Correlation between Generic and Disease-Specific Quality of Life Questionnaires in Patients with Venous Ulcerations: A Cross-Sectional Study Carried out in a Primary Health Care Setting in Brazil.

Venous Ulcers (VU) are a serious health problem that affect the Quality of Life (QoL). They are evaluated by many different scales in the literature. We aimed to analyze the correlation between the Medical Outcomes Short-Form Health QoL (SF-36) and Charing Cross Venous Ulcer Questionnaire (CCVUQ) scales. This is a cross-sectional study conducted in a Brazilian center specializing in chronic VU of the Primary Health Care (PHC) provided to patients with active VU. The general QoL instrument SF-36 and the CCVUQ, specific for people with VU, were used. Spearman's Rho Test determined the correlation between the variables analyzed. Our sample had a total of 150 patients. We found a direct correlation between the domestic activities division (CCVUQ) aspect and the SF-36 Physical role functioning (strong), and Physical functioning (moderate) domains. The Social interaction division (CCVUQ) aspect presented moderate correlation with the domains of the SF-36 Physical role functioning and Physical functioning. The Vitality domain (SF-36) showed moderate correlation with the aspects of CCVUQ Cosmesis division and Emotional status division. The greatest forces of direct correlation were observed between the physical, functional and vitality aspects of SF-36 with those represented by domestic activities and social interaction in the CCVUQ.

Quality of Life in the Face of Depression Among Older People: A Cross-Sectional Study in Brazil and Portugal.

Background: This study aimed to analyze and compare the association of depression levels with quality of life among older people in primary health care in Brazil and Portugal. Methods: This was a cross-sectional study conducted with older people in primary health care. The Medical Outcomes Short-Form Health Quality of Life (SF-36) instrument was used to measure the quality of life, and the Beck Depression Inventory was used to evaluate depression. We grouped the depression level variables into "absent/mild" and "moderate/severe" and tested their association with the categorical variables of quality of life ("better quality of life" and "worse quality of life"). Results: The total sample was 150 participants (Brazil n = 100 and Portugal n = 50). Each group results in the subcategory of absent/mild depression (n = 129) indicated better quality of life in Portugal in physical role functioning (P = .027/odds ratio = 2.768), physical functioning (P < .001/odds ratio = 5.864), and the physical health dimension (P = .002/odds ratio = 3.752). The binary logistic regression analysis highlighted the domains physical role functioning (odds ratio = 1.01/CI for 95% = 1.00-1.03), physical functioning (odds ratio = 1.02/CI for 95% = 1.01-1.03), and the physical health dimension (odds ratio = 1.09/CI for 95% = 1.04-1.13). Conclusion: There was an association between better assessments of the physical and functional aspects of quality of life and lower levels of depression, in which we could highlight those aspects related to physical health and functionality. Among the groups studied, Portugal had better quality of life evaluations than Brazil. However, none of the groups overlapped the other in levels of depression.

Vitamin C and D supplementation and the severity of COVID-19: A protocol for systematic review and meta-analysis.

BACKGROUND: The COVID-19 pandemic has rapidly spread to other countries, causing numerous deaths and challenges for organizations and health professionals. Diet and nutrition invariably influence the competence of the immune system and determine the risk and severity of infections. Studies have already been published on the relationships through which vitamins C and D can mitigate the severity of infections such as COVID-19. In this context, this protocol describes a systematic review intended to analyze if vitamin C and D supplementation can reduce the severity of Covid-19. METHODS: This protocol was developed based on the recommendations of PRISMA-P. In order to accomplish the systematic review, we will carry out searches in the PubMed, Web of Science, Scopus, Cochrane, and ScienceDirect databases in the quest for control case studies that analyze the supplementation and evolution of patients with COVID-19. There will be no limitations related to language or publication time. The searches will be carried out by 2 independent researchers who will select the articles, and then the duplicate studies will be removed, while the suitable ones will be selected using the Rayyan QCRI application. In order to assess the risk of bias, we will use the instrument proposed by the National Heart, Lung and Blood Institute. Moreover, we will carry out metaanalyses and subgroup analyses according to the conditions of the included data. RESULTS: This review will assess the association between vitamin C and D supplementation and the reduction in the severity of COVID-19. CONCLUSION: The findings of this systematic review will summarize the latest evidence for the association between vitamin C and D supplementation and COVID-19 through a systematic review and meta-analysis. RECORD OF SYSTEMATIC REVIEW: CRD42021255763.

