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2.
Braz. j. med. biol. res ; 54(4): e10370, 2021. tab, graf
Article in English | LILACS | ID: biblio-1153538

ABSTRACT

This study aimed to investigate the effect of WeChat-based education and rehabilitation program (WERP) on anxiety, depression, health-related quality of life (HRQoL), major adverse cardiac/cerebrovascular events (MACCE)-free survival, and loss to follow-up rate in unprotected left main coronary artery disease (ULMCAD) patients after coronary artery bypass grafting (CABG). In this randomized controlled study, 140 ULMCAD patients who underwent CABG were randomly assigned to WERP group (n=70) or control care (CC) group (n=70). During the 12-month intervention period, anxiety and depression (using hospital anxiety and depression scale (HADS)) and HRQoL (using 12-Item Short-Form Health Survey (SF-12)) were assessed longitudinally. During the total 36-month follow-up period (12-month intervention and 24-month non-intervention periods), MACCE and loss to follow-up were recorded. During the intervention period, HADS-anxiety score at month 9 (M9) (P=0.047) and month 12 (M12) (P=0.034), anxiety rate at M12 (P=0.028), and HADS-D score at M12 (P=0.048) were all reduced in WERP group compared with CC group. As for HRQoL, SF-12 physical component summary score at M9 (P=0.020) and M12 (P=0.010) and SF-12 mental component summary score at M9 (P=0.040) and M12 (P=0.028) were all increased in WERP group compared with CC group. During the total follow-up period, WERP group displayed a trend of longer MACCE-free survival than that in CC group but without statistical significance (P=0.195). Additionally, loss to follow-up rate was attenuated in WERP group compared with CC group (P=0.033). WERP serves as an effective approach in optimizing mental health care and promoting life quality in ULMCAD patients after CABG.


Subject(s)
Humans , Quality of Life , Coronary Artery Disease/surgery , Anxiety/prevention & control , Coronary Artery Bypass , Follow-Up Studies , Depression/prevention & control
3.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 1026-1031, jan.-dez. 2021. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1252536

ABSTRACT

Objetivo: estimar a prevalência de sintomas ansiosos em estudantes de uma universidade na fronteira franco brasileira. Método: estudo transversal e descritivo realizado com 233 estudantes de uma universidade localizada na fronteira franco brasileira, através de questionários com questões fechadas e aspectos relacionados ao BAI. Resultados: predomínio de adultos jovens (82,4%) com idade entre 20 a 40 anos, sexo feminino (58,6%), solteiros (51,9%), evangélicos (39,9%), realizam atividades curriculares em concomitância as remuneradas (59,7%). Inventário de Beck apontou, ansiedade mínima (67,2%), ansiedade leve (15,5%), ansiedade moderada (12,9%) e ansiedade severa (4,3%). Conclusão: os dados demonstram baixa prevalência de sintomas de ansiedade severa entre os estudantes, contudo considera imprescindível o cuidado e medidas preventivas que retardem ou impossibilitem o adoecimento mental dentre o público investigado


Objective: to estimate the prevalence of anxiety symptoms among students at a university on the Brazilian franc border. Method:cross-sectional and descriptive study carried out with 233 students from a university located on the Brazilian franc border, through questionnaires with closed questions and aspects related to the Beck Anxiety Inventory. Results: predominance of young adults (82.4%) aged between 20 and 40 years old, female (58.6%), single (51.9%), evangelical (39.9%), carry out curricular activities concomitantly paid women (59.7%). Beck's inventory pointed to minimal anxiety (67.2%), mild anxiety (15.5%), moderate anxiety (12.9%) and severe anxiety (4.3%). Conclusion: the data show a low prevalence of symptoms of severe anxiety among students, however, it is essential to take care and preventive measures that slow or prevent mental illness among the investigated public


Objetivo: estimar la prevalencia de los síntomas de ansiedad entre los estudiantes de una universidad en la frontera del franco brasileño. Método: estudio transversal y descriptivo realizado con 233 estudiantes de una universidad ubicada en la frontera brasileña francesa, utilizando cuestionarios con preguntas cerradas y aspectos relacionados con el Inventario de ansiedad de Beck. Resultados: predominio de adultos jóvenes (82.4%) con edades entre 20 y 40 años, mujeres (58.6%), solteros (51.9%), evangélicos (39.9%), realizan actividades curriculares concomitantemente mujeres remuneradas (59,7%). El inventario de Beck señaló ansiedad mínima (67.2%), ansiedad leve (15.5%), ansiedad moderada (12.9%) y ansiedad severa (4.3%). Conclusión: los datos muestran una baja prevalencia de síntomas de ansiedad severa entre los estudiantes, sin embargo, es esencial tener cuidado y tomar medidas preventivas que retrasen o prevengan las enfermedades mentales entre el público investigado


Subject(s)
Humans , Male , Female , Adult , Young Adult , Anxiety/prevention & control , Universities , Student Health , Border Health , Cross-Sectional Studies
4.
Nursing (Säo Paulo) ; 23(271): 4961-4970, dez.2020.
Article in Portuguese | LILACS, BDENF | ID: biblio-1146993

ABSTRACT

Objetivo: Identificar os riscos para depressão e ansiedade em gestantes de uma unidade de saúde da Atenção Primária. Métodos: Estudo descritivo exploratório de abordagem quantitativa realizado entre fevereiro a abril de 2020 em uma unidade de Saúde de Olinda-PE (Brasil); foi utilizado o instrumento validado "Cartão de Babel". A análise dos dados foi realizada pelo Statistical Package for Social Sciencies por meio do teste Qui-quadrado com correção de Yates (significância de 5% - p≤0,05). Resultados: 71 gestantes foram analisadas, dentre os quais 32,3% referiram já ter sofrido violência psicológica. Por meio do Cartão de Babel verificou-se que 49,3% das gestantes tinham alto risco para o desenvolvimento de transtorno de ansiedade (p-valor: 0,004) e 29,5% apresentou risco moderado para depressão (p-valor: 0,004). Conclusão: Iniciativas preventivas à ocorrência da depressão e ansiedade na gestação, como o monitoramento da saúde mental e o seu rastreio durante a consulta de pré-natal são necessários.(AU)


Objective: To identify the risks for depression and anxiety in pregnant women in a Primary Health Care unit. Methods: Descriptive exploratory study with a quantitative approach carried out between February and April 2020 at a Health Unit in Olinda-PE (Brazil); the validated instrument "Babel Card" was used. Data analysis was performed using the Statistical Package for Social Sciencies using the Chi-square test with Yates correction (significance of 5% - p≤0.05). Results: 71 pregnant women were analyzed, among which 32.3% reported having suffered psychological violence. Through the Babel Card, it was found that 49.3% of pregnant women were at high risk for the development of anxiety disorder (p-value: 0.004) and 29.5% had a moderate risk for depression (p-value: 0.004). Conclusion: Preventive initiatives for the occurrence of depression and anxiety during pregnancy, such as monitoring mental health and tracking it during the prenatal consultation are necessary.(AU)


