ABSTRACT
Evidências apontam que profissionais envolvidos na assistência ao idoso sofrem de estresse e apresentam uma qualidadede vida comprometida. O objetivo do estudo foi avaliar o nível de estresse e a qualidade de vida dos técnicos e auxiliaresde enfermagem de uma instituição de longa permanência. Delineamento transversal, exploratório e quantitativo foramutilizados como método. Utilizou-se as escalas Job Stress Scal e WHOQOL e a correlação de Spearman, para avaliar arelação do estresse e qualidade de vida, considerando p<0,05 para todos os testes estatísticos realizados. A idade médiafoi de 37,95±8,2 anos. O componente psicológico controle foi relacionados com renda e período de sono. Ademais, aqualidade de vida foi negativamente correlacionada com renda e positivamente com a idade e nível de escolaridade.As variáveis renda, sono, idade, escolaridade e estresse podem instrumentalizar a busca por alternativas de promoçãoda qualidade de vida.
Evidence suggests that professionals involved in the care of the elderly suffer from stress and have an impaired qualityof life. The objective of study was to evaluate the level of stress and quality of life of technicians and nursing assistantsin a long-term care facility. Refinement transversal, exploratory and quantitative design used were as method. Weused the Job Stress Scal and Whoqol scales and the Spearman correlation to assess the relationship of stress andquality of life, considering p <0.05 for all statistical tests. The average age was of 37.95 ± 8.2 years. The psychologicalcomponent control was related with income and sleep period. Moreover, the quality of life was negatively correlatededwith income and positively with age and level of education. The income variables, sleep, age, education and stress caninstrumentalize the search for alternatives to promote of quality of life.
Subject(s)
Humans , Stress, Psychological , Burnout, Professional , Quality of Life , Homes for the Aged , Nursing, Team , Aging , Sleep , IncomeABSTRACT
Introdução: A Doença Pulmonar Obstrutiva Crônica produz alterações mecânicas na caixa torácica que desencadeiam disfunções físicas limitantes das atividades de vida diária e da qualidade de vida. Objetivos:Avaliar os efeitos de um programa de exercícios para readequação do complexo toracopulmonar na mobilidade da caixa torácica, capacidade de exercício e qualidade de vida em pacientes com DPOC. Materiais e métodos: Este estudo avaliou 13 pacientes com DPOC por meio de Espirometria, Teste da Caminhada dos Seis Minutos (TC6min), Cirtometria e Questionário de Qualidade de Vida Saint George (SGRQ). O programa foi elaborado com base em exercícios que objetivam o aumento da mobilidade de caixa torácica, tolerância ao exercício e melhora na resposta subjetiva em relação à qualidade de vida. Resultados: Após 12 semanas de tratamento, verificou-se um aumento significativo na mobilidade da região inferior da caixa torácica (expansibilidadeda região xifoide: de 3 ± 2 cm para 7 ± 4 cm, p = 0,01), na região abdominal (expansibilidade umbilical: de 2 ± 1 cm para 6 ± 4 cm, p = 0,01) e melhora na distância percorrida no TC6min (391 ± 117 minicial para final de 442 ± 124 m, p = 0,04). Na avaliação pelo SGRQ, houve uma tendência sem significância estatística de melhora nos três domínios (sintomas: 37 ± 22 para 26 ± 21; atividades: 64 ± 15 para 62 ±19; e impacto: 42 ± 16 para 38 ± 16). Conclusão: O programa de exercícios respiratórios direcionados ao aumento da mobilidade da caixa torácica melhorou a expansibilidade torácica e abdominal e a capacidadede exercício
BACKGROUND: Chronic Obstructive Pulmonary Disease produces mechanical changes in chest wall and this physical disability reduces the daily life activities and quality of life levels.OBJECTIVES: To assess the effects of an exercise program for Thoracopulmonary Complex Re-Adaptation in the chest wall mobility, exercise capacity and quality of life in COPD patients. MATERIALS AND METHODS: Thirteen COPD patients were studied. Spirometry, Six Minutes Walk Test, Thoracic Mobility and Quality of Life by Saint George Respiratory Questionnaire (SGRQ) were the variables. The exercise program was created based on physical exercises that aim at increasing the thoracic mobility and a better exercise tolerance, as well as improving the subjective response related to quality of life. RESULTS: After a 12-week program, it was observed a significant improvement in chest wall mobility in lower chest region (xiphoid level mobility: from 3 ± 2 cm to 7 ± 4 cm; p = 0.01) and in the abdominal region (umbilical level mobility: from 2 ± 1 cm to 6 ± 4 cm; p = 0.01). There was a statistically significant improvement of exercise capacity (walk distance: from 391 ± 117 m to 442 ± 124 m; p = 0.04). In quality of life assessment by SGRQ, there was a tendency of improving in three domains (symptom: from 37 ± 22 to 26 ± 21; activity: from 64 ± 15 to 62 ± 19; and impacts: from 42 ± 16 to 38 ± 16), but with no statistic significances.CONCLUSION: Respiratory exercises aimed at increasing the chest wall mobility improve abdominal and lower chest expansibility and exercise tolerance.