Digital technologies for monitoring infected people, identifying contacts and tracking transmission chains in the corona virus disease 2019 pandemic: A protocol for a systematic review.

BACKGROUND: In times of the corona virus disease 2019 (COVID-19) pandemic, due to the urgent need to respond quickly to the challenges posed by the introduction of a new etiological agent and the peculiarity of the disease, which poses risks to people's lives and health, the use of digital technologies for monitoring and surveillance have been used as a means of fighting coronavirus. Thus, this study will identify the use of digital technologies to monitor, identify contacts and track transmission chains of COVID-19 worldwide. METHODS: The systematic review of this protocol will follow the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes Protocols. We will include studies that present digital technologies used in the monitoring of infected people, contact identification and the transmission chain of COVID-19 developed worldwide. For the selection of articles, the following databases will be consulted: PubMed, EMBASE, LILACS, Web of Science, Science Direct, Scopus, Livivo and CINAHL. In addition, we will conduct extensive research on selected sources of gray literature, including bibliographic databases, web-based search engines, practice-oriented magazines and government websites. Data extraction will take place in 2 stages (1- title and abstract screening and 2- full-text screening) and will be carried out independently by 2 reviewers, using the Mendeley software and the Rayyan QCRI application. The studies will be characterized as to the type and design of the study in relation to the ease in demonstrating the technologies used and the type of information produced. If it is necessary to synthesize quantitative data, the heterogeneity assessment will be performed using I2 statistics, and the meta-analysis will be processed using Review Manager 5.3. RESULTS: The development of this research will allow the knowledge of how these technologies were applied according to each territory and their effectiveness in reducing cases of COVID-19. CONCLUSION: The results of this review can reveal the importance of modern technologies for reducing cases of COVID-19 and that these measures can be adopted by governments, organizations and for everyone. RECORD OF SYSTEMATIC REVIEW: CRD42020211744.

The association between race and risk of illness and death due to COVID-19: A protocol for systematic review and meta-analysis.

BACKGROUND: The Corona Virus Disease, 2019 (COVID-19) pandemic revealed many social disparities that already exist in countries that have social inequalities in their historical context. Studies have already been published on the epidemiological and clinical characteristics of population groups considered to be at risk where they reveal that Black people are at greater risk of becoming ill and dying from this cause. In this context, this protocol describes a systematic review that aims to analyze the association of race as the higher risk for illness and death due to COVID-19. METHODS: This protocol will be developed based on the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P). For this, we will conduct searches in the PubMed, Web of Science, Scopus, Lilacs, and ScienceDirect databases in the search for cross-sectional studies. All cross-sectional studies that analyzed hospitalization and death by COVID-19 as race in its determinant will be included. The search will be carried out by 2 independent researchers who will carry out the selection of articles, then the duplicate studies will be removed and screened using the Rayyan QCRI application. To assess the risk of bias, the instrument proposed by Downs and Black will be used. Meta-analyzes and subgroup analyzes will be carried out according to included data conditions. RESULTS: Based on this review, it will be possible to carry out a high-quality synthesis of available evidence that brings race as a factor for illness and death by COVID-19 and to verify which race is most affected by this disease. CONCLUSION: The relevance of this systematic review to the current context is considered, as it has a high potential to assist in the development of public health strategies and policies that address existing racial differences.Record of systematic review: CRD42020208767.

Qualidade de vida e sono de enfermeiros nos turnos hospitalares / Calidad de vida y sueño de enfermeros en los turnos hospitalarios / Quality of Life and Sleep of Nurses in Hospital Shifts

