Depressive symptoms among older adults with diabetes mellitus: a cross-sectional study

ABSTRACT BACKGROUND: Diabetes mellitus is a chronic disease with long-term consequences that is often associated with depressive symptoms. This relationship predicts increased morbidity and mortality rates, leading to serious health consequences. OBJECTIVE: To identify the prevalence and health factors associated with depressive symptoms among older adults with diabetes mellitus. DESIGN AND SETTING: An observational cross-sectional study was conducted among 236 older adults in the Basic Healthcare Units of Jequié, Brazil. METHODS: A survey containing sociodemographic, behavioral, and health conditions was used as a data collection instrument, in addition to the Geriatric Depression Scale. The main inclusion criterion was older adults diagnosed with diabetes mellitus. To identify the risk factors associated with depressive symptoms among older adults with diabetes mellitus, logistic regression analysis was conducted for calculating the odds ratio (OR), and a 95% confidence interval (CI) was considered statistically significant. RESULTS: The prevalence of depressive symptoms was 24.2% among older adults with diabetes, corroborating the Brazilian average of 30%. The final multivariate analysis model for the risk of depressive symptoms showed a significant association with diabetes complications [OR = 2.50, 95% CI 1.318-4.74)] and osteoporosis [OR = 2.75, 95% CI 1.285-5.891)]. CONCLUSION: A high prevalence of depressive symptoms was observed among older adults with diabetes. Critically examining older adults with diabetes mellitus is necessary, and screening for depressive symptoms is highly recommended, especially for those with complications resulting from diabetes mellitus and musculoskeletal comorbidities, such as osteoporosis, as it seems to be associated with depressive symptoms.

Intervenções de enfermagem nas alterações dos parâmetros clínicos cardiorrespiratórios em pacientes com sepse / Nursing interventions in changing cardiarrespiratory clinical parameters in sepse patient / Intervenciones de enfermería en las enmiendas de los parámetros clínicos cardiorrespiratorios en pacientes con sepse

Objetivo: refletir acerca das evidências sobre as alterações clínicas cardiorrespiratórias relacionadas à sepse, bem como as principais intervenções de enfermagem na prática clínica. Método: estudo teórico-reflexivo, construído com base no levantamento bibliográfico nas bases de dados LILACS e BDENF, com auxílio da Biblioteca Virtual em Saúde, utilizando as palavras-chave "sepse", "cuidados de enfermagem" e "manifestações clínicas" com inter-relação do operador booleano and. Resultados: os estudos trazem descrições da sepse, sinais clínicos, alterações diversas e as principais intervenções de enfermagem. Foram abordadas em especial, as alterações cardiovasculares e respiratórias, pois são fatores determinantes para evolução do quadro séptico. Conclusões: as intervenções multidisciplinares da equipe de saúde têm como objetivo triar os diversos fatores que predispõe o paciente a um quadro séptico. Neste contexto, as intervenções de enfermagem são indispensáveis e deverão atingir resolutividade para a prevenção e correção das alterações clínicas trazidas pela sepse.

Aim: to reflect on evidences about clinical and cardiorespiratory changes related to sepsis, as well as the main nursing interventions in clinical practice. Method: a theoretical-reflexive study, based on the bibliographic survey in the databases LILACS and BDENF, with the help of the Virtual Health Library, using the keywords "sepsis", "nursing care" and "clinical manifestations" with interrelation Of Boolean and. Results: in the studies, there are descriptions of sepsis, clinical signs, several changes and main nursing interventions. Cardiovascular disorders were discussed in particular, since they are determining factors for development of sepsis. Conclusions: multidisciplinary health team interventions aim to screen the several factors that predispose the patient to sepsis. In this context, nursing interventions are indispensable and should reach resoluteness for the prevention and correction of clinical changes brought by sepsis.

Objetivo: reflexionar sobre las evidencias en las alteraciones de los parámetros clínicos cardiorrespiratorios relacionados a la sepsis y sobre las principales intervenciones de enfermería en la práctica clínica. Método: estudio teórico-reflexivo, construido a partir de investigación bibliográfica en las bases de datos LILACS y BDENF, con auxilio de la Biblioteca Virtual en Salud, utilizando las palabras clave "sepsis", "cuidados de enfermería" y "manifestaciones clínicas" con interrelación del operador booleano and. Resultados: los estudios presentan descripciones de la sepsis, de los signos clínicos, de alteraciones diversas y de las principales intervenciones de enfermería. En particular, fue tratado de las alteraciones cardiovasculares, ya que estas presentan factores determinantes para el desarrollo de la sepsis. Conclusiones: las intervenciones del equipo de salud multidisciplinario tienen como objetivodetectar los diversos factores que predisponen al paciente a la sepsis. En este contexto, las intervenciones de enfermería son indispensables y deben ser eficaces en la prevención y en la corrección de las alteraciones clínicas provocadas por sepsis