeres y la prevalencia de hipertensión arterial fue mayor que la estimada para la población brasileña. Descriptores: Presión Arterial; Hipertensión; Pacientes Ambulatorios; Estilo de Vida; Enfermedades Cardiovasculares; Factores de Riesgo.

scholarly journals Particularities of family planning in women with mental disorders

2009 ◽  
Vol 17 (5) ◽  
pp. 639-644 ◽  
Author(s):  
Tatiane Gomes Guedes ◽  
Escolástica Rejane Ferreira Moura ◽  
Paulo César de Almeida
Keyword(s):  
Family Planning ◽  
Mental Disorders ◽  
Psychiatric Hospitalization ◽  
Care Service ◽  
Psychosocial Care ◽  
Personal Control ◽  
Structured Interview ◽  
Reproductive Choice ◽  
Medical Diagnoses ◽  
Contraception Use

The study aimed to identify the gynecological and obstetric profile of women with mental disorders; to verify the association between medical diagnosis of mental disorder and correct/incorrect use of contraceptive methods, and verify diagnoses, frequency of hospitalizations and varieties of medication consumed. Participants were 255 women who received care in a Psychosocial Care Service. Data were collected through medical record review and structured interview. The inheritance of some mental disorders, psychiatric hospitalization as the cause to interrupt contraception, use of contraceptives that do not depend on personal control, drug interactions between psychotropic drugs and oral contraceptives; participation of the partner and/or relatives in the reproductive choice and contraceptive practice were particularities of this target audience in family planning. There was no statistical association between medical diagnoses and correct or incorrect use of contraceptives. Women suffering from mental disorders need specific and comprehensive family planning care.

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