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1.
Notas enferm. (Córdoba) ; 20(35): 39-47, jun. 2020. graf
Article in Spanish | LILACS (Americas), BDENF, BINACIS, UNISALUD | ID: biblio-1119045

ABSTRACT

La enfermedad oncológica se caracteriza por una profunda alteración de la regulación del crecimiento y/o muerte celular, con capacidad de diseminarse a distancia. Durante su tratamiento requieren de la ayuda de cuidadores que muchas veces son los propios familiares, personas de su entorno que asume voluntariamente el papel de responsable en un sentido amplio y está dispuesto a tomar decisiones por y para el enfermo. Por ello, este estudio buscó describir las prácticas de cuidado realizadas diariamente por el cuidador informal de pacientes oncológicos ambulatorios asistidos un hospital público de la ciudad de Corrientes durante 2019. Con diseño descriptivo, transversal y observacional la muestra se conformó con cuidadores informales que reunían criterios de inclusión exclusión y eliminación definidos previamente. La recolección de datos se realizó entre agosto a octubre de 2019 mediante aplicación de un cuestionario a 90 cuidadores informales. La edad promedio fue 43 años, 76% eran mujeres, en parentesco 44% eran hijos/as y 24% las parejas. En promedio dedicaban 14hs diarias a los cuidados, con un 47% que lo hacía en los tres turnos. El 42% eran trabajadores dependientes, 26% amas de casa,12% estudiantes, jubilados 7%; trabajadores independientes 9% y 4% desocupados. La actividad que realizaban con mayor frecuencia fue el acompañamiento a las consultas clínicas con un 81%. Estos cuidadores además de desarrollar prácticas diarias con su familiar enfermo también cumplían obligaciones de trabajo y estudio. La existencia de esta enfermedad afecta la vida no solo de quien la padece de manera directa sino también la de la familia y de manera inmediata la del cuidador informal. Las repercusiones pueden minimizarse si reciben un soporte adecuado por parte de enfermería, incluyendo en sus cuidados no solo a la persona enferma sino también al cuidador informal[AU]


Subject(s)
Humans , Male , Female , Adult , Outpatients , Activities of Daily Living , Caregivers , Family Relations , Home Nursing , Neoplasms
3.
Biosci. j. (Online) ; 36(1): 266-275, jan./feb. 2020. ilus, graf, tab
Article in English | LILACS (Americas) | ID: biblio-1049248

ABSTRACT

This study aimed to evaluate the influence of Integrated Continuous Care on the functional independence of the elderly. This cohort study included participants aged 60 years or older who had experienced a disabling event or disease, and were admitted to rehabilitation in a Brazilian Integrated Continuous Care Unit. The functional gain was evaluated by the Barthel index.Fifty-nine elderly individuals admitted due to a disabling event or disease at the ICCU were assisted from March 2014 to February 2015. Since twenty-two of these were excluded, only 37 participants were evaluated. The mean age of the elderly that were included was 70.41 years (± 1.40) and most of them presented an ischemic stroke diagnosis (64.9%). The total functional gain was 24.05 (± 3.84) points, with an average stay of 32.32 (± 2.18) days. When compared with the degree of dependence on the admission and at discharge, total or severe dependence was identified in 62.2% on admission and mild dependence or total independence was identified in 54.1% at discharge, with a significant decrease in the percentage of the elderly with total dependence between admission and discharge (McNemar test, p = 0.001). At hospital discharge, 70.3% of the elderly had better individual performance in their Activities of Daily Living than at hospital admission and none of them got worse. The multi-professional team-based approach in the Integrated Continuous Care assistance model favors the elderly with gain in functionality and independence. The social network involvement of the elderly lead to their empowerment and co-responsibility along with their family/caregiver in pursuit of the therapeutic goals established together.


Investigar a influência dos Cuidados Continuados Integrados na independência funcional de idosos. Este estudo de coorte incluiu participantes com 60 anos ou mais que sofreram algum evento ou doença incapacitante e que foram internados para reabilitação em Unidade Brasileira de Cuidados Continuados Integrados. O ganho funcional foi avaliado pelo índice de Barthel. Cinquenta e nove idosos admitidos por um evento ou doença incapacitante na UCCI foram atendidos de março de 2014 a fevereiro de 2015. Como vinte e dois deles foram excluídos, apenas 37 participantes foram avaliados. A média de idade dos pacientes incluídos foi de 70,41 anos (± 1,40) e a maioria apresentou AVC isquêmico como diagnóstico (64,9%). O ganho funcional total foi de 24,05 (± 3,84) pontos, com tempo médio de permanência de 32,32 (± 2,18) dias. Quando comparados o grau de dependência na admissão e na alta, a dependência total ou grave foi identificada em 62,2% na admissão e a dependência leve ou independência total foi identificada em 54,1% na alta, com uma diminuição significativa no percentual de pacientes com dependência total entre admissão e alta (teste de McNemar, p = 0,001). Na alta hospitalar, 70,3% dos pacientes apresentaram melhor desempenho individual em suas Atividades de Vida Diária do que no momento da admissão hospitalar e nenhum paciente piorou. A abordagem multiprofissional baseada em equipe no modelo assistencial do Cuidado Integrado Contínuo beneficia o idoso, com ganho de funcionalidade e independência. O envolvimento do paciente na rede social leva ao empoderamento e corresponsabilidade deste e da família/cuidador na busca dos objetivos terapêuticos estabelecidos em conjunto.


