Obesity as a social problem: identifying guidance needs of nursing for self-care

2009 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
Carla Dos Santos Soares ◽  
Iraci Dos Santos ◽  
Lina Márcia Miguéis Berardinelli
Keyword(s):  
Risk Factors ◽  
Rio De Janeiro ◽  
Self Care ◽  
University Hospital ◽  
Cross Sectional ◽  
Factores De Riesgo ◽  
Artery Disease ◽  
Guidance Needs ◽  
The Individual ◽  
The University

ABSTRACTObjective: to identify socioeconomic characteristics of clients in outpatient treatment for coronary artery disease, linking them to the risk factors for obesity. Method: this is about a descriptive, cross-sectional, retrospective study. The sample was composed of 30 clients. The research technique was the individual interview in 2009 in Rio de Janeiro. The data were organized by the program Excel, with statistical analysis using the Crosstab. This work was approved by the Protocol 223328 of the Ethics’s Committee of the University Hospital Pedro Ernesto of Rio de Janeiro University. Results: abdominal obesity was prevalent in 93.3% of customers. Of the total, 43% had three or more associated  cardiovascular risk factors, while 66.7% are sedentary. Needs found for self-care were: physical perceptions, psychological, personal and environmental. Conclusion: the emotional and behavioral aspects still resistant to change for the adoption of healthy lifestyles. Institutionalize outpatient nursing appointment, adopting a sensitive listening is a strategy that promotes self-care of people. Descriptors: obesity; socioeconomic status; self-care; nursing.  RESUMOObjetivo: identificar características socioeconômicas de clientes, em tratamento ambulatorial para doença arterial coronariana, associando-as aos fatores de risco para obesidade. Métodos: Estudo descritivo, transversal, retrospectivo. A amostra intencional foi composta por 30 clientes. A técnica de pesquisa foi a entrevista individual em 2009, no Rio de Janeiro. Os dados foram organizados pelo programa Excel, com análise estatística através do Crosstab. Este trabalho foi aprovado pelo Protocolo nº 223328 do Comitê de Ética do Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro.  Resultados: a obesidade abdominal foi prevalente em 93,3% dos clientes. Do total, 43% apresentavam três ou mais fatores de risco cardiovasculares associados, enquanto 66,7% são sedentários. As necessidades encontradas para o autocuidado foram: percepções físicas, psicológicas, relacionamento pessoal e ambiental. Conclusão: o desequilíbrio emocional e os aspectos comportamentais ainda resistentes às mudanças para adoção de hábitos de vida saudáveis. Institucionalizar a consulta de enfermagem ambulatorial, adotando a escuta sensível é uma estratégia promotora do autocuidado das pessoas. Descritores: obesidade; condições socioeconômicas; autocuidado; enfermagem. RESUMENObjetivo: identificar las características socioeconómicas de los enfermos en tratamiento ambulatorio para la enfermedad de la arteria coronaria, su vinculación a los factores de riesgo para la obesidad. Métodos: transversal, retrospectivo. La muestra estuvo compuesta por treinta personas. La técnica de la investigación fue la entrevista individual en 2009 en Río de Janeiro-Brasil. Los datos fueron organizados por el programa Excel, con el análisis estadístico utilizando la tabla de referencias cruzadas. Este estudio fue aprobado por el Protocolo de 223328 por el Comité de Ética del Hospital Universitario Pedro Ernesto da Universidad do Estado do Rio de Janeiro Resultados: La obesidad abdominal fue predominante en el 93,3% de los sujetos del estudio. Del total, 43% tuvieron tres o más factores de riesgo cardiovascular asociados, mientras que el 66,7% son sedentarios. Necesidades cubiertas para auto-cuidado son: la percepción de bienestar físico, psicológico, personal y ambiental. Conclusión: el desequilibrio emocional y los aspectos de comportamiento aún resistentes a los cambios  para adoptar  hábitos de vida saludables. Institucionalizar la consulta de enfermería hospitalaria, adoptando la escucha sensible es una estrategia promotora del auto-cuidado de las personas. Descriptores: obesidad; socioeconómico; auto-cuidado; enfermería. 

