RESUMO
Background: Bronchial asthma is a common disease in childhood. Vitamin D deficiency is a common unidentified nutritional deficiency. In spite of high prevalence, an association between the two has not been well understood. Objectives: Our study aimed to determine serum Vitamin D levels among asthmatic children and its association with clinical severity and level of control. Methods: A hospital‑based cross‑sectional study was conducted from 2017 to 2019 where 64 recurrent wheezers, classified into 6–15 years and the under 5 wheezers as per Global Initiative for Asthma guidelines, were included. The group of asthmatic children was comparable with respect to their demographic profiles with good adherence and proper inhaler use. Serum Vitamin D levels were estimated using an enzyme‑linked immunosorbent assay and classified using the US Endocrine Society classification. Association between Vitamin D status and outcome variables was analyzed using Chi‑square test, Fisher’s exact test, unpaired t‑test, and ANOVA. Results: Among the 64 wheezers, 29 (45.3%) had intermittent symptoms and 35 (54.7%) had persistent symptoms. Mean Vitamin D levels in the entire study population were in deficiency range (18.96 ng/ml ± 2.23). Persistent asthmatics had significantly lower Vitamin D levels(13.75 ng/ml) as compared to intermittent asthmatics(28.52 ng/ml). Those asthmatics who had hypovitaminosis D had higher rates of hospitalization (P = 0.048), increased use of rescue medications (P = 0.008), and poor symptom control (P = 0.001). Conclusions: Asthmatic children had a higher incidence of reduced Vitamin D levels showing a statistically significant association. There is also a significant association between Vitamin D level and poor symptom control, hospitalization for exacerbations, and requirement of rescue medication in asthmatic children.
RESUMO
El objetivo de la presente investigación es evaluar el grado de conocimiento que tiene el equipo de enfermería del Hospital Central de las Fuerzas Armadas de Montevideo con respecto a la medicación de rescate en cuidados paliativos. Se trata de un estudio de tipo descriptivo, transversal, cuali-cuantitativo para cuya realización se aplica como instrumento un cuestionario estructurado, autoadministrado que consta de 8 ítems a una muestra de 95 profesionales de enfermería. Los datos obtenidos de los miembros del equipo de enfermería en la sala de internación de Oncología y Cuidados paliativos y Hospital de día, se analizan por separado con respecto a los datos obtenidos por los miembros del equipo de enfermería en otras salas no especializadas donde se realiza la investigación. Entre los resultados se destaca que en cuanto al grado de conocimiento, de la sala de internación especifica de Oncología, Cuidados Paliativos y Hospital de día el 53% de los encuestados presentó un grado medio de conocimiento, mientras que el 47% un alto grado de conocimiento con respecto a la medicación de rescate en cuidados paliativos. En las otras salas donde se llevó a cabo el estudio el 59% tiene un grado bajo de conocimiento, el 35% grado medio y el 6% alto grado de conocimiento con respecto a la medicación de rescate en cuidados paliativos.
The aim of this research is to assess the degree of knowledge that has the Nursing team of the Central Hospital of the Armed Forces of Montevideo regarding rescue medication in palliative care. It is a descriptive study, cross-sectional, qualitative and quantitative. The researcher has used as an instrument, a self-administered, structured questionnaire consisting of 8 items to a sample of 95 nurses. The data obtained from the Nursing Team of Oncology and Palliative Care and from Nursing members of the Day Hospital, were analyzed separately from the data obtained from the members of the nursing Team of unspecialized rooms. Among the results the researcher highlighted that the degree of knowledge of the Nursing Team of Oncology, Palliative Care and Day Hospital Services, 53% of respondents had a mean degree of knowledge, while 47% had a high degree of knowledge about rescue medication in palliative care. In the other rooms where the researchers made the study59% of nurses have a low degree of knowledge, 35% intermediate and 6% high degree of knowledge about rescue medication in palliative care.
O objetivo da presente investigaçãoé avaliar o grau de conhecimento da equipe de enfermagem do Hospital Central das Forças Armadas de Montevidéu no tocante à medicação de resgate nos cuidados paliativos. Trata-se de um estudo de tipo descritivo, transversal, quali-quantitativo, para cuja realização aplicou-se como instrumento um questionário estruturado, auto administrado, do qual constam oito itens a uma amostra de 95 profissionais de enfermagem. Os dados obtidos com os membros da equipe de enfermagem na sala de internação de Oncologia e Cuidados Paliativos e Hospital Dia são analisados separadamente dos dados obtidos pelos membros da equipe de enfermagem em outras salas não especializadas onde é realizada a investigação. Quanto ao nível de conhecimento, entre os resultados destaca que na sala de internação específica de Oncologia, Cuidados Paliativos e Hospital Dia 53% dos entrevistados apresentou um nível médio de conhecimentos, enquanto 47% mostrou nível alto de conhecimentos referente à medicação de resgate em cuidados paliativos. Nas outras salas onde foi realizado o estudo, 59% teve baixo nível de conhecimentos, 35% nível médio e 6% alto nível de conhecimentos relativo à medicação de resgate em cuidados paliativos.