ABSTRACT
Este estudo descreve e analisa a rotina de trabalho de um programa de recreação e ginástica para pacientes com insuficiência crônica renal. O tipo de trabalho desenvolvido foi a pesquisa-ação empírica. Um questionário-diagnóstico foi aplicado a 85 sujeitos adultos em hospital situado em Maringá-PR. No estudo foram utilizados diferentes tipos de instrumentos de coleta: 1) Questionário SF 36 de qualidade de vida; 2) Entrevistas semiestruturadas; e 3) Registro fotográfico. Os resultados apresentam e discutem o cotidiano e a rotina do hospital e os procedimentos necessários para desenvolvimento de atividades em sala de hemodiálise. Em conclusão, este estudo caracterizou as necessidades dos pacientes, as dificuldades encontradas na implantação do programa e estratégias desenvolvidas para intervenção.
The current study describes and analyzes the routine of the recreation and exercise program in chronic renal failure patients. The type of research was empirical action research. The diagnostic questionnaire was applied to 85 adults in a hospital of Maringá-PR. This study also used other different types of instruments: 1) SF 36 quality of life questionnaire; 2) Semi-structured interviews and 3) Photographic record. The results presented and discussed the routine of the hospital and the necessary procedure for activities development in the hemodialysis room. In conclusion, this study was characterized the patients needs and the difficulties of implementation and development of the intervention program.
Subject(s)
Humans , Quality of Life , Complementary Therapies , Exercise , Mental Health , Renal Dialysis/adverse effects , Renal Dialysis/psychology , Renal Insufficiency, Chronic , Workflow , Inpatients , Interpersonal Relations , Leisure Activities , Nurse-Patient RelationsABSTRACT
ABSTRACT Introduction/Aim: The gut has shown to have a pivotal role on the pathophysiology of metabolic disease. Food stimulation of distal intestinal segments promotes enterohormones secretion influencing insulin metabolism. In diabetic rats, oral insulin has potential to change intestinal epithelium behavior. This macromolecule promotes positive effects on laboratorial metabolic parameters and decreases diabetic intestinal hypertrophy. This study aims to test if oral insulin can influence metabolic parameters and intestinal weight in obese non-diabetic rats. Methods: Twelve weeks old Wistar rats were divided in 3 groups: control (CTRL) standard chow group; high fat diet low carbohydrates group (HFD) and HFD plus daily oral 20U insulin gavage (HFD+INS). Weight and food consumption were weekly obtained. After eight weeks, fasting blood samples were collected for laboratorial analysis. After euthanasia gut samples were isolated. Results: Rat oral insulin treatment decreased body weight gain (p<0,001), fasting glucose and triglycerides serum levels (p<0,05) an increased intestinal weight of distal ileum (P<0,05). Animal submitted to high fat diet presented higher levels of HOMA-IR although significant difference to CT was not achieved. HOMA-beta were significantly higher (p<0.05) in HFD+INS. Visceral fat was 10% lower in HFD+INS but the difference was not significant. Conclusions: In non-diabetic obese rats, oral insulin improves metabolic malfunction associated to rescue of beta-cell activity.