scholarly journals Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study

2019 ◽  
Vol 16 (15) ◽  
pp. 2686 ◽  
Author(s):  
Magno Conceição das Merces ◽  
Amália Ivine Costa Santana ◽  
Iracema Lua ◽  
Dandara Almeida Reis da Silva ◽  
Douglas de Souza e Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Metabolic Syndrome ◽  
Primary Health Care ◽  
Density Lipoprotein ◽  
Population Based ◽  
Worker Safety ◽  
Burnout Syndrome ◽  
Cross Sectional ◽  
Primary Health ◽  
Nursing Professionals

This research aims at evaluating prevalence and factors associated with metabolic syndrome (MS) in primary health care (PHC) nursing professionals. A multicenter, population-based and cross-sectional study was conducted in a team-tested sample of 1125 PHC nurses in the state of Bahia, Brazil. Sociodemographic, labor, lifestyle and human biology variables were investigated by mean of anamnesis. MS was evaluated according to the criteria of the first Brazilian Guideline for Metabolic Syndrome, which fully adopts the criteria of the National Cholesterol Education Program’s Adult Treatment Panel III. MS-associated factors were tested by using robust Poisson Regression. The prevalence of MS found was 24.4%; low High Density Lipoprotein (HDL) cholesterol was the most prevalent component of the syndrome. In the multivariate analysis, physical inactivity (PR = 1.25, 95% CI = 1.02–1.53), alcohol use (PR = 1.84, 95% CI = 1.22–2.77), acanthosis nigricans (PR = 3.23, 95% CI = 2.65–3.92), burnout syndrome (PR = 1.45, 95% CI = 1.17–1.81), (PR = 1.37, 95% CI = 1.12–1.69), working as a nursing technician (PR = 1.43, 95% CI = 1.14–1.80), were associated to MS. It was found that the prevalence of MS was high, which evidences the need for interventions in the PHC environment, improvement of working conditions, monitoring of worker safety and health, diet programs and physical activity.

scholarly journals Prevalence and Factors Associated with Burnout Syndrome among Primary Health Care Nursing Professionals: A Cross-Sectional Study

2020 ◽  
Vol 17 (2) ◽  
pp. 474 ◽  
Author(s):  
Magno Conceição das Merces ◽  
Julita Maria Freitas Coelho ◽  
Iracema Lua ◽  
Douglas de Souza e Silva ◽  
Antonio Marcos Tosoli Gomes ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Night Shift ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Health ◽  
Physical Form ◽  
Nursing Professionals

The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.

scholarly journals Clinical and epidemiological profile of hypertensive patients at the primary health care level in the state of Alagoas

2018 ◽  
Vol 50 (6) ◽  
pp. 349-357
Author(s):  
Raphaela Costa Ferreira ◽  
Bruna Merten Padilha ◽  
Yasmin Eugênia Santos e Silva Pedrosa ◽  
Rosielle Batista Ferreira ◽  
Poliana Coelho Cabral ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Problem ◽  
Population Based ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Study Objective ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Epidemiological Profile

Study design: This was a cross-sectional, population-based and descriptive study. Study objective: To describe the clinical and epidemiological profile of hypertensive patients at the primary health care of Alagoas state. Methods: This study was carried out in the Basic Health Units of 12 cities of Alagoas, between 2014 and 2015, with hypertensive individuals between 20 and 60 years, of both gender. Socioeconomic, demographic, clinical, lifestyle, anthropometric and biochemical data were collected. Data were analyzed using descriptive statistics by Epi-Info version 7. Results: We evaluated 645 individuals. Of these, 86.2% were women, 62.3% had uncontrolled blood pressure, 41.9% had low educational level, 11.1% were smokers, 26.3% were alcohol users, 64.7% were sedentary, 48.4% were obese, 73.6% had high cardiovascular risk, according to waist circumference; 54.4% and 47.2% had elevated total cholesterol and triglycerides, respectively. Conclusion: Since hypertension is an important public health problem that has serious consequences, the knowledge of the hypertensive population profile of Alagoas will facilitate the treatment for the health of patients with this condition.

