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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Perfil EpidwemiolÃgico e Funcional dos Acidentados de TrÃnsito Atendidos em um ServiÃo de Fisiotwerapia em Fortaleza / Functional and epidemiological profile of traffic accidents attended at a Physiotherapy Service in Fortaleza

Samara Sousa Vasconcelos 30 March 2010 (has links)
CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / Este estudo teve como objetivos principais analisar o perfil epidemiolÃgico e realizar uma avaliaÃÃo funcional dos acidentados de trÃnsito atendidos em um serviÃo de fisioterapia de Fortaleza. Para tal, foi realizado um estudo quantitativo e transversal, desenvolvido de maio a novembro de 2009, na ABCR-Centro. Participaram deste pacientes acidentados de trÃnsito realizando tratamento na instituiÃÃo, maiores de 18 anos e concordantes em participar da pesquisa. Para coleta dos dados, foram utilizados um roteiro, o instrumento MIF e a Escala de ParticipaÃÃo Social. Os dados foram analisados com o software SPSS 15.0. Foram avaliados 57 pacientes, 53 homens e quatro mulheres, com idade mÃdia de 37Â14 anos, sendo a maioria (49,1%) de casados e com o ensino fundamental completo (42,1%). Ao considerar as situaÃÃes trabalhistas antes e apÃs o acidente, encontrou-se diferenÃa significativa (p<0,01), depois do acidente, a maioria (80,7%) nÃo estava trabalhando. A motocicleta foi o veÃculo mais envolvido nos acidentes (70,2%) e o tipo mais recorrente foi colisÃo (54,4%). Ao comparar a mÃdia de idade de acordo com o tipo de veÃculo envolvido, encontrou-se diferenÃa estatisticamente significante (p=0,04) entre os acidentes com moto e aqueles com veÃculo nÃo motorizado ou sem nenhum veÃculo. As fraturas foram predominantes (73,7%) e os membros inferiores foram as regiÃes mais acometidas (60%). Ao comparar a regiÃo corporal lesionada de acordo com o veÃculo envolvido, encontrou-se que a moto acometia predominantemente os membros e os demais veÃculos a regiÃo da cabeÃa (p=0,02). A maioria dos pacientes apresentou independÃncia completa para a MIF total (54,4%), motora (42,1%) e cognitiva (86%). A locomoÃÃo foi o subdomÃnio que apresentou os maiores graus de dependÃncia. Quanto à participaÃÃo social, a maioria (28,1%) apresentou grave restriÃÃo. Ao correlacionar a MIF com a participaÃÃo social por meio do teste de correlaÃÃo de Spearman, obteve-se uma correlaÃÃo negativa moderada, estatÃsticamente significante (R=-0,54, p<0,01). Na anÃlise multivariada da participaÃÃo social, entraram no modelo explicativo a MIFmotora, o tempo de internaÃÃo e o estado civil (p=0,01; p=0,01; p=0,09, respectivamente). Concluiu-se que a maioria dos participantes era de homens, adultos jovens e solteiros; que a moto foi o veÃculo mais envolvido e a colisÃo o tipo mais recorrente; que as fraturas foram as lesÃes mais predominantes e os membros inferiores os mais acometidos; que, ao considerar o veÃculo envolvido, houve diferenÃa quanto à idade dos acidentados, bem como quanto ao perfil lesional (regiÃo acometida); que houve predominÃncia dos indivÃduos que apresentavam independÃncia funcional, entretanto ao considerar os quesitos, o mais acometido foi a locomoÃÃo; que se destacaram os indivÃduos com grave restriÃÃo da participaÃÃo social; que a MIFmotora, o tempo de internaÃÃo e o estado civil foram explicativos da participaÃÃo social. / The present study it had as objective main to analyze the profile epidemiologist and to carry through a functional evaluation of the taken care of victims of traffic in a service of physiotherapy in Fortaleza. For such, a quantitative and transversal study, developed of May the November of 2009 was carried through, in the ABCR-center. They had participated of this, patient rough of traffic carrying through treatment in the institution, greater of 18 years and concordant in participating of the research. For collection of the data, a script was used, instrument FIM and Scale de Social Participial. The data had been analyzed with software SPSS 15.0. 57 patients, 53 men and 4 women had been evaluated, with medium age of 37Â14 years, being the majority (49.1%) married and with complete basic education (42.1%). When considering the working situation before and after the accident, met significant difference between same (p<0.01), where after the accident the majority (80.7%) it wasnât working. The motorcycle was the vehicle most involved in the accidents (70.2%) e the type most recurrent was collision (54.4%). When comparing the acts average in accordance with the type of involved vehicle, met difference significant (p=0.04) it enters the accidents with motion and with vehicle not motorized or without no vehicle. The breakings had been predominant (73.7%) and the inferior members were the most injuried body region (60%). When comparing the injured body region in accordance with the involved vehicle, met that the motorcycle affect predominantly the members and the too much vehicles the region of the head (p=0.02). The majority of the patients presented complete independence for the total FIM (54.4%), motor (42.1%) e cognitive (86%).The locomotion was the subdomain that presented the biggest degrees of dependence. How much to the social participation, the majority (28.1%) it presented serious restriction of the same one. When correlating the MIF with the Social Participation through the test of correlation of Spearman, got a moderate negative correlation, statistical significant (R=-0.54, p<0.01). In the multivariate analysis of the Social Participation through multiple regression, they had entered in the clarifying model of the same a FIM motor, the time of internment and the civil state (p=0.01; p=0.01; p=0.09, respectively). Concluded that the majority of the participants were men, young adults and singles; that motorcycle was the vehicle more involved and the collision was the type more recurrent; that the factures were the most prevalent injuries and the lower limbs were the most affected; considering the vehicle involved, there was difference as the victimsâ age, as well as, the lesional profile (affected region); the people were more prevalent, who presenting functional independence, but in considering the questions of it, the most affected was the locomotion; that stood out individuals with severe restriction of social participation; that motor FIM, hospitalization time and marital status were explanatory of social participation.

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