scholarly journals Conhecimento e vulnerabilidade de participantes da Tenda da Sífilis: ação de extensão universitária

2021 ◽  
Vol 20 (3) ◽  
pp. 412-460
Author(s):  
Marcelle Sampaio de Freitas Guimarães Ribeiro ◽  
Raianne Cavalcanti ◽  
Larissa Moraes ◽  
Regina Veras ◽  
Carlos Martins ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rio De Janeiro ◽  
University Hospital ◽  
Sexual Practices ◽  
Alcoholic Beverages ◽  
Educational Activity ◽  
Factores De Riesgo ◽  
Extension Activity ◽  
The University ◽  
Structured Questionnaire

Introducción: El estudio tiene como objetivo describir y evaluar el perfil socioeconómico, los factores de riesgo, las prácticas sexuales y el conocimiento de los participantes de la actividad de extensión universitaria Tienda de Sífilis sobre la infección.Método: Investigación descriptivo-transversal, con 1000 participantes y realizada entre octubre de 2016 y diciembre de 2019 en el Campus y Hospital de la Universidad Federal del Estado de Río de Janeiro. Para la recolección de datos se utilizó un cuestionario semiestructurado, aplicado en el momento de la actividad educativa.Resultados: La mayoría de los participantes fueron mujeres (72%), blancos (41%), adultos jóvenes (55%), solteros (51%), educación superior incompleta (37%) e ingresos inferiores a tres salarios mínimos (48%), heterosexual (86%), sexualmente activo (75%) y pareja sexual soltera (88%). Los factores de riesgo más prevalentes fueron el uso no esporádico de condones (64%) y el consumo de alcohol (43%). La positividad de la población analizada para sífilis (n = 150) fue del 9,3% y el 9,1% de los participantes respondió correctamente las formas de transmisión de la infección.Conclusión: Se logró identificar las vulnerabilidades de los sujetos a la sífilis y adecuar las prácticas educativas y asistenciales para que resulten en aprendizajes significativos y mayor resiliencia de la población. Introducion: Study aims to describe and evaluate the socioeconomic profile, risk factors, sexual practices and the knowledge of the participants of the university extension activity Syphilis Tent about this infection.Method: Descriptive-transversal research, with 1000 participants, between october 2016 and december 2019, at the University Campusand University Hospital of the State of Rio de Janeiro. To collect the data, a semi-structured questionnaire was used, applied at the time of the educational activity. Results: Most participants were women (72%), white (41%), young adults (55%), single (51%), incomplete higher education (37%) and income below three minimum wages (48%), heterosexual (86%), sexually active (75%) and single sexual partner (88%). The most prevalent risk factors were the non / sporadic use of condoms (64%) and the consumption of alcoholic beverages (43%). The positivity of the population tested for syphilis (n = 150) was 9.3% and 9.1% of the participants correctly answered the forms of transmission of the infection. Conclusion: It was possible to identify the vulnerabilities to syphilis and adjust educational and care practices so that they result in significant learning and greater resilience for the population. Introdução: Estudo objetiva descrever e avaliar o perfil socioeconômico, os fatores de risco, as práticas sexuais e o conhecimento dos participantes da atividade de extensão universitária Tenda da Sífilis quanto à infecção.Método: Pesquisa do tipo descritiva-transversal, teve 1000 participantes e ocorreu entre outubro de 2016 e dezembro de 2019 no Campus e Hospital da Universidade Federal do Estado do Rio de Janeiro. Para coleta de dados utilizou-se questionário semiestruturado próprio, aplicado no momento da atividade educativa.Resultados: A maioria dos participantes foram mulheres (72%), brancos (41%), adultos jovens (55%), solteiros (51%), ensino superior incompleto (37%) e renda inferior a três salários mínimos (48%), heterossexuais (86%), sexualmente ativos (75%) e única parceria sexual (88%). Os fatores de risco mais prevalentes foram o não/esporádico uso de preservativos (64%) e o consumo de bebidas alcoólicas (43%). A positividade da população testada para sífilis (n=150) foi de 9,3% e 9,1% dos participantes responderam corretamente as formas de transmissão da infecção.Conclusão: Foi possível identificar as vulnerabilidades dos sujeitos à sífilis e ajustar as práticas educativas e assistenciais para que resultem em uma aprendizagem significativa e maior resiliência da população.