RESUMO Introdução: As atividades de enfermagem no cotidiano hospitalar envolvem horários em turnos. Sendo assim, o conflito na sincronização dos ritmos biológicos, tem implicações diretas no ciclo vigília/sono. Os horários irregulares dos turnos pode conflitar-se com os ritmos biológicos e com os hábitos sociais para convivência com familiares e amigos, assim como originar prejuízos para a saúde e a qualidade de vida social dos trabalhadores. Objetivo: Avaliar a qualidade de vida e a qualidade do sono dos enfermeiros nos turnos hospitalares. Métodos: Estudo de natureza quantitativa, de corte transversal, descritivo e analítico. Participaram 104 enfermeiros de um Hospital Universitário. Os dados foram coletados de janeiro a setembro de 2015, por meio dos seguintes instrumentos: Questionário de Informações Pessoais e Profissionais, Índice de qualidade de sono de Pittsburgh e Questionário de WHOQOL-Bref. Resultados: Em todos os índices de qualidade do sono, os dados mostraram percepção melhor para trabalhadores do diurno quando comparados aos do noturno. A qualidade de vida em todos os domínios para o grupo diurno foi melhor que aqueles que trabalhavam no noturno (p=0,024). Conclusão: Os enfermeiros que trabalhavam no diurno apresentaram qualidade de sono e de vida melhor que os profissionais que atuavam no noturno. É necessário que os dados fornecidos na pesquisa levem aos gestores hospitalares a notar a necessidade de bem-estar dos enfermeiros em relação ao trabalho em turnos e à jornada do serviço, para que prestem um atendimento de qualidade(AU)

RESUMEN Introducción: Las actividades cotidianas de enfermería en el hospital involucran horas diurnas y nocturnas, generando conflicto en la sincronización de los ritmos biológicos, lo que tiene implicaciones directas en el ciclo vigilia / sueño. Los horarios irregulares de los turnos pueden chocar con los ritmos biológicos, los hábitos sociales, horarios para la convivencia con familiares y amigos, así como originar perjuicios para la salud y la calidad de vida social de los trabajadores. Objetivo: Evaluar la calidad de vida y la calidad del sueño de los enfermeros en los turnos hospitalarios. Métodos: Estudio cuantitativo, descriptivo de corte transversal. Participaron 104 enfermeros de un Hospital Universitario. Los datos fueron recolectados de enero a septiembre de 2015, por medio de los instrumentos: Cuestionario de Información Personal y Profesional, Índice de calidad de sueño de Pittsburgh y Cuestionario de WHOQOL-Bref. Resultados: En todos los índices de calidad del sueño, los datos mostraron mejor percepción para el grupo de los trabajadores del diurno comparados con los del nocturno. La calidad de vida fue mejor en todos los dominios para el grupo diurno que aquellos que trabajaban en el nocturno (p = 0,024). Conclusión: Los enfermeros que trabajaban en el diurno presentaron calidad de sueño y de vida mejor que los que actuaban en el nocturno. Es necesario que los datos proporcionados en la investigación lleven a los gestores hospitalarios a notar la necesidad de bienestar de los enfermeros en relación al trabajo en turnos, para que presten una atención de calidad a los pacientes(AU)

ABSTRACT Introduction: The daily nursing activities in the hospital involve day and night hours, which generates conflicts in the synchronization of biological rhythms and has direct implications in the wake-sleep cycle. The irregular schedules of the shifts may coincide with the biological rhythms, social habits, schedules for living with family and friends, as well as the can cause damage to the health and quality of social life of workers. Objective: To evaluate the quality of life and the quality of sleep of nurses in hospital shifts. Methods: Quantitative, descriptive and cross-sectional study. 104 nurses from a university hospital participated. The data were collected from January to September 2015, through the following instruments: personal and professional information questionnaire, Pittsburgh sleep quality index and WHOQOL-Bref questionnaire. Results: In all sleep quality indexes, the data showed better perception for the group of daytime shift workers compared with those of the nighttime shift. The quality of life was better in all domains for the daytime group than those who worked at night (p=0.024). Conclusion: The nurses who worked in the daytime shift had a better quality of sleep and life than those who worked at night(AU)

Avaliação do trauma nos acidentes com motocicletas atendidos por um serviço pré-hospitalar móvel de urgência / Evaluación de trauma en accidentes de motocicleta atendidos por un servicio móvil pre-hospitalaria de urgencias / Assessment of trauma after motorbike accidents assisted by a pre-hospital emergency mobile service

Introdução: os acidentes de trânsito configuram-se como um relevante problema na saúde pública diante de grande impacto no que concerne à morbimortalidade da população e ganha destaque entre os jovens do sexo masculino. Objetivo: descrever o perfil epidemiológico e avaliar a gravidade do trauma de vítimas de acidentes com motocicletas atendidas pelas equipes do Serviço de Atendimento Móvel de Urgência do Rio Grande do Norte (SAMU 192 RN). Métodos: estudo descritivo, transversal, com abordagem quantitativa. Coletou-se dados de 667 fichas de atendimentos de enfermagem do SAMU 192 RN de vítimas de acidentes com motocicletas, no período de janeiro a junho de 2014. Resultados: a faixa entre 25 e 34 anos de idade apresentou 32,5 percento, destacando-se, dentro dessa faixa, os homens, com 26,4 percento de todos os atendimentos. A pontuação máxima (melhor prognóstico) do instrumento, esteve presente em 95,7 percento dos atendimentos. Conclusões: a caracterização do perfil epidemiológico da população enfatizou a presença masculina nos eventos acidentais com motocicletas, além dos jovens entre 15 e 34 anos de idade(AU)

Introducción: los accidentes de tráfico configuran como un problema de salud pública importante, de gran impacto en la morbilidad y mortalidad de la población y se destaca entre los hombres jóvenes. Objetivo: describir el perfil epidemiológico y evaluar la gravedad del trauma de las víctimas de los accidentes de motocicleta atendidos por los equipos de Atención Móvil de Urgencia de Rio Grande do Norte (SAMU 192 RN). Métodos: estudio descriptivo, transversal, con abordaje cuantitativo. Los datos fueron recolectados por 667 fichas de cuidados de enfermería SAMU 192 RN de víctimas de accidentes de motocicleta en el periodo enero-junio de 2014. Resultados: el intervalo entre 25 y 34 años de edad representa 32,5 por ciento, destacando, dentro de esta gama, los hombres, con 26,4 por ciento de todas las asistencias. La puntuación máxima (mejor pronóstico) del instrumento, estuvo presente en 95,7 por ciento de los casos. Conclusiones: la caracterización del perfil epidemiológico de la población destacó la presencia de los hombres en todos los accidentes con motocicletas, además de los jóvenes entre 15 y 34 años de edad(AU)

Introduction: Car accidents constitute an important public health concern, which has a great impact on population morbidity and mortality mainly standing out among young men. Objective: To describe the epidemiological profile and to assess trauma severity in victims of motorcycle accidents assisted by Rio Grande do Norte Emergency Mobile Assistance teams (SAMU 192 RN). Methods: Descriptive, cross-sectional study with a quantitative approach. The data were collected by 667 SAMU 192 RN nursing care records from motorcycle accident victims in the period January-June 2014.Results: The range between 25 and 34 years of age represents 32.5 percent, standing out in this range, men, with 26.4 percent of all assistance. The maximum score (best prognosis) of the instrument was present in 95.7 percent of the cases. Conclusions: The characterization of the epidemiological profile of the population highlighted the presence of men in all motorcycles accidents, in addition to young people aged 15-34 years(AU)

Validation of an instrument to assess nurses' level of knowledge on the prevention and treatment of individuals with venous ulcers / Validación de un instrumento para evaluar el nivel de conocimiento del enfermero respecto a la prevención y al tratamiento del individuo con úlcera venosa / Validação de um instrumento para avaliar o nível de conhecimento do enfermeiro relacionado com a prevenção e o tratamento do indivíduo com úlcera venosa

Abstract Objective. Validating an instrument to assess nurse knowledge related to preventing and treating individuals with venous ulcer (VU) Methods. This is an exploratory study, conducted with 78 primary health care nurses. These professionals answered the questionnaire with twelve items pertaining to knowing and doing while addressing the person with VU. SPSS for Windows, version 21.0, with descriptive analyses and Pearson correlation was used for data analysis. Results. The measurement of questionnaire reliability, from Cronbach's alpha, revealed in the Theoretical Knowledge Domain (TKD), 0.88 alpha, and in the Practical Knowledge Domain (PKD), 0.70 alpha, indicators that guaranteed reliability of such a measurement for the extracted sample. With regard to the correlation between TKD and PKD and Nursing Care to the Person with VU, those were significant and strong in almost all items. The bi-factorial model, with theoretical and practical domains, is what best explains the nurse assistance for the person with VU. The nurse that knows one or both domains in treating wounds, probably, will allow for greater dominance over VU and in assisting the person with VU. Conclusion. The validated version showed reliability, enabling thus the other professionals to tailor the same methodology to other topics, identifying the ramifications of knowing and doing and, thereby, strengthening gaps in the Nursing Education area.

