Sexuality and Associated Factors in Chronic Obstructive Pulmonary Disease (COPD) Patients Attending a Referral Hospital in Northeastern Brazil.

OBJECTIVE: The aim of this study was to evaluate sexual function in male and female COPD (chronic obstructive pulmonary disease) patients and identify associated factors. Methods: This is a cross-sectional study on 52 COPD patients treated at an outpatient pneumology service of a referral hospital in Northeastern Brazil. Information was collected on demographic, clinical and spirometric variables and exercise capacity. The following instruments and scores were used: modified Medical Research Council (mMRC) for dyspnea, SF-36 for quality of life (QoL), the Beck Depression and Anxiety Inventory, Male and Female Sexual Quotient. Results: Sexual function was satisfactory/excellent in 17% (9/52) and poor/absent in 82% (43/52). Patients with poor/absent sexual function tended to have lower scores on the domain mental health summary score of SF-36 (p = 0.007) and higher anxiety and depression scores than patients with satisfactory/excellent sexual function (p = 0.02 and p = 0.01). In the multivariate analysis, patients with high depression scores displayed a greater likelihood of poor/absent sexual function (OR = 1.13; 95% CI = 1.02-1.25). Conclusion: COPD patients presented a high rate of sexual dysfunction and compromised sexuality was associated with depression.

Rede de apoio social de pacientes com diagnóstico de esquizofrenia: estudo exploratório / Social support network of patients with schizophrenia diagnosis: exploratory studying / Red social de apoyo a pacientes com diagnóstico de esquizofrenia: estudio exploratório

Este artigo objetivou descrever e analisar a rede de apoio social de pacientes com diagnóstico de esquizofrenia de um Centro de Atenção Psicossocial II (CAPS II) do Distrito Federal, Brasil, por meio da Análise de Redes Sociais (ARS). Observou-se que a maioria consegue retribuir o apoio recebido, especialmente para os membros da família. Estender essa reciprocidade poderia ser uma proposta a ser desenvolvida, a fim de fortalecer as relações para além do âmbito familiar e incentivar melhorias na rede de apoio social. Uma cultura participativa em todos os contextos, nos quais se encontram inseridos os portadores de esquizofrenia, pode contribuir, sobremaneira, para o aumento da autonomia e da autoestima dos mesmos. Verifica-se que é viável, por meio deste estudo, reconhecer as limitações dos pacientes em questão, assim como identificar suas potencialidades.(AU)

The article describes and analyses the social support network of patients with schizophrenia diagnosis of an attention psychosocial center of the Distrito Federal, Brazil, through the Social Network Analysis. The findings relate that many patients are able to give back the received support, especially to the family members. Therefore, the support reciprocity may be a purpose to be developed, turning stronger the relationships, and motivating improvements on the social support network. A participative culture in all contexts where the schizophrenia has been included may contribute for increasing autonomy and self-steam. Overall, the social support network studying becomes possible through the network evaluation, recognizing the limitations and identifying the potentialities for better changes.(AU)

El objetivo de este artículo fue describir y analizar la red social de apoyo a pacientes con el diagnostico de esquizofrenