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1.
Rev. Headache Med. (Online) ; 15(1): 13-17, 2024. tab
Article in English | LILACS | ID: biblio-1538397

ABSTRACT

OBJECTIVE: To diagnose fibromyalgia in patients with migraine and assess the quality of life of these patients. METHODS: A prospective, cross-sectional study was carried out, comparing groups, in a non-randomized sample, consisting of patients diagnosed with migraine. The sample was evaluated using the Widespread Pain Index (WPI) and Symptom Severity Scale (SSS) questionnaires to diagnose fibromyalgia. Quality of life and level of depression were assessed, respectively, using the Headache Impact Test-6 (HIT-6) and Patient Health Questionnaire-9 (PHQ-9). RESULTS: We interviewed 100 patients (5 men and 95 women) diagnosed with migraine, with a mean age of 37.1±11.0 years, ranging from 19 to 64 years. Thirty-four patients (34%) had migraine and fibromyalgia concomitantly. Migraine predominated in females, both in the presence and absence of fibromyalgia. In both groups, there was no difference in headache characteristics. In the group with fibromyalgia, there was a predominance of allodynia and a higher PHQ-9 score (p<0.001). CONCLUSIONS: Patients with migraine are more predisposed to depression when there is an association with fibromyalgia


OBJETIVO: Diagnosticar fibromialgia em pacientes com enxaqueca e avaliar a qualidade de vida desses pacientes. MÉTODOS: Foi realizado um estudo prospectivo, transversal, comparando grupos, em uma amostra não randomizada, composta por pacientes com diagnóstico de enxaqueca. A amostra foi avaliada por meio dos questionários Widespread Pain Index (WPI) e Symptom Severity Scale (SSS) para diagnóstico de fibromialgia. A qualidade de vida e o nível de depressão foram avaliados, respectivamente, por meio do Headache Impact Test-6 (HIT-6) e do Patient Health Questionnaire-9 (PHQ-9). RESULTADOS: Foram entrevistados 100 pacientes (5 homens e 95 mulheres) com diagnóstico de enxaqueca, com idade média de 37,1±11,0 anos, variando de 19 a 64 anos. Trinta e quatro pacientes (34%) apresentavam enxaqueca e fibromialgia concomitantemente. A enxaqueca predominou no sexo feminino, tanto na presença como na ausência de fibromialgia. Em ambos os grupos, não houve diferença nas características da dor de cabeça. No grupo com fibromialgia houve predomínio de alodinia e maior escore no PHQ-9 (p<0,001). CONCLUSÕES: Pacientes com enxaqueca estão mais predispostos à depressão quando há associação com fibromialgia


Subject(s)
Humans , Male , Female , Quality of Life/psychology , Fibromyalgia/diagnosis , Depression/therapy , Headache/complications , Health/classification
2.
Arq. ciências saúde UNIPAR ; 27(2): 948-966, Maio-Ago. 2023.
Article in Portuguese | LILACS | ID: biblio-1425160

ABSTRACT

A pandemia causada pelo SARS-CoV-2 (COVID-19) trouxe inúmeros impactos na vida cotidiana, tanto nos aspectos econômicos, como nos emocionais, psicológicos e sociais. Em situações difíceis, as pessoas, muitas vezes, recorrem à espiritualidade ou à religiosidade. O objetivo deste estudo foi investigar a presença da religiosidade/espiritualidade entre a população brasileira diante da pandemia da COVID- 19, correlacionado com a qualidade de vida. É um estudo quantitativo, descritivo e transversal, realizado nos últimos meses de 2020. Os dados foram coletados por meio de respostas aos instrumentos WHOQOL-Bref e o WHOQOL-SRPB, de forma online, por meio do Google Forms®. Utilizou-se o método de amostragem não probabilístico do tipo snowball sampling, totalizando 948 respostas. Os dados foram tabulados por meio do software Microsoft Excel (2019) e analisados estatisticamente, considerando significativo p<0,05. Os dados apresentados mostram de forma enfática como os participantes que pertencem a alguma religião, apresentaram melhor relação nos domínios saúde psicológica, independência, meio ambiente e espiritualidade/religião/crenças pessoais em comparação àqueles que declaram não pertencer a uma religião. No entanto, não houve diferença estatisticamente significativa para os domínios saúde física e relações sociais. Conclui-se que o pertencimento a uma religião pode contribuir para a melhoria da qualidade de vida e auxiliar o enfrentamento das situações desfavoráveis durante a pandemia COVID-19. Diante disso, destaca-se a importância do desenvolvimento de novos estudos sobre o tema, para compreender com mais veemência e detalhamento, a relação dessas variáveis em contextos de crise que possam alterar a rotina de vida das pessoas.


The pandemic caused by SARS-CoV-2 (COVID-19) has brought numerous impacts on daily life, both in economic, emotional, psychological, and social aspects. In difficult situations, people often turn to spirituality or religiosity. The objective of this study was to investigate the presence of religiosity/spirituality among the Brazilian population facing the pandemic of COVID-19, correlated with quality of life. Quantitative, descriptive, cross-sectional study conducted in the last months of 2020. Data were collected by means of responses to the WHOQOL-Bref and the WHOQOL-SRPB instruments, online, through Google Forms®. The non-probabilistic snowball sampling method was used, totaling 948 answers. Data were tabulated using Microsoft Excel software (2019) and statistically analyzed, considering p<0.05 significant. The data presented emphatically show how the participants, who belong to some religion, presented a better relationship in the domains psychological health, independence, and environment and spirituality/religion/personal beliefs compared to those who do not have a religion. However, there was no statistically significant difference for the physical health and social relationships domains. It is concluded that belonging to a religion can contribute to improved quality of life and assist in coping with unfavorable situations during the COVID-19 pandemic. Therefore, the importance of developing new studies on the subject is highlighted, in order to understand more vehemently the relationship of these variables in crisis contexts that can change the routine of people's lives.


La pandemia causada por el SARS-CoV-2 (COVID-19) ha traído numerosos impactos en la vida cotidiana, tanto en los aspectos económicos, emocionales, psicológicos y sociales. En situaciones difíciles, las personas suelen recurrir a la espiritualidad o la religiosidad. El objetivo de este estudio fue investigar la presencia de religiosidad/espiritualidad en la población brasileña que enfrenta la pandemia de COVID- 19, correlacionada con la calidad de vida. Estudio cuantitativo, descriptivo, transversal, realizado en los últimos meses de 2020. Los datos fueron recolectados por medio de respuestas a los instrumentos WHOQOL-Bref y WHOQOL-SRPB, en línea, a través de Google Forms®. Se utilizó el método de muestreo no probabilístico de bola de nieve, totalizando 948 respuestas. Los datos fueron tabulados utilizando el software Microsoft Excel (2019) y analizados estadísticamente, considerando p<0,05 significativa. Los datos presentados muestran enfáticamente cómo los participantes, que pertenecen a alguna religión, presentaron una mejor relación en los dominios salud psicológica, independencia y entorno y espiritualidad/religión/creencias personales en comparación con aquellos que no tienen religión. Sin embargo, no hubo diferencias estadísticamente significativas para los dominios salud física y relaciones sociales. Se concluye que la pertenencia a una religión puede contribuir a mejorar la calidad de vida y ayudar a afrontar situaciones desfavorables durante la pandemia de COVID-19. Por lo tanto, se destaca la importancia de desarrollar nuevos estudios sobre el tema, para comprender con más vehemencia la relación de estas variables en contextos de crisis que pueden cambiar la rutina de vida de las personas.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Quality of Life/psychology , Religion , Spirituality , COVID-19/diagnosis , Population , Cross-Sectional Studies/methods , Pandemics
3.
Rev. Ciênc. Plur ; 9(3): 33630, 26 dez. 2023. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1524443

ABSTRACT

Introdução:A menopausa é uma fase transitória entre o período reprodutivo para o período não fértil na vida da mulher, sendo dividido em três períodos: pré-menopausa, perimenopausa e pós-menopausa, podendo durar de 12 meses a 03 anos. Anutrição e a alimentação possuem um importante papel durante esse período, visando evitar ou minimizar problemas como: osteoporose, constipação, desidratação, hipertensão, ansiedade, diminuição da libido, depressão, alterações no sono, dores nas articulações e ganho de peso. Objetivo:Descrever os possíveis benefícios relacionados à nutrição durante o climatérioMetodologia:Revisão da literatura que utilizou as bases de dados Biblioteca Virtual em Saúde (BVS), National Library of Medicine (PubMed) e Scientific Electronic Library Online (Scielo), por meio dos Descritores em Ciência da Saúde (DeCS) "Diet", "Climacteric" combinados com o operador booleano AND. Nossa pesquisa considerou estudos originais publicados nos últimos cinco anos, tanto de acesso livre quanto restrito, sem restrição de idioma. Excluímos revisões, duplicatas e artigos não relacionados ao tema. Encontramos um total de 122 artigos com os descritores utilizados e selecionamos 19 para a amostra desta revisão. Resultados:Observou-se uma perda de peso significativa entreas mulheres no climatério, assim como ondas de calor em decorrência dos sintomas da menopausa. A compulsão alimentar dos grupos randomizados mostrou-se baixa bem como a pressão arterial. Pode-se constatar, ainda, que o IMC dessas mulheres apresentou declínio e os sintomas relacionados à depressão igualmente registraram uma redução. Conclusões:A intervenção nutricional no climatério resultou em benefícios significativos, incluindo perda de peso, redução dos sintomas da menopausa, melhora da saúde cardiovascular, diminuição do IMC e alívio dos sintomas relacionados à depressão. Esses resultados destacam a importância da nutrição como uma abordagem eficaz para melhorar a qualidade de vida das mulheres nessa fase de transição (AU).


Introduction:Menopause is a transitional phase between the reproductive and the non-fertile periods of women, divided into pre-menopause, perimenopause and post-menopause, lasting from 12 months to 3 years. Nutritionand diet play a relevant role, aiming to avoid or minimize problems such as osteoporosis, constipation, dehydration, hypertension, anxiety, decreased libido, depression, changes in the sleep cycle, joint pain, and weight gain. Objective:Describing the possible benefits related to nutrition during menopause. Methodology:AThis paper presents a literature review that used the Virtual Health Library (VHL), National Library of Medicine (PubMed) and Scientific Electronic Library Online (Scielo) databases, through the Health Science Descriptors (DeCS) "Diet", "Climacteric" combined with the Boolean operator AND. The research considered original studies published in the last five years, both of open and restricted access, without restrictions for languages. Reviews, duplicates and articles unrelated to the topic were excluded. A total of 122 articles were found using these descriptors, and 19 were selected for the sample of this review. Results:Significant weight loss was observed among climacteric women, as well as hot flashes due to menopausal vasomotor symptoms. Binge eating in the randomized groups was low, as was blood pressure. It was also observed that the BMI of these women showed a decline and symptoms related to depression were also reduced. Conclusions:A nutritional intervention during menopause resulted in significant benefits, including weight loss, reduced symptoms, improved cardiovascular health, decreased BMI, and relief of symptoms related to depression. The importance of nutrition is highlighted as an effective approach to improve the quality of life of women in this transition phase (AU).


Introducción: La menopausia es una fase transitoria entre el período reproductivo y el período no fértil en la vida de la mujer, siendo dividido en tres fases: premenopausia, perimenopausia y posmenopausia, pudiendo durar de 12 meses a 03 años. La nutrición y la alimentación tienen un importante papel durante este período, buscando evitar o minimizar problemas como: osteoporosis, estreñimiento, deshidratación, hipertensión, ansiedad, disminución de la libido, depresión, cambios en el sueño, dolor en las articulaciones y aumento de peso. Objetivo: Describir los posibles beneficios relacionados con la nutrición durante el climaterioMetodología: Revisión de la literatura que utilizó las bases de datos Biblioteca Virtual en Salud (BVS), National Library of Medicine (PubMed) y Scientific Electronic Library Online (Scielo), por medio de los descriptores en Ciencia de la Salud (DeCS) "Diet", "Climacteric" combinados con el operador booleano AND. Nuestra investigación consideró estudios originales publicados en los últimos cinco años, tanto de acceso libre como restringido, sin limitación de idiomas. Excluimos revisiones, duplicados y artículos no relacionados con el tema. Encontramos un total de 122 artículos con los descriptores utilizados y seleccionamos 19 para la muestra de esta revisión. Resultados: Se observó una pérdida de peso significativa entre las mujeres en el climaterio, al igual que una reducción de loscalores súbitos como consecuencia de los síntomas de la menopausia. La compulsión alimentaria de los grupos aleatorizados demostró ser baja, así como la presión arterial. Se puede constatar, además, que el IMC de esas mujeres presentó una disminución y los síntomas relacionados a la depresión igualmente registraron una reducción. Conclusiones: La intervención nutricional en el climaterio ocasionó beneficios significativos, incluyendo pérdida de peso, reducción de los síntomas de la menopausia, mejora de la salud cardiovascular, disminución del IMC y alivio de los síntomas relacionados con la depresión. Estos resultados resaltan la importancia de la nutrición como un enfoque efectivo para mejorar la calidad de vida de las mujeres en esta fase de transición (AU).


Subject(s)
Quality of Life/psychology , Climacteric , Menopause , Women's Health , Diet
4.
Rev. Ciênc. Plur ; 9(3): 32957, 26 dez. 2023. tab, ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1524445

ABSTRACT

Introdução:A endometriose consiste em uma patologia ginecológica bastante prevalente emmulheres de múltiplas faixas etárias, consistindo em um desafio constante para a fertilidade, sexualidade e demais aspectos da qualidade de vida.Objetivo:Avaliar o perfil epidemiológico, formas de tratamento e os aspectos biopsicossociais associados à saúde sexual das mulheres com endometriose. Metodologia:Esta é uma revisão integrativa da literatura cujapergunta norteadorafoi "Como a endometriose influencia nos aspectos biopsicossociais inerentes ao comportamento sexual feminino?". Foi aplicada a estratégia de busca "Endometriose AND Dispareunia AND Qualidade de Vida" na Biblioteca Virtual em Saúde (BVS) e sua versão em inglês "EndometriosisAND DyspareuniaAND Quality of Life" na base de dados PubMed, com ofiltro"últimos10anos"aplicadoemambasasplataformas.Critérios de inclusão: estudos que abordassem mulheres cisgênero, em idade fértil,com vida sexual ativa, diagnóstico prévio de endometriose pélvica ou profunda e distúrbios ou queixas sexuais. Critério de exclusão: artigos que contemplassem mulheres em uso de psicofármacos. Resultados:Inicialmente,foram obtidos 227 artigos. Apósanálise primária, 189 estudos foram excluídos, seguindo para a etapa seguinte apenas 38. Destes, somente 15 atenderam aos critérios e foram considerados válidos para compor o presente estudo.No âmbito sexual, a endometriose pode acarretar aredução da frequência das relações, sangramentos durante ou após o coito, desinteresse em preliminares, desconforto em certas posições, términos de relacionamentos, conflitos conjugais, e, sobretudo, dispareunia.Conclusões:Diante dos prejuízos em diversos âmbitos da vida e bem-estar feminino causados pela endometriose, faz-se indispensável maior qualificação dos serviços de saúde para o diagnóstico precoce e intervenções efetivas, bem como apoio, acolhimento e acompanhamento multiprofissional contínuo. Além disso, a adaptação, compreensão e solicitude dos parceiros são fundamentais para que as mulheres sejam capazes de melhor gerenciar tais desafios (AU).


Introduction:Endometriosis is a gynecological pathology that is quite prevalent among women of multiple age groups, representing a constant challenge to fertility, sexuality, and other aspects of quality of life.Objective:To evaluate the epidemiological profile, forms of treatment and biopsychosocial aspects associated with the sexual health of women with endometriosis.Methodology:This is an integrative review of the literature whose guiding question was "How does endometriosis influence the biopsychosocial aspects inherent to female sexual behavior?". The search strategy "Endometriosis AND Dyspareunia AND Quality of Life" was applied in the Biblioteca Virtual em Saúde (BVS) and in the PubMed database, with the "last 10 years" filter applied on both platforms. Inclusion criteria: studies that addressed cisgender women, of childbearing age, with active sexual life, previous diagnosis of pelvic or deep endometriosis and sexual disorders or complaints. Exclusion criteria: articles that included women using psychotropic drugs. Results:Initially, 227 articles were obtained. After primary analysis, 189 studies were excluded, only 38 going on to the next stage. Of these, only 15 met the criteria and were considered valid to be part of the present study. In the sexual sphere, endometriosis can lead to a reduction in the frequency of intercourse, bleeding during or after coitus, lack of interest in foreplay, discomfort in certain positions, relationship endings, marital conflicts, and, above all, dyspareunia.Conclusions:Given the damage to various areas of life and female well-being caused by endometriosis, it is essential to improve the quality of health services for early diagnosis and effective interventions, as well as support, reception, and continuous multidisciplinary monitoring. Furthermore, adaptation, understanding and concern from partners are fundamental for women to be able to better manage such challenges (AU).


