Qualidade de vida relacionada à saúde de adolescentes portadores de Diabetes Mellitus tipo 1 assistidos na região metropolitana de Cuiabá-MT / Health-related quality of life of adolescents with type 1 diabetes mellitus assisted in the metropolitan region of Cuiabá-MT

Introdução: O Diabetes Mellitus (DM) é uma doença crônica com alta prevalência, constituindo um importante problema de saúde pública mundial. O Diabetes Mellitus tipo 1 (DM1), em geral, manifesta-se na infância e na adolescência. O DM1 e suas complicações podem afetar as condições de vida dos adolescentes e influenciar sua qualidade de vida. Objetivo: Avaliar a Qualidade de Vida Relacionada à Saúde (QVRS) em adolescentes portadores de DM1 assistidos na região metropolitana de Cuiabá-MT. Métodos: Foi realizado um estudo transversal que incluiu adolescentes com idade entre 10 e 19 anos, com pelo menos 1 ano de diagnóstico. Os dados foram colhidos por meio da aplicação do Instrumento para Qualidade de Vida de Jovens com Diabetes (IQVJD) e do formulário de dados sociodemográficos, econômicos e clínicos. Os adolescentes também responderam a uma questão específica comparando seu estado de saúde a adolescentes não diabéticos de mesma idade. Resultados: Foram estudados 96 adolescentes, em sua maioria do sexo feminino, de cores branca e parda e com indícios de DM não controlada (81% com hemoglobina glicada - HbA1c - acima de 7%), não obstante este resultado, de modo geral, fizeram uma avaliação compatível com boa qualidade de vida (QV). As medianas e os valores mínimos e máximos dos escores do IQVJD total e seus domínios foram: 35 (17-62) para o domínio "satisfação"; 51 (26-73) para o domínio "impacto"; 26 (11-44) para o domínio "preocupações" e 112 (59-165) para o valor do IQVJD total; 74% avaliaram seu estado de saúde como bom ou excelente. As análises bivariadas mostraram associação significante entre ter menor renda familiar, ser assistido por um plano de saúde público e o tipo de insulina com o domínio satisfação; ter menor renda familiar, ser assistido por um plano de saúde público , estudar em escola pública, ser filho de pais com menor escolaridade com os domínios preocupações e IQVJD total. Os adolescentes mais magros também avaliaram melhor sua QV no domínio...

Introduction : Diabetes mellitus is a chronic disease with high prevalence, constituting an important public health problem worldwide. Diabetes mellitus type 1 ( DM1) , usually manifests in childhood and adolescence. DM1 and its complications can affect the lives of adolescents and influence their quality of life (QoL). Objective: Evaluate the health-related quality of life of adolescents with DM1 who are assisted in the metropolitan region of Cuiaba-Brazil . Methods: A crosssectional study included adolescents aged between 10 and 19 years, with at least 1 year of performed diagnosis. Data were collected through the application of the Instrument for Quality of Life of Young People with Diabetes (DQOLY) and the form of sociodemographic, economic and clinical data.The teenagers also answered a specific question comparing their health status to non diabetic adolescents of the same age. Results: 96 subjects were studied , mostly female and white and brown colors with uncontrolled DM ( 81 % with glycated hemoglobin - HbA1c - up 7 % ), despite this result, in general, they did a analysis compatible with good QoL . The median, minimum and maximum values of total DQOLY scores and its domains were: 35 ( 17-62 ) for the domain " satisfaction " ; 51 ( 26-73 ) for the domain " impact " ; 26 ( 11-44 ) for the domain " concerns " and 112 ( 59-165 ) to the value of total DQOLY ; 74 % reported their health status as good or excellent. The bivariate analysis showed significant association between having lower family income, being assisted by a public health plan and the type of insulin with "satisfaction" domain; have lower family income , being assisted by a public health service, study in public school , to be children of lower parental education in the field "concerns" and in total DQOLY . The leaner adolescents also rated their QoL better in the domain "concerns " . The time of diagnosis greater than or equal to three years and HbA1c above 7 %, also were associated...

Hepatitis C as a risk factor for diabetes type 2: lack of evidence in a hospital in central-west Brazil

In order to assess the importance of HCV infection as a possible risk factor for type 2 diabetes mellitus, a case-control study was conducted, comparing the prevalence of HCV infection among diabetic and non-diabetic patients. Diabetic outpatients attending to a University Hospital in Central-West Brazil were evaluated between April and October 2005. A control group composed by patients from the same institution was matched by gender and age. Candidates to control group were included only if fasting glucose measures were under 100 mg/dL. Diabetics and controls had blood samples taken in order to test for antibodies against HCV (anti-HCV) by enzyme-immunoassay. Polymerase chain reaction and immunoblot were performed to confirm the anti-HCV status. Each group included 206 participants. Despite of the groups were in general comparable. The diabetics had a greater body mass average and smaller family income. The prevalence of confirmed anti-HCV in the diabetic group was of 1.4 percent, which was similar to the controls (1 percent). Finding statistical difference may have been hampered by the low frequency of HCV infection in both groups. It was not possible to demonstrate a role of HCV as an etiologic factor in type 2 diabetes, since HCV infected patients represented a small portion of the overall diabetes cases. This finding does not allow to recommend regular screening for HCV infection in type 2 diabetics in this region.

Hipertensão arterial: perfil de saúde dos trabalhadores de enfermagem de um hospital universitário / Arterial hypertension: nursing worker's health profile of a university hospital

Estudo realizado com os objetivos de identificar o perfil de saúde dos trabalhadores de enfermagem do Hospital Universitário Júlio Muller - Cuiabá - MT - Brasil e investigar seus conhecimentos sobre a hipertensão arterial. O total dos participantes representou mais de 70% dos trabalhadores da enfermagem da instituição. A maioria apresentou hábitos de vida saudáveis, porém não verificava a pressão arterial regularmente e estava com o peso suposto acima do normal. Foram detectados 30 (20,8%) trabalhadores com valores pressóricos acima do considerado normal. Concluiu-se que a hipertensão arterial constitui um sério problema de saúde entre os trabalhadores de enfermagem do hospital pesquisado, evidenciado não apenas por seus valores pressóricos fora dos níveis considerados normais, mas também por ter sido observado em suas características demográficas, antropométricas e comportamentos de saúde, dados que contribuem para o surgimento ou agravamento da hipertensão arterial...

The purposes of this study were to identify the nursing workers' health profiles of a university hospital in Cuiabá - Brazil and to investigate their knowledge about arterial hypertension. The participants were more than 70° o of the nursing workers of the institution. Most of them had a healthy life style, but they did not have the habit of measuring their blood pressure and were overweight. We detected 30 (20,8%) workers with their blood pressure over the normal limits. We concluded that arterial hypertension is a serious problem among the nursing workers of the researched hospital, shown not only by their blood pressure values over the normal limits, but also because we observed in their demographics, anthropometrics features and health behavior, data that contribute to the arterial hypertensionÆs onset or worsening...

Estudio cuyos propósitos fueron identificar lo perfil de salud dos trabajadores de enfermería de un hospital universitario en Cuiaba - Brasil y investigar o conocimiento que los trabajadores tenían sobre la hipertensión. El total de los participantes representó maís de 70% de los trabajadores de enfermería del hospital. La mayoria presentaba hábitos de vida saludable, mas no tenia lo hábito de verificar a presión arterial regularmente y estaba con el peso supuesto arriba de lo normal. Concluimos que la hipertensión arterial es un serio problema de salud entre los trabajadores de enfermería del hospital pesquisado, evidenciado no apenas por sus valores de presión arterial fuera dos niveles considerados normales, mas también por observarmos en sus características demográficas, antropométricas y comportamientos de salud, dados que contribuyen para lo surgimienro y agravamiento de la hipertensión arterial...