Subject(s)
Rehabilitation , Aged , Activities of Daily Living , Treatment Outcome , Patient Care
4.
Fisioter. Pesqui. (Online) ; 27(1): 85-92, jan.-mar. 2020. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1090410

ABSTRACT

RESUMO O objetivo foi estimar a prevalência de incapacidade para realizar tarefas de vida diária e identificar associação com dor e fatores sociodemográficos. Trata-se de um estudo transversal, com amostra de conveniência, composta por indivíduos que buscaram ativamente assistência à saúde em um município de pequeno porte com queixas de dor musculoesquelética e dificuldades na realização de atividades de vida diária. Compuseram a amostra 766 indivíduos. Foram aplicados questionários para avaliar o grau de dificuldade de realização de atividades de vida diária e dor (Questionário Nórdico de Queixas Musculoesqueléticas e Escala Numérica de Dor). Foram estimadas as prevalências de incapacidade e dor, bem como foram construídos cinco modelos de regressão logística para incapacidade considerando sexo, idade, ocupação e presença e características da dor. Os dados encontrados mostraram que a prevalência de alguma dificuldade para realizar atividades de vida diária foi de 87,6%, de muita dificuldade 66,1%; a de dor musculoesquelética foi de 67,5%. Os indivíduos apresentaram incapacidade para realização de 3,6 atividades de vida diária em média. A dor foi o principal fator de associação para explicá-la (OR 9,9; IC95% 5,9-16,5), seguida da idade. A dificuldade na execução de atividades de vida diária foi associada à dor em membros inferiores, com frequência maior que quatro dias na semana, início há mais de cinco anos e intensidade forte ou insuportável nos episódios de crise. As prevalências de incapacidade e dores foram altas. A dor musculoesquelética e a idade impactaram na incapacidade funcional. Este estudo contribui para direcionar a construção de ações de cuidado que visem minimizar e prevenir dificuldades para realizar tarefas do dia a dia.


RESUMEN El objetivo fue estimar la prevalencia de incapacidad para realizar tareas de la vida diaria e identificar una asociación con el dolor y los factores sociodemográficos. Este es un estudio transversal, con una muestra de conveniencia compuesta de individuos que buscaron activamente asistencia médica en un municipio de pequeño porte, quejándose de dolor musculoesquelético y dificultades para llevar a cabo actividades de la vida diaria. La muestra comprendió 766 individuos. Se aplicaron cuestionarios para evaluar el grado de dificultad en la realización de actividades de la vida diaria y el dolor (Cuestionario nórdico musculoesquelético y Escala numérica del dolor). Se estimaron las prevalencias de incapacidad y dolor, así como se construyeron cinco modelos de regresión logística para la incapacidad considerando el sexo, la edad, la ocupación y la presencia y características del dolor. Los hallazgos evidenciaron el 87,6% de prevalencia de alguna dificultad, el 66,1% de mucha dificultad en la realización de actividades de la vida diaria; y el 67,5% de prevalencia de dolor musculoesquelético. Los individuos tuvieron incapacidad en la realización de 3,6 actividades como promedio en la vida diaria. El dolor fue el principal factor asociado para explicarla (OR 9,9; IC95% 5,9-16,5), seguido de la edad. La dificultad para realizar actividades de la vida diaria se asoció con el dolor en los miembros inferiores, con una frecuencia superior a cuatro días a la semana, que había comenzado hace más de cinco años, y de intensidad fuerte o insoportable en los episodios de crisis. Fueron altas las prevalencias de incapacidad y dolor. El dolor musculoesquelético y la edad influyen en la incapacidad funcional. Este estudio puede orientar la elaboración de acciones de cuidado con el fin de minimizar y prevenir dificultades en la realización de tareas diarias.


ABSTRACT The objective is to estimate the prevalence of incapacity to perform tasks of daily living and to identify its association with pain and sociodemographic factors. This is a cross-sectional study, with a convenience sample, composed of individuals who actively sought healthcare in a small city with complaints of musculoskeletal pain and difficulties in carrying out activities of daily living. The sample comprised 766 individuals. Questionnaires were applied to assess the degree of difficulty in performing activities of daily living and pain (Nordic Musculoskeletal Complaints Questionnaire and Numerical Pain Scale). The prevalence of disability and pain was estimated, as well as five logistic regression models for disability were constructed considering sex, age, occupation and presence and characteristics of pain. The data found showed that the prevalence of some difficulty in performing activities of daily living was 87.6%, with a lot of difficulty 66.1%; musculoskeletal pain was 67.5%. The individuals were unable to perform 3.6 activities of daily living on average. Pain was the main association factor to explain it (OR 9.9; 95%CI 5.9-16.5), followed by age. Difficulty in performing activities of daily living was associated with pain in the lower limbs, with a frequency greater than four days a week, beginning more than five years ago and severe or unbearable intensity in crisis episodes. The prevalence of disability and pain was high. Musculoskeletal pain and age impacted functional disability. This study contributes to direct the construction of care actions that aim to minimize and prevent difficulties to perform daily tasks.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Disabled Persons , Musculoskeletal Pain/physiopathology , Musculoskeletal Pain/epidemiology , Socioeconomic Factors , Pain Measurement , Brazil , Activities of Daily Living , Logistic Models , Demography , Chronic Disease/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Development Indicators , Family Health Strategy , Delivery of Health Care , Disability Evaluation , Health Policy
5.
Fisioter. Pesqui. (Online) ; 27(1): 57-63, jan.-mar. 2020. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1090419

ABSTRACT

RESUMO O objetivo deste estudo foi avaliar e comparar respostas metabólicas, cardiovasculares e ventilatórias do incremental shuttle walk test (ISWT) e do Glittre activities of daily living test (Glittre-ADL test). Trata-se de um estudo transversal, realizado com indivíduos saudáveis. A capacidade funcional (CF) foi avaliada pela distância percorrida e consumo de oxigênio pico (VO2pico) no ISWT e pelo tempo gasto e VO2 no Glittre-ADL test. Trinta indivíduos percorreram 656,67 (IC95%:608,8-704,5) metros no ISWT e executaram o Glittre-ADL test em 2,4 (IC95%:2,2-2,6) minutos. O VO2 pico do ISWT foi 27,8 (IC95%25,6-29,9) versus 22,2 (IC95%20,5-24,1)mL×kg−1×min−1 (p<0,001) no estado estável (EE) do Glittre-ADL test. As correlações entre distância percorrida no ISWT e o tempo gasto no Glittre-ADL test, o VO2pico do ISWT e o VO2 no EE do Glittre-ADL test e a FC no pico do ISWT e no EE do Glittre-ADL test foram de moderada a alta magnitude. O Glittre-ADL test apresenta menores respostas metabólicas, cardiovasculares e ventilatórias se comparado ao ISWT.