scholarly journals A Multicentre Study of Psychological Variables and the Prevalence of Burnout among Primary Health Care Nurses

2019 ◽  
Vol 16 (18) ◽  
pp. 3242 ◽  
Author(s):  
Elena Ortega-Campos ◽  
Guillermo A. Cañadas-De la Fuente ◽  
Luis Albendín-García ◽  
José L. Gómez-Urquiza ◽  
Carolina Monsalve-Reyes ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Multicentre Study ◽  
Emotional Exhaustion ◽  
Burnout Syndrome ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Psychological Variables ◽  
Primary Health ◽  
Primary Health Care Nurses

Nurses in primary health care (PHC) have multiple responsibilities but must often work with limited resources. The study’s aim was to estimate burnout levels among PHC nurses. A Quantitative, observational, cross-sectional, multicentre study of 338 nurses working in PHC in the Andalusian Public Health Service (Spain) is presented. A total of 40.24% of the nurses studied had high levels of burnout. The dimensions of emotional exhaustion and depersonalisation were significantly associated with anxiety, depression, neuroticism, on-call duty and seniority-profession and inversely related to agreeableness. In addition, depersonalisation was significantly associated with gender, and emotional exhaustion correlated inversely with age. Personal achievement was inversely associated with anxiety and depression and positively correlated with agreeableness, extraversion and responsibility. There is a high prevalence of burnout among nurses in PHC. Those most likely to suffer burnout syndrome are relatively young, suffer from anxiety and depression and present high scores for neuroticism and low ones for agreeableness, responsibility and extraversion.

Metabolic syndrome in outpatients receiving antipsychotic therapy in routine clinical practice: A cross-sectional assessment of a primary health care database

2008 ◽  
Vol 23 (2) ◽  
pp. 100-108 ◽  
Author(s):  
Antoni Sicras-Mainar ◽  
Milagrosa Blanca-Tamayo ◽  
Javier Rejas-Gutiérrez ◽  
Ruth Navarro-Artieda
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Hdl Cholesterol ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Care Database ◽  
Care Database

AbstractObjectiveTo determine the prevalence of metabolic syndrome (MS) in outpatients treated with antipsychotics included in a primary-health-care database.MethodsA cross-sectional study was carried out assessing an administrative outpatients claim-database from 5 primary-health-centers. Subjects on antipsychotics for more than 3 months were included. The control group was formed by the outpatients included in the database without exposition to any antipsychotic drugs. MS was defined according to the modified NCEP-ATP III criteria, and required confirmation of at least 3 of the 5 following components: body mass index >28.8 kg/m2, triglycerides >150 mg/ml, HDL-cholesterol <40 mg/ml (men)/<50 mg/ml (women), blood pressure >130/85 mmHg, and fasting serum glucose >110 mg/dl.ResultsWe identified 742 patients [51.5% women, aged 55.1 (20.7) years] treated with first- or second-generation antipsychotics during 27.6 (20.3) months. Controls were 85.286 outpatients [50.5% women, aged 45.5 (17.7) years]. MS prevalence was significantly higher in subjects on antipsychotics: 27.0% (95% CI, 23.8–30.1%) vs. 14.4% (14.1–14.6%); age- and sex-adjusted OR = 1.38 (1.16–1.65, P < 0.001). All MS components, except high blood pressure, were significantly more prevalent in the antipsychotic group, particularly body mass index >28.8 kg/m2: 33.0% (29.6–36.4%) vs. 17.8% (17.6–18.1%), adjusted OR = 1.63 (1.39–1.92, P < 0.001), and low HDL-cholesterol levels: 48.4% (44.8–52.0%) vs. 29.3% (29.0–29.6%); adjusted OR = 1.65 (1.42–1.93, P < 0.001). Compared with the reference population, subjects with schizophrenia or bipolar disorder (BD), but not dementia, showed a higher prevalence of MS.ConclusionsCompared with the general outpatient population, the prevalence of MS was significantly higher in patients with schizophrenia or BD treated with antipsychotics.

scholarly journals Anxiety, depression, and work engagement in Primary Health Care nursing professionals