Objetivo: Identificar los riesgos de depresión y ansiedad en gestantes en una unidad de Atención Primaria de Salud. Métodos: Estudio descriptivo exploratorio con abordaje cuantitativo realizado entre febrero y abril de 2020 en una Unidad de Salud de Olinda-PE (Brasil); Se utilizó el instrumento validado "Babel Card". El análisis de los datos se realizó mediante el paquete estadístico para ciencias sociales mediante la prueba de Chi-cuadrado con corrección de Yates (significancia del 5% - p≤0.05). Resultados: Se analizaron 71 mujeres embarazadas, de las cuales el 32,3% refirió haber sufrido violencia psicológica. A través de la Tarjeta Babel, se encontró que el 49,3% de las mujeres embarazadas tenían alto riesgo de desarrollar trastorno de ansiedad (valor p: 0,004) y el 29,5% tenían un riesgo moderado de depresión (valor p: 0,004). Conclusión: Son necesarias iniciativas preventivas para la aparición de depresión y ansiedad durante el embarazo, como el seguimiento de la salud mental y su seguimiento durante la consulta prenatal.(AU)


Subject(s)
Humans , Female , Pregnancy , Prenatal Care , Primary Health Care , Maternal-Child Nursing , Depression/complications , Maternal Health , Anxiety/prevention & control , Mental Health , Risk Factors
5.
Ciênc. Saúde Colet ; 25(11): 4497-4508, nov. 2020. tab, graf
Article in English | ColecionaSUS, LILACS, ColecionaSUS, SES-SP | ID: biblio-1133041

ABSTRACT

Abstract This study aimed to evaluate the effects of the FunFRIENDS protocol on anxiety symptoms, internalizing problems and prosocial behavior in 4- to 5-year old children. Participated of this study 43 children with an allocation ratio of 1:1 between groups (Intervention Group [IG], N = 21; Control Group [CG], N = 22) from a public school in the city of Sao Paulo participated in the study. Behaviors were evaluated by using standardized questionnaires (PAS, CBCL, SDQ, SCBE) assessing the behavioral profile of the children at three different periods; baseline (T0), one month (T1) and three months (T2) after the intervention. It was observed a reduction in the intensity of anxiety symptoms in the IG after the intervention but with no significant effect. Overall, there were no significant differences between the IG and the CG in most behaviors on all periods evaluated. On both Intention-to-Treat analyses also it was not detected significant effects of the intervention. This is the first Brazilian study evaluating the effects of FunFRIENDS program and the implications of these findings are discussed and its significance for future research.


Resumo Este estudo teve como objetivo avaliar os efeitos do protocolo FunFRIENDS sobre sintomas de ansiedade, problemas de internalização e comportamento pró-social em crianças de 4 a 5 anos de idade. Participaram 43 crianças que foram alocadas na proporção de 1:1 entre os grupos: (Grupo Intervenção [GI], N = 21; Grupo Controle [GC], N = 22) de uma escola pública da cidade de São Paulo. Os comportamentos foram avaliados por meio de questionários padronizados (PAS, CBCL, SDQ, SCBE), que avaliaram o perfil comportamental das crianças em três momentos distintos; linha de base (T0), um mês (T1) e três meses (T2) após a intervenção. Observou-se uma redução na intensidade dos sintomas de ansiedade no GI após a intervenção, mas sem efeito significativo. De forma geral, não houve diferenças significativas entre o GI e o GC na maioria dos comportamentos em todos os períodos avaliados. Nas duas análises de Intenção-de-Tratar, também não foram detectados efeitos significantes da intervenção. Este é o primeiro estudo no Brasil avaliando os efeitos do programa FunFRIENDS e as implicações destes achados são discutidas para futuras pesquisas.


Subject(s)
Humans , Child, Preschool , Child , Anxiety/prevention & control , Anxiety/epidemiology , Anxiety Disorders , Brazil/epidemiology , Pilot Projects , Surveys and Questionnaires
6.
J. Phys. Educ. (Maringá) ; 31: e3136, 2020. tab
Article in English | LILACS | ID: biblio-1134741

ABSTRACT

ABSTRACT This study ivestigated the association between noise and impaired sleep quality in 150 physical education instructors, in bodybuilding gyms. Two questionnaires were applied: evaluation of subjective sleep quality and analysis of explanatory variables. Noise exposure was analyzed. For the data analysis, was used the technique of non-conditional logistic regression, to obtain the values of the adjusted odds ratios (OR) of the significant variables. Two proper adjustment models stood out. The first model presented the significant variables: incorrect performance of the meals (OR = 2.58, 95% CI 1.08 to 6.02); skin color - black ou brown (OR = 0.53, 95% CI 0.25 to 1.12) and exposure to noise level above or equal to 80 dB(A) (OR = 1.90; 95% CI 0.87 to 4.12). The second model presented the significant variables: incorrect performance of the meals (OR = 2.35, 95% CI 0.1 to 5.56); exposure level standardized above or equal to 80 dB(A) (OR = 2.03, 95% CI 0.92 to 4.47) and use 0of drugs for depression/anxiety (OR = 0.26; 95% CI 0.53 to 1.33). This research identified the variables that were significantly associated with impaired sleep quality, as exposure to noise, contributing to the adoption of preventive measures.


RESUMO Este estudo investigou a associação entre ruído e qualidade prejudicada do sono em 150 instrutores de educação física, em academias de musculação. Dois questionários foram aplicados: avaliação da qualidade subjetiva do sono e sobre variáveis explanatórias. A exposição ao ruído foi avaliada. Para a análise dos dados, utilizou-se a técnica de regressão logística não-condicional, para obter os valores das Razões de Chances (RC) das variáveis significativas. Dois modelos finais se destacaram. O primeiro apresentou as variáveis significativas: realização incorreta das refeições (RC = 2,58, IC 95% 1,08 a 6,02); cor da pele - preta ou parda (RC = 0,53; IC 95% 0,25 a 1,12) e exposição ao ruído acima ou igual a 80 dB(A) (RC = 1,90; IC95% 0,87 a 4,12). O segundo modelo apresentou as variáveis significativas: realização incorreta das refeições (RC = 2,35, IC 95% 0,1 a 5,56); nível de exposição padronizado acima ou igual a 80 dB (A) (RC = 2,03, IC 95% 0,92 a 4,47) e uso de medicamentos para depressão/ansiedade (RC = 0,26; IC95% 0,53 a 1,33). Esta pesquisa identificou as variáveis que se associaram significativamente com a qualidade do sono prejudicada, como a exposição ao ruído, contribuindo para a adoção de medidas preventivas.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Sleep/drug effects , Noise/adverse effects , Anxiety/prevention & control , Physical Education and Training/statistics & numerical data , Pharmaceutical Preparations , Depression/prevention & control , Drug Utilization , Academies and Institutes/organization & administration , Faculty/education , Meals
7.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 471-477, jan.-dez. 2020. ilus, tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1053137