RESUMEN El presente estudio tuvo el objetivo de evaluar y comparar las respuestas metabólicas, cardiovasculares y ventilatorias de incremental shuttle walk test (ISWT) y de Glittre activities of daily living test (Glittre-ADL test). Es un estudio transversal realizado con individuos sanos. La capacidad funcional (CF) se evaluó utilizando la distancia recorrida y consumo máximo de oxígeno (VO2máx) en el ISWT y el tiempo empleado y VO2 en el Glittre-ADL test. Treinta individuos caminaron 656,67 (IC95%:608,8-704,5) metros en el ISWT y realizaron el Glittre-ADL test en 2,4 (IC95%:2,2-2,6) minutos. El VO2 máx del ISWT fue de 27,8 (IC95%25,6-29,9) versus 22,2 (IC95%20,5-24,1)mL×kg−1×min−1 (p<0,001) en el estado estable (EE) del Glittre-ADL test. Las correlaciones entre la distancia recorrida en el ISWT y el tiempo empleado en el Glittre-ADL test, el VO2máx del ISWT y el VO2 en el EE de Glittre-ADL test y la FC en el máximo del ISWT y en el EE de Glittre-ADL test fueron de moderada a alta magnitud. El Glittre-ADL test presenta respuestas metabólicas, cardiovasculares y ventilatorias más bajas en comparación con el ISWT.


ABSTRACT The aim of the study was to assess and compare the cardiovascular, ventilatory and metabolic responses of the Incremental Shuttle Walk test (ISWT) and Glittre Activities of Daily Living test (Glittre-ADL test). This is a cross-sectional study with individuals. The functional capacity (FC) was evaluated by distance and peak oxygen consumption (VO2peak) in the ISWT and time spent and VO2 in Glittre-ADL test. Thirty individuals went through 656.67 (CI95%:608.8-704.5) meters at the ISWT and performed the Glittre-ADL test in 2.4 (CI95%:2.2-2.6) minutes. The peak VO2 of the ISWT was 27.8 (CI95%25.6-29.9) vs. 22.2 (CI95%20.5-24.1) mL×kg−1×min−1 (p<0.001) in the steady state (SS) of the Glittre-ADL test. Correlations between distance traveled in the ISWT and the time spent in Glittre-ADL test, VO2 peak of ISWT and VO2 in SS of Glittre-ADL test and HR at the ISWT peak and at the Glittre-ADL test SS were moderate to high magnitude. The Glittre-ADL test has lower metabolic, cardiovascular and ventilatory responses compared to ISWT, despite correlations between variables.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Exercise Test/methods , Walk Test/methods , Physical Functional Performance , Oxygen Consumption/physiology , Respiratory Function Tests , Spirometry , Activities of Daily Living , Cross-Sectional Studies , Reproducibility of Results , Energy Metabolism/physiology , Cardiorespiratory Fitness/physiology
6.
Article in English | WPRIM (Western Pacific) | ID: wprim-820814

ABSTRACT

BACKGROUND AND PURPOSE: To adequately evaluate the extent of neurocognitive impairment in patient living with human immunodeficiency virus (PLHIV), a battery of neuropsychological tests is typically administered which are neither cost effective nor time efficient in the outpatient clinical setting. The aim of the study was to assess neurocognitive status and functional ability of people living with HIV and find a brief screening tool to identify those who would benefit from a full diagnostic evaluation.METHODS: The study enrolled 160 PLHIV (80 pre-antiretroviral therapy [ART] and 80 on ART) fulfilling the inclusion and exclusion criteria. Neurocognitive assessment and an assessment of Functional ability was done by using the Montreal Cognitive Assessment (MoCA) and Lawton and Brody Instrumental Activities of Daily Living Scale scale, respectively.RESULTS: The study population consisted of 75.6% males and 24.4% females with mean age of 44±10 years. The overall prevalence of HIV associated neurocognitive disorder (HAND) in the study subjects was 52.5%. Of these, 47.5% had asymptomatic neurocognitive impairment and 5% had minor neurocognitive disorder. In MoCA, the most frequently affected domains were Language (97.6%), visuospatial ability (92.9%) and memory (71.4%).CONCLUSIONS: The prevalence of HAND in both groups were similar suggesting that neurocognitive impairment starts early in HIV infection. Memory and Visuospatial function impairment had the most predictive potential for detecting the presence of HAND. HAND screening is recommended in all PLHIV at enrolment into care. Simple tools like MoCA can be used in busy outpatient settings by healthcare workers to screen for HAND.