scholarly journals Riesgos en el cuidado de la salud de las familias de Valledupar

2016 ◽  
Vol 13 (1) ◽  
pp. 23
Author(s):  
Marina Sánchez-Sanabria ◽  
Javier Galindo-Ospino
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Self Care ◽  
Cross Sectional Study ◽  
Supplementary Feeding ◽  
Cross Sectional ◽  
Negative Behaviors ◽  
Feeding Management ◽  
Calidad De Vida ◽  
Factores De Riesgo

Objetivo: determinar  los factores de riesgo que afectan la calidad de vida  que asumen en  el cuidado de la salud los habitantes del área urbana de Valledupar, para los estratos socioeconómicos  1, 2 y 3 de la comuna tres. Materiales y Métodos: estudio cuantitativo, descriptivo, transversal;   muestra conformada por 68 de 127 familias y 31 representantes comunitarios; aplicándoseles encuesta sobre aspectos sociodemográficos, condición de vida, cuidado de la salud,  y lista de chequeo para  situaciones higiénico sanitarias de 54 expendios de alimentos distribuidos proporcionalmente. Resultados: se identificaron como los principales factores de riesgo un 41% de formación técnica,  23% de  mujeres desde  los once años de edad, son amas de casa  formando pareja a temprana edad y 8.8% embarazadas,  83.8% no alcanzan sus ingresos para sostenimiento, 57% de  mujeres no practican autoexamen de mama en el último año y 26.5% no  practican examen citológico, 76% de hombres no hacen exámen de próstata, 70% de mujeres  con deficiente  manejo de lactancia materna exclusiva y alimentación complementaria,  50% no llevan perros al control veterinario y 69%  dejan hacer sus  necesidades a campo abierto, 49% de expendios de alimentos no cumplen con la infraestructura, manejo higiénico sanitario y  de bioseguridad. Conclusión: se aprecian comportamientos negativos en el autocuidado de la salud sexual y  reproductiva, deficiente manejo de  la lactancia materna y alimentación complementaria, con el cuidado de animales domésticos y precarias prácticas higiénico sanitarias en expendios de alimentos, que deben ser reconsiderados para potenciar estilos de vida saludables.PALABRAS CLAVE: autocuidado, conducta de riesgo,  estilo de vida. Risks in the health care of the families of Valledupar ABSTRACT Objective: to identify the main risk factors that affect the quality of life assumed in health care by the residents from the urban area of Valledupar, for the socioeconomic strata 1, 2 and 3 from the third commune. Materials and Methods: quantitative, descriptive, cross-sectional study; sample consisted of 68 127 families and 31 community representatives; Survey administered based on sociodemographic aspects, living conditions, health care, and checklist for sanitary and hygienic conditions of 54 proportionately distributed food outlets. Results: the resuts show as the main risk factors, 41% of technical training, 23% of women from eleven years of age are housewives forming couples at an early age and 8.8% pregnant, 83.8% do not have the income to support themselves, 57% of women have not practice breast self-examination since last year and 26.5% without cytological examination, 76% of men do not have their prostate checked, 70% of women with poor exclusive maternal breast-feeding management and supplementary feeding, 50% do not take dogs for veterinary control and 69% leave them to do their business in the open field, 49% of food establishments do not comply with the infrastructure, sanitary hygienic handling and biosafety. Conclusion: negative behaviors are seen in self care of sexual health and reproductive health, poor breast  and supplementary feeding management, taking care of pets and poor hygienic and sanitation practises in food establishments, which should be reconsidered to enhance healthy lifestyles.KEY WORDS: self-care, risk taking, lifestyle. Riscos na saúde das famílias de Valledupar RESUMOObjetivo: identificar os principais fatores de risco que afetam a qualidade de vida que assumem nos residentes de cuidados de saúde da área urbana de Valledupar, por estratos socioeconômicos 1, 2 e 3 da comuna três. Materiais e Métodos: descritiva Quantitativa, estudo, transversal; amostra foi constituída por 68 127 famílias e 31 representantes da comunidade, pesquisa aplicada a eles aspectos sociodemográficos, condições de vida, saúde, e lista de verificação para as condições de saúde e higiene distribuídos proporcionalmente 54 estabelecimentos de comida. Resultados: foram identificados como os principais fatores de risco de 41% da formação técnica, 23% das mulheres desde tenra idade, são donas de casa e como um par, e 8,8% de mulheres grávidas, 83,8% com apoio insuficiente, 57% das mulheres não praticam o auto-exame da mama no ano passado, e 26,5% sem exame citológico, 76% dos homens não exame de próstata, 70% das mulheres com má gestão da amamentação exclusiva ea alimentação complementar, 50% não carregam cães de controlo veterinário e 69% deixam aliviar a campo aberto, 49% dos estabelecimentos alimentares não conformes com a infra-estrutura, manuseio higiênico sanitária e biossegurança. Conclusão: comportamentos negativos são vistos em auto-cuidado da saúde sexual e da saúde reprodutiva, a má gestão com a amamentação e alimentação complementar, cuidar de animais de estimação e pobres práticas de higiene saneamento nos estabelecimentos alimentares, que deve ser reconsiderada para melhorar estilos estilos de vida saudáveis.PALAVRAS-CHAVE: autocuidado, assunção de riscos, estilo de vida.