ABSTRACT

Objetivo: descrever, com base na literatura, as contribuições das práticas educativas para o controle da ansiedade de pacientes em pré-operatório de cirurgia cardíaca. Método: trata-se de uma revisão integrativa realizada no período de novembro a dezembro de 2017 nas Bases de Dados PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) e Medical Literature Analysis and Retrievel System Online (MEDLINE), com a inclusão de 24 artigos que compuseram esse estudo. Resultados: sobre o diagnóstico ansiedade, os artigos analisados mostraram maior presença no sexo feminino, em diferentes faixas etárias, mas mais prevalente em idades mais avançadas. Educação em saúde tem apresentado excelentes resultados na diminuição da ansiedade, que uma vez realizada pelo enfermeiro, potencializa o cuidado. Conclusão: processos educativos realizados no pré-operatório de cirurgia cardíaca, auxiliam para uma boa recuperação, pois com o envolvimento do paciente no processo, o tornará tranquilo e confortável


Objective: to describe, based on the literature, the contributions of the educational practices to the control of the anxiety of patients in the preoperative period of cardiac surgery. Method: this is an integrative review carried out from November to December 2017 in the PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) and Medical Literature Analysis and Retrievel System Online (MEDLINE), databases, with the inclusion of 24 articles that composed this study. Results: on the anxiety diagnosis, the articles analyzed showed greater presence in the female sex, in different age groups, but more prevalent at more advanced ages. Health education has presented excellent results in the reduction of anxiety, which once performed by the nurse, potentiates the care. Conclusion: educational processes performed in the preoperative period of cardiac surgery, help to a good recovery, because with the patient's involvement in the process, it will make him calm and comfortable


Objetivo: describir, con base en la literatura, las contribuciones de las prácticas educativas para el control de la ansiedad de pacientes en preoperatorio de cirugía cardíaca. El método: se trata de una revisión integrativa realizada en el período de noviembre a diciembre de 2017 en las Bases de PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) y Medical Literature Analysis and Retrievel System Online (MEDLINE), con la inclusión de 24 artículos que compusieron ese estudio. Resultados: sobre el diagnóstico ansiedad, los artículos analizados mostraron mayor presencia en el sexo femenino, en diferentes edades, pero más prevalente en edades más avanzadas. La educación en salud ha presentado excelentes resultados en la disminución de la ansiedad, que una vez realizada por el enfermero, potencializa el cuidado. Conclusión: procesos educativos realizados en el preoperatorio de cirugía cardíaca, auxilian para una buena recuperación, pues con la participación del paciente en el proceso, lo hará tranquilo y confortable


Subject(s)
Humans , Male , Female , Anxiety/nursing , Perioperative Nursing/education , Health Education/methods , Anxiety/prevention & control , Perioperative Nursing/trends , Thoracic Surgery , Empathy
8.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(6): 540-545, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1055331

ABSTRACT

Objectives: To evaluate the effects of mindfulness-based stress reduction (MBSR) combined with music therapy (MT) on clinical symptoms in patients with osteosarcoma. Methods: Patients diagnosed with osteosarcoma were assessed for eligibility. A total of 101 patients were ultimately randomized into the intervention and control groups. Both groups received routine care. Eight sessions of MBSR and MT psychotherapy were conducted in the intervention group, while the control group received no psychological intervention. Patients were assessed regarding pain, anxiety, and sleep quality at two distinct stages: before and after the intervention. Results: There were no significant differences in sociodemographic and clinical parameters between the intervention and control groups at baseline. The intervention program significantly alleviated psychological and physiological complications in patients with osteosarcoma. Specifically, the study revealed that 8 weeks of the combined MBSR/MT intervention effectively reduced pain and anxiety scores and improved the quality of sleep in patients. Conclusion: MBSR combined with MT significantly alleviated clinical symptoms, and could be considered a new, effective psychotherapeutic intervention for patients with osteosarcoma.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Young Adult , Anxiety/prevention & control , Pain/prevention & control , Sleep/physiology , Bone Neoplasms/psychology , Osteosarcoma/psychology , Mindfulness/methods , Music Therapy/methods , Pain/psychology , Quality of Life/psychology , Stress, Psychological/prevention & control , Stress, Psychological/psychology , Test Anxiety Scale , Time Factors , Bone Neoplasms/physiopathology , Pain Measurement , Osteosarcoma/physiopathology , Surveys and Questionnaires , Treatment Outcome
9.
J. pediatr. (Rio J.) ; 95(5): 545-551, Sept.-Oct. 2019. tab, graf
Article in English | LILACS | ID: biblio-1040354

ABSTRACT

Abstract Objective: To verify the effect of psychological preparation on the relief of preoperative anxiety in children and to correlate parents' and children's levels of anxiety. Method: After the approval of the institutional Research Ethics Committee and written consent of the children's parents or guardians, 118 children of both genders were prospectively selected, aged between 2 and 8 years, physical condition classification ASA I, who were treated in the pre-anesthetic evaluation ambulatory of the University Hospital and who underwent ambulatory surgeries at the same hospital. Two controlled groups of 59 children were randomized: control group basic preparation and psychological preparation group. On the day of surgery, all selected children were evaluated regarding their level of anxiety using the modified Yale Preoperative Anxiety Scale and their parents were evaluated regarding their level of anxiety through the Visual Analog Scale. The evaluator was blinded to which study group the child and family member belonged to. Results: Nine children and their family members were excluded per group when the results were analyzed. Children from the prepared group showed significant reductions in their level of anxiety in relation to the control group (p = 0.04). There was no correlation between the level of anxiety of children and their parents' levels (p = 0.78). Conclusion: The psychological preparation was effective in reducing the level of anxiety of children. However, there was no relation between the level of anxiety of children and their parents' level.