Subject(s)
Activities of Daily Living , Delivery of Health Care , Female , Hand , HIV , HIV Infections , Humans , Male , Mass Screening , Memory , Methylenebis(chloroaniline) , Neurocognitive Disorders , Neuropsychological Tests , Outpatients , Prevalence
7.
Article in English | WPRIM (Western Pacific) | ID: wprim-782492

ABSTRACT

BACKGROUND: This study aimed to evaluate the association between baseline results of the Timed Up and Go (TUG) test and subsequent functional dependency occurrence.METHODS: From the National Health Insurance Service-Senior Cohort database, we identified 39,519 people who participated in the National Screening Program for Transitional Ages at the age of 66 during 2007–2008. Impaired mobility was defined as taking 10 seconds or longer to perform the TUG test. Functional dependency occurrence was defined as the initiation of receiving national Long-Term Care Insurance services—home care or admission to long-term care facilities. Cox proportional hazard regression models were used to assess the hazard ratios (HRs) for dependency occurrence according to baseline TUG test results.RESULTS: The mean follow-up period was 5.7 years. Occurrence rates of dependency were 2.0 and 3.4 cases per 1,000 person-years in the normal and impaired TUG groups, respectively. Impaired mobility was associated with a higher risk of functional dependency occurrence (adjusted HR [aHR], 1.65; 95% confidence interval [CI], 1.40–1.95; P < 0.001). Additionally, in the subgroup analysis for the participants with intact baseline activities of daily living, impaired mobility was associated with a higher risk of dependency occurrence (aHR, 1.65; 95% CI, 1.33–2.04; P < 0.001).CONCLUSION: The TUG test might be a useful predictive marker of subsequent functional dependency occurrence. Intervention to prevent functional dependency may be helpful for older adults with impairment on the TUG test.


Subject(s)
Activities of Daily Living , Adult , Cohort Studies , Follow-Up Studies , Gait , Geriatric Assessment , Humans , Insurance, Long-Term Care , Long-Term Care , Mass Screening , National Health Programs
8.
Article in English | WPRIM (Western Pacific) | ID: wprim-782488

ABSTRACT

BACKGROUND: The chronic obstructive pulmonary disease (COPD) assessment test (CAT) is a validated, eight-item questionnaire used to quantify the health status of patients. The aim of this study was to evaluate the usefulness of the CAT questionnaire as a tool to assess the response to treatment in acute exacerbations of COPD in an outpatient setting.METHODS: A multicenter, phase 3 randomized controlled trial was conducted previously to examine the efficacy and safety of oral zabofloxacin for the treatment of COPD exacerbations. In the present post hoc analysis of the original study, patients with COPD exacerbation were categorized as responders or non-responders according to the respiratory symptoms persisting on day 10 (visit 3) of treatment. The CAT questionnaire was completed daily by patients at home from the initial visit to the second visit on day 5. Subsequently, the questionnaire was completed in the presence of a physician on days 10 (visit 3) and 36 (visit 4). Multivariate regression analysis was performed to determine the association between CAT scores and the therapeutic response.RESULTS: The CAT scores decreased more rapidly in responders compared to non-responders during the first 5 days (23.3–20.4 vs. 23.5–22). Among responders, patients with higher severity of illness also revealed higher CAT scores on the first day of an exacerbation (mild, 19.8; moderate, 21.4; severe, 23.8; very severe, 28.6). Multivariate analysis revealed that a change in the CAT score during the first 3 days influenced the therapeutic response. A significant decrease in scores in the domains of sputum production, chest tightness, and activities of daily living was seen among responders.CONCLUSION: Early improvement in CAT scores may be associated with a more favorable response to the treatment of COPD exacerbations.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01658020TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0000532


Subject(s)
Activities of Daily Living , Animals , Cats , Humans , Information Services , Multivariate Analysis , Outpatients , Pulmonary Disease, Chronic Obstructive , Sputum , Thorax
9.
Rev. latinoam. enferm. (Online) ; 28: e3282, 2020. tab
Article in English | LILACS (Americas), BDENF | ID: biblio-1101721

ABSTRACT

Objective: to know the relationship between the sensory function, gait ability, and cognitive function with dependency in older adults. Method: a descriptive cross-sectional design, 146 older adults took part. Measurements: Snellen chart, Audiometer, Stereognosia tests, Semmes-Weinstein monofilament, basic aromas and flavors, GAITRite system, Montreal Cognitive Assessment Test, the Barthel Index, and the Lawton and Brody Index. Results: sensory function, cognitive function and gait explain 25% dependence on basic activities of daily life and 21% dependence on instrumental activities of daily life. The variables that influence dependence on basic activities were taste (p=.029), gait speed (p=.009), cadence (p=.002) and step length (p=.001) and, in instrumental activities, gait speed (p=.049), cadence (p=.028) and step length (p=.010). Conclusion: gait speed, cadence and stride length are variables that influence both dependence on basic and instrumental activities of daily life.


Objetivo: conhecer a relação entre a função sensorial, capacidade de caminhar e função cognitiva com dependência em idosos. Método: estudo transversal descritivo, com a participação de 146 idosos. Medições: Carta de Snellen, audiômetro, testes de estereognosia, monofilamento de Semmes-Weinstein, aromas e sabores básicos, sistema GAITRite, Montreal Cognitive Assessment Test e índice de Barthel e Lawton e Brody. Resultados: função sensorial, função cognitiva e caminhar explicam 25% de dependência de atividades básicas da vida diária e 21% de dependência de atividades instrumentais da vida diária. As variáveis que influenciam a dependência de atividades básicas foram: paladar (p=0,029), velocidade de caminhar (p=0,009), cadência (p=0,002) e comprimento do passo (p=0,001), e nas atividades instrumentais, velocidade de caminhar (p=0,049), cadência (p=0,028) e comprimento do passo (p=0,010). Conclusão: velocidade de caminhar, cadência e comprimento do passo são variáveis que influenciam a dependência de atividades básicas e instrumentais da vida cotidiana.