scholarly journals Protective factors and risk of alcohol consumption in students at the University of Huelva / Factores de protección y de riesgo del consumo de alcohol en alumnos de la Universidad de Huelva

2009 ◽  
Vol 9 (2) ◽  
Author(s):  
Ramón Tirado Morueta ◽  
José Ignacio Aguaded Gómez ◽  
Isidro Marín Gutiérrez
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Protective Factors ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factores De Riesgo ◽  
Chi Square Test ◽  
University Of Huelva ◽  
The University

El objetivo de este estudio fue identificar factores protectores y factores de riesgo asociados al consumo de alcohol en estudiantes universitarios de ambos sexos. Fueron medidos sobre la base de un estudio descriptivo y transversal realizado en el curso 2007-2008 en la Universidad de Huelva. Para el análisis de las relaciones entre variables se utilizó el test de chi-cuadrado de Pearson. Para identificar factores de riesgo y protectores se realizó un análisis de regresión logística binomial. Los resultados confirmaron la influencia del policonsumo como principal factor de riesgo, así como el sexo. De igual modo los “botellones”, según mostraron los resultados, pierden poder predictivo respecto al consumo habitual, siendo los hábitos de lectura, la afición por la música y la edad factores protectores de este tipo de consumo. Finalmente, un bajo consumode alcohol en el medio universitario, la asistencia frecuente a clasee inferiores niveles de consumo semanal de alcohol, se revelaron como factores protectores. AbsctractThe main aim of this study is to identify protective factors and risk factors linked to alcohol consumption in university students of both sexes. These factors were measured on the basis of a descriptive cross-sectional study developed in 2007-2008 at the University of Huelva. In order to analyze the relations among variables, we have used the chi-square test of Pearson. To identify risk and protective factors a binomial logistic regression analysis was conducted. The results confirm the influence of policonsumption and sex as the main risk factors. "Botellones" decrease predictive degree when compared with usual consumption. Reading habit, love of music and age behave as protective factors against drugs consumption. Finally, lower drinking degrees inside the college, higher frequency of attendance and lower weekly alcohol consumption, are protective factors.

scholarly journals Síndrome coronario agudo en mujeres desde la teoría del manejo del síntoma

2020 ◽  
Vol 19 (4) ◽  
pp. 170-195
Author(s):  
Brayant Andrade ◽  
Luz Omaira Gomez ◽  
Dolly Arias Torres
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Disease Response ◽  
Coronary Syndrome ◽  
Factores De Riesgo ◽  
Las Mujeres