Resumo: Objetivos: Verificar o efeito da preparação psicológica no alívio da ansiedade pré-operatória de crianças e avaliar se há correlação com a ansiedade dos pais. Método: Após a aprovação do Comitê de Ética e Pesquisa da Faculdade de Medicina e obtenção do consentimento pelos responsáveis dos pacientes, foram selecionadas prospectivamente 118 crianças, de ambos os sexos, entre dois e oito anos, classificação de estado físico ASA I, atendidas no ambulatório de avaliação pré-anestésica do Hospital Universitário e submetidas a cirurgias ambulatoriais. Foram randomizados dois grupos controlados de 59 crianças: grupo de preparação básica e grupo de preparação psicológica. No dia da cirurgia, todas as crianças foram avaliadas em relação ao seu grau de ansiedade através da Escala de Ansiedade Pré-operatória de Yale Modificada e seus pais, avaliados quanto ao seu nível de ansiedade pela Escala Visual Analógica. O avaliador era cego sobre qual grupo do estudo a criança e seu familiar pertenciam. Resultados: Na análise dos resultados, foram excluídas nove crianças e familiares de cada grupo. As crianças do grupo preparado tiveram reduções significativas no grau de ansiedade em relação ao grupo controle, (p = 0,04). Não houve correlação entre os graus de ansiedade das crianças e seus pais (p = 0,78). Conclusão: A preparação psicológica foi eficaz na redução do grau de ansiedade das crianças no momento da cirurgia. Não houve, entretanto, relação entre os graus de ansiedade dos pais e seus filhos.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Anxiety/psychology , Preoperative Care/psychology , Anxiety/prevention & control , Parents/psychology , Preoperative Care/methods , Double-Blind Method , Prospective Studies , Treatment Outcome , Statistics, Nonparametric , Preoperative Period , Visual Analog Scale
10.
Ciênc. Saúde Colet ; 24(9): 3417-3429, set. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1019687

ABSTRACT

Resumo A inserção do palhaço no hospital é relativamente recente e mais de 700 organizações realizam a palhaçoterapia nessas instituições no Brasil e em outras ao redor do mundo. Dada a ênfase na integralidade do cuidado e humanização da assistência à saúde, torna-se oportuno compreender e analisar a produção nacional e internacional do conhecimento científico sobre esta prática que desafia o modelo hegemônico de cuidado e potencialmente contribui na recuperação da saúde. Foi realizada uma revisão de literatura utilizando análise de conteúdo temática que analisou 18 publicações. As categorias que emergiram foram: respostas fisiológicas, comportamentais e emocionais; ansiedade pré-operatória; e ressignificação das práticas e do ambiente hospitalar. A literatura analisada aponta que a palhaçoterapia provoca diminuição significativa da ansiedade pré-operatória em crianças, comparativamente maior do que a obtida com o uso de um fármaco indutor de anestesia. A maior parte dos estudos investigou o uso da palhaçoterapia na adaptação à hospitalização, auxiliando na atribuição de novos significados. Apesar da baixa representatividade do tema no campo científico e mesmo não sendo amplamente aceita como prática de saúde, os resultados encontrados sugerem benefícios na utilização da palhaçoterapia em ambiente hospitalar.


Abstract The presence of clowns in hospitals is relatively recent and more than 700 organizations now perform clown therapy in hospitals in Brazil and around the world. Considering the emphasis on comprehensive care and the humanization of health, it is timely to understand and analyze the national and international scientific literature on clown therapy. This practice challenges the hegemonic biomedical model and potentially helps in the recuperation of health. A review of the literature was conducted and 18 publications were analyzed using thematic content analysis. The following categories arose from the analysis: physiological, behavioral, and emotional responses; presurgical anxiety and attribution of new meanings to practices and the hospital environment. Results have shown that clown therapy leads to a significant decrease in preoperative anxiety in children, even compared with the results obtained with the use of anesthesia-inducing drugs. Most studies investigated the use of clown therapy during patients' adaptation to hospitalization, helping them to attribute new meanings to this situation. Despite its low representation in the scientific field and the fact that it has not been widely accepted as a health practice, several studies have shown the benefits of using clown therapy in the hospital setting.


Subject(s)
Humans , Child , Anxiety/prevention & control , Laughter Therapy/methods , Hospitalization , Brazil , Preoperative Care/methods , Adaptation, Psychological , Hospitals
11.
Rev. Assoc. Med. Bras. (1992) ; 65(3): 434-440, Mar. 2019. tab, graf
Article in English | LILACS | ID: biblio-1003033

ABSTRACT

SUMMARY OBJECTIVES: To compare anxiety scores between physical activity practitioners and sedentary, men and women and to relate them to physical activity frequency and age. METHODS: In this cross-sectional study, a sample of 256 regular aerobic physical activity practitioners was compared to a sample of 256 sedentary individuals (control group). Anxiety scores were quantified by Anxiety Inventory Spielberger State-Trait (STAI). The scores of the groups were compared using the Student t-test and chi-square test for parametric and non-parametric data, respectively. The correlation between scores of different variables was performed using the Pearson test. RESULTS: There was a significant difference between the average anxiety scores (p <0.001) and the chi-square test proved there is a higher prevalence of severe anxiety (p <0.001) in the sedentary group. Age did not correlate with worse anxiety scores (p <0.05). Comparing by gender, women had a higher prevalence of intense anxiety. CONCLUSIONS: Individuals who engage in regular physical activity have lower levels of anxiety, and both sexes are benefited with the anxiolytic potential of physical activity. Therefore, this study proved that the Roman poet Juvenal was right, and his expression "Mens sana in corpore sano," could also be interpreted in the opposite direction, i.e., a healthy body correlates with a healthy mind.


RESUMO OBJETIVOS: Comparar escores de ansiedade entre praticantes de atividade física e sedentários, entre homens e mulheres e relacioná-los com frequência de atividade física e idade. MÉTODOS: Amostra de 256 praticantes de atividade física aeróbica regular foi comparada à amostra de 256 sedentários (grupo controle). Escores de ansiedade foram quantificados por meio do Inventário de Ansiedade Estado-Traço de Spielberger (Idate). Os escores dos grupos foram comparados por meio dos testes t de Student e qui-quadrado para dados paramétricos e não paramétricos, respectivamente. A correlação entre escores de diferentes variáveis foi realizada pelo teste de Pearson. RESULTADOS: Houve diferença significativa entre os escores médios de ansiedade (p < 0,001) e o teste qui-quadrado comprovou haver maior prevalência de escores de ansiedade intensa (p < 0,001) no grupo de sedentários. Idade não se correlacionou com piores escores de ansiedade (p < 0,05). Em relação ao sexo, mulheres apresentaram maior prevalência de escores de ansiedade intensa. CONCLUSÕES: Praticantes de atividade física possuem menores escores de ansiedade e ambos os sexos se beneficiam com o potencial ansiolítico da prática de atividade física. Portanto, foi comprovado que a máxima de Juvenal, Mens sana in corpore sano, também pode ser interpretada em sentido inverso, em que um corpo são se correlaciona com uma mente sã.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Anxiety/physiopathology , Anxiety/prevention & control , Exercise/psychology , Sedentary Behavior , Anxiety/epidemiology , Psychiatric Status Rating Scales , Reference Values , Time Factors , Severity of Illness Index , Brazil/epidemiology , Pilot Projects , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Treatment Outcome , Statistics, Nonparametric , Middle Aged
12.
Rev. bras. anestesiol ; 69(1): 1-6, Jan.-Feb. 2019. tab
Article in English | LILACS | ID: biblio-977423