Objetivo: conocer la relación entre la función sensorial, capacidad de marcha y función cognitiva con la dependencia en adultos mayores. Método: diseño descriptivo transversal, en que participaron 146 adultos mayores. Mediciones: Carta Snellen, Audiómetro, pruebas de Estereognosia, Monofilamento de Semmes-Weinstein, aromas y sabores básicos, sistema GAITRite, Montreal Cognitive Assessment Test e Índice de Barthel y de Lawton y Brody. Resultados: la función sensorial, función cognitiva y marcha explican el 25% de la dependencia en las actividades básicas de la vida diaria y 21% de la dependencia en actividades instrumentales de la vida diaria. Las variables que influyen sobre la dependencia en actividades básicas fueron gusto (p=0,029), velocidad de marcha (p=0,009), cadencia (p=0,002) y longitud del paso (p=0,001); y en actividades instrumentales, velocidad de marcha (p=0,049), cadencia (p=0,028) y longitud del paso (p=0,010). Conclusión: velocidad de marcha, cadencia y longitud del paso son variables que influyen en la dependencia en actividades básicas e instrumentales de la vida diaria.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Activities of Daily Living , Cross-Sectional Studies , Cognition/physiology , Walking Speed , Gait Analysis , Gait
10.
Article in English | WPRIM (Western Pacific) | ID: wprim-785553

ABSTRACT

The objective of this study was to investigate factors affecting the return home one year after a stroke. The subjects of this study consisted of patients who participated in a large-scale multi-objective cohort study of initial stage stroke patients who were admitted to 9 representative hospitals in Korea. We analyzed the distribution of the subjects who had experienced stroke a year earlier by distinguishing the group who returned home and the other group that was hospitalized in rehabilitation hospitals. Based on this distribution, we evaluated the demographic, environmental, clinical, and psychological factors that can affect the return home. Overall, there were 464 subjects in the ‘Return home’ group and 99 subjects in the ‘Rehabilitation hospitalization’ group. job status, inconvenient housing structures, residential types, diagnosis, Functional Ambulation Categories, modified Rankin Scale, Korea-Modified Barthel Index, Function Independence Measure, Fugl-Meyer Assessment, Korean version of Mini-Mental State Examination, Korean version of Frenchay Aphasia Screening Test, Psychosocial Well-being Index-Short Form, Geriatric Depression Scale-Short Form, EuroQol-five Dimensional showed a significant difference between the 2 groups one year after the stroke. The factors affecting the return home one year after a stroke include functional status, activities of daily living, cognition, depression, stress, quality of life, job status. It is expected that factors affecting the rehabilitation of patients with stroke can be considered as basic data for establishing rehabilitation goals and treatment plans.


Subject(s)
Activities of Daily Living , Aphasia , Cognition , Cohort Studies , Depression , Diagnosis , Housing , Humans , Korea , Mass Screening , Patient Discharge , Psychology , Quality of Life , Rehabilitation , Stroke , Walking
11.
Univ. salud ; 21(3): 226-234, Sep.-Dic. 2019. tab, graf
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-1043543

ABSTRACT

Resumen Introducción: La calidad de vida relacionada con salud (CVRS) en la esclerosis múltiple (EM), puede verse afectada por factores físicos, clínicos y sociodemográficos. Objetivo: Determinar el efecto de factores sociodemográficos, clínicos y físicos en la calidad de vida (CV) de pacientes con EM. Materiales y métodos: Se aplicó el instrumento WHOQOL-BREF de la OMS a 173 pacientes de una institución de salud. Se realizó análisis descriptivo de características sociodemográficas, clínicas y físicas y sus puntajes de CV. Se observó la asociación entre CV global con factores sociodemográficos, clínicos y físicos; finalmente, por medio de análisis multivariado. Resultados: El 80,3% fueron mujeres, la mediana de edad de 43 años (RIC= 51-35). La fatiga fue el síntoma más frecuente ((71%). Los factores de riesgo para tener peor CV fueron: sexo femenino (RP=6,92. IC 95% 1,8-26,58), alteración en control de esfínteres (RP= 6,10 IC 95% 1,26-29,51), trastornos cognitivos (RP=4,46 IC 95% 1,07-18,56), riesgo de depresión (RP= 3,82 IC 95% 1,01-14,38) y no realizar fisioterapia (RP= 4,48 IC 95% 1,08-18,34). Conclusiones: La afectación de CV en la EM, según factores sociodemográficos y clínicos es variable. Evaluar la CVRS en la práctica clínica, permite entender el comportamiento y necesidades del paciente para intervenir factores de riesgo.


Abstract Introduction: Health-related quality of life (HRQL) in multiple sclerosis (MS) patients can be affected by physical, clinical and sociodemographic factors. Objective: To determine the effect of sociodemographic, clinical and physical factors on the quality of life (QL) of patients with MS. Materials and methods: The WHO WHOQOL-BREF instrument was applied to 173 patients of a health institution. Descriptive analysis of sociodemographic, clinical and physical characteristics and their QL scores were performed. The association between global QL with sociodemographic, clinical and physical factors was observed; finally, through multivariate analysis. Results: 80.3% were women, the median age was 43 years (IQR = 51-35). Fatigue was the most frequent symptom (71%). The risk factors for worse QL were: female sex (RP = 6.92. 95% CI 1.8-26.58), abnormal sphincter control (RP = 6.10 95% CI 1.26-29.51), cognitive disorders (RP = 4.46 95% CI 1.07-18.56), risk of depression (RP = 3.82 95% CI 1 , 01-14,38) and lack of physiotherapy (RP = 4.48 95% CI 1.08-18.34). Conclusions: The effect of QL in MS is variable and depends on sociodemographic and clinical factors. Evaluating the (HRQL) in clinical practice facilitates the understanding of the behavior and needs of the patient required for risk factors intervention.


Subject(s)
Humans , Quality of Life , Multiple Sclerosis , Activities of Daily Living , Risk Factors , Disabled Persons
12.
Enferm. foco (Brasília) ; 10(7): 70-75, dez. 2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1051300

ABSTRACT

Objetivo: conhecer as atividades da vida diária através da percepção dos pacientes sobre os cuidados após o transplante pulmonar. Metodologia: estudo descritivo, com abordagem qualitativa, através de grupo focal com 10 pacientes, no período de março a abril de 2018. Na análise dos dados foi utilizada a análise do conteúdo. Respeitaram-se os princípios éticos da pesquisa envolvendo seres humanos e o estudo foi aprovado pelo Comitê de Ética com o número 1.146.838. Resultados: emergiram três categorias temáticas: Atividades da vida diária; Cuidados após o transplante pulmonar e Nível de entendimento. Conclusão: o estudo identificou que os pacientes desenvolveram atividades de autocuidado como tomar banho sozinho e comer sem ajuda, modificaram hábitos alimentares, e aumentaram os cuidados com as medicações prescritas. (AU)


Objective: To know the activities of daily living through the perception of patients about care after lung transplantation. Methodolgy: a descriptive study with a qualitative approach through a focus group with 10 patients, from March to April 2018. In the data analysis was used the content analysis. The ethical principles of research involving human subjects were respected and the study was approved by the Ethics Committee under number 1.146.838. Results: three thematic categories emerged: instrumental activities of daily living; Care after lung transplantation and Level of understanding. Conclusion: The study found that patients developed self-care activities such as bathing alone and eating unaided, modified eating habits, and increased care with prescribed medications. (AU)


Objetivo: Conocer lãs actividades de la vida diária através de La percepción de los pacientes sobre la atención después del trasplante pulmonar. Metodología: um estúdio descriptivo com um enfoque cualitativo através de um grupo focal com 10 pacientes, de marzo a abril de 2018. En el análisis de datos se utilizo el análisis de contenido. Se respetaron los princípios éticos de la investigación en seres humanos y el estúdio fue aprobado por el Comitê de Ética con el número 1.146.838. Resultados: surgieron tres categorias temáticas: actividades de la vida diária; Atención después del trasplante de pulmón y nível de comprensión. Conclusión: el estúdio encontro que los pacientes desarrollaron actividades de autocuidado como bañarse solo y comer sin ayuda, hábitos alimentícios modificados y uma mayor atención con medicamentos recetados. (AU)


Subject(s)
Lung Transplantation , Patients , Self Care , Activities of Daily Living , Nursing , Continuity of Patient Care
13.
Rev. bras. orientac. prof ; 20(2): 119-129, jul.-dez. 2019.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1101624

ABSTRACT

Na estruturação da vida humana é comum privilegiar os esforços de preparação à atividade laboral em detrimento à vivência do tempo livre, de modo que a aposentadoria se apresenta como uma mudança significativa que exige a ressignificação dos vínculos socioafetivos e ocupacionais desenvolvidos ao longo do ciclo de vida. Este estudo trata-se de um ensaio teórico que visa refletir acerca da aposentadoria e da vivência do ócio a partir das possíveis contribuições da abordagem gestáltica, baseando-se nos conceitos de pessoa, de awareness e de aqui-e-agora, além de elementos do trabalho grupal em Gestalt-terapia, os quais podem corroborar de forma relevante para o processo de preparação à aposentadoria, possibilitando aos sujeitos o contato mais efetivo e responsável com suas escolhas, formas de ser e estar no mundo.


In the structuring of human life, it is common to privilege efforts to prepare for working activities than to experience free time living, so that retirement presents itself as a significant change that requires the re-signification of the socio-affective and occupational bonds developed throughout the life cycle. This study is a theoretical essay that aims to reflect on retirement and leisure experience from the possible contributions of the Gestalt approach, based on the concepts of person, awareness and here-and-now, as well as elements of Gestalt therapy group work, which can contribute in a relevant way to the process of preparation for retirement, enabling the subjects the most effective and responsible contact with their choices and ways of being in the world.


En la estructuración de la vida humana es común ponderar los esfuerzos de la preparación para la actividad laboral en detrimento de la vivencia del ocio, de modo que la jubilación se presenta como un cambio significativo que exige la resignificación de los vínculos socio-afectivos y ocupacionales desarrollados a lo largo del ciclo de vida. Este estudio constituye un ensayo teórico que pretende reflexionar acerca de la jubilación y la vivencia del ocio a partir de las posibles contribuciones del enfoque gestáltico, basándose en los conceptos de persona, de conciencia y de aquí y ahora, además de elementos del trabajo grupal en Gestalt-terapia, los cuales pueden aportar de forma relevante al proceso de preparación para la jubilación, posibilitándole a los sujetos un contacto más efectivo y responsable con sus elecciones y formas de ser y estar en el mundo.


Subject(s)
Humans , Retirement , Social Adjustment , Awareness , Work , Bender-Gestalt Test , Activities of Daily Living , Gestalt Therapy , Leisure Activities , Life Cycle Stages
14.
ABCS health sci ; 44(3): 167-171, 20 dez 2019. tab
Article in English, Portuguese | LILACS (Americas) | ID: biblio-1047667

ABSTRACT

INTRODUÇÃO: A Tendinopatia do Manguito Rotador (TMR) acarreta dor e prejuízo na função do ombro, porém não se sabe se ambas na mesma proporção. OBJETIVO: Verificar se a intensidade dolorosa se correlaciona com a função do membro superior em sujeitos com TMR. MÉTODOS: Estudo observacional transversal, com 60 indivíduos com TMR. Utilizou-se a Escala Visual Analógica (EVA) para avaliar a dor e o questionário Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) para função do ombro. Para análise dos dados foi realizada estatística descritiva (médias e desvio-padrão, apresentação numérica e percentual) e aplicada a correlação de Spearman utilizando nível de significância de 5%. RESULTADOS: A dor média pela EVA foi de 5,02 (moderada). Verificou-se limitação leve (pontuação média de 34,43) nas 30 questões do questionário DASH. Em relação aos módulos opcionais, no módulo destinado a atletas/músicos, não houve limitação dos sujeitos que praticavam este (média de pontuação de 11,82). No módulo referente ao trabalho houve limitação leve (média de pontuação de 35,38). Houve correlação baixa entre dor e a função do ombro (rs=0,2949; p=0,0222). CONCLUSÃO: Embora os sujeitos com TMR apresentassem dor moderada, a correlação foi fraca entre dor e função do ombro.