Introducción:La endometriosis esuna patología ginecológica bastante prevalente en mujeres de múltiples grupos etarios, que supone un reto constante para la fertilidad, la sexualidad y otros aspectos de la calidad de vida.Objetivo:Evaluar elperfil epidemiológico, las formas de tratamiento y los aspectos biopsicosociales asociados a la salud sexual de las mujeres con endometriosis.Metodología:Se trata de una revisión integradora cuya pregunta orientadora fue "¿Cómo influye la endometriosis en los aspectos biopsicosociales inherentes a la conducta sexual femenina?".Se aplicó la estrategia de búsqueda "Endometriosis AND Dispareunia AND Calidad de Vida" en la Biblioteca Virtual en Salud (BVS) y su versión en inglés en PubMed, con el filtro "últimos 10 años" enambas plataformas. Criterios de inclusión: estudios dirigidos a mujeres cisgénero en edad fértil, con vida sexual activa, diagnóstico previo de endometriosis pélvica o profunda, y trastornos o quejas sexuales. Criteriode exclusión: artículos que incluían mujeres usuarias de psicofármacos.Resultados:Inicialmente se obtuvieron 227 artículos. Después del análisis primario, se excluyeron 189 estudios y solo 38 pasaran a la siguiente etapa. De estos, solo 15 cumplieron con los criterios y seconsideraron válidos para el presente estudio. En el ámbito sexual, la endometriosis puede provocar reducción de la frecuencia de relaciones sexuales, sangrado durante o después de las relaciones sexuales, falta de interés por los juegos previos, molestias en determinadas posiciones, rupturas, conflictos matrimoniales y, sobre todo, dispareunia.Conclusiones:Ante los daños causados por la endometriosis en diversos ámbitos de la vida y el bienestar de las mujeres, es indispensable mejorar la calidad de losservicios de salud para el diagnóstico precoz y las intervenciones efectivas, así como apoyo, acogida y seguimiento multidisciplinar continuo. Además, la adaptación, comprensión y solicitud de las parejas son fundamentales para que las mujeres puedan gestionar mejor estos desafíos (AU).


Subject(s)
Female , Quality of Life/psychology , Sexual Behavior/psychology , Women's Health , Dyspareunia/pathology , Endometriosis/pathology , Health Profile , Models, Biopsychosocial
5.
Arch. argent. pediatr ; 121(4): e202202756, ago. 2023. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1442694

ABSTRACT

Introducción. Los pacientes con síndrome de Down (SD) presentan características que pueden afectar su calidad de vida. El objetivo de este trabajo fue evaluar la calidad de vida relacionada con la salud (CVRS) en pacientes con síndrome de Down. Población y métodos. Se realizó un estudio de corte transversal para evaluar CVRS con el cuestionario PedsQL 4.0 a pacientes de 2 a 4 años con síndrome de Down y a pacientes sanos en 2020-2021 en un hospital universitario. Resultados. Se incluyeron 51 pacientes en cada grupo. El puntaje de CVRS en infantes con SD fue 82,1 vs. 88 (p = 0,003) comparado con población sin SD. La salud psicosocial fue la más afectada (p = 0,007), especialmente, en el funcionamiento social y el escolar (p = 0,0001). Conclusión. Se observó que los niños y niñas con SD de 2 a 4 años tuvieron menor CVRS. La escala de la salud psicosocial fue más afectada, especialmente, el funcionamiento social y el escolar.


Introduction. The characteristics of patients with Down syndrome (DS) may affect their quality of life. The objective of this study was to assess the health-related quality of life (HRQoL) in patients with DS. Population and methods. This was a cross-sectional study to assess the HRQoL with the PedsQL 4.0 questionnaire administered to patients with DS and healthy patients aged 2 to 4 years in 2020­2021 at a teaching hospital. Results. Each study group included 51 patients. The HRQoL score in children with DS was 82.1 compared to 88 (p = 0.003) in the population without DS. Psychosocial health was impacted the most (p = 0.007), especially in terms of social and school functioning (p = 0.0001). Conclusion. Children with DS aged 2 to 4 years were observed to have a lower HRQoL. The psychosocial health scale was affected the most, especially in terms of social and school functioning.


Subject(s)
Humans , Child, Preschool , Quality of Life/psychology , Down Syndrome/complications , Health Status , Cross-Sectional Studies , Surveys and Questionnaires
6.
Rev. Ciênc. Plur ; 9(2): 31857, 31 ago. 2023. tab, ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1509847

ABSTRACT

Com o aumento da expectativa de vida, é esperado que a população idosa se faça presente cada dia mais na sociedade. Por esse motivo, é importante reconhecer as necessidades de saúde desse grupo de pessoas que vivem institucionalizadas, para que a odontogeriatria atue de forma mais ativa e proceda de maneira mais efetiva, atendendo as demandas priorizando uma maior qualidade de vida.Objetivo:Identificar as principais alterações que acometem a cavidade oral de idosos institucionalizados. Metodologia:Fez-se uma revisão integrativa nas bases de dados LILACS, BBO, IBECS, SciELOe PubMed. Foram usados os descritores "Saúde do Idoso Institucionalizado", "idoso" e "odontologia" junto de seus sinônimos e variações em inglês, retirados do DeCS e MeSH. Os critérios de inclusão foram artigos originais, artigos nas línguas portuguesa, inglesa e espanhola, estudos que envolveram pessoas e sem restrição quanto ao ano de publicação. Foram excluídos estudos feitos em animais, revisões de literatura, capítulos de livros, teses e dissertações. Resultados:Foram identificados 555 registros. Desses, 15artigos foram selecionados para compor a revisão. Diversas alterações orais foram encontradas. As principais foram hiperplasia tecidual, estomatite e xerostomia, candidíase e halitose. Sendo os principais fatores causadores: má higiene oral, medicamentos utilizados e má adaptação de próteses dentárias. Conclusões:Considerando os resultados da análise dessa revisão integrativa, pode-se concluir que a hiperplasia tecidual, estomatite, xerostomia são as alterações mais predominantes nos idosos institucionalizados (AU).


With the increase in life expectancy, it is expected that the elderly population will become more and more present in society. For this reason, it is important to recognize the health needs of this group of people who live institutionalized, so that geriatric dentistry acts more actively and proceeds more effectively, meeting the demands prioritizing a better quality of life. Objective:To identify the main alterations that affect the oral cavity of institutionalized elderly.Methodology:An integrative review was carried out in the LILACS, BBO, IBECS, SciELO and PubMed databases. The descriptors were used "Saúde do Idoso Institucionalizado", "idoso" e "odontologia"together with its synonyms and variations in English, taken from DeCS and MeSH. The inclusion criteria were original articles, articles in Portuguese, English and Spanish, studies involving people and without restriction regarding the year of publication. Animal studies, book chapters,literature review,theses and dissertations were excluded. Results:555 records were identified. Of these, 15articles were selected to compose the review. Several oral alterations were found. The main ones were tissue hyperplasia, stomatitis and xerostomia, candidiasis and halitosis. The main causative factors being: poor oral hygiene, medications used and poor adaptation of dental prostheses.Conclusions:Considering the analysis results of this integrativereview, it can be concluded that tissue hyperplasia, stomatitis, xerostomia are the most predominant changes in institutionalized elderly (AU).


Con el aumento de la esperanza de vida, se espera que la población anciana estécada vez más presente en la sociedad. Por eso, es importante reconocer las necesidades de salud de este grupo de personas que viven institucionalizadas, para que la odontología geriátrica actúe más activamente y proceda con mayor eficacia, atendiendo las demandas priorizando una mejor calidad de vida.Objetivo: Identificar las principales alteraciones que afectan la cavidad oral de ancianos institucionalizados.Metodología: Se realizó una revisión integradora en las bases de datos LILACS, BBO, IBECS, SciELO y PubMed. Se usaron los descriptores"Saúde do Idoso Institucionalizado", "idoso" e "odontologia"Los criterios de inclusión fueron artículos originales, artículos en portugués, inglés y español, estudios involucrando personas y sin restricción en cuantoal año de publicación. Se excluyeron estudios en animales, revision de literatura, capítulos de libros, tesis y disertaciones.Resultados: Se identificaron 555 registros. De estos, 15artículos fueron seleccionados para componer la revisión. Se encontraron varias alteraciones orales. Los principales fueron hiperplasia tisular, estomatitis y xerostomía, candidiasis y halitosis. Siendo los principales factores causales: la mala higiene bucal, los medicamentos utilizados y la mala adaptación de las prótesis dentales.Conclusiones: Considerando los resultados del análisis de esta revisión integrativa, se puede concluir que la hiperplasia tisular, la estomatitis, la xerostomía son las alteraciones más predominantes en los ancianos institucionalizados (AU).