Objetivo: Identificar los factores de riesgo para enfermedad cardiovascular y la experiencia del síntoma del Síndrome Coronario Agudo en las mujeres, según la teoría del Manejo del Síntoma.Método: Estudio observacional de corte transversal, participaron 81 mujeres con SCA atendidas en un Hospital Universitario en Colombia. Se analizaron variables sociodemográficas, factores de riesgo para enfermedad cardiovascular, acciones de respuesta ante los síntomas y la percepción, evaluaciòn y respuesta al síntoma a través de la aplicación del instrumento sobre la Experiencia del Síntoma en la Mujer con SCA.Resultados: De los participantes el 80% superaron los 60 años de edad, en su mayoría con un nivel bajo de escolaridad y residencia urbana. El principal factor de riesgo fue la HTA y más del 50% referían sedentarismo, dislipidemia y dieta malsana. Las mujeres presentaron en promedio 10 síntomas atípicos por cada evento, destacándose el dolor o molestia en el pecho en un 85%. El 66,3 % definieron el origen del síntoma como un problema extracardíaco y 4 de cada 10 pacientes consideró las manifestaciones como insignificantes. El 16% tomó remedios caseros y el 25% esperaron que pasara la sintomatología sin buscar atención profesional. La relación entre el tiempo en asistir a consulta médica e ignorar los síntomas, presentó significancia estadística (p=0,000).Conclusiones: Las mujeres con SCA presentaron diversidad de síntomas, no percibieron la gravedad de sus manifestaciones y, por lo general, respondieron tardíamente ante los síntomas, factor relevante para la atención y tratamiento oportuno. Objective: To identify the risk factors for cardiovascular disease and the experience of the symptom of Acute Coronary Syndrome (ACS) in women, according to the theory of Symptom Management.Method: Observational cross-sectional study, 81 women with ACS attended at a University Hospital in Colombia participated. Sociodemographic variables, risk factors for cardiovascular disease, response actions to symptoms and perception, evaluation and response to symptoms were analyzed through the instrument application on the Experience of the Symptom in Women with ACS.Results: Of participants 80% were over 60 years old, the majority with a low level of education and urban residence. The main risk factor was hypertension and more than 50% of them reported sedentary lifestyle, dyslipidemia, and an unhealthy diet. Women presented an average of 10 atypical symptoms for each event, highlighting chest pain or discomfort in 85%. 66.3% defined the origin of the symptom as an extra-cardiac conditions and 4 out of 10 patients considered the manifestations as insignificant. 16% of the participants took home remedies and 25% of them waited the symptoms to improve without request professional attention. The relationship between time in attending medical consultation and ignoring the symptoms presents statistical significance (p = 0.000).Conclusions: Women with ACS presented a variety of symptoms, do not perceive the severity of its manifestations, and generally respond late to symptoms, a relevant factor for timely care and treatment.

scholarly journals Assessing burden, risk factors, and perceived impact of uterine fibroids on women’s lives in rural Haiti: implications for advancing a health equity agenda, a mixed methods study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Christophe Millien ◽  
Anatole Manzi ◽  
Arlene M. Katz ◽  
Hannah Gilbert ◽  
Mary C. Smith Fawzi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Black Women ◽  
Uterine Fibroids ◽  
Mixed Methods Study ◽  
University Hospital ◽  
Gynecologic Surgery ◽  
Cross Sectional ◽  
Women's Lives

Abstract Background Uterine fibroids, the most common cause of gynecologic surgery, have a reported cumulative incidence of 59% among Black women in the U.S. Uterine fibroids negatively impact the quality of women’s lives. No study has been found in the literature about fibroids in Haiti. We conducted a mixed methods study to assess the burden and risk factors of uterine fibroids, as well as their effects on women’s quality of life. Methods A convergent mixed methods study was conducted between October 1, 2019 and January 31, 2020 at MUH’s (Mirebalais University Hospital) OB-GYN outpatient department. Quantitatively, in a cross-sectional study 211 women completed consecutively a structured questionnaire. In-depth interviews with 17 women with fibroids and 7 family members were implemented for the qualitative component. Descriptive statistics were calculated for clinical and social demographic variables. Logistic regression was performed to examine associations between fibroids and related risk factors. An inductive thematic process was used to analyze the qualitative data. A joint display technique was used to integrate the results. Results Of 193 women analyzed 116 had fibroids (60.1%). The mean age was 41.3. Anemia was the most frequent complication— 61 (52.6%). Compared to women without uterine fibroids, factors associated with uterine fibroids included income decline (AOR = 4.7, 95% CI: 2.1–10.9, p = < 0.001), excessive expenses for transport (AOR = 4.4, 95% CI: 1.6–12.4, p = 0.005), and family history with uterine fibroids (AOR = 4.6, 95% CI: 1.6–13.6, p = 0.005). In contrast, higher level of education and micro polycystic ovarian syndrome were associated with lower prevalence (AOR = 0.3, 95% CI: 0.1–0.9, p = 0.021) and (AOR = 0.2, 95% CI: 0.1–0.97, p = 0.044), respectively. The qualitative findings delineate how contextual factors such as health system failures, long wait times, gender inequality and poverty negatively affect the quality of women’s lives. The poverty cycle of uterine fibroids emerged. Conclusions A vicious cycle of poverty negatively impacts access to care for uterine fibroids in Haiti. Health insurance, social support, and income generating activities may be keys to promote social justice through access to adequate care for women with uterine fibroids in Haiti.

scholarly journals Burnout Syndrome during Residency Training in Jordan: Prevalence, Risk Factors, and Implications

2021 ◽  
Vol 18 (4) ◽  
pp. 1557
Author(s):  
Abdullah Nimer ◽  
Suzan Naser ◽  
Nesrin Sultan ◽  
Rawand Said Alasad ◽  
Alexander Rabadi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Working Hours ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Burnout Syndrome ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Factors Associated ◽  
Resident Physicians ◽  
Healthcare Professions

Burnout syndrome is common among healthcare professions, including resident physicians. We aimed to assess the prevalence of burnout among resident physicians in Jordan, and a secondary aim was to evaluate the risk factors associated with the development of burnout syndrome in those residents, including gender, working hours, psychological distress, training sector, and specialty. In this cross-sectional study, 481 residents were recruited utilizing multistage stratified sampling to represent the four major health sectors in Jordan. Data were collected using an online questionnaire, where the Copenhagen Burnout Inventory (CBI) was used to assess the prevalence of burnout. The prevalence, group differences, and predictors of burnout were statistically analyzed using STATA 15. Overall, 373 (77.5%) residents were found to have burnout. Factors associated with higher levels of burnout were psychological stress (β = 2.34, CI = [1.88–2.81]), longer working hours (β = 4.07, CI = [0.52–7.62], for 51–75 h a week, β = 7.27, CI = [2.86–11.69], for 76–100 h a week and β = 7.27, CI = [0.06–14.49], for >100 h a week), and obstetrics/gynecology residents (β = 9.66, CI = [3.59–15.73]). Conversely, medical sub-specialty residents, as well as private and university hospital residents, had lower burnout levels. We concluded that decreasing the workload on residents, offering psychological counseling, and promoting a safety culture for residents might help in mitigating burnout consequences.

scholarly journals Two dominant patterns of low anterior resection syndrome and their effects on patients’ quality of life

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Min Jung Kim ◽  
Ji Won Park ◽  
Mi Ae Lee ◽  
Han-Ki Lim ◽  
Yoon-Hye Kwon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
University Hospital ◽  
Postoperative Treatment ◽  
Low Anterior Resection Syndrome ◽  
Cross Sectional ◽  
Anterior Resection Syndrome