ABSTRACT

Abstract Background and objectives: Preoperative instruction is known to significantly reduce patient anxiety before surgery. The present study aimed to investigate the effects of preoperative education on the level of anxiety of cancer patients undergoing surgery using the self-reported Beck anxiety inventory. Methods: This study is a short-term observational study, including 72 female patients with a diagnosis of endometrial cancer who were scheduled to undergo surgical treatment under general anesthesia. During the pre-anesthetic consultation 15 days before surgery, one group of patients (Group A, n = 36) was given comprehensive information about their scheduled anesthetic and surgical procedures, while the other group of patients (Group B, n = 36) did not receive any information pertaining to these variables. The Beck anxiety inventory, blood pressure and heart rate were evaluated before and after the preoperative education in Group A. In Group B, these parameters were evaluated at the beginning and at the end of the consultation. Results: The hemodynamic values were lower in the group that received preoperative education, in comparison with the group that did not receive preoperative education. Educating the patients about the procedure resulted in a reduction in the levels of anxiety from mild to minimum, whereas there was no change in the group that did not receive the preoperative education. This latter group kept the same level of anxiety up to the end of pre-anesthetic consultation. Conclusions: Patient orientation in the preoperative setting should be the standard of care to minimize patient anxiety prior to surgery, especially for patients with cancer.


Resumo: Justificativa e objetivos: A informação transmitida no pré-operatório é conhecida por reduzir de modo significativo a ansiedade do paciente antes da cirurgia. O presente estudo teve como objetivo investigar os efeitos da orientação pré-operatória sobre o nível de ansiedade de pacientes com câncer submetidos à cirurgia, utilizando o inventário Beck de ansiedade. Métodos: Estudo observacional de curto prazo, incluindo 72 pacientes do sexo feminino com diagnóstico de câncer endometrial, programadas para receber tratamento cirúrgico sob anestesia geral. Durante a consulta pré-anestésica, 15 dias antes da cirurgia, um grupo de pacientes (Grupo A, n = 36) recebeu informações abrangentes sobre seus procedimentos anestésicos e cirúrgicos, enquanto o outro grupo de pacientes (Grupo B, n = 36) não recebeu qualquer informação referente a essas variáveis. O inventário Beck de ansiedade, a pressão arterial e a frequência cardíaca foram avaliados antes e após a transmissão de informações ao Grupo A. No Grupo B, esses parâmetros foram avaliados no início e no final da consulta. Resultados: Os valores hemodinâmicos foram menores no grupo que recebeu informação pré-operatória, em comparação com o grupo que não recebeu informação pré-operatória. Informar os pacientes sobre o procedimento resultou em uma redução dos níveis de ansiedade de leve a mínimo, enquanto não houve mudança no grupo que não recebeu informação pré-operatória. Esse último grupo manteve o mesmo nível de ansiedade até o final da consulta pré-anestésica. Conclusões: A orientação do paciente no período pré-operatório deve ser o atendimento padrão para minimizar a ansiedade dos pacientes antes da cirurgia, especialmente os pacientes com câncer.


Subject(s)
Humans , Female , Adolescent , Adult , Aged , Aged, 80 and over , Young Adult , Anxiety/diagnosis , Anxiety/prevention & control , Patient Education as Topic , Self Report , Neoplasms/surgery , Anxiety/etiology , Test Anxiety Scale , Preoperative Care , Prospective Studies , Middle Aged , Neoplasms/complications , Neoplasms/psychology
13.
Gac. méd. Méx ; 155(supl.1): 22-26, dic. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1286560

ABSTRACT

Resumen Antecedentes: La analgesia preventiva es la administración de un fármaco analgésico con el objetivo de atenuar el dolor postoperatorio, la hiperalgesia y alodinia. Está justificado su uso con la finalidad de ofrecer analgesia y disminuir la ansiedad a los pacientes sometidos a procedimientos laparoscópicos. Objetivo: Evaluar si la pregabalina en dosis de 1 mg/kg de peso es eficaz para analgesia preventiva en pacientes postoperados de colecistectomía laparoscópica. Métodos: Se realizó un ensayo clínico controlado ciego simple que incluyó 60 pacientes programados para colecistectomía laparoscópica divididos en 2 grupos de manera aleatoria, donde al grupo 1 se administró placebo y al grupo 2 se le administró pregabalina una dosis diaria 72 horas previas a la intervención quirúrgica. La intensidad del dolor se evaluó mediante la Escala Numérica Analógica a la hora, 2, 6,12 y 24 horas postoperatorias, así como el nivel de ansiedad prequirúrgico con la Escala de Hamilton. Resultados: Se demostró disminución del dolor en los pacientes del grupo de pregabalina desde la primera hora (p = 0.002), posteriormente fue más notorio el descenso del dolor en comparación con los pacientes a los que se les dio placebo, con valor estadísticamente significativo (p < 0.001), lo mismo sucedió con el nivel de ansiedad evaluada con la Escala de Hamilton (p < 0.005). Conclusión: El uso de pregabalina para analgesia preventiva resulta ser eficaz en la ansiedad preoperatoria y el periodo posquirúrgico, y con mínimos efectos adversos, en los pacientes operados de colecistectomía laparoscópica.


Abstract Background: Preventive analgesia is the administration of an analgesic drug with the aim of attenuating post-operative pain, hyperalgesia and allodynia. Its use is justified in order to offer analgesia and reduce anxiety in patients undergoing laparoscopic procedures. Objective: To evaluate if pregabalin in a dose of 1 mg/kg of weight is effective as preventive analgesia in post-operated laparoscopic cholecystectomy patients. Methods: A single-blind controlled clinical trial was conducted, which included 60 patients scheduled for laparoscopic cholecystectomy randomly divided into 2 groups, where Group 1 received placebo and Group 2 received pregabalin a daily dose 72 h prior to surgical intervention. The intensity of pain was assessed using the emergency nurses association scale at 2, 6, 12 and 24 post-operative h, as well as the level of presurgical anxiety with the Hamilton scale. Results: Pain reduction was demonstrated in patients in the pregabalin group from the 1st h (p = 0.002), later the decrease in pain was more noticeable compared to patients who were given placebo (p < 0.001), the same happened with the anxiety level evaluated with the Hamilton scale (p < 0.005). Conclusion: The use of pregabalin as preventive analgesia turns out to be effective in the post-operative period and the pre-operative anxiety with minimal adverse effects in the post-operated patients of laparoscopic cholecystectomy.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/prevention & control , Pain, Postoperative/prevention & control , Cholecystectomy, Laparoscopic , Pregabalin/administration & dosage , Analgesia , Analgesics/administration & dosage , Preoperative Care , Single-Blind Method
14.
Braz. j. med. biol. res ; 52(9): e8533, 2019. tab, graf
Article in English | LILACS | ID: biblio-1019571

