ABSTRACT
Introducción. La actividad física puede proveer beneficios a largo plazo para el lupus eritematoso sistémico (LES). Objetivo. Esta investigación busca demostrar los efectos del entrenamiento de resistencia progresiva sobre: la fuerza muscular, la densidad mineral ósea (DMO) y la composición corporal de una mujer premenopáusica con LES sometido a tratamiento con glucocorticoides. Materiales y Métodos. Una mujer con 43 años de edad, afrodescendiente, premenopáusica con LES sin gravedad y baja DmO fue sometida a programa de 6 meses con 3 ciclos bimestrales de 70, 80 y 90% de intensidad, considerando un test de fuerza máxima de 10 repeticiones máximas. Se utilizó, para medir la DMO, la absorptiometría de doble energía con rayos X, evaluando los T-scores, el índice de masa corporal y la fluorescencia indirecta para medir los anticuerpos antinucleares. Para la comparación de medias de variables, se utilizó el test de la T de Student. Resultados. Se observó mejora en la fuerza, incluyendo (Δ% = 50%, p < 0,001) en la prensa de piernas de 45°, (Δ% = 15%, p = 0,003) en la extensión de la rodilla, como el mantenimiento de la DMO de la columna lumbar L2-L4 (Δ% = 0,031%, p = 0,46) y trocánter (Δ% = 0,037%, p = 0,31), además de mantener el índice de masa corporal (Δ% = -0,8, p = 0,54). Conclusión. En este estudio de caso, se observaron efectos positivos sobre la fuerza muscular e indicios de mantenimiento de la DMO y de la composición corporal de una mujer con LES en tratamiento con glucocorticoides(AU)
Introduction. Physical activity can provide long-term benefits for systemic lupus erythematosus (SLE). Objective. This study sought to demonstrate the effects of progressive resistance training on the muscular strength, bone mineral density (BMD) and body composition of pre-menopausal women with SLE undergoing glucocorticoid (GC) treatment. Materials and Methods. This is the case report of a 43-year-old African-South American premenopausal woman with non-extensive SLE and low bone density. A six-month program with three bimonthly cycles of 70%, 80%, and 90% intensity according to the 10 maximum-repetition test was used. Dual-energy X-ray absorptiometry (DXA) was used to measure the BMD, T-scores and body composition, and indirect fluorescence was used to measure the levels of antinuclear antibodies. Student's t-test was used. Results. Statistical improvement was noted in all strength exercises, including the 45° leg press (Δ%=+50%, p<0.001) and knee extension (Δ%=+15%, p=0.003) to maintain the BMD of the L2-L4 lumbar (Δ%=+0.031%; p= 0.46) as well as the trochanter (Δ%=+0.037%; p=0.31) and BMI (Δ%=-0.8, p=0.54). Conclusion. In this case study, the presented methodology had a positive effect on strength and contributed to the maintenance of BMD and body composition in a woman with SLE undergoing GC treatment(AU)
Subject(s)
Humans , Female , Adult , Muscle Strength/physiology , Bone Density/physiology , Body Composition/physiology , Lupus Erythematosus, Systemic/complications , Lupus Erythematosus, Systemic/diagnosis , Physical Endurance/physiology , Glucocorticoids/therapeutic use , Receptors, Glucocorticoid/therapeutic use , Exercise Movement Techniques/trends , Exercise Movement Techniques , Muscle Stretching Exercises/methods , Muscle Stretching Exercises/trendsABSTRACT
It is an essay about Care, basis of the practice and research, as place of invention, test, criticism and reconstruction of the Nursing specific knowledge. Health and well-being, quality, "L'état de l'art" and, yet, the experience of caring at the patients and Nurses' bodies are discussed.
Subject(s)
Health Status , Knowledge , Models, Nursing , Nursing Care , Nursing Research/organization & administration , Science , Diffusion of Innovation , Empathy , Humans , Nurse-Patient Relations , Nursing Care/methods , Nursing Care/psychologyABSTRACT
It's a experience, at the Fundamental Nursing Laboratory, for the "Bath in the Bed" practice with 22 graduating from the UERJ nursing course, the object was to record the teaching strategy procedure, identify the students representations and feelings with her own bath and characterize, after the sensibility dynamic developed in "LIVING EXPERIENCES", her feelings. The explorer-qualitative research was implemented in 1997. Among the results there are the proper categories of the knowledge construction on the "Bath in the Bed": Incentive for body dirt cleaner; Incentive to pleasure--the relax body; Incentive to comfort--free body and Incentive to sensations--dynamic body. Conclusion, the students carry from their reality common sense knowledge for "dirt" and "clean" when representing their own body. When experiment to "touch" humors and perceives the client bad odors, even of symbolic way, their reactions are different and re-extend a cultural and scientific knowledge.
Subject(s)
Attitude of Health Personnel , Baths/nursing , Education, Nursing, Baccalaureate/methods , Students, Nursing/psychology , Teaching/methods , Adolescent , Adult , Clinical Competence , Humans , Knowledge , Nursing Methodology ResearchABSTRACT
Nursing is the science and the art of caring of the human being and it has to consider that this human being, in an integrated way, has psychological, social, biological and spiritual needs. We understand sexuality as an important dimension of the human being which requires attention considering a holistic assistance. From these principles, we have attempted to research next to a Rio de Janeiro city school hospital nurses, how these professionals deal with the sexual body and the hospitalized client sexuality expression in the context of the daily care provided for him. We have performed 10 non-structured interviews and proceeded to the analysis of their speeches contents. The analysis showed that the nurses when providing direct care to clients, regarding his sexuality, they experience difficulties that must be overdrawn so they can perform care. During the results follow-up, the nurses refer to make use of 'strategies' that hide the client's sexuality expression and demonstrate to be fully unprepared to deal with such situations. Such 'strategies' show that in the disciplined hospital space, there is no overture for the understanding of a body with historical, social and cultural scars; there is no room to deal with questions which take to emotion and human subjectiveness realms. We do believe that there is a need of treating the hospitalized client sexuality in critical and contextualized discussions linked to social and cultural fields. These discussions must be done both in care praxis to client and professional degree.