Subject(s)
Humans , Male , Female , Abdomen , Breathing Exercises , Pulmonary Disease, Chronic Obstructive/therapy , Physical Therapy Modalities , Pulmonary Disease, Chronic Obstructive , Quality of LifeABSTRACT
As cirurgias abdominais altas, como as colecistectomias, tendem a evoluir no pós operatório com distúrbios ventilatórios restritivos. O objetivo deste trabalho foi avaliar a evolução da força muscular inspiratória após o treinamento da musculatura respiratória, por meio do uso de aparelho com carga linear pressórica em pacientes submetidos à colecistectomia convencional. Foram estudados 10 pacientes do sexo feminino, com indicação de colecistectomia, e elas realizaram avaliação da força muscular inspiratória através da medida da Pressão Inspiratória Máxima (PImáx). Deles, seis foram avaliados no pré e pós-operatório (G1 grupo 1) e realizaram o Treinamento Muscular Respiratório (TMR) com uso do Theshold® (2 vezes ao dia no 1º e no 2º pós-operatório utilizando 40% da PImáx), e quatro pacientes foram acompanhados no pós-operátorio como grupo controle (G2 grupo 2). Os resultados indicam que, apesar da diminuição da PImáx no pós-operatório, houve recuperação da força muscular inspiratória já no primeiro dia de TRM, de 36,7 ± 13,7 cmH2O para 48,0 ± 13,7 cmH2O e este aumento foi estatisticamente significante (p<0,05), o que não ocorreu no grupo controle. Conclui-se que há uma redução na força muscular respiratória após colecistectomia e que o TMR foi satisfatório na melhora de força muscular respiratória.
The upper abdominal surgeries such as cholecystectomy, tend to evolve postoperatively with restrictive ventilatory disorders. The aim of this study was to evaluate the evolution of inspiratory muscle strength after training the respiratory muscles through the use of linear load device with pressure in patients undergoing conventional cholecystectomy. We studied 10 female patients with indication for cholecystectomy who underwent assessment of inspiratory muscle strength by means of the Maximal Inspiratory Pressure (MIP). Of these, six were evaluated preoperatively and postoperatively (G1 - group 1) and conducted Respiratory Muscle Training (RMT) using the Theshold ® (twice a day on the 1st and 2nd postoperative day using 40% MIP) and four patients were observed in the post-surgery as a control group (G2 - group 2). The results indicate that despite the decrease in MIP postoperatively, there was recovery of inspiratory muscle strength on the first day of RMT, from 36.7 ± 13.7 cmH2O to 48.0 ± 13.7 cmH2O, and this increase was statistically significant (p <0.05), which did not occur in the control group. We conclude that there is a reduction in respiratory muscle strength after cholecystectomy and that the RMT was considered satisfactory in the improvement of the respiratory muscle strength.
Subject(s)
Humans , Female , Adult , Abdomen/surgery , Cholecystectomy , Muscle StrengthABSTRACT
O objetivo do estudo foi analisar os efeitos de um treinamento muscular inspiratório (TMI) de curta duração e alta intensidade, com e sem o apoio de membros superiores, sobre as pressões respiratórias máximas em jovens saudáveis. Trinta jovens do sexo feminino foram aleatoriamente distribuídas em três grupos: o grupo controle (GC) fez treinamento placebo na posição sentada...
The purpose of this study was to analyse the effects of a short-term, high-intensity inspiratory muscle training (IMT) on health youth maximal respiratory pressures, with and without arm bracing postures. Thirty young women were randomly assigned to three groups: control group (CG); group training with the arm bracing (AB)...
Subject(s)
Humans , Female , Arm , Breathing Exercises , Posture , WomenABSTRACT
Disfunçòes respiratórias ocorrem na maioria dos pacientes com doença de Parkinson idiopática em estágios avançados, levando a elevados índices de morbimortalidade. O objetivo deste estudo foi relatar a evolução do caso de um paciente parksoniano no estágio IV da escala de Hoehn e Yarhr em que a intervenção fisioterapeutica foi especificamente.
Respiratory dysfunctions occur in great part of patients with idiopathic Parkinson's disease (IPD) in avanced stages, leading to a high incidence of morbidity and mortality. The main goal in this study was to present the evolution of a patient with IPD in the IV stage of Hoehn and Yahr scale...
Subject(s)
Humans , Male , Adult , Breathing Exercises , Parkinson Disease/complications , Respiratory Tract Diseases/rehabilitation , Exercise Therapy , Respiratory Function Tests , Respiratory TherapyABSTRACT
BACKGROUND: The measurement of maximal inspiratory and expiratory pressures is useful for the evaluation of pulmonary function. However, the methods to obtain them are not always properly described. OBJECTIVE: To identify the difference between the peak pressure values (Ppeak, the highest pressure reached) and the sustained pressure (Pmaxs, the highest pressure sustained for one second) in MIP and MEP evaluation. METHOD: 55 healthy individuals and 50 patients who were taking part in a pulmonary rehabilitation program, all of them with chronic pulmonary disease, were studied by recording their best maximal inspiratory pressure and maximal expiratory pressure tests. The peak and sustained pressure values were compared and analyzed to determine whether there was a difference between them. RESULTS: The maximum inspiratory pressure records of healthy individuals showed that the maximal peak inspiratory pressure and the maximal inspiratory pressure found were, respectively, 102 ± 33 cmH2O and 92 ± 29 cmH2O (p < 0.001), and those of the patients participating in the pulmonary rehabilitation program were 75 ± 23 cmH2O and 67 ± 22 cmH2O (p < 0.001). The recorded values of maximal expiratory pressure, peak and maximal were 119 ± 42 cmH2O and 110 ± 39 cmH2O (p < 0.001), respectively, for healthy subjects, and 112 ± 40 cmH2O and 103 ± 36 cmH2O (p < 0.001) for the patients. CONCLUSION: There is a significant difference between Ppeak and Pmaxs, that can lead to different interpretations in the evaluation of the respiratory muscle strength. To minimize interpretation errors, the authors suggest the use of devices which record both values (peak and sustained).