ABSTRACT

This study aimed to evaluate the effect of a newly designed intensive caregiver education program (ICEP) on reducing cognitive impairment, anxiety, and depression in acute ischemic stroke (AIS) patients. One hundred and ninety-six AIS patients were divided into ICEP group and Control group in a 1:1 ratio using blocked randomization method. In the ICEP group, the caregivers received ICEP, while in the Control group caregivers received usual education and guidance. All patients received conventional rehabilitation treatment. Cognitive impairment (assessed by Mini Mental State Examination (MMSE) score and Montreal Cognitive Assessment (MoCA) score), anxiety (assessed by Hospital Anxiety and Depression Scale (HADS)-A score and Self-rating Anxiety Scale (SAS) score), and depression (assessed by HADS-D score and Self-rating Depression Scale (SDS) score) were assessed at baseline (M0), 3 months (M3), 6 months (M6), and 12 months (M12). Cognitive impairment score at M12 and cognitive impairment score change (M12-M0) were increased, while cognitive impairment rate at M12 was reduced in the ICEP group compared with the Control group. Anxiety score change (M12-M0), anxiety score at M12, and anxiety rate at M12 were decreased in the ICEP group compared with the Control group. Depression score change (M12-M0), depression score at M12, and depression rate at M12 were lower in the ICEP group compared with the Control group. Further subgroup analysis based on baseline features also provided similar results. In conclusion, ICEP effectively reduced cognitive impairment, anxiety, and depression in AIS patients.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/prevention & control , Anxiety Disorders/prevention & control , Health Education/methods , Caregivers , Stroke/nursing , Depressive Disorder/prevention & control , Cognitive Dysfunction/prevention & control , Anxiety/etiology , Anxiety Disorders/etiology , Case-Control Studies , Stroke/complications , Stroke/psychology , Depressive Disorder/etiology , Cognitive Dysfunction/etiology , Stroke Rehabilitation , Neuropsychological Tests
15.
Braz. oral res. (Online) ; 32: e50, 2018. tab, graf
Article in English | LILACS | ID: biblio-952145

ABSTRACT

Abstract The effectiveness of photobiomodulation (PBM) and manual therapy (MT), alone or combined (CT), were evaluated in pain intensity, mandibular movements, psychosocial aspects, and anxiety symptoms of temporomandibular disorder (TMD) patients. Fifty-one TMD patients were randomly assigned to three groups: the PBM group (n = 18), which received PBM with 808 nm, 100 mW, 13.3 J/cm2, and 4 J per point; the MT group (n=16) for 21 minutes each session on masticatory muscles and temporomandibular joint TMJ; and the CT group (n = 17), applied during twelve sessions. Seven evaluations were performed in different moments using visual analogue scale (VAS), Research Diagnosis Criteria for Temporomandibular Disorders (RDC/TMD) Axis I and II, and Beck anxiety inventory (BAI). All groups demonstrated reductions in pain and improvement in jaw movements during treatment and at follow-up (< 0.001). The assessment of psychosocial aspects of TMD, comparing baseline and follow-up in all treatment groups, revealed that treatment did not promote modification in the intensity of chronic pain (p > 0.05). However, depression symptoms showed a reduction in PBM and CT groups (p≤0.05). All treatments promoted reduction in physical symptoms with and without pain and enhancement of jaw disabilities (p ≤ 0.05). MT promotes improvement in 5 functions, PBM in 2, and CT in 1 (p < 0.001). BAI analysis revealed that all treatments lead to a reduction in anxiety symptoms (p≤0.05). All protocols tested were able to promote pain relief, improve mandibular function, and reduce the negative psychosocial aspects and levels of anxiety in TMD patients. However, the combination of PBM and MT did not promote an increase in the effectiveness of both therapies alone.


Subject(s)
Humans , Male , Female , Adolescent , Aged , Young Adult , Temporomandibular Joint Disorders/therapy , Musculoskeletal Manipulations/methods , Low-Level Light Therapy/methods , Anxiety/physiopathology , Anxiety/prevention & control , Reference Values , Time Factors , Pain Measurement , Temporomandibular Joint Disorders/physiopathology , Temporomandibular Joint Disorders/psychology , Surveys and Questionnaires , Reproducibility of Results , Follow-Up Studies , Treatment Outcome , Combined Modality Therapy/methods , Depression/physiopathology , Depression/prevention & control , Chronic Pain/physiopathology , Chronic Pain/psychology , Chronic Pain/therapy , Pain Management/methods , Visual Analog Scale , Jaw/physiopathology , Masticatory Muscles/physiopathology , Middle Aged
16.
Govaresh. 2018; 22 (4): 232-238
in Persian | IMEMR | ID: emr-192473

ABSTRACT

Background: One of the most stressful situations in clinical environments is exposure to invasive diagnostic methods, one of which is the endoscopy of the digestive tract. Endoscopy related anxiety can prevent achieving optimal results. Aromatherapy is one of complementary treatments that can reduce anxiety. The aim of this study was to determine the effect of inhalation of matricaria chamomile essential oil on the anxiety before Esophagogastroduodenoscopy


Materials and Methods: This study is a randomized clinical trial that was carried out in May 2014 among patients referred to the Endoscopy Department of Imam Reza Hospital in Mashhad. The population of the study included 152 participants who were randomly divided into intervention and control groups. Anxiety was measured by using State-Trait Anxiety Inventory [STAI] questionnaire. Then for 20 minutes, the intervention group inhaled matricaria chamomile essential oil and the control group inhaled placebo [sesame oil]. 10 minutes after inhalation, anxiety was again measured and compared between the groups. Data analysis was done using SPSS software version 21


Results: The mean age of the participants was 42.05 +/- 4.5 years and 41.33% of them were male. Mean level of anxiety after inhalation in the intervention group was 35.89 +/- 8.40 and in the control group was 39.88 +/- 8.40, which decreased in both groups but in the intervention group the decrease was significant


Conclusion: The findings showed that matricaria chamomile essential oil inhalation was effective in decreasing the anxiety of patients who were candidate for endoscopy. It is recommended to reduce anxiety in stressful situations


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/prevention & control , Aromatherapy , Chamomile , Endoscopy, Digestive System/psychology
17.
Ter. psicol ; 35(3): 259-270, Dec. 2017. tab, graf
Article in English | LILACS | ID: biblio-904199

ABSTRACT

The aim of this work has been to determine the repercussions a psycho-oncological program has on patients who need to undergo a haematopoietic stem cell transplantation (HPT). We have studied two groups, an intervention group (n=21), formed with patients that have gone through the program of psycho-oncologic preparation previous to the transplant, and a control group (n=15), without psychological intervention. The program consists of four sessions: analysis and handling of the information, coping skills, management of stress, and preparation for the isolation. The results show that patients who receive the psychological intervention. appear to obtain minor levels in anxiety and depression and has a more adaptive perception of the passage of time and a more positive mood with more activity than the control group. However, such differences are not significant in the perception of the physical symptomatology as the amount of time in isolation increases.


