• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 6
  • Tagged with
  • 6
  • 6
  • 6
  • 5
  • 5
  • 4
  • 4
  • 2
  • 2
  • 2
  • 2
  • 2
  • 1
  • 1
  • 1
  • 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

Correla??o entre imagem corporal e autoestima em pessoas com ostomias intestinais

Sena, R?mulo M?gnus de Castro 22 May 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-14T19:43:17Z No. of bitstreams: 1 RomuloMagnusDeCastroSena_DISSERT.pdf: 1015541 bytes, checksum: c18bc6a7bc21a92d8519f5288021b466 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-15T21:16:45Z (GMT) No. of bitstreams: 1 RomuloMagnusDeCastroSena_DISSERT.pdf: 1015541 bytes, checksum: c18bc6a7bc21a92d8519f5288021b466 (MD5) / Made available in DSpace on 2016-06-15T21:16:45Z (GMT). No. of bitstreams: 1 RomuloMagnusDeCastroSena_DISSERT.pdf: 1015541 bytes, checksum: c18bc6a7bc21a92d8519f5288021b466 (MD5) Previous issue date: 2015-05-22 / Este estudo tem como objetivo geral investigar se existe rela??o entre imagem corporal e autoestima em ostomizados; e como objetivos espec?ficos averiguar a satisfa??o desses indiv?duos com a sua imagem corporal no tocante ao aspecto da apar?ncia e avaliar o grau de autoestima relacionada a tal condi??o. Trata-se de uma pesquisa correlacional, de corte transversal, que foi realizada em uma institui??o de apoio a esses usu?rios do estado do Rio Grande do Norte, com sede em Natal. Foram usados tr?s instrumentos de coleta: um question?rio geral estruturado, abrangendo dados sociodemogr?ficos e cl?nicos; a Escala de Satisfa??o com a Apar?ncia (ESA), e a Escala de Autoestima de Rosenberg (EAR). As informa??es obtidas foram analisadas com auxilio de um software de planilhamento eletr?nico. O projeto est? de acordo com a resolu??o 466/12 do Conselho Nacional de Sa?de, foi aprovado pelo Comit? de ?tica e Pesquisa da UFRN, sob o n?mero 348.948 em agosto de 2013. A amostra foi constitu?da por 93 ostomizados, com uma m?dia de idade de 50,4 anos (DP = 15,4), 62,4% dos sujeitos s?o do sexo masculino e o mesmo percentual est? em um relacionamento afetivo, 34,8% dos participantes cursaram apenas o ensino fundamental incompleto; 62,4% s?o aposentados; 63,4% possuem renda familiar de at? 2 sal?rios m?nimos, 75,3% residem na zona metropolitana de Natal; 91,4% t?m alguma cren?a religiosa; 83,9% eram colostomizados, e em 60,2% a causa da estomiza??o foi o c?ncer. A aplica??o do Teste de Correla??o de Spearman demonstrou uma correla??o moderada, positiva e estatisticamente significativa entre as vari?veis de satisfa??o com a imagem corporal, no tocante ao aspecto da apar?ncia, e a autoestima; permitindo inferir que embora a satisfa??o com a apar?ncia desses sujeitos fosse baixa, seus n?veis de autoestima eram elevados. Os instrumentos se mostraram bastantes simples de serem operacionalizados, e eficazes em mensurar os aspectos em an?lise; desse modo, recomenda-se sua incorpora??o na pr?tica dos profissionais que assistem aos ostomizados, para enriquecer as possibilidades de compreens?o desses sujeitos, qualificando a escuta do profissional para que suas interven??es no sentido da reabilita??o sejam mais eficientes e eficazes. / Ostomized is every individual that, because of a traumatic or clinical condition, it required a surgery resulting in the externalization of a hollow organ through the skin, and such temporary or permanent condition. This study has the general objective to investigate the relationship between body image and self-esteem in these individuals; as well as to verify their levels of satisfaction with their body image regarding the aspect of appearance and to evaluate the degree of self-esteem related to that condition. This is a correlational research, cross-sectional, which was accomplished in an institution in support of these users of Rio Grande do Norte state, with location in Natal. There were used three sampling instruments: a structured general questionnaire covering socio-demographic and clinical data; the Satisfaction Scale with Appearance (SSA) and the Rosenberg Self-Esteem Scale (RSS). The information obtained was analyzed with the aid of an electronic spreadsheet software. The project is according with the resolution 466/12 of the National Health Council, It was approved by the Research Ethics Committee of UFRN, under number CAAE 19159713.5.0000.5537 in August 2013. The sample consisted of 93 participants with an average age of 50.4 years (SD = 15.4). In general they had low satisfaction with their body image (M = 66.9), as regards the appearance, although maintained high levels of self-esteem (M = 34.8). Therefore, It was found a positive correlation, moderate (? = 0.426) and statistically significant was found (p <0.001) from the application of the Spearman correlation test. Therefore, dissatisfaction with body image is an important issue to be observed by professionals who attend ostomizeds. however, it seems, other aspects are also influencing the level of self-esteem of these individuals, who were not able to be determined in this study.
2

Qualidade de vida de pessoas com estomias intestinais

Andrade, Rosane Sousa de 23 November 2015 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-23T21:17:23Z No. of bitstreams: 1 RosaneSousaDeAndrade_DISSERT.pdf: 675189 bytes, checksum: a98d773786d7b38423df176ac2ea2c24 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-28T20:24:24Z (GMT) No. of bitstreams: 1 RosaneSousaDeAndrade_DISSERT.pdf: 675189 bytes, checksum: a98d773786d7b38423df176ac2ea2c24 (MD5) / Made available in DSpace on 2016-06-28T20:24:24Z (GMT). No. of bitstreams: 1 RosaneSousaDeAndrade_DISSERT.pdf: 675189 bytes, checksum: a98d773786d7b38423df176ac2ea2c24 (MD5) Previous issue date: 2015-11-23 / Estomia ? uma abertura de origem cir?rgica, quando h? necessidade de desviar, tempor?ria ou permanentemente, o tr?nsito normal da alimenta??o e/ou elimina??es. O paciente com estomia de elimina??o se v? diante de modifica??es em sua fisiologia, surgindo tamb?m ? necessidade de cuidados com a bolsa coletora. Neste estudo, objetivou-se analisar a Qualidade de Vida (QV) de pessoas vivendo com Estomias Intestinais (EI), atendidos no Centro de Reabilita??o Infantil e Adulto do Rio Grande do Norte (CRI/CRA-RN). Trata-se de um estudo anal?tico, com delineamento transversal e abordagem quantitativa, realizado com 89 pessoas que apresentaram EI. O estudo foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte (CEP/UFRN), CAAE: 19866413.3.0000.5537. Realizou-se a coleta de dados no per?odo de janeiro a mar?o de 2015 e se utilizou dois instrumentos: um question?rio geral adaptado abrangendo aspectos sociodemogr?ficos, cl?nicos e de autocuidado e um instrumento espec?fico de avalia??o de QV de pessoas com estoma intitulado como City of Hope Quality of Life - Ostomy Questionnaire (COH-QOL-OQ), validado e adaptado para o portugu?s em 2010, composto de quatro dom?nios, a saber: Bem Estar F?sico (BEF), Bem Estar Psicol?gico (BEP), Bem Estar Social (BES) e Bem Estar Espiritual (BEE). Os dados coletados foram inseridos num banco de dados na planilha do aplicativo Microsoft Excel 2007 e processados em software informatizado para as an?lises descritivas e inferenciais. Os resultados mostraram que 83,1% possu?am colostomia e 16,9% ileostomia. Na caracteriza??o sociodemogr?fica predominaram pessoas do sexo masculino (57,3%), acima de 50 anos (57,3%), de cor parda (46,1%), com presen?a de companheiro/a (57,3%), aposentados/benefici?rios (50,5%), renda mensal acima de um sal?rio m?nimo (68,5%) e que estudaram at? o ensino fundamental (67,4%). Quanto aos aspectos cl?nicos, observou-se que a maior causa que culminou com a confec??o do estoma foi ? neoplasia (59,6%) seguida de trauma (21,3%). A amostra apresentou pessoas com estoma h? mais de 6 meses (79,8%), de car?ter definitivo (57,3%), em uso de equipamento pe?a ?nica dren?vel (68,5%) de base plana (82,0%). Com rela??o ao autocuidado, 93,3% esvaziavam e lavavam a bolsa sozinhos (cuidados relacionados ? higiene), mas apenas 75,3% fixava a nova bolsa na pele, durante a troca (cuidados relacionados ? bolsa). A m?dia dos escores de QV dos pesquisados foi de 296,2 (68,90%) para QV Geral; 74,8 (68,03%) para o BEF; 88,8 (68,38%) para o BEP; 79,7 (66,46%) para o BES e 52,7 (75,41%) para o BEE. Diante dos resultados obtidos, conclui-se que se tratou de uma amostra predominantemente adulta/idosa (entre 50 e 70 anos), com baixa escolaridade e como causa motivadora do estoma, as neoplasias. Entretanto, tais achados n?o repercutiram em baixos ?ndices percentuais acerca da capacidade de realiza??o de autocuidado nem em baixos escores de QV. / Ostomy is an open surgical origin, when it is necessary to deviate temporarily or permanently, the normal transit of food and / or deletions. The patient with ostomy disposal is faced with changes in their physiology, also emerging on the need to care collection bag. This study aimed to analyze the quality of life (QOL) of people living with ostomy Intestinal (EI), who attended the Pediatric and Adult Rehabilitation Center of Rio Grande do Norte (CRI / CRA-RN). It is an analytical study with cross-sectional design and quantitative approach, accomplished with 89 people who had EI. The study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (CEP / UFRN), CAAE: 19866413.3.0000.5537. Held data collection in the period January-March 2015 using two instruments: an adapted general questionnaire covering socio-demographic, clinical and self-care and a specific instrument for assessing QOL of people with stoma titled as City of Hope Quality of Life - Ostomy Questionnaire (COH-QOL-Q), validated and adapted to Portuguese in 2010, composed of four areas, namely: Welfare Body (BEF), Welfare Psychological (BEP), Welfare (BES ) and Spiritual Well-Being (BEE). The collected data were entered into a database in Microsoft Excel 2007 spreadsheet application and processed in computerized software for descriptive and inferential analysis. The results showed that 83.1% had a colostomy and ileostomy 16.9%. Sociodemographic characteristics prevailed in males (57.3%), over 50 (57.3%), mulatto (46.1%), with presence of companion / a (57.3%), retired / beneficiaries (50.5%), monthly income above the minimum wage (68.5%) and who have studied up to elementary school (67.4%). Regarding clinical aspects, it was observed that the main cause that led to the making of the stoma was the neoplasm (59.6%) followed by trauma (21.3%). The sample showed people with stoma for more than six months (79.8%) of permanently (57.3%), in use sink equipment piece drainable (68.5%) of flat base (82.0%). With respect to self-care, 93.3% emptied and washed the bag alone (care related to hygiene) and 75.3% fixed the new exchange on the skin during the exchange (care related to the stock). Patients with more than six months of ostomy and had no partner (a) had higher averages of self-care related hygiene and purse. The average of respondents QoL scores was 68.90% for General QOL; 68.03% for the BEF; 68.38% for the BEP; 66.46% for BES and 75.41% for BEE. Among the aspects that influenced QOL included: physical strength, pain, suffering and gases (physical domain); appearance, care of the stoma and adaptation to new condition (psychological domain); isolation, interference in personal relationships and social activities (social domain) and going to church or synagogue, spiritual activities and positive change after ostomy (spiritual realm). Based on these results, it is concluded that this was a predominantly adult sample / elderly (between 50 and 70 years), with low education and the cause motivating the stoma, neoplasms. However, such findings did not pass at low percentage levels on the self-care capacity to deliver even at low QOL scores.
3

Perfil cl?nico-epidemiol?gico dos portadores de fissuras orofaciais em residentes do estado da Bahia: um estudo descritivo

Moura, Jamille Rios 20 November 2014 (has links)
Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-10-04T20:52:05Z No. of bitstreams: 1 PERFIL CL?NICO-EPIDEMIOL?G ICO DOS PORTADORES DE FISSURAS .pdf: 1130964 bytes, checksum: 116e81d06957864f0fed433876117d0f (MD5) / Made available in DSpace on 2016-10-04T20:52:05Z (GMT). No. of bitstreams: 1 PERFIL CL?NICO-EPIDEMIOL?G ICO DOS PORTADORES DE FISSURAS .pdf: 1130964 bytes, checksum: 116e81d06957864f0fed433876117d0f (MD5) Previous issue date: 2014-11-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / PURPOSE: Describe the clinical and epidemiological profile of patients with congenital orofacial clefts, residents in the state of Bahia, seen at Anomalies Rehabilitation Center Craniofacial Hospital Santo Antonio in the 2008-2013 period. METHOD: This is an observational and descriptive epidemiological study. The study included patients with orofacial clefts, nonsyndromic, of both sexes and without limitation of age. A simple random sample consisted of 319 records. Information was obtained on sociodemographic profile of the carrier and mother, medication use during pregnancy, clinical and surgical aspects cracks, family history of malformations and consanguinity of the parents. Data were analyzed descriptively using the Statistical Package for Social Sciences version 17.0 on you, where frequency measurements were obtained, mean and standard deviation. RESULTS: It was observed that 51.1% of patients with orofacial clefts were female, 46.2% were in the age group of one year and 54.4% were from the urban area. Most mothers was in the age group between 16 to 25 years during pregnancy and reported medication use in 59.2% of cases, especially vitamins and antibiotic. The cleft transforamen was the most diagnosed (34.4%). At the time of the service registration, it was observed that 90.5% of the subjects had not yet performed the surgical treatment. Family history of cleft was observed in 29.8% of cases and only 7.1% of cases were reported consanguinity between parents. CONCLUSIONS: A slight prevalence of oral clefts was observed in females, less than a year and living in an urban area. Mothers found themselves outside the age range considered risk during pregnancy and were using medication as vitamins and antibiotics that stage. Greater proportion of patients had cleft incisive trans type and have not undergone previous surgical treatment. Family history of orofacial clefts and relations of consanguinity in some of the cases studied was found. / OBJETIVO: Descrever o perfil cl?nico-epidemiol?gico dos portadores de fissuras orofaciais cong?nitas, residentes no estado da Bahia, atendidos no Centro de Reabilita??o de Anomalias Craniofaciais do Hospital Santo Ant?nio, no per?odo de 2008 a 2013. M?TODO: Trata-se de um estudo epidemiol?gico observacional e descritivo. Participaram do estudo portadores de fissuras orofaciais, n?o sindr?micos, de ambos os sexos e sem limita??o de faixa et?ria. A amostra aleat?ria simples foi composta de 319 prontu?rios. Foram obtidas informa??es sobre o perfil sociodemogr?fico do portador e da m?e, uso de medicamentos durante a gesta??o, aspectos cl?nicos e cir?rgicos relacionados as fissuras, hist?rico familiar da malforma??o e consanguinidade dos pais. Os dados foram analisados descritivamente com o uso do Statistical Package for te Social Sciences na vers?o 17.0, onde foram obtidas medidas de frequ?ncia, m?dia e desvio padr?o. RESULTADOS: Observou-se que 51,1% dos portadores de fissuras orofaciais eram do sexo feminino, 46,2% encontravam-se na faixa et?ria menor de um ano e 54,4% eram procedentes na zona urbana. A maioria das m?es encontrava-se na faixa et?ria entre 16 a 25 anos durante o per?odo gestacional e relataram uso de medica??o em 59,2% dos casos, especialmente vitaminas e antibi?ticos. A fissura transforame incisivo foi a mais diagnosticada (34,4%). No momento de cadastro ao servi?o, observou-se que 90,5% dos indiv?duos ainda n?o haviam realizado tratamento cir?rgico. A hist?ria familiar de fissura foi observada em 29,8% dos casos estudados e em apenas 7,1% dos casos foi reportado consanguinidade entre os pais. CONCLUS?ES: Uma leve predomin?ncia de fissuras orofaciais foi observada em indiv?duos do sexo feminino, menores de um ano e residentes em ?rea urbana. As m?es encontravam-se fora da faixa et?ria considerada de risco durante o per?odo gestacional e faziam uso de medica??o como vitaminas e antibi?ticos nessa fase. A maior parcela dos portadores apresentava fissura do tipo transforame incisivo e n?o foram submetidos a tratamento cir?rgico pr?vio. Foi encontrado hist?rico familiar de fissuras orofaciais e rela??es de consanguinidade em alguns dos casos estudados.
4

Associa??o dos aspectos sociodemogr?ficos, cl?nicos e assistenciais na qualidade de vida das pessoas com ?lcera venosa na aten??o prim?ria

Torres, Sandra Maria da Solidade Gomes Sim?es de Oliveira 30 September 2016 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-09T18:44:20Z No. of bitstreams: 1 SandraMariaDaSolidadeGomesSimoesDeOliveiraTorres_TESE.pdf: 1538231 bytes, checksum: 17e4af549a877dc2b32c7b1c988997b5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-10T18:42:56Z (GMT) No. of bitstreams: 1 SandraMariaDaSolidadeGomesSimoesDeOliveiraTorres_TESE.pdf: 1538231 bytes, checksum: 17e4af549a877dc2b32c7b1c988997b5 (MD5) / Made available in DSpace on 2017-03-10T18:42:56Z (GMT). No. of bitstreams: 1 SandraMariaDaSolidadeGomesSimoesDeOliveiraTorres_TESE.pdf: 1538231 bytes, checksum: 17e4af549a877dc2b32c7b1c988997b5 (MD5) Previous issue date: 2016-09-30 / Objetivo: Analisar a associa??o dos aspectos sociodemogr?ficos, cl?nicos e assistenciais na qualidade de vida das pessoas com ?lcera venosa (UV) na aten??o prim?ria. M?todo: Estudo anal?tico e transversal conduzido na aten??o prim?ria ? sa?de com 101 pessoas com UV. Os dados foram coletados por formul?rio estruturado de medidas sociodemogr?ficas e biofisiol?gicas e o Medical Outcomes Short-Form Health Survey (SF-36). Aplicados os testes Qui-quadrado, Friedman, U de Mann-Whitney e Regress?o Log?stica Bin?ria. Obteve aprova??o por Comit? de ?tica em Pesquisa (CAAE n? 07556312.0.0000.5537). Resultados: A popula??o estudada era composta em sua maioria por mulheres, idosos, casados ou com uni?o est?vel, com baixa renda e n?vel de escolaridade. Entre os idosos, predominaram pessoas do sexo feminino (p=0,011), com companheiro(a) (p=0,025), escolaridade at? ensino fundamental (p=0,016), sem profiss?o (p<0,001), n?o etilistas (p=0,029), com diabetes mellitus (p=0,002) e hipertens?o arterial sist?mica (p=0,001). Quanto aos aspectos de sa?de e assistenciais, houve tend?ncia de piores resultados entre os idosos, com predom?nio de indiv?duos com assist?ncia inadequada. As vari?veis faixa et?ria, sono, intensidade e presen?a da dor, tempo de les?o, orienta??o de exerc?cios regulares, orienta??es para terapia compressiva, tempo de tratamento e refer?ncia e contrarefer?ncia colaboraram para pior QV, juntas, as vari?veis sono, presen?a e intensidade da dor e orienta??o para exerc?cios f?sicos explicam pior qualidade de vida. Conclus?o: os pesquisados em sua maioria eram idosas, sem ocupa??o, com companheiro, baixa renda, comorbidades, tempo de les?o superior a um ano, recidivas e dor presente. Evidenciou-se necessidade de cuidado integral ?s pessoas com ?lcera venosa, em especial aos idosos. Os aspectos sociodemogr?ficos, cl?nicos e assistenciais, isolados e em conjunto, estiveram associados a pior qualidade de vida, em especial, sono, dor, orienta??o de exerc?cios e refer?ncia e contrarrefer?ncia nos idosos, que devem ser reconsiderados na assist?ncia integral e multidisciplinar. / Objective: To analyze the association of sociodemographic, clinical and care aspects of quality of life of people with venous ulcers (VU) in primary care. Method: Analytical and cross-sectional study conducted in primary health care with 101 people with VU. Data were collected by structured form of sociodemographic and bio-physiological measures and the Medical Outcomes Short-Form Health Survey (SF-36). Applied the chi-square test, Friedman, Mann-Whitney U test and Binary Logistic Regression. That was approved by the Research Ethics Committee (RECs No 07556312.0.0000.5537). Results: The study population consisted mostly of women, older, married or in a stable relationship, with low income and education level. Among the elderly, predominated females (p = 0.011), with a partner (p = 0.025), education to primary education (p = 0.016), unemployed (p <0.001), non-alcoholic (p = 0.029), diabetes mellitus ( p = 0.002) and hypertension (p = 0.001). About the health and welfare aspects, there was a tendency of worse outcomes among the elderly, with a prevalence of individuals with inadequate care. The variables age, sleepiness, intensity and presence of pain, injury time, guidance for exercise, guidelines for compression therapy, treatment time and reference and counter-reference contributed to the worse quality of life. Moreover, the variables sleepiness, intensity and presence pain, and guidance for exercise, all together, explain the worst quality of life. Conclusion: The surveyed were mostly elderly, unemployed, with a partner, low income, comorbidity, the injury time was more than one year, recurrence and with presence of pain. It was evident the need for comprehensive care to people with venous ulcers, especially the elderly. The sociodemographic, clinical and care aspects, isolated and together, were associated with the worse quality of life, in particular, sleepiness, pain, guidance for exercise, and reference and counter-reference in the elderly, should be reconsidered in the comprehensive and multidisciplinary care.
5

Estrat?gias de enfrentamento de pessoas vivendo com AIDS frente ? situa??o da doen?a / Estrat?gias de enfrentamento de pessoas vivendo com AIDS frente ? situa??o da doen?a

Silva, Rafael Tavares Silveira 16 December 2014 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-14T19:50:38Z No. of bitstreams: 1 RafaelTavaresSilveiraSilva_DISSERT.pdf: 950062 bytes, checksum: aa5f2be0a742377ddebcabcc5c270344 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-18T20:40:24Z (GMT) No. of bitstreams: 1 RafaelTavaresSilveiraSilva_DISSERT.pdf: 950062 bytes, checksum: aa5f2be0a742377ddebcabcc5c270344 (MD5) / Made available in DSpace on 2016-01-18T20:40:24Z (GMT). No. of bitstreams: 1 RafaelTavaresSilveiraSilva_DISSERT.pdf: 950062 bytes, checksum: aa5f2be0a742377ddebcabcc5c270344 (MD5) Previous issue date: 2014-12-16 / A S?ndrome da Imunodefici?ncia Adquirida (AIDS), considerada na atualidade uma doen?a de car?ter cr?nico devido ao advento do tratamento com antirretrovirais (TARV), traz aos indiv?duos que vivem com essa doen?a dificuldades relacionadas ? conviv?ncia social e ? adapta??o ? nova condi??o cl?nica e ?s rotinas impostas pelo tratamento. Essa realidade causa forte impacto na vida dessas pessoas que, no intuito da superar tais obst?culos, utilizam estrat?gias de enfrentamento, o Coping. Nesse contexto, objetivou-se neste estudo caracterizar o perfil sociodemogr?fico, cl?nico e de h?bitos de vida de pessoas vivendo com AIDS e analisar as estrat?gias de enfretamento utilizadas frente ? situa??o da doen?a, segundo vari?veis sociodemogr?ficas, cl?nicas e h?bitos de vida. Trata-se de um estudo transversal com abordagem quantitativa. A amostra foi composta por 331 pessoas cadastradas no ambulat?rio do Hospital Giselda Trigueiro (HGT), situado em Natal/RN, que possu?am agendamento para consulta m?dica ambulatorial no per?odo de janeiro a agosto de 2014. A pesquisa obteve parecer favor?vel do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte com o Certificado de Apresenta??o para Aprecia??o ?tica (CAAE), n? 16578613.0.0000.5537. A coleta de dados foi realizada atrav?s de entrevista estruturada e do Invent?rio de Estrat?gias de Enfrentamento de Folkman e Lazarus (IEEFL). Os dados da caracteriza??o social demonstraram predomin?ncia de homens (52%), jovens (42%), procedentes da capital (58%), cor parda (53%), solteiro (56%), heterossexuais (79%), pobres (68%). Em rela??o aos aspectos cl?nicos, verificou-se que a maioria realizou o primeiro exame anti-HIV h? menos de cinco anos (60%), tiveram sinais e sintomas da AIDS antes do exame (90%), foram internados (90%), iniciaram o TARV h? menos de cinco anos (60%), julgam ter bom conhecimento sobre a doen?a (75%) e acreditam que sua sa?de melhorou (92%). Relativamente aos h?bitos de vida, evidenciou-se que a maioria n?o consumem ?lcool (71%), n?o fumam (88%) e n?o usam drogas il?citas (92%) e nunca usaram preservativos antes do diagn?stico (62%) e apenas 192 (58%) usam o c?don atualmente. No que se refere ao Coping houve maior refer?ncia dos modos focados na emo??o, embora a resolu??o de problema tenha sido o segundo mais frequente. Os escores m?dios das mulheres, dos trabalhadores, dos religiosos e dos que nunca abandonaram o tratamento foram mais elevados para todos os fatores. Ter companheiro, morar com familiares e apoio no tratamento apresentaram maiores escores m?dios para v?rios fatores, coincidindo no confronto, afastamento e suporte social. Quanto ao lazer e a pr?tica de exerc?cios f?sicos, tamb?m predominou os modos focados na emo??o assim como foi observado na correla??o entre o tempo de tratamento, escolaridade e renda familiar e os fatores do IEEFL, embora com intensidade fraca. O perfil da popula??o estudada confere com as caracter?sticas nacionais, sugerindo feminiliza??o, interioriza??o, pauperiza??o, heterossexualiza??o, aumento da contagem de c?lulas CD4 e redu??o da carga viral durante o tratamento e a manuten??o de h?bitos de vida saud?veis. As estrat?gias de enfrentamento mais utilizadas foram as focadas na emo??o. Nesse contexto, entende-se que a identifica??o dessas estrat?gias pode facilitar o planejamento da assist?ncia, favorecendo a adapta??o dessas pessoas aos estressores frente ? situa??o da doen?a / The Acquired Immune Deficiency Syndrome (AIDS), considered today one chronic nature of the disease due to the advent of antiretroviral therapy (TARV), brings to individuals living with this disease, difficulties related to social interaction and adaptation to new physical condition and the routines imposed by the treatment. This reality has a strong impact on the lives of these people in order of overcoming them use coping strategies, Coping. In this context, the aim of this study was to characterize the epidemiological, clinical and life habits of people living with AIDS and analyze the coping strategies used with the situation of the disease, according to sociodemographic, clinical and life habits. This is a cross-sectional study with a quantitative approach. The sample consisted of 331 people registered at the clinic of the Hospital Giselda Trigueiro (HGT), located in Natal / RN, who had scheduling for outpatient medical consultation from January to August 2014. The study was approved by the Ethics Committee the Federal University of Rio Grande do Norte with the Presentation of Certificate for Ethics Assessment (CAAE), paragraph 16578613.0.0000.5537. The data of social characterization showed predominance of men (52%), young people (42%) coming from the capital (58%), mulatto (53%), single (56%), heterosexual (79%), poor (68 %). With regard to clinical aspects it has been found that most held the first HIV testing for less than five years (60%) had signs and symptoms of AIDS before the examination (90%) were hospitalized (90%) started ART for less than five years (60%) believe they have good knowledge of the disease (75%) and believe that their health has improved (92%). For lifestyle, it became clear that most do not consume alcohol (71%), do not smoke (88%) and do not use illicit drugs (92%) and never used condoms before diagnosis (62%) and only 192 (58%) use the currently codon. With regard to the reference was higher coping focused modes of emotion, although the problem solving has been the second most common. The mean scores of women, workers, religious and never abandoned the treatment were higher for all factors. Having a partner, living with family members and support in the treatment had higher average scores for various factors, coinciding in the confrontation, withdrawal and social support. As for the leisure and physical exercise also dominated the modes focused on emotion as was seen in the correlation between the time of treatment, education and family income and IEEFL factors, although with low intensity. The profile of the study population confers with national characteristics, suggesting feminization, internalization, pauperization, heterosexual, increased CD4 cell count and viral load reduction during treatment and maintaining healthy lifestyle habits. Coping strategies used were more focused on emotion. In this context, it is understood that the identification of these strategies can facilitate care planning, encouraging such persons to adapt to stressors with the situation of the disease
6

Integridade tissular de pacientes com ?lceras venosas: um estudo baseado na Classifica??o dos Resultados de Enfermagem

Medeiros, Ana Beatriz de Almeida 01 February 2013 (has links)
Made available in DSpace on 2014-12-17T14:46:57Z (GMT). No. of bitstreams: 1 AnaBAM_DISSERT.pdf: 1776639 bytes, checksum: 9dc2b0f2bd1577d9a228259236a9a66f (MD5) Previous issue date: 2013-02-01 / The venous ulcer is an epidemiological problem of high prevalence, causing disability and dependence. Assess the tissue impairment level of patients with venous lesions, within a nursing referential, is relevant for the implementation of a directed assistance to specific clientele. Thus, this work aims to characterize the health status regarding the integrity the lower limbs skin of patients with venous ulcers, according to the of tissue integrity outcome indicators from the Nursing Outcomes Classification. A cross-sectional study conducted in a university hospital in Natal - Rio Grande do Norte. The sample consisted of 50 participants, selected through consecutive sampling. Data collection occurred through a interview and physical examination form and a operational definitions tool for indicators of the nursing Tissue Integrity outcome directed to patients with venous ulcer, applied from February to June 2012. Data analysis was done by descriptive statistics and nonparametric tests (Spearman, Kruskal-Wallis and Mann-Whitney tests). The project was approved by the Research Ethics Committee with protocol 608/11 and Presentation Certificate to Ethical Consideration No. 0038.0.294.000-11. The results were presented using three scientific articles derivatives of research. It was found that the indicators show moderate impairment, light and not impaired, as the median. The respondents had an average of 59.72 years, 66% female, 50% were retired, 60% with a partner, 44% had arterial hypertension, 26% allergies, 20% diabetes mellitus, 96% were sedentary, 14% drank alcohol and 6% were smokers. There was a statistically significant correlation of low intensity between age and hydration (p=0.032; rs=-0.304) and skin desquamation (p=0.026; rs=-0.316), family income and necrosis (p=0.012; rs=-0.353); Ankle Brachial Index and tissue perfusion (p=0,044; rs=-0,329); Diabetes Mellitus and texture (p=0.015) and tissue perfusion (p=0.026); allergy and texture (p=0.034), physical activity and hydration (p=0.034), smoking and thickness (p=0.018), and alcohol consumption and exudate (p=0.045). We conclude that the patients had light to moderate impairment, indicating a good state of health on the integrity of the skin of the lower limbs, according to the indicators of the outcome of tissue integrity Classification Nursing Outcomes valued in the present study. It is believed that the evaluation of impairment tissue using a self-nursing system and its relation with socioeconomic, clinical and risk factors are unique tools in the care planning and in the wound healing / A ?lcera venosa ? um problema epidemiol?gico de alta preval?ncia, que provoca incapacidade e depend?ncia. Avaliar o n?vel de comprometimento tissular de pacientes com les?es venosas, dentro de um referencial pr?prio da Enfermagem, ? relevante para a implementa??o de uma assist?ncia direcionada ?s especificidades da clientela. Destarte, o objetivo deste trabalho ? caracterizar o estado de sa?de referente ? integridade da pele dos membros inferiores de pacientes com ?lcera venosa, de acordo com os indicadores do resultado Integridade tissular da Classifica??o dos Resultados de Enfermagem. Estudo transversal, realizado em um hospital universit?rio de Natal - Rio Grande do Norte. A amostra foi composta por 50 participantes, selecionados por amostragem consecutiva. A coleta dos dados aconteceu atrav?s de um formul?rio de entrevista e exame f?sico e de um instrumento de defini??es operacionais para indicadores do resultado de enfermagem Integridade tissular direcionado aos pacientes com ?lcera venosa, aplicados nos meses de fevereiro a junho de 2012. A an?lise dos dados se deu por meio de estat?stica descritiva e testes n?o-param?tricos (teste de Spearman, Kruskal-Wallis e Mann-Whitney). O projeto foi aprovado pelo Comit? de ?tica em Pesquisa com protocolo 608/11 e Certificado de Apresenta??o para Aprecia??o ?tica n? 0038.0.294.000-11. Os resultados foram apresentados por meio de 3 artigos cient?ficos derivados da pesquisa. Verificou-se que os indicadores apresentam comprometimento moderado, leve e n?o comprometido, quanto ? mediana. Os entrevistados tinham uma m?dia de 59,72 anos, 66% do sexo feminino, 50% aposentados e 60% com companheiro, 44% apresentavam hipertens?o arterial, 26% alergias, 20% Diabetes Mellitus, 96% eram sedent?rios, 14% consumiam bebidas alco?licas e 6% eram fumantes. Houve correla??o estatisticamente significativa, de intensidade fraca, entre idade e hidrata??o (p=0,032; rs=-0,304) e descama??o cut?nea (p=0,026; rs=-0,316); renda familiar e necrose (p=0,012; rs=-0,353); ?ndice Tornozelo/Braquial e perfus?o tissular (p=0,044; rs=-0,329); Diabetes Mellitus e textura (p=0,015) e perfus?o tissular (p=0,026); alergia e textura (p=0,034); atividade f?sica e hidrata??o (p=0,034); tabagismo e espessura (p=0,018); e etilismo e exsudato (p=0,045). Conclui-se que os pacientes apresentaram comprometimento de leve a moderado, indicando um bom estado de sa?de referente ? integridade da pele dos membros inferiores, de acordo com os indicadores do resultado Integridade tissular da Classifica??o dos Resultados de Enfermagem avaliados no presente estudo. Acredita-se que a avalia??o do comprometimento tissular utilizando um sistema pr?prio da enfermagem e a rela??o deste com fatores socioecon?micos, cl?nicos e de risco, s?o ferramentas singulares no planejamento da assist?ncia e no processo de cicatriza??o tecidual

Page generated in 0.0807 seconds