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Quality of Life/psychology , Oral Health/education , Health of Institutionalized Elderly , Health Policy , Mouth/pathology , Social Perception
7.
Rev. enferm. Inst. Mex. Seguro Soc ; 31(2): 45-50, 10-abr-2023. tab, graf
Article in Spanish | LILACS, BDENF | ID: biblio-1518755

ABSTRACT

Introducción: la caries dental ocasiona dolor y alteración de la salud. La calidad de vida se refiere a la percepción de uno con base en su situación física, emocional y social. Objetivo: analizar la percepción de la calidad de vida en un grupo de escolares con caries. Metodología: 270 escolares de 6-8 años de edad con y sin experiencia de lesiones cariosas contestaron con sus padres un cuestionario basado en la Scale of Oral Health Outcomes (SOHO). Las respuestas se registraron con escala de tipo Likert. Se obtuvieron frecuencias, porcentajes, promedios y desviación estandar. Se compararon los grupos con chi cuadrada y t de Student, y se calculó la razón de momios (RM). Resultados: el 58% presentó experiencia de caries. El 64% de los escolares con caries informó que tenía antecedentes de dolor dentario y la media en los dominios sobre funciones bucales y relación familiar fue mayor para los escolares con caries (p = 0.001). Tener caries fue determinante para presentar dificultades para comer: RM 8.7 (intervalo de confianza del 95% [IC 95%] 4.7-16); beber: RM 5.9 (IC 95% 3.4-10); dormir: RM 5.3 (IC 95% 3.1-9); jugar: 5.2 (IC 95% 2.7-10), p < 0.001. Desde la autopercepción del escolar, el 87% manifestó no sentirse contento por la presencia de caries. Conclusiones: la percepción de los escolares y padres del grupo con experiencia de caries dental mostró deterioro en la calidad de vida.


Background: Dental caries causes pain and alteration of integral health. Quality of life refers to oneself's perception of their physical, emotional and social situation. Objective: To analyze the perception of quality of life in a group of schoolchildren with caries. Methodology: 270 schoolchildren aged 6-8 years with and without experience of carious lesions, with their parents, answered a questionnaire based on the Scale of Oral Health Outcomes (SOHO). The answers were recorded with a Likert-type scale. Frequencies, percentages, averages and standard deviation were obtained. The groups were compared with chi squared and Student's t test, and odds ratios (OR) were calculated. Results: 58% presented caries experience. 64% of schoolchildren with caries reported antecedents of dental pain, and the mean in the domains on oral functions and family relationship was higher for schoolchildren with caries (p = 0.001). Having caries was determinant for eating difficulties: OR 8.7 (95% CI 4.7-16); drink: OR 5.9 (95% CI 3.4-10); sleeping: OR 5.3 (95% CI 3.1-9); play: OR 5.2 (95% CI 2.7-10), p < 0.001. From schoolchildren auto-perception 87% said they did not feel happy about their decayed teeth. Conclusions: The perception of the schoolchildren and parents belonging to the group with experience of dental caries showed deterioration in the quality of life.


Subject(s)
Humans , Male , Female , Child , Quality of Life/psychology , Oral Health/statistics & numerical data , Dental Caries/psychology , Aptitude , Family Relations/psychology
8.
J. oral res. (Impresa) ; 12(1): 139-151, abr. 4, 2023. tab
Article in English | LILACS | ID: biblio-1516508

ABSTRACT

Objective: Sjögren's syndrome (SS) is a chronic auto-immune inflammatory systemic disease, in which the infiltration of mo-nonuclear cells in the exocrine glands leads to physiological and morphological changes. This pilot case-control study aims to describe the profile, evaluate the oral condition, quality of life (QoL) and psychological condition, through complete clinical examination, OHIP-14 and DASS-21 questionnaires. Materials and Methods: The study was conducted with seven individuals with a final diagnosis of SS (case group [CG]), and seven individuals with symptoms of dry mouth (control group [GCO]), consulting at the institution from January to November 2021. participants were selected by free demand and those previously seen at the institution with a diagnosis of SS between 19 and 70 years of age. The questionnaire OHIP-14 was applied to assess the patient's quality of life, where seven dimensions are assessed, subdivided into 14 questions through the Lickert scale (0 to 4) assigned by the individual and which quantifies the impact of oral health on QoL. The questionnaire DASS-21 assessed the psychological condition of the patient, which presents seven questions for each emotional state (depression, anxiety, and stress), totaling 21 questions. The general clinical condition, evolution of SS, oral clinical condition, and the profile of this population were related to QoL factors and psychological conditions, using these assessment instruments. Results: There was no statistically significant difference between the groups regarding stimulated salivary flow. The only symptom with a statistically significant difference in the CG was difficulty in phonation (p< 0.001). The dimensions related to functional limitation and physical pain showed the most expressive results (p=0.004) (p=0.025), showing a strong negative impact on the QoL of the CG individuals, and the dimension related to disability was the least affected (p=0.684). The analysis of depression, anxiety, and stress did not show statistically significant results between the groups; however, in the CG, 5 (71.42%) individuals showed a severe degree of depression, anxiety, and stress. Conclusions: Individuals in the case group showed some changes, with a strong negative impact on QoL compared to the control group.


Objetivo: El síndrome de Sjögren (SS) es una enfermedad inflamatoria sistémica crónica autoinmune, en la que la infiltración de células mononucleares en las glándulas exocrinas provoca cambios fisiológicos y morfológicos. Este estudio piloto de casos y controles tiene como objetivo describir el perfil, evaluar la condición bucal, calidad de vida (CdV) y condición psicológica, mediante examen clínico completo, cuestionarios OHIP-14 y DASS-21. Materiales y Métodos: El estudio se realizó con 7 individuos con diagnóstico final de SS, grupo de casos (CG) y 7 individuos con síntomas de sequedad bucal, grupo control (GCO) atendidos en la institución de enero a noviembre de 2021. Los participantes fueron seleccionados por libre demanda y entre los atendidos previamente en la institución con diagnóstico de SS entre 19 y 70 años de edad. Para evaluar la calidad de vida del paciente se aplicó el cuestionario OHIP-14, donde se evalúan siete dimensiones, sub-divididas en 14 preguntas a través de la escala de Likert (0 a 4) asignada por el individuo y que cuantifica el impacto de la salud bucal en la calidad de vida. El cuestionario DASS-21 evaluó la condición psicológica del paciente, el cual presenta siete preguntas para cada estado emocional (depresión, ansiedad y estrés), totalizando 21 preguntas. El estado clínico general, la evolución del SS, el estado clínico bucal y el perfil de esta población se relacionaron con factores de calidad de vida y condiciones psicológicas, mediante estos instrumentos de evaluación. Resultados: En cuanto al flujo salival estimulado, no hubo diferencias estadísticamente significativas entre los grupos. El único síntoma que mostró diferencia estadísticamente significativa en el CG fue la dificultad en la fonación (p< 0,001). Las dimensiones relacionadas con limitación funcional y dolor físico mostraron los resultados más expresivos (p=0,004) (p=0,025), mostrando un fuerte impacto negativo en la CdV de los individuos del GC, y la dimensión relacionada con discapacidad fue la menos afectada (p=0,684). El análisis de depresión, ansiedad y estrés no mostró resultados estadísticamente significativos entre los grupos; sin embargo, en el GC, 5 (71,42%) individuos presentaron un grado severo de depresión, ansiedad y estrés. Conclusión: Se puede concluir que los individuos del grupo de casos mostraron algunos cambios, con un fuerte impacto negativo en la calidad de vida en comparación con el grupo de control.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Young Adult , Anxiety/epidemiology , Quality of Life/psychology , Sjogren's Syndrome/epidemiology , Depression/epidemiology , Sjogren's Syndrome/complications , Case-Control Studies
9.
Rev. bras. oftalmol ; 82: e0013, 2023. tab
Article in Portuguese | LILACS | ID: biblio-1431671