INTRODUCTION: Rotator Cuff Tendinopathy (RMR) causes pain and impairment in shoulder function, but it is not known if both in the same proportion. OBJECTIVE: Verify whether pain intensity correlates with upper limb function in subjects with RMR. METHODS: Cross-sectional observational study of 60 individuals with RMR. The Visual Analogue Scale (VAS) was used to assess pain and the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) for shoulder function. For data analysis, descriptive statistics (means and standard deviation, numerical and percentage presentation) were performed and Spearman correlation was applied using a significance level of 5%. RESULTS: The average pain by VAS was 5.02 (moderate). Mild limitation (mean score 34.43) was found in the 30 questions of the DASH questionnaire. Regarding the optional modules, in the module intended for athletes/musicians, there was no limitation of the subjects who practiced this (average score of 11.82). In the work module there was a slight limitation (average score 35.38). There was a low correlation between pain and shoulder function (rs=0.2949; p=0.0222). CONCLUSION: Although subjects with RMR had moderate pain, the correlation was weak between pain and shoulder function.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Activities of Daily Living , Rotator Cuff/pathology , Shoulder Pain , Upper Extremity/pathology , Tendinopathy , Rotator Cuff Injuries , Shoulder Injuries
15.
Rev. Univ. Ind. Santander, Salud ; 51(4): 301-307, oct.-dic. 2019. tab, graf
Article in Spanish | LILACS (Americas) | ID: biblio-1092260

ABSTRACT

Resumen Introducción: La Enfermedad Pulmonar Obstructiva Crónica (EPOC) es una enfermedad altamente prevalente que se caracteriza principalmente por la disnea, la cual genera un impacto sobre la calidad de vida del individuo. El programa de cuidado respiratorio integral ofrece una intervención esencialmente educativa, individualizada y multidisciplinaria enfocada en las necesidades del paciente y su familia, buscando mejorar la calidad de vida. Objetivo: Describir el efecto de un programa educativo de cuidado integral en la calidad de vida de pacientes con enfermedad pulmonar obstructiva crónica. Materiales y métodos: Se realizó un estudio descriptivo transversal incluyendo pacientes con diagnóstico de EPOC en quienes se aplicó el cuestionario para medición de calidad de vida Saint George al ingreso y a los seis meses de estar vinculado al programa. Se realizaron pruebas estadísticas no paramétricas debido al comportamiento no gaussiano de las variables. Resultados: Se incluyeron un total de 31 pacientes con promedio de edad 82,7 años, 43,3% tenían antecedente de tabaquismo, de las variaciones en la encuesta Saint George se observó un cambio significativo en el dominio de actividad y en el puntaje global de la encuesta al ser aplicada a los seis meses de seguimiento. Conclusiones: La implementación del programa educativo integral parece apoyar la mejoría en la calidad de vida de los participantes con diagnóstico de EPOC. Futuros estudios prospectivos podrán validar esta hipótesis.


Abstract Introduction: The Chronic Obstructive Pulmonary Disease (COPD) is a highly prevalent disease, characterized mainly by dyspnea, which has an impact on the quality of life of the person. The program of comprehensive respiratory care offers an essentially educational, individualized and multidisciplinary intervention focused on the needs of the patient and its family, seeking to improve the quality of life and associated morbidities. Objective: To describe the quality of life in a comprehensive care program for patients with chronic obstructive pulmonary disease. Methods: A cross-sectional retrospective descriptive study was carried out, including patients diagnosed with COPD, in whom the Saint George quality of life questionnaire was applied at admission and six months after being linked to the program. Student's t test was performed for the analysis by normality tests. Results: A total of 31 patients with an average age of 82.7 years were included, 43.3% had a history of smoking, variations in the Saint George survey showed a significant change in the domain of activity and in the overall score when applied to the six-month follow-up. Conclusions: The implementation of the comprehensive educational program seems to support the improvement in the quality of life of participants diagnosed with COPD. Future prospective studies may validate this hypothesis.


Subject(s)
Humans , Quality of Life , Rehabilitation , Self Care , Breathing Exercises , Activities of Daily Living , Exercise Tolerance , Sickness Impact Profile , Pulmonary Disease, Chronic Obstructive , Education , Lung Diseases
16.
Estud. interdiscip. envelhec ; 24(3): 128-136, dez. 2019. ilus
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1104167

ABSTRACT

Introdução: Um dos grandes benefícios que o exercício físico promove no envelhecimento é a preservação das capacidades funcionais. O circuito de treinamento visa melhorar controle corporal, equilíbrio muscular, diminuindo a incidência de lesões e aumentando a eficiência dos movimentos. O objetivo deste trabalho é apresentar as evidências cientificas disponíveis na literatura sobre a relação entre a aplicação do circuito de treinamento e capacidades físicas em idosos. Métodos: Os bancos de dados Bireme, Web of Science, PubMed e Science Direct foram utilizados para a seleção dos artigos publicados nos últimos cinco anos. Resultados: Apenas quatro estudos foram selecionados para a realização da revisão sistemática, preenchendo os critérios de inclusão e exclusão. Conclusão: Diante das evidências existentes em relação à intervenção baseada em circuitos de treinamento, foi observado melhora no funcionamento físico e fisiológico dos idosos.


Introduction: One of the great benefits that physical activity promotes in ageing is the preservation of functional capabilities. The training circuit aims to improve body control, muscle balance, reducing the incidence of injuries and increasing the efficiency of movements. The objective of this work is to present the scientific evidence available in the literature on the relationship between the application of the training circuit and physical capacities in older adults. Methods: the database Bireme, Web of Science, PubMed and Science Direct were used to identify the articles published in the last five years. Results: Only four studies were included to perform the systematic review, fulfilling the inclusion and exclusion criteria. Conclusion: Regular physical exercise can reduce functional declines by improving physical abilities in older adults. Given the existing evidence regarding circuit-based intervention, the training circuit improves physical and physiological functioning of older adults.