El objetivo de este trabajo ha sido determinar las repercusión un programa de intervención psicooncológica sobre los pacientes candidatos a un Trasplante de Progenitores Hematopoyéticos (TPH). Participan dos grupos de pacientes, el grupo intervención (n=21), formado por los pacientes que han realizado el programa de intervención previo al trasplante, y un grupo de control (n=15), que no recibe la intervención pre-TPH. El programa consta de cuatro módulos: análisis y manejo de la información, habilidades de afrontamiento, control del estrés, y preparación familiar al aislamiento. Los resultados muestran que los pacientes que reciben la intervención psicológica obtienen niveles menores en ansiedad y depresión y tiene una percepción más adaptativa del paso del tiempo y un estado de ánimo más positivo, con más actividad que el grupo de control. Sin embargo, tales diferencias no son significativas en la percepción de la sintomatología física que aumenta con el paso del tiempo en aislamiento.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/prevention & control , Hematopoietic Stem Cell Transplantation/psychology , Depression/prevention & control , Psycho-Oncology/methods , Anxiety/psychology , Time Perception , Adaptation, Psychological , Hematopoietic Stem Cell Transplantation/adverse effects , Depression/psychology
18.
Rev. bras. enferm ; 70(6): 1244-1249, Nov.-Dec. 2017. tab, graf
Article in English | LILACS, BDENF | ID: biblio-898298

ABSTRACT

ABSTRACT Objective: To evaluate the effects of Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized school-age children. Method: Randomized clinical trial performed in two hospitals ofSão Paulo, between May and October 2015. The intervention consisted of the application of DTP and the outcome was evaluated through the Child Drawing: Hospital (CD: H) instrument. The Wilcoxon-Mann Whitney, Corrected t, Fisher's exact and Chi-square tests were used in the analysis. Statistical significance was set at 5%. Results: In all, 28 children participated in the study. The majority of children (75%) had a low anxiety score, with a mean CD: H score of 73.9 and 69.4 in the intervention and control groups respectively, and with no significant difference. Conclusion: Children submitted to DTP had the same degree of anxiety as those in the control group. However, it is suggested that new studies be performed with a larger number of children in different hospitalization scenarios.


RESUMEN Objetivo: Evaluar los efectos de la aplicación de la técnica del Juguete Terapéutico Dramático (BTD) en el grado de ansiedad en niños en edad escolar hospitalizados. Método: Ensayo clínico aleatorizado realizado en dos hospitales de São Paulo, entre mayo y octubre de 2015. La intervención consistió en la aplicación del BTD y el resultado fue evaluado por medio del instrumento Child Drawing: Hospital (CD:H). Se utilizó en el análisis los testesWilcoxon-Mann Whitney, T corregido, Exacto de Fisher y Qui-cuadrado con significancia de 5%. Resultados: Participaron del estudio 28 niños. La mayoría de los niños de ambos los grupos (75%) presentó clasificación de bajo grado de ansiedad, siendo la puntuación media del instrumento CD:H en el grupo intervención de 73,9 y en el grupo control de 69,4, sin diferencia significativa. Conclusión: Los niños sometidos al BTD presentaron el mismo grado de ansiedad que los del grupo control. Sin embargo, se sugiere que nuevos estudios sean realizados con mayor número de niños en variados escenarios de la hospitalización.


RESUMO Objetivo: Avaliar os efeitos da aplicação da técnica do Brinquedo Terapêutico Dramático (BTD) no grau de ansiedade em crianças escolares hospitalizadas. Método: Ensaio clínico randomizado realizado em dois hospitais de São Paulo, entre maio e outubro de 2015. A intervenção consistiu na aplicação do BTD e o desfecho foi avaliado por meio do instrumento Child Drawing: Hospital (CD:H). Utilizaram-se na análise os testes Wilcoxon-Mann Whitney, T corrigido, Exato de Fisher e Qui-quadrado com significância de 5%. Resultados: Participaram do estudo 28 crianças. A maioria das crianças de ambos os grupos (75%) apresentou classificação de baixo grau de ansiedade, sendo o escore médio do instrumento CD: H no grupo intervenção de 73,9 e no grupo controle de 69,4, sem diferença significativa. Conclusão: As crianças submetidas ao BTD apresentaram o mesmo grau de ansiedade que as do grupo controle. Entretanto, sugere-se que novos estudos sejam realizados com maior número de crianças em variados cenários da hospitalização.


Subject(s)
Humans , Male , Female , Child , Adolescent , Anxiety/therapy , Play Therapy/standards , Child, Hospitalized/psychology , Adolescent, Hospitalized/psychology , Anxiety/prevention & control , Play Therapy/methods , Psychometrics/instrumentation , Psychometrics/methods , Brazil , Chi-Square Distribution , Surveys and Questionnaires
19.
Rev. bras. reumatol ; 57(3): 197-203, May-June 2017. tab, graf
Article in English | LILACS | ID: biblio-899415

ABSTRACT

ABSTRACT We aimed to assess the impact of social support on symptoms in Brazilian women with FM. An observational, descriptive study enrolling 66 women who met the 1990 American College of Rheumatology (ACR) criteria. Social support was measured by the Social Support Survey (MOS-SSS), functionality was evaluated using the Fibromyalgia Impact Questionnaire (FIQ), depression was assessed using the Beck Depression Inventory (BDI), anxiety was measured using the Hamilton Anxiety Scale (HAS), affectivity was measured by Positive and Negative Affect Schedule (PANAS), and algometry was carried out to record pressure pain threshold (PPth) and tolerance (PPTo) at 18 points recommended by the ACR. Patients were divided into normal (NSS) or poor social support (PSS) groups with PSS defined as having a MOS-SSS score below the 25th percentile of the entire sample. Mann-Whitney or Unpaired t-test were used to compare intergroup variables and Fisher's for categorical variables. Analysis of covariance and Pearson correlation test were used. No differences in sociodemographic variables between PSS and NSS were found. Differences between NSS and PSS groups were observed for all four subcategories of social support and MOS-SSS total score. Significant differences between NSS and PSS on depression (p = 0.007), negative affect (p = 0.025) and PPTh (p = 0.016) were found. Affectionate subcategory showed positive correlation between pain and positive affect in PSS. Positive social interaction subcategory showed a negative correlation between FIQ and depression state. Therefore social support appears to contribute to ameliorate mental and physical health in FM.


RESUMO Objetivou-se avaliar o impacto do apoio social sobre os sintomas de mulheres brasileiras com fibromialgia (FM). Trata-se de um estudo observacional descritivo que selecionou 66 mulheres que atendiam aos critérios do Colégio Americano de Reumatologia (ACR) de 1990. O apoio social foi medido com o Social Support Survey (MOS-SSS), a funcionalidade com o Questionário do Impacto da Fibromialgia (FIQ), a depressão com o Inventário de Depressão de Beck (BDI), a ansiedade com a Escala de Ansiedade de Hamilton (HAS), a afetividade com o Positive and Negative Affect Schedule (Panas) e foi feita algometria para registrar o limiar da dor à pressão (LDP) e a tolerância álgica à pressão (TAP) nos 18 pontos recomendados pelo ACR. Os pacientes foram divididos nos grupos apoio social normal (ASN) ou ruim (ASR); o ASR foi definido como uma pontuação nos MOS-SSS abaixo do percentil 25 da amostra total. Usou-se o teste de Mann-Whitney ou o teste t não pareado para comparar variáveis intergrupos e o de Fisher para as variáveis categóricas. Usaram-se a análise de covariância e o teste de correlação de Pearson. Não houve diferença nas variáveis sociodemográficas entre os grupos ASN e ASR. Observaram-se diferenças entre os grupos ASN e ASR para todas as quatro subcategorias de apoio social e pontuação total do MOS-SSS. Encontraram-se diferenças significativas entre o ASN e o ASR na depressão (p = 0,007), afeto negativo (p = 0,025) e LDP (p = 0,016). A subcategoria apoio afetivo mostrou correlação positiva entre a dor e o afeto positivo no grupo ASR. A subcategoria interação social positiva mostrou uma correlação negativa entre o FIQ e o estado de depressão. Portanto, o apoio social parece contribuir para a melhoria na saúde mental e física na FM.


Subject(s)
Humans , Female , Adult , Aged , Social Support , Fibromyalgia/psychology , Anxiety/etiology , Anxiety/prevention & control , Psychiatric Status Rating Scales , Quality of Life/psychology , Severity of Illness Index , Brazil , Fibromyalgia/complications , Fibromyalgia/diagnosis , Pain Threshold/psychology , Depression/etiology , Depression/prevention & control , Middle Aged
20.
Rev. Assoc. Paul. Cir. Dent ; 70(3): 333-337, jul.-set. 2016. tab, graf
Article in Portuguese | LILACS, BBO | ID: lil-797093

ABSTRACT

Objetivo: O objetivo desta pesquisa foi avaliar o conhecimento de pacientes sobre técnica de sedação consciente com benzodiazepínicos e sua aceitação no controle de medo e ansiedade para o tratamento odontológico. Método: Esta pesquisa baseou-se em um estudo quantitativo com abordagem descritiva através da coleta de dados realizada pelo próprio pesquisador com a finalidade de assegurar uniformidade de interpretação dos resultados através de questionários. Os pacientes antes do atendimento receberam orientação do questionário e então foram convidados a responder. Nesse momento foram prestados os devidos esclarecimentos aos responsáveis quanto à finalidade dos questionários e orientados no sentido de que os dados seriam mantidos em sigilo. Os dados foram analisados por meio de tabelas cruzando a classe socioeconômica de 150 pacientes, selecionados igualitariamente entre as classes A/B, C e D/E. A associação entre a classe social e as respostas às questões foram avaliados pelo teste exato de Fisher. Resultados: A questão 1, primeira consulta ao Cirurgião-Dentista, destaca que todos os pacientes da Classe A/B já haviam comparecido ao Cirurgião-Dentista antes, contra 86% da classe C e 94% da Classe D/E. A questão 2 aborda se o Cirurgião-Dentista afere sinais vitais na anamnese,40% dos Cirurgiões-Dentistas classe A/B afere sinais vitais e apenas 20% dos odontólogos que trabalham com uma população de classe C, D e E. As questões 3, 4 e 5 (sobre medo do cirurgião, doenças e vícios) se mostraram semelhantemente distribuída entre as classes. E as questões 6 e 7 sobre o uso de ansiolítico destaca a maior frequência na Classe A/B, o dobro da Classe C, que por sua vez também é o dobro da Classe D/E. Das sete questões avaliadas, quatro se mostraram significativamente associadas à classe social. Conclusão: Classes sociais A/B têm mais aceitação e conhecimento sobre o uso de benzodiazepínicos no controle de medo e ansiedade na Odontologia.


Objective: The aim of this search was to avaluate the knowledge of patients on technique of conscious sedation with benzodiazepines and their acceptance in the controlo the fear, pain and anxiety during dental treatment. Method: this research was based on quantitative study with descriptive approach through data gathering, conducted by the own researcher, in order to ensure uniformity in the interpretation of the results of the questionnaires. Patients were instructed about the questionnaire before treatment and then, invited to answer it. At this moment, was provided the appropriate explanations to the responsables about the purpose of the questionnaires and orientedin the sense that the data will be kept confidential. Data were analyzed by means of tables crossing the socio-economic class of 150 patients, selected equally between classes A/B, C and D/E. The association between social class and the answers to the questions were evaluated by Fisher’s exact test (Agresti, 2002; Bussab e Morettin, 2006). Results: Question 1, first visit to the dentist, highlights thatall patients Class A/B were attended by dentist before, against 86% of the class C and 94% of ClassD/E. Question 2 addresses if the dentist assesses vital signs at the anamnesis. 40% of dental surgeons class A/B assesses vital signs, against only 20% of dentists who Works with a population of class C, Dand E. Questions 3, 4 and 5 (about fear surgeon, diseases and addictions) show then selves similar lydistributed between classes. And finally, questions 6 and 7, about the use of anxiolytic highlights the most frequently in Class A/B, class C twice, which in turn is also twice the Class D/E. From 7 questions avaluated, 4 of them show thenselves significantly associated to social classes. Conclusion: Social classes A/B have more acceptence and knowledge about the use of benzodiazepines in the control of the fear and anxiety in dentistry.


Subject(s)
Humans , Male , Female , Anxiety/complications , Anxiety/diagnosis , Anxiety/prevention & control , Dental Care/methods , Dental Care , Dental Care , Conscious Sedation , Conscious Sedation/adverse effects , Conscious Sedation/methods , Conscious Sedation/trends
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