AbstractTo identify low anterior resection syndrome (LARS) patterns and their associations with risk factors and quality of life (QOL). This cross-sectional study analyzed patients who underwent restorative anterior resection for left-sided colorectal cancer at Seoul National University Hospital, Seoul, Republic of Korea. We administered LARS questionnaires to assess bowel dysfunction and quality of life between April 2017 and November 2019. LARS patterns were classified based on factor analyses. Variable effects on LARS patterns were estimated using logistic regression analysis. The risk factors and quality of life associated with dominant LARS patterns were analyzed. Data of 283 patients with a median follow-up duration of 24 months were analyzed. Major LARS was observed in 123 (43.3%) patients. Radiotherapy (odds ratio [OR]: 2.851, 95% confidence interval [95% CI]: 2.504–43.958, p = 0.002), low anastomosis (OR: 10.492, 95% CI: 2.504–43.958, p = 0.001), and complications (OR: 2.163, 95% CI: 1.100–4.255, p = 0.025) were independently associated with major LARS. LARS was classified into incontinence- or frequency-dominant types. Risk factors for incontinence-dominant LARS were radiotherapy and complications, whereas those for frequency-dominant LARS included low tumor location. Patients with incontinence-dominant patterns showed lower emotional function, whereas those with frequency-dominant patterns showed lower global health QOL, lower emotional, cognitive, and social functions, and higher incidence of pain and diarrhea. Frequency-dominant LARS had a greater negative effect on QOL than incontinence-dominant LARS. These patterns could be used for preoperative prediction and postoperative treatment of LARS.

scholarly journals Potential intravenous drug incompatibilities in a pediatric unit

2016 ◽  
Vol 14 (2) ◽  
pp. 185-189 ◽  
Author(s):  
Karla Dalliane Batista Leal ◽  
Ramon Weyler Duarte Leopoldino ◽  
Rand Randall Martins ◽  
Lourena Mafra Veríssimo
Keyword(s):  
Risk Factors ◽  
University Hospital ◽  
Intravenous Drug ◽  
Penicillin G ◽  
Cross Sectional ◽  
Relative Risks ◽  
Related Risk ◽  
Student’S T ◽  
Level Of Significance ◽  
Student’S T Test

ABSTRACT Objective To investigate potential intravenous drug incompatibilities and related risk factors in a pediatric unit. Methods A cross-sectional analytical study conducted in the pediatric unit of a university hospital in Brazil. Data on prescriptions given to children aged 0-15 years from June to October 2014 were collected. Prescriptions that did not include intravenous drugs and prescriptions with incomplete dosage regimen or written in poor handwriting were excluded. Associations between variables and the risk of potential incompatibility were investigated using the Student’s t test and ANOVA; the level of significance was set at 5% (p<0.05). Relative risks were calculated for each drug involved in potential incompatibility with 95% confidence interval. Results A total of 222 children participated in the study; 132 (59.5%) children were male and 118 (53.2%) were aged between 0 and 2 years. The mean length of stay was 7.7±2.3 days. Dipyrone, penicillin G and ceftriaxona were the most commonly prescribed drugs. At least one potential incompatibility was detected in about 85% of children (1.2 incompatibility/patient ratio). Most incompatibilities detected fell into the non-tested (93.4%), precipitation (5.5%), turbidity (0.7%) or chemical decomposition (0.4%) categories. The number of drugs and prescription of diazepam, phenytoin, phenobarbital or metronidazole were risk factors for potential incompatibility. Conclusion Most pediatric prescriptions involved potential incompatibilities, with higher prevalence of non-tested incompatibilities. The number of drugs and prescription of diazepam, phenobarbital, phenytoin or metronidazole were risk factors for potential incompatibilities.

scholarly journals Características sociodemográficas e clínicas de pacientes portadoras de cardiomiopatia periparto: contribuições para a enfermagem [Sociodemographic and clinical characteristics of peripartum cardiomyopathy patients: contributions to nursing] [Características sociodemográficas y clínicas de pacientes portadoras de cardiomiopatía periparto: contribuciones a la enfermería]