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70762
Author(s):  
Rayara de Souza Julio ◽  
Luciano Garcia Lourenção ◽  
José Gustavo Monteiro Penha ◽  
Adriane Maria Netto de Oliveira ◽  
Vagner Ferreira do Nascimento ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Work Engagement ◽  
Nursing Assistants ◽  
Anxiety And Depression ◽  
Mild Depression ◽  
Cross Sectional ◽  
Primary Health ◽  
Nursing Professionals ◽  
Anxiety Depression

Objective: to analyze the levels of anxiety, depression, and work engagement among nursing professionals in Primary Health Care. Methods: cross-sectional, descriptive, and correlational study with nursing professionals from Family Health Units. We used: the Beck Anxiety Inventory; the Beck Depression Inventory; and the Utrecht Work Engagement Scale. Results: we observed moderate anxiety among nurses and mild anxiety among nursing assistants/technicians; and mild depression among nurses and nursing assistants/technicians. Anxiety and depression were positively and moderately correlated (r:0.562; p=0.000). The professionals presented elevated levels of work engagement. Conclusion: important levels of anxiety and depression were evidenced among professionals, indicating progress to levels that compromise health and quality of life. Despite the compromised mental health, the professionals showed willingness to work and an important resilience capacity.

scholarly journals Burnout syndrome and abdominal adiposity among Primary Health Care nursing professionals

2016 ◽  
Vol 29 (1) ◽  
Author(s):  
Magno Conceição das Merces ◽  
Douglas de Souza e Silva ◽  
Iracema Lua ◽  
Daniela Sousa Oliveira ◽  
Marcio Costa de Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Burnout Syndrome ◽  
Abdominal Adiposity ◽  
Primary Health ◽  
Nursing Professionals ◽  
Care Nursing

Antibiotics Prescription Patterns in Primary Health Care in Qatar – A Population based study from 2017 to 2018

2020 ◽  
Author(s):  
Hanan Khudadad ◽  
Lukman Thalib
Keyword(s):  
Health Care ◽  
Antibiotic Resistance ◽  
Primary Health Care ◽  
Respiratory System ◽  
Population Based ◽  
Antibiotics Resistance ◽  
Prescription Patterns ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: Antibiotics are antimicrobial drugs used in the treatment and prevention of bacterial infections. They played a pivotal role in achieving major advances in medicine and surgery (1). Yet, due to increased and inappropriate use of antibiotics, antibiotic resistance (AR) has become a growing public health problem. Information on antibiotic prescription patterns are vital in developing a constructive approach to deal with growing antibiotic resistance (2). The study aims to describe the population based antibiotic prescriptions among patients attending primary care centers in Qatar. Methodology: A population based observational study of all medications prescribed in the all Primary Health Care Centers during the period of 2017-2018 in Qatar. Records with all medication prescriptions were extracted and linked to medical diagnosis. Antibiotics prescriptions records were compared to non- antibiotics records using logistic regression model in identifying the potential predictors for antibiotic prescriptions. Results: A total of 11,069,439 medication prescriptions given over a period of two-years, we found about 12.1% (n= 726,667) antibiotics prescriptions were antibiotics, and 65% of antibiotics are prescribed and received by the patients at the first visits. Paracetamol (22.3%) was the first highest medication prescribed followed by antibiotics (12.1 %) and vitamin D2 (10.2 %). More than half of all antibiotics prescribed during the period of January 2017 to December 2018 were Penicillin (56.9%). We found that half of the antibiotics (49.3 %) have been prescribed for the respiratory system comparing to the other body system. We found that males were 29% more likely be given an antibiotic compared to females (OR=1.29, 95% CI= 1.24- 1.33). Implications: The study provides a baseline data to enable PHCC management to design effective intervention program to address the problem of antibiotics resistance. Furthermore, it will help the policymakers to comprehend the size of the issue and develop a system to manage the antibiotics therapy. Conclusion: Antibiotics was the second highest medication prescribed in the Primary Health Care Centers in Qatar after paracetamol and most of the patients received it at the first visit. Most of the prescriptions in Primary Health Care Centers in Qatar were for the respiratory system, and Penicillin was the highest class prescribed. Male visitors were prescribed antibiotics more than female visitors.

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

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