Resumen Objetivo. Validar un instrumento para evaluar el nivel de conocimiento del enfermero respecto a la prevención y al tratamiento del individuo con úlcera venosa (UV). Métodos. Estudio exploratorio de correlación, realizado con 78 enfermeros de atención primaria de la salud (APS). Estos profesionales respondieron una encuesta con doce ítems referentes al saber y al hacer en el abordaje a la persona con UV. En el análisis de los datos se utilizaron SPSS para Windows, versión 21.0, con análisis descriptivos y de correlación de Pearson. Resultados. La medida de confiabilidad de la encuesta, a partir del alfa de Cronbach, señaló en el Dominio de Conocimiento Teórico (DCT) alfa de 0.88 y en el Dominio de Conocimiento Práctico (DCP), alfa de 0.70, indicadores que garantizaron la fiabilidad de tal medida para la muestra recolectada. Con respecto a las correlaciones entre el DCT y el DCP y a la Asistencia de Enfermería a la Persona con UV, estas resultaron significativas y sólidas en casi todos los ítems evaluados. El modelo bifactorial, con dominios teórico y práctico, es el que mejor explica la asistencia del enfermero a la persona con UV, pues como él conoce uno o ambos dominios en el tratamiento de heridas, probablemente, tendrá un mayor dominio sobre la UV y en la atención a la persona con UV. Conclusión. La versión validada demostró confiabilidad, lo que posibilita que otros profesionales puedan adecuar la misma metodología en otras temáticas, identificando las ramificaciones del saber y del hacer. De este modo se fortalecen y se mejoran las falecias existentes en el área de Educación en Enfermería.

Resumo Objetivo. Validar um instrumento para avaliar o nível de conhecimento do enfermeiro relacionado à prevenção e ao tratamento do indivíduo com úlcera venosa (UV). Métodos. Trata-se de estudo exploratório correlacional, realizado com 78 enfermeiros da atenção primária à saúde. Estes profissionais responderam a questionário com doze itens referentes ao saber e ao fazer na abordagem à pessoa com UV. Na análise dos dados, utilizaram-se SPSS para Windows, versão 21.0, com análises descritivas e de correlação de Pearson. Resultados. A medida de confiabilidade do questionário, a partir do alfa de Cronbach, revelou no Domínio de Conhecimento Teórico (DCT) alfa de 0.88 e no Domínio de Conhecimento Prático (DCP), alfa de 0.70, indicadores que garantiram a fidedignidade de tal medida para a amostra coletada. No que se refere às correlações entre o DCT e o DCP e à Assistência de Enfermagem à Pessoa com UV, estas foram significativas e fortes em quase todos os itens avaliados. O modelo bifatorial, com domínios teórico e prático, é o que mais bem explica a assistência do enfermeiro à pessoa com UV. O enfermeiro que conhece um ou ambos os domínios no tratamento de feridas, provavelmente, possibilitará maior domínio sobre UV e na assistência à pessoa com UV. Conclusão. A versão validada mostrou confiabilidade, o que possibilita que outros profissionais possam adequar a mesma metodologia para outras temáticas, identificando as ramificações do saber e do fazer e, desse modo, fortalecer lacunas na área de Educação em Enfermagem.

Validation of an instrument to assess nurses' level of knowledge on the prevention and treatment of individuals with venous ulcers.

OBJECTIVES: Validating an instrument to assess nurse knowledge related to preventing and treating individuals with venous ulcer (VU). METHODS: This is an exploratory study, conducted with 78 primary health care nurses. These professionals answered the questionnaire with twelve items pertaining to knowing and doing while addressing the person with VU. SPSS for Windows, version 21.0, with descriptive analyses and Pearson correlation was used for data analysis. RESULTS: The measurement of questionnaire reliability, from Cronbach's alpha, revealed in the Theoretical Knowledge Domain (TKD), 0.88 alpha, and in the Practical Knowledge Domain (PKD), 0.70 alpha, indicators that guaranteed reliability of such a measurement for the extracted sample. With regard to the correlation between TKD and PKD and Nursing Care to the Person with VU, those were significant and strong in almost all items. The bi-factorial model, with theoretical and practical domains, is what best explains the nurse assistance for the person with VU. The nurse that knows one or both domains in treating wounds, probably, will allow for greater dominance over VU and in assisting the person with VU. CONCLUSIONS: The validated version showed reliability, enabling thus the other professionals to tailor the same methodology to other topics, identifying the ramifications of knowing and doing and, thereby, strengthening gaps in the Nursing Education area.

Percepción de los usuarios y los profesionales de la salud acerca de la calidad de la atención prestada a los pacientes con AIDS / Percepção de usuários e profissionais de saúde sobre a qualidade dos cuidados prestados a pacientes com AIDS / Perception of users and health professionals about the quality of care provided to patients with AIDS

Objetivo: Identificar la percepción de los usuarios y los profesionales de la salud acerca de la calidad de la atención para los pacientes con SIDA. Material y métodos: Estudio cuantitativo, realizado en el ambulatorio de un hospital público en el noreste de Brasil. En la encuesta participaron 626 pacientes y 34 profesionales de la salud. Los datos fueron recolectados a través de un formulario estructurado entre agosto 2009 y julio 2010, y se analizaron de forma estadística descriptiva e inferencial. La investigación fue aprobada por el Comité de Ética en virtud del CAAE. n.º. 0063.0.051.000-07. Resultados: Se identificó que la mayoría de los usuarios (85,6%) mostraron insatisfacción, mientras que la mayoría de los profesionales entrevistados (58,8%) están satisfechos con la atención recibida en el servicio buscado. Conclusiones: Es preciso considerar la opinión tanto de los usuarios como de los profesionales sanitarios en la evaluación de los servicios de salud (AU)

Objetivo: identificar a percepção de usuários e profissionais de saúde sobre a qualidade dos cuidados prestados a pacientes com AIDS. Material e métodos: estudo quantitativo, realizado no serviço ambulatorial de um hospital público do Nordeste do Brasil. Participaram da pesquisa 626 pacientes e 34 profissionais de saúde. Os dados foram coletados através de formulário estruturado entre agosto de 2009 a julho de 2010, e analisados pela estatística descritiva e inferencial. A pesquisa obteve aprovação do Comitê de Ética sob o C.A.A.E no. 0063.0.051.000-07. Resultados: identificou-se que a maioria dos usuários (85,6%) mostrou insatisfação, enquanto que a maior parte dos profissionais entrevistados (58,8%) está satisfeita com os cuidados prestados no serviço pesquisado. Conclusões: faz-se mister considerar a opinião tanto dos usuários quanto dos profissionais de saúde na avaliação dos serviços de saúde

Objective: Identify the perception of users and health professionals about the quality of care for patients with AIDS. Material and methods: Quantitative study, conducted at the outpatient clinic of a public hospital in northeastern Brazil. Participated in the survey 626 patients and 34 health professionals. Data were collected through structured between August 2009 to July 2010, and analyzed using descriptive and inferential statistical form. The research was approved by the Ethics Committee under C.A.A.E. nº. 0063.0.051.000-07. Results: It was identified that the majority of users (85,6%) showed dissatisfaction, while most of the professionals interviewed (58,8%) are satisfied with the care provided in the service searched. Conclusions: It is opinion mister consider both users of health professionals in the assessment of health services (AU)

Caracterización de las personas con úlcera venosa en Brasil y Portugal: estudio comparativo / The characterization of persons with venous ulcer in Brazil and Portugal: comparitive study

Objetivo: Comparar los aspectos sociodemográficos, de salud, asistenciales y clínicos de las personas con ulcera venosa (UV) en Brasil y Portugal. Método: Estudio analítico comparativo y transversal con abordaje cuantitativo. Muestra compuesta por 130 personas con UV atendidas en Natal/Brasil y Évora/Portugal en el periodo de junio a octubre de 2011, por medio de un formulario estructurado de entrevista y recolección de medidas biofisiológicas. Resultado: Se verificó diferencias significativas entre los dos países en cuanto a la franja etaria, renta familiar, profesión/ocupación, tiempo de lesión inferior a 6 meses, área de lesión pequeña, úlcera con granulación, disponibilidad de productos adecuados, local para tratamiento, acceso a consultas médicas con especialista, realización de Doppler y documentación del estado clínico. Conclusión: Los estudiados en Portugal eran personas mayores, con mejor renta, el número de pacientes con profesión/ocupación fue menor que los usuarios investigados en Brasil y presentaban lesiones con características más favorables a la cicatrización. La asistencia a usuarios con UV estudiados en Portugal se presentó significativamente mejor que la desarrollada en Brasil (AU)