2018 ◽  
Vol 26 ◽  
pp. e32033
Author(s):  
Tamires Grama dos Santos ◽  
Karla Biancha Silva de Andrade ◽  
Flávia Giron Camerini ◽  
Andrezza Serpa Franco ◽  
Ana Lúcia Cascardo Marins ◽  
...  
Keyword(s):  
Skin Color ◽  
Rio De Janeiro ◽  
Clinical Characteristics ◽  
Peripartum Cardiomyopathy ◽  
University Hospital ◽  
Respiratory Pattern ◽  
Cross Sectional ◽  
Documentary Analysis ◽  
Cardiac Intensive Care ◽  
Janeiro State

Objetivo: identificar as características clínicas e sociodemográficas das pacientes portadoras de cardiomiopatia periparto em unidade cardiointensiva de um hospital universitário no Estado do Rio de Janeiro. Método: estudo quantitativo, transversal, de análise documental em cinco prontuários, entre janeiro de 2014 a dezembro de 2016, obedecendo aos critérios preestabelecidos de inclusão e exclusão e iniciado após aprovação do Comitê de Ética e Pesquisa. Os dados foram coletados mediante um formulário próprio, tabulados em planilhas eletrônicas e analisados através de estatística descritiva simples. Resultados: houve predominância de idade entre 26-35 anos – 4 (80%), multíparas, etnia parda, internação para pós-operatório de parto cesárea – 4 (80%), internação inferior a 2 semanas 4 (80%). Dentre os problemas de enfermagem encontrados, estão o débito cardíaco diminuído e padrão respiratório ineficaz. Conclusão: divulgar as características sociodemográficas e clínicas dessa clientela pode ajudar a delimitar alguns problemas de enfermagem representativos nessa população.ABSTRACTObjective: to identify the clinical and sociodemographic characteristics of patients with peripartum cardiomyopathy in a cardiac intensive care unit of a university hospital in Rio de Janeiro State. Method: this quantitative, cross-sectional, documentary analysis studied five medical records, between January 2014 and December 2016, according to pre-established inclusion and exclusion criteria, after approval by the research ethics committee. Data were collected using a specific form, tabulated in electronic spreadsheets, and analyzed by simple descriptive statistics. Results: subjects were aged predominantly 26-35 years (4; 80%), multiparous, skin color brown, admitted for caesarean section postoperative care (4; 80%), and for less than 2 weeks (4; 80%). The nursing problems encountered included decreased cardiac output and ineffective respiratory pattern. Conclusion: disclosure of this clientele’s sociodemographic and clinical characteristics can help to delimit some representative nursing problems in this population.RESUMENObjetivo: identificar las características clínicas y sociodemográficas de las pacientes portadoras cardiomiopatía periparto en una unidad de cuidados intensivos coronarios de un hospital universitario en el Estado de Río de Janeiro. Método: estudio cuantitativo, transversal, de análisis documental en cinco historias clínicas, entre enero de 2014 y diciembre de 2016, obedeciendo a los criterios preestablecidos de inclusión y exclusión e iniciado tras la aprobación del Comité de Ética en Investigación. Los datos fueron recolectados a través de un formulario propio, tabulados en planillas electrónicas y analizados a través de estadística descriptiva simple Resultados: hubo predominancia de edad entre 26 y 35 años – 4 (80%), multíparas, etnia parda, internación para postoperatorio de parto cesárea - 4 (80%), internación inferior a 2 semanas – 4 (80%). Entre los problemas de enfermería encontrados, están el débito cardíaco disminuido y el patrón respiratorio ineficaz. Conclusión: divulgar las características sociodemográficas y clínicas de esa clientela puede ayudar a delimitar algunos problemas de enfermería representativos en esa población.

scholarly journals Prevalence and risk factors of peripheral artery disease in black Africans with HIV infection: a cross-sectional hospital-based study

2018 ◽  
Vol Volume 14 ◽  
pp. 401-408 ◽  
Author(s):  
Félicité Kamdem ◽  
Yacouba Mapoure ◽  
Ba Hamadou ◽  
Fanny Souksouna ◽  
Marie Solange Doualla ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hiv Infection ◽  
Peripheral Artery Disease ◽  
Peripheral Artery ◽  
Cross Sectional ◽  
Black Africans ◽  
Artery Disease
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