Subject(s)
Aged , Activities of Daily Living , Exercise , Physical Fitness
18.
Arch. Clin. Psychiatry (Impr.) ; 46(5): 115-119, Sept.-Oct. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1054908

ABSTRACT

Abstract Background Contextual factors involving the physical and social environment, as well as personal factors, are closely related to functional status, and they can have positive or negative influences on the health conditions or status of an individual in society. Objectives The objective is to evaluate the effect of a mindfulness-based intervention program on functional status and mindfulness levels in primary health care (PHC) professionals in Ribeirão Preto, Brazil. Methods This is a quasi-experimental study, with 26 PHC professionals, using quantitative methods and an analytical before and after approach of an 8-week mindfulness program. Results There were significant differences in mindfulness facets after the intervention: Observe (p = 0.002); Describe - positive formulation (p = 0.01); Acting with awareness - automatic pilot (p = 0.01) and distraction (p = 0.05); Nonreactivity (p = 0.0005); Nonjudgement (p = 0.01); and in total mindfulness scores (p = 0.0000018). Regarding functional status, significant differences were found: change in health (p = 0.01), overall health (p = 0.007), quality of life (p = 0.04) and feelings (p = 0.01). Discussion The results in improving the functional status and mindfulness of PHC professionals show that mindfulness practices can improve the worker's quality of life and health.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Primary Health Care , Health Personnel/psychology , Mindfulness/methods , Health Promotion , Pain/psychology , Quality of Life/psychology , Social Environment , Social Support , Activities of Daily Living/psychology , Attitude to Health , Physical Fitness/psychology , Epidemiology, Experimental , Surveys and Questionnaires , Occupational Health , Statistics, Nonparametric , Emotions
20.
Fisioter. Pesqui. (Online) ; 26(3): 311-321, jul.-set. 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1039895

ABSTRACT

ABSTRACT The objective of this study is to evaluate the effects of physical therapy on the cognitive and functional capacity of patients with Alzheimer's Disease (AD). This is a systematic review of randomized or quasi-randomized clinical trials, using the descriptors: AD, dementia and physical therapy. Two studies were included with a total of 207 participants. In study 1, no statistically significant difference was found on the mini-mental state examination (MMSE) (MD 0.0, 95%CI −5.76 to 5.76), neuropsychiatric inventory (MD −4.50, 95%CI −21.24 to 12.24) and Pfeffer instrumental activities questionnaire (MD 0.0 95%CI −6.48 to 6.48). In study 2, there was no statistically significant difference on the MMSE (MD −1.60, 95% CI −3.57 to 0.37), clock-drawing test (MD −0.20, 95%CI −0.61 to 0.21) and Alzheimer's Disease Assessment Scale - cognitive subscale (MD 1.0, 95%CI −2.21 to 4.21) after 12 months. There was no consistent evidence on the effectiveness of physiotherapeutic intervention in improving cognitive function and functional capacity of patients with AD. More studies should be conducted for better evidence.


RESUMO O objetivo do estudo é avaliar os efeitos da fisioterapia na capacidade cognitiva e funcional de pacientes com doença de Alzheimer (DA). Trata-se de revisão sistemática de ensaios clínicos randomizados ou quasi-randomizados utilizando os descritores: DA, demência e fisioterapia. Dois estudos foram incluídos, com um total de 207 participantes. No Estudo 1, não houve diferença estatisticamente significativa no miniexame do estado mental (MEEM) (MD 0,0, IC 95% 5,76−5,76), inventário neuropsiquiátrico (MD −4,50, IC 95% 12,24−21,24) e questionário de atividades instrumentais Pfeffer (MD 0,0 IC 95% −6,48 a 6,48). No Estudo 2, não houve diferença estatisticamente significativa no MEEM (MD −1,60, IC 95% −3,57 a 0,37), teste do desenho do relógio (MD −0,20, IC95% −0,61 a 0,21) e escala de avaliação da doença de Alzheimer - subitem cognição (MD 1,0, IC95% −2,21 a 4,21) após 12 meses. Não houve evidência consistente da eficácia da intervenção fisioterapêutica na melhora da função cognitiva e capacidade funcional na DA. Recomenda-se a produção de mais estudos para encontrar possíveis evidências.


RESUMEN El presente estudio tiene como objetivo evaluar los efectos de la fisioterapia en la capacidad cognitiva y funcional de pacientes con enfermedad de Alzheimer (EA). Se trata de una revisión sistemática de ensayos clínicos aleatorizados o casi-aleatorizados, en que se utilizó los descriptores: EA, demencia y fisioterapia. Se incluyeron dos estudios, con un total de 207 participantes. En el Estudio 1, no hubo diferencias estadísticamente significativas en el Miniexamen del estado mental (MEEM) (MD 0,0, IC 95%: 5,6 -5,76), en el inventario neuropsiquiátrico (MD -4,50, IC 95%: 12,24 -21,24) y en el cuestionario de actividades instrumentales de Pfeffer (MD: 0,0 IC 95% IC: -6,48 a 6,48). En el Estudio 2, no hubo diferencias estadísticamente significativas en el MEEM (MD −1,60, IC 95% −3,57 a 0,37), el test de diseño del reloj (MD −0,20, IC 95% −0,61 a 0,21) y la escala de evaluación de la enfermedad de Alzheimer: subítem de cognición (MD 1,0, IC 95% −2,21 a 4,21) tras 12 meses. No hubo evidencia consistente de la eficacia de la intervención fisioterapéutica en la mejora de la función cognitiva y de la capacidad funcional en la EA. Se recomienda realizar estudios adicionales para encontrar posibles evidencias.


Subject(s)
Humans , Aged , Aged, 80 and over , Physical Therapy Modalities , Alzheimer Disease/psychology , Alzheimer Disease/therapy , Psychomotor Performance , Activities of Daily Living , Treatment Outcome , Cognition
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