Objective: To compare the socio-demographic aspects, of health, care and clinic of people with venous ulcer (VU) in Brazil and Portugal. Method: Analytical comparative and transversal study with a quantitative approach. The sample was composed by 130 persons with UV assisted in Natal/Brazil and Évora/Portugal in the period between June and October of 2011, through a structured interview form and collection of bio-physiological measures. Results: Significant differences between the two countries were verified, regarding the age, family income, profession/occupation, time of lesion shorter than 6 months, small lesion area, ulcer with granulation, availability of proper products, place for treatment, access to medics, Doppler examination and documentation of clinical sate. Conclusion: The researched in Portugal were elder, with better income; the number of patients with a profession/occupation was lower than the researched users in Brazil and presented lesions with more favourable characteristics to the scar healing process. The researched assistance to users with VU in Portugal has presented to be significantly better than the one performed in Brazil (AU)

Dor pós-operatória: características quanti-qualitativa relacionadas a toracotomia póstero-lateral e esternotomia

PURPOSE: To analyze the pain intensity and characteristics of patients in posterior- lateral thoracotomy (PLT) and esternotomy (EST). METHODS: The sample was composed by 40 individuals submitted to PLT and EST, 12 males and 08 females for each surgical proceeding with average of 47 years old. The instruments used were physiotherapeutic evaluation forms, pain numerical scale and McGill questionnaire pain. The proceeding have consisted on apply of the instruments. RESULTS: The pain intensity of numerical scale has ranged from 2 to 10 with average of 5.1 for male and 5.7 for female. The descriptors of the McGill questionnaire selected with higher frequency were: pointed1 e thin1 (sensorial group), tired1, sickening1, punishment1 e miserable1 (affective group) and e tidy1, cold1 e bored1 (miscellany group). The average of the number and the plus of the descriptors were compared between males patients submitted to PLT and EST, these values haven't showed statistical significance. The same results also were found between females patients. CONCLUSION: There weren't statistical significance of pain quantitative answers when compared the patients submitted to PLT and EST. About the qualitative aspects, it was observed at McGill questionnaire a predominance the same descriptors of the affective group for both sexes.

OBJETIVOS: analisar a intensidade e características da dor em pacientes submetidos a toracotomia póstero-lateral (TPL) e esternotomia (EST). MÉTODOS: a amostra foi constituída por 40 indivíduos submetidos a toracotomia póstero-lateral e esternotomia, dos quais 12 eram do sexo masculino e 8 do sexo feminino para cada procedimento cirúrgico, com média de idade de 47 anos. Como instrumentos utilizou-se a ficha de avaliação fisioterapêutica, escala numérica da dor e questionário para dor McGill. Os procedimentos consistiram na aplicação dos instrumentos. RESULTADOS: a intensidade dolorosa na escala numérica variou de 2 a 10, com média de 5,1para o sexo masculino e de 5,7 para o feminino. Os descritores do questionário para dor McGill escolhidos com maior freqüência pelos pacientes foram: pontada1 e fina1 (grupo sensorial), cansativa1, enjoada1, castigante1 e miserável1 (grupo afetivo) e aperta1, fria1 e aborrecida1 (grupo miscelânea). As médias do número e somatório dos descritores escolhidos foram comparadas entre os pacientes do sexo masculino submetidos a TPL e EST, estes valores não apresentaram diferenças estatisticamente significativas. Resultados semelhantes também foram encontrados entre as pacientes do sexo feminino. CONCLUSÃO: não foram observadas diferenças estatísticas significantes entre as respostas quantitativas da dor quando comparadas as respostas dos pacientes submetidos a toracotomia póstero-lateral e esternotomia. No que diz respeito ao aspecto qualitativo observou-se uma predominância dos mesmos descritores verbais do grupo afetivo do McGill para ambos os sexos.