ABSTRACT

RESUMO Objetivo: Aplicar um protocolo para avaliar a qualidade de vida relacionada à saúde de participantes de um programa de reabilitação para pessoas com deficiência visual de um instituto de referência. Métodos: Foi realizado um estudo transversal com 60 adultos com deficiência visual participantes de um programa de reabilitação para pessoas com deficiência visual de um instituto de referência no Rio de Janeiro. O protocolo de pesquisa consistiu em um questionário com dados pessoais, sociais, demográficos e informações clínicas; no European Quality of Life 5 Dimensions 3 Level Version para medição genérica de qualidade de vida relacionada à saúde; no Patient Health Questionnaire-2 para rastrear a depressão e no Visual Function Questionnaire 25 para avaliar a qualidade de vida relacionada à saúde específica da função visual. A principal variável independente analisada foi o tempo de exposição ao programa. Modelos de regressão linear foram utilizados para investigar a relação entre o tempo no programa e a qualidade de vida relacionada à saúde do Visual Function Questionnaire 25 e do European Quality of Life 5 Dimensions 3 Level Version. Resultados: A maioria dos participantes (73%) possuía deficiência visual adquirida; 68% tinham menos de 60 anos e 53% perderam a visão há mais de 10 anos. A condição visual autorreferida mais comum foi cegueira em ambos os olhos (48%) e 42% frequentavam o programa há mais de 3 anos. A mediana do índice de utilidade do European Quality of Life 5 Dimensions 3 Level Version foi de 0,75. O instrumento específico para rastreamento de depressão, o Patient Health Questionnaire, identificou proporção de 27% de participantes positivos. O Visual Function Questionnaire 25 apresentou escores abaixo de 50 (escala de zero a cem) nos subdomínios visão geral, atividades de perto e atividades à distância. As medianas de dor ocular e aspectos sociais do Visual Function Questionnaire 25 foram significativamente menores entre aqueles que realizavam tratamento psiquiátrico. O tempo de reabilitação foi independentemente associado a melhores escores dos subdomínios saúde mental e atividades da vida diária. Conclusão: O protocolo demonstrou aplicabilidade para a avaliação de qualidade de vida relacionada à saúde em pessoas com deficiência visual, permitindo concluir que o maior tempo no programa de reabilitação foi associado a maiores escores de qualidade de vida.


ABSTRACT Purpose: This study aimed to implement a health-related quality of life (HRQoL) assessment protocol to measure the consequences of a rehabilitation program for visual impaired people at a leading reference institute in Brazil. Methods: A cross-sectional study was conducted with 60 visual impaired adults enrolled in a Rehabilitation Program of the Instituto Benjamin Constant. The research protocol consisted of a questionnaire with personal data, social, demographic, and clinical information; the EQ-5D-3L instrument for generic HRQoL measurement; the Patient Health Questionnaire-2 (PHQ- 2) to screen for depression, and the 25-Item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) to assess specific HRQoL of visual function. The main independent variable analyzed was the exposure time to the rehabilitation. Linear regression models were used to investigate the relationship between rehabilitation time and HRQoL of the NEI VFQ-25 and EQ 5D-3L instruments. Results: Most participants (73%) have acquired visual impairment, 68% are under 60 years old, 53% lost their vision more than 10 years ago, the most common self-reported visual condition (48%) was blindness in both eyes and 42% are in the Rehabilitation Program for more than 3 years. The median HRQoL utility index for EQ 5D-3L was 0.75. The specific instrument for screening for depression, PHQ-2, identified 27% of participants above the cut-off point. The NEI VFQ-25 instrument showed scores below 50 (scale from 0 to 100) in subdomains: "general vision", "near activities" and "distance activities". The medians of "ocular pain" and "social aspects" of the VFQ-25 were significantly lower among those who have undergone psychiatric treatment. "Rehabilitation time" was independently associated with better scores of "mental health" and "role difficulties" subdomains. Conclusion: The protocol showed applicability for the assessment of HRQoL, allowing the conclusion that longer time in the rehabilitation program was associated with higher quality of life scores.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Quality of Life/psychology , Vision Disorders/rehabilitation , Visually Impaired Persons/rehabilitation , Activities of Daily Living , Cross-Sectional Studies , Surveys and Questionnaires
10.
Braz. j. oral sci ; 22: e237543, Jan.-Dec. 2023. tab
Article in English | LILACS, BBO | ID: biblio-1424935

ABSTRACT

Aim: To evaluate the impact of xerostomia, edentulism, use of dental prosthesis, and presence of chronic diseases on quality of life in relation to oral health in institutionalized elderly individuals. Methods: This is a cross-sectional study. A questionnaire was administered containing the following instruments: Oral Health Impact Profile (OHIP-14), which measures the quality of life related to oral health; the Summated Xerostomia Inventory questionnaire (SXI-PL) for evaluation of xerostomia, sociodemographic data, clinical description, and patient-reported factors was assessed (edentulism, use of dental prostheses, and chronic diseases). Results: Most elderly individuals did not have any teeth in their mouths and used dental prosthesis. The impact on quality of life, considering the mean of the OHIP-14 scores, was positive in 58.3% of the elderly. Those who used a dental prosthesis were three times more likely to have their oral health negatively impacted (OR=3.09; 95%CI =1.17 8.11), compared to those who did not use, and individuals with xerostomia were more likely to have their oral health negatively impacted (OR=1.57; 95%CI=1.25-1.98) compared to those without xerostomia. There was no difference in the quality of life of individuals with and without chronic diseases. Conclusions: The feeling of dry mouth and use of dental prostheses negatively impacted the quality of life in relation to oral health of the elderly


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Quality of Life/psychology , Xerostomia/psychology , Oral Health , Chronic Disease/psychology , Cross-Sectional Studies , Dental Prosthesis/psychology
11.
Article in Portuguese | LILACS, CONASS, ColecionaSUS, SES-GO | ID: biblio-1510806

ABSTRACT

Na saúde, o conceito de Qualidade de Vida Profissional (QVP) é utilizado para avaliar a influência que o trabalho exerce sobre o indivíduo, através da compaixão. Abrange duas dimensões, Satisfação por Compaixão e Fadiga por Compaixão. Reconhece-se que profissionais que atuam diretamente com a dor e o sofrimento alheio podem sofrer impacto na qualidade de vida. Objetivo: Investigar a percepção da QVP no trabalho de uma equipe multiprofissional de um hospital de reabilitação. Método: Pesquisa transversal, analítica e exploratória. Amostra aleatória por conveniência, composta por 40 profissionais da saúde que atuavam no setor de enfermaria de reabilitação do hospital, elegidos conforme os critérios pré-estabelecidos. Os instrumentos utilizados foram o Questionário Sociodemográfico e a Professional Quality of Life Scale (ProQOL)-Escala-BR. A coleta de dados ocorreu de forma remota, através do aplicativo WhatsApp® e foi viabilizada pelo Google Forms®. Os dados foram analisados por meio de estatística descritiva e inferencial. Resultados: Constatou-se níveis adequados de QVP na equipe de reabilitação, 47,5% apresentaram alto nível de satisfação por compaixão, enquanto não foram observados altos níveis de fadiga por compaixão. Quando analisadas as influências sociodemográficas, foram observadas significâncias estatísticas entre as variáveis satisfação por compaixão e sexo (p=0,021) e alteração do apetite com estresse traumático secundário (p=0,006). Conclusão: Verificou-se a prevalência de percepções equilibradas de QVP para a equipe de reabilitação analisada. Esse resultado demonstra a necessidade de investigações posteriores sobre as influências da organização e das condições ergonômicas, considerando o setor de atuação


In health, the concept of Professional Quality of Life (QVP) is used to assess the influence that work has on the individual, through compassion. It encompasses two dimensions, Satisfaction by Compassion and Fatigue by Compassion. It is recognized that professionals who work directly with the pain and suffering of others can suffer an impact on quality of life. Objective: To investigate the perception of QVP in the work of a multidisciplinary rehabilitation team at a rehabilitation hospital. Method. Cross-sectional, analytical and exploratory research. Random sample for convenience, composed of 40 health professionals who worked in the rehabilitation ward of the hospital, chosen according to pre-established criteria. The instruments used were the Sociodemographic Questionnaire and the ProQOL-BR Scale. Data collection took place remotely, through the WhatsApp® application and was made possible by Google Forms®. Data were analyzed using descriptive and inferential statistics. Results: Adequate levels of QVP were found in the rehabilitation team, 47.5% had a high level of compassion satisfaction, while high levels of compassion fatigue were not observed. When sociodemographic influences were analyzed, statistical significance was observed between the variables satisfaction with compassion and sex (p=0.021) and change in appetite with secondary traumatic stress (p=0.006). Conclusions: There was a prevalence of balanced QVP perceptions for the analyzed rehabilitation team. This result demonstrates the need for further investigations into the influences of organization and ergonomic conditions, considering the sector in which they operate


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Patient Care Team , Quality of Life/psychology , Compassion Fatigue/psychology , Burnout, Psychological , Cross-Sectional Studies , Hospitals, Rehabilitation , COVID-19 , Sociodemographic Factors
12.
Chinese Journal of Internal Medicine ; (12): 384-392, 2023.
Article in Chinese | WPRIM | ID: wpr-985936

ABSTRACT

Objective: To investigate the quality of life and associated factors in patients with coronary heart disease (CHD) in China. Methods: A cross-sectional study of 25 provinces and cities in China was performed from June to September 2020. A questionnaire was used to collect the socio-demographic and clinical information of patients with CHD, while the European Five-dimensional Quality of Life Scale (EQ-5D) was used to assess the quality of life. Multiple linear regression model was performed to analyze the associated factors. Results: The median age of the 1 075 responders was 60 (52, 67) years, and 797 (74.1%) were men. The EQ-5D and EQ-VAS indices were 0.7 (0.5, 0.8) and 60.0 (40.0, 80.0). Among the five dimensions in the quality of life scale, the frequency of anxiety/depression was the highest (59.8%), while problems in self-care was the lowest (35.8%). In the multiple linear regression model, female, increasing age, obesity, comorbidity(ies), anxiety/depression, social media channels, and receiving the CABG therapy were associated with the lower EQ-5D index (all P<0.05). In addition, increasing age, obesity, comorbidity (ies), depression, anxiety and depression, social media channels, and receiving the CABG therapy were associated with lower EQ-VAS index (all P<0.05). Conclusion: Over half of the patients with CHD in China have a low quality of life, which is related to gender, age, obesity, treatment pathway, the presence or absence of comorbidity (ies), and psychological state. In addition to managing the adverse effects of traditional socio-demographic factors on the quality of life, clinical practices should pay attention to the psychological state of patients. Moreover, establishing a WeChat group for doctor-patient communication could improve the quality of life of CHD patients.


Subject(s)
Male , Humans , Female , Quality of Life/psychology , Self Report , Cross-Sectional Studies , Coronary Disease , Surveys and Questionnaires , Obesity
13.
Article in English | LILACS, BBO | ID: biblio-1507022

ABSTRACT

ABSTRACT Objective: To analyze the relationship between malocclusion and bullying and its impact on the well-being and quality of life of students from low social development areas. Material and Methods: This cross-sectional study included 243 schoolchildren between 10 and 17 years. Malocclusion was analyzed using Dental Aesthetic Index. Bullying and self-perception of the impact of one's oral condition on quality of life and interpersonal relationships were assessed by questions from National Survey of Schoolchildren's Health and Child Perceptions Questionnaire 11-14 (CPQ11-14). Data were analyzed using the Spearman correlation coefficient and Mann-Whitney tests, considering groups: 10-11, 12-14 and 15-17 years. Results: No correlation was observed between malocclusion and bullying. However, in the 12-14 group, poor correlations were found between malocclusion and the CPQ11-14 (0.226) and between malocclusion and being shy/embarrassed due to oral aspects (0.298). Positive correlations were observed between bullying and the impact on the quality of life in the 10-11 (0.420) and 12-14 (0.425) groups. In the older group, a positive correlation (0.724) was observed between the concern about what others think of their oral health and the impact on their quality of life. Conclusion: There was no evidence of a relationship between malocclusion and bullying. However, the oral conditions negatively affected the interpersonal relationships and the student's quality of life.


Subject(s)
Humans , Male , Female , Child , Adolescent , Quality of Life/psychology , Social Perception , Students/psychology , Bullying/psychology , Malocclusion/diagnosis , Social Environment , Statistics, Nonparametric
14.
Rio de Janeiro; s.n; 2023. 136f p.
Thesis in Portuguese | LILACS | ID: biblio-1532201

ABSTRACT

O Transtorno de Estresse Pós-Traumático (TEPT) é uma condição debilitante que impacta significativamente a qualidade de vida dos seus portadores. Dentre vários fatores de risco para o TEPT, as reações peritraumáticas (RP), como a imobilidade tônica peritraumática (ITP), dissociação (DP) e reações físicas de pânico (RFP), estão entre as mais investigadas. No entanto, a maioria dos estudos avaliou essas RP separadamente, e o elo entre elas e o TEPT ainda não foi bem compreendido. Portanto, essa tese teve como objetivos: (i) estimar simultaneamente o efeito das três RP sobre o TEPT utilizando um instrumento validado; e (ii) avaliar se há efeito indireto da ITP sobre o TEPT mediado pelo sentimento de culpa/vergonha. Utilizamos modelagem de equações estruturais para analisar dados de 3211 participantes do Rio de Janeiro e de São Paulo. Tratamos as RP como variáveis latentes, selecionando desconfundidores específicos para cada reação. Nossas exposições foram as RP, sendo TEPT o desfecho. Calculamos odds ratios e intervalos de confiança de 95%. Utilizamos o Bayesian Information Criterion para comparar o ajuste de modelos não aninhados. Quando analisadas separadamente, todas as RP alcançaram significância estatística. No entanto, apenas DP (ORDP=1,8; IC95%:1,3-2,4) e RFP (ORRFP=2,5; IC95%:1,8-3,4) permaneceram estatisticamente significativas quando incluímos as três reações em um modelo com seus respectivos desconfundidores e correlações entre elas. Os resultados sugeriram um possível efeito da ITP sobre o TEPT (ORITP=1,4; IC95%:1,0-1,9). As interações entre as RP não foram estatisticamente significativas. Ao investigarmos o sentimento de culpa/vergonha como mediador entre ITP e TEPT, o efeito indireto alcançou apenas significância estatística limítrofe (ORITP(TNIE)=1,1; IC95%:1,0-1,2). Os efeitos direto (ORITP(PNDE)=1,3; IC95%: 0,8-1,8) e total (ORITP(TE)=1,4; IC95%:0,9-1,9) para ITP perderam significância quando todas as RP, seus desconfundidores e correlações entre elas fizeram parte do mesmo modelo. As demais RP, no entanto, permaneceram estatisticamente significativas (ORDP=1,7; IC95%:1,3-2,3 e ORRFP=2,5; IC95%:1,8-3,4). Nossos resultados mostraram que a DP e as RFP aumentaram o risco de TEPT mesmo quando consideradas em conjunto. A ITP pode ter efeito sobre o risco de TEPT, mas esse achado deve ser interpretado com cautela devido a significância limítrofe dessa RP em nosso modelo final. Também não identificamos uma mediação significativa entre ITP e TEPT pelos sentimentos de culpa/vergonha. Contudo, a significância limítrofe encontrada para o efeito indireto demanda investigações adicionais. Nossos achados reforçam a ideia de que as reações peritraumáticas devem ser analisadas e compreendidas como ocorrências simultâneas. Também seria oportuno que estudos envolvendo culpa/vergonha, ITP e TEPT focalizassem traumas caracterizados por aprisionamento e impossibilidade de escapar, dado que estas experiências são apontadas como mais susceptíveis para desencadear a ITP. (AU)


Posttraumatic stress disorder (PTSD) is a debilitating condition that greatly impacts quality of life. Among several PTSD risk factors, peritraumatic reactions (PR) such as peritraumatic tonic immobility (PTI), dissociation (PD) and physical panic reactions (PPR) are some of the most investigated. However, several studies have assessed these PR separately, and the pathway connecting them to PTSD is not well understood. Therefore, this thesis aimed to: (i) simultaneously estimate the effect of the three PR on PTSD using a validated instrument; and (ii) assess if there is an indirect effect of PTI on PTSD mediated by feelings of guilt/shame. We used structural equation modelling to analyse data from 3211 participants from Rio de Janeiro and São Paulo. We treated the PR as latent variables and selected specific confounders for each reaction. Our exposures were the PR, and PTSD was the outcome. We calculated odds ratios and 95% confidence intervals for each analysis. We also employed the Bayesian Information Criterion to compare the goodness of fit between non-nested models. Separately, all PR achieved statistically significant results. However, only PD (ORPD=1.8; 95%CI:1.3-2.4) and PPR (ORPPR=2.5; 95%CI:1.8-3.4) remained statistically significant when all three were included in a model with their respective confounders and correlations among all PR. Our findings suggested a possible effect of PTI on PTSD (ORPTI=1.4; 95%CI:1.0-1.9). Interactions between the PR were not statistically significant. When we investigated feelings of guilt/shame as the mediator between PTI and PTSD, the indirect effect achieved a borderline statistical significance (ORPTI(TNIE)=1.1; 95%CI:1.0-1.2). Direct (ORPTI(PNDE)=1.3; 95%CI:0.8-1.8) and total (ORPTI(TE)=1.4; 95%CI:0.9-1.9) effects lost their significance when all PR, their confounders and correlations were included in the same model. The other PR remained statistically significant (ORPD=1.7; 95%CI:1.3-2.3 and ORPPR=2.5; 95%CI:1.8-3.4). Our findings showed PD and PPR to increase the risk of PTSD even when considered in tandem. PTI could have an effect on PTSD, but this must be considered cautiously, as this PR only reached borderline significance in our final model. Feelings of guilt/shame did not significantly mediate PTI's effect on PTSD. However, a borderline statistical significance in the indirect effects warrants further investigation. Our findings reinforce the hypothesis that peritraumatic reactions should be analysed and understood as simultaneous occurrences, not as separate entities. It would also be appropriate for studies concerning guilt/shame, PTI and PTSD to focus on traumas characterized by imprisonment and feelings of inescapability, given that these experiences are allegedly more likely to trigger PTI. (AU)


Subject(s)
Humans , Stress Disorders, Post-Traumatic , Immobility Response, Tonic , Dissociative Disorders , Emotions , Quality of Life/psychology , Negotiating , Latent Class Analysis , Life Change Events
15.
J. Phys. Educ. (Maringá) ; 34: e3404, 2023. tab
Article in Portuguese | LILACS | ID: biblio-1440387

ABSTRACT

RESUMO A discussão sobre os fatores que podem influenciar a qualidade de vida (QV) de professores de Educação Física é importante no cenário atual de transformações sociais acelaradas que refletem no contexto educacional. Com o objetivo de verificar a associação entre QV e características sociodemográficas, aplicou-se questionários de dados sociodemográficos e de qualidade de vida (Whoqol-bref) a 298 professores de Educação Física da educação básica da região da Grande Florianópolis, Santa Catarina, Brasil. Utilizou-se no tratamento de dados, os testes Qui-quadrado, Mann-Whitney e Kruskal Wallis, com post hoc de Dunn (p<0,05). Os professores de Educação Física apresentaram escores regulares na QV geral, maiores valores de escores no domínio das relações sociais e menores valores no domínio físico. As características como sexo, ciclos vitais, tempo de serviço na rede, turno de trabalho, número populacional e Índice de Desenvolvimento Humano dos municípios foram associados à QV geral e aos domínios físico, psicológico e ambiental. Conclui-se que a QV está associada as características sociodemográficas dos professores de Educação Física e que estas devem ser levadas em considerações no planejamento e na gestão educacional no ensino básico.


ABSTRACT Based on the current scenario of accelerating social changes that reflect on the educational context, the discussion on the factors that might influence the quality of life (QOL) of Physical Education teachers is important. With the purpose of evaluating the association between QOL and sociodemographic characteristics, questionnaires on socio-demographic data and quality of life (WHOQOL-bref) were applied to 298 Physical Education teachers of Basic Education in Grande Florianópolis mesoregion, state of Santa Cantarina, Brazil. The Chi-square, Mann-Whitney and Kruskal Wallis tests with Dunn's post hoc method (p <0.05) were used for data analysis. The Physical Education teachers showed regular scores related to the general QOL; higher values for the social relations domain and lower ones for the physical domain. Some characteristics, such as sex, vital cycles, length of service in the school system, work shift, population number and the Human Development Index (HDI) of the municipalities were correlated with general QOL, as well as with the physical, psychological and environmental domains. It is concluded that QOL is associated with the socio-demographic characteristics of Physical Education teachers; thus, this should be taken into consideration when thinking of educational planning and management in Basic Education.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Physical Education and Training , Quality of Life/psychology , Faculty/psychology , Schools/organization & administration , Education, Primary and Secondary , Sociodemographic Factors
16.
Psicol. Estud. (Online) ; 28: e53301, 2023. tab, graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1448929

ABSTRACT

RESUMO O objetivo deste estudo foi compreender as concepções de qualidade de vida de idosos portadores de hipertensão arterial sistêmica e diabetes mellitus tipo II. Trata-se de um estudo exploratório-descritivo de abordagem qualitativa, e a estratégia de coleta de dados foi a técnica de Grupo Focal. Os dados foram analisados usando o programa de análise qualitativa - QDA miner e interpretados através da análise de conteúdo, proposta por Bardin. Os dados revelaram duas categorias: 'Concepções de Qualidade de Vida', que aponta para os elementos que atravessam a compreensão que os idosos têm da qualidade de vida e 'Relação entre Qualidade de vida e doença crônica', como a vivência da doença crônica está associada à qualidade de vida. Os dados indicam que as concepções de qualidade de vida de idosos com hipertensão arterial e diabetes mellitus passam pelo processo de convivência com a doença crônica, enfatizando a importância de fatores subjetivos, especialmente os recursos psicológicos e sociais dos idosos, que auxiliam no enfrentamento dos efeitos negativos das condições crônicas que interferem na qualidade de vida.


RESUMEN El objetivo de este estudio fue comprender las concepciones de cualidad de vida de ancianos con hipertensión arterial y diabetes mellitus. Se trata de un estudio exploratorio-descriptivo de enfoque cual itativo y la estrategia para la recolección de datos fue la técnica de Grupo Focal. Los datos se analizaron usando el programa de análisis cualitativo-QDA miner e interpretados a través del análisis de contenidos propuesta por Bardin. Los datos revelaron dos categorías: "'concepciones de calidad de vida", ', que señala los elementos que pasan por la comprensión que los ancianos tienen de calidad de vida y "'la relación calidad de vida y enfermedad crónica" ' - cómo la experiencia de la enfermedad crónicas se asocia con la calidad de vida. Los datos indicaron que las concepciones de cualidad de vida de ancianos con hipertensión arterial y diabetes mellitus pasan por el proceso de convivencia con la enfermedad crónica enfatizando la importancia de factores subjetivos especialmente los recursos psicológicos y sociales de los ancianos que ayudan en el enfrentamiento de los efectos negativos de las condiciones crónicas que interfieren en la cualidad de vida.


ABSTRACT The aim of this study was to understand the quality of life concepts in elderly people who suffers from arterial hypertension and diabetes mellitus. It is a descriptive and exploratory study with qualitative approach, the data collection strategy was Focus Group Interviews. The software QDA Miner was used for qualitative data analysis and the Content Analysis Method proposed by Bardin was used for data interpretation. The data had disclosed two categories: 'concepts of quality of life', pointing to the elements that go through the understanding that the elderly have of the quality of life, and 'relation between quality of life andchronic illness' - how the experience of chronic disease is associated with quality of life. Data had indicated that the quality of life concepts in this population are related to the way they live with the chronic illness. The subjective factors are very important concerning the elderly people life with the chronic illness, mainly their psychological and social resources, that help them to fight the negative effects of chronic illness conditions in the quality of life.


Subject(s)
Humans , Male , Female , Aged , Quality of Life/psychology , Aged/psychology , Diabetes Mellitus/diagnosis , Hypertension/diagnosis , Aging/physiology , Chronic Disease , Focus Groups/methods , Resilience, Psychological
17.
Pesqui. bras. odontopediatria clín. integr ; 23: e220103, 2023. tab, graf
Article in English | LILACS, BBO | ID: biblio-1529114

ABSTRACT

ABSTRACT Objective: To measure the Oral Health-Related Quality of Life (OHRQoL) and compare children with and without parental care. Material and Methods: This cross-sectional study was conducted on 160 schoolchildren with parental care and 100 orphans in Kerman, Iran. After fulfilling the questionnaire voluntarily, a clinical examination was performed, and indices such as decayed, missing, and filled teeth (DMFT), molar-incisor hypoplasia (MIH), modified gingival index (MGI), traumatic dental injury (TDI), and malocclusion were recorded. Data were statistically analyzed using SPSS version 25 via the ANOVA, Pearson's correlation coefficient test, Chi-Square test, and descriptive statistics. Results: Children without parents scored poorly for OHQRoL items compared to those with parents (p<0.001). DMFT was not significantly related to OHRQoL; however, missing teeth were correlated with the CPQ11-14 overall. Also, the TDI index had a significant relationship with CPQ mean score (p=0.02). Moreover, the difference in the mean CPQ11-14 score in children with TDI in the two groups was significant regarding the quality of life (0.031). Conclusion: OHRQoL differed significantly between children in the two groups, which can be influenced by gender and habits. Due to the vulnerability of welfare-supported children without parental care, these findings emphasize the value of preventive and health-promoting measures for this group of children.


Subject(s)
Humans , Male , Female , Child , Adolescent , Quality of Life/psychology , Oral Health/education , Child Health , Chi-Square Distribution , Cross-Sectional Studies/methods , Surveys and Questionnaires , Analysis of Variance , Iran/epidemiology
18.
Article in English | LILACS, BBO | ID: biblio-1529123

ABSTRACT

ABSTRACT Objective: To investigate the relationship between the quality of life and work ability related to the oral health status of patients with chronic liver diseases. Material and Methods: The sample size contains all patients referred to the internal ward of Afzalipour and Bahonar hospitals due to chronic liver disease from 2019 to 2020. Patient selection was based on a simple census and a questionnaire that contained characteristics information of the patient, Work Ability Index questionnaire and SF-36 questionnaire were completed by the patients and some information was extracted from medical file. The SF-36 questionnaire assesses the quality of life in two general dimensions (physical health and mental health) with the physical function subscale. DMFT, Gingival index, and Periodontal disease index are used to evaluate the severity and extent of gingivitis and periodontitis. For data analysis, ANOVA, Spearman correlation coefficients were used and the significant level was p<0.05. Results: a total of 108 patients were examined. The mean age of participants was 41.2 ± 4.3 years. The DMFT index in patients was also reported as 22.6 ± 7.35. Also, 32.4% of people described their ability to do work as poor, 21.3% as good, and 7.4% as excellent. Patients with poor or moderate workability reported a higher index of DMFT. Among the participants, 61 and 21 patients had gingivitis and periodontitis, respectively. Mean results of total SF-36 indices were reported at a low level in patients with increased DMFT and gum diseases. Patients with poor or moderate workability had a higher index of DMFT. There was a significant relationship between these two variables (p=0.001). However, they were not significantly associated with periodontitis. Conclusion: There was a significant relationship between the SF-36 index, the ability to work and the type of liver disease.


Subject(s)
Humans , Male , Adult , Middle Aged , Quality of Life/psychology , Oral Health/education , Digestive System Diseases/pathology , Psychological Well-Being/psychology , Periodontal Index , Surveys and Questionnaires , Analysis of Variance , Statistics, Nonparametric
19.
Pesqui. bras. odontopediatria clín. integr ; 23: e220056, 2023. tab, graf
Article in English | LILACS, BBO | ID: biblio-1529134

ABSTRACT

ABSTRACT Objective: To evaluate the association of oral health-related quality of life (OHRQoL) with the longevity of ART-restorations in children after 18 months. Material and Methods: A longitudinal clinical study with 62 six- to seven-year-old children, both genders, 31 of whom underwent four weeks of oral health education strategy (OHES) followed by ART (GOHES+ART) and the others only ART (GART). The Brazilian short-version of the Child Perceptions Questionnaire (16-CPQ8-10) was used to evaluate the OHRQoL and the perception of change in oral health was assessed by a single question. Data was analyzed using Mann-Whitney, Wilcoxon and Friedman's tests. Results: After 18 months, GOHES+ART reported a greater impairment on OHRQoL, mainly in oral symptoms domain (p<0.05). In this period, greater impairment of oral symptoms was reported in children with failed restorations and with treatment considered to have a minor failure (p<0.05). In inter-group analysis, the GOHES+ART, with 2 to 4 restorations, Class I, of small size, located in the upper arch and with a smaller failure, reported more oral symptoms than the GART. Conclusion: In the long-term, children submitted to OHES followed by ART reported more oral symptoms. Factors such as number, class, size and location of the restorations need to be considered for the implementation of an efficient and effective oral health program, as well as for greater longevity of ART-restorations.


Subject(s)
Humans , Male , Female , Child , Quality of Life/psychology , Oral Health , Dental Caries/therapy , Dental Atraumatic Restorative Treatment , Data Interpretation, Statistical , Longitudinal Studies , Statistics, Nonparametric , Dental Restoration, Permanent
20.
Psicol. Estud. (Online) ; 28: e54416, 2023. graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1514632

ABSTRACT

RESUMO O planejamento urbano é um processo que compreende sucessivas melhorias voltadas para a qualidade de vida das populações e o envelhecimento populacional pressiona para que instâncias sociais assumam novas posturas sobre os modos de se planejar a cidade. Para compreender a ligação do idoso com o ambiente, é necessário entender os recursos disponíveis no local e as experiências vividas naquele contexto. A partir do sentido de lugar, as pessoas transformam os espaços e são por eles transformados. Assim, esse estudo questionou como moradores idosos de três localidades da cidade de Brasília constroem seu sentido de lugar, a partir da identificação de facilitadores e barreiras enfrentadas diariamente e das demandas para a construção de um ambiente amigável ao envelhecimento. Os dados qualitativos apresentados decorrem do uso de três técnicas de pesquisa: entrevistas face a face, entrevistas caminhadas e diários fotográficos. Fizeram parte do estudo 63 participantes com idade entre 60 e 90 anos. A análise realizada por meio do software Iramuteq permitiu a elaboração de quatro classes relacionadas aos vínculos sociais e comunitários, às atividades das rotinas diárias, aos aspectos simbólicos que refletem o sentido de lugar e a relação com elementos rurais e urbanos percebidos em cada cenário. Estar atento às mudanças resultantes dessa inversão da pirâmide demográfica incide sobre algumas das questões identificadas nesse estudo, mas também confirma o quanto ainda se faz necessário avançar para incluir de modo mais realista a dinâmica relação idoso-ambiente em estudos que abordam o processo de envelhecimento.


RESUMEN El urbanismo es un proceso que comprende sucesivas mejoras encaminadas a la calidad de vida de las poblaciones y el envejecimiento de la población presiona a las instancias sociales para que asuman nuevas posturas sobre las formas de planificar este entorno. Para comprender la percepción del ambiente por parte de los adultos mayores, es necesario comprender los recursos disponibles en el lugar y también las experiencias vividas en ese contexto. Desde el sentido del lugar, las personas transforman espacios y son transformados por ellos. Por lo tanto, este estudio cuestionó cómo los residentes mayores de tres localidades de la ciudad de Brasilia construyen su sentido de lugar, en función de sus identificaciones de los facilitadores y las barreras que se enfrentan a diario y las demandas para construir un ambiente amigable con el envejecimiento. Los datos cualitativos presentados derivan del uso de tres técnicas de investigación: entrevistas personales, entrevistas complementarias y diarios fotográficos. 63 personas mayores entre 60 y 90 años participaron en el estudio. El análisis realizado con el software Iramuteq permitió el desarrollo de cuatro clases relacionadas con los vínculos sociales y comunitarios, actividades de la rutina diaria, aspectos simbólicos que reflejan el sentido del lugar y la relación con los elementos rurales y urbanos percibidos en cada escenario. Conocer los cambios resultantes de esta inversión de la pirámide demográfica se centra en algunos de los problemas identificados en este estudio, pero también confirma cuánto progreso aún se necesita para incluir de manera más dinámica la relación entre el anciano y el ambiente en los estudios que abordan el envejecimiento.


ABSTRACT. The urban planning is a process that comprises successive improvements aimed at the quality of life of populations and the aging of the population puts pressure on social instances to assume new postures about the ways of planning this environment. To understand the elderly's attachment with the environment, it is necessary to understand the resources available in the place and the experiences lived in that context. From the sense of place, people transform spaces and are transformed by them. Thus, this study questioned how elderly residents of three locations in the city of Brasília build their sense of place, based on their identification of facilitators and barriers faced daily and the demands for building an aging-friendly environment. The qualitative data presented derives from the use of three research techniques: face-to-face interviews, go-along interviews, and photographic diaries. Sixty-three elderly persons between 60 and 90 years participated in the study. The analysis carried out using the Iramuteq software allowed the development of four classes related to social and community bonds, activities of daily routines, symbolic aspects that reflect the sense of place and the relationship with rural and urban elements perceived in each scenario. Being aware of the changes resulting from the demographic pyramid's inversion incur on some of the issues identified in this study. However, the results confirm how much further progress is still needed to include more dynamically the elderly-environment relationship in studies that address the aging process.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Perception/physiology , Aged/physiology , City Planning/trends , Quality of Life/psychology , Aged/psychology , Aging/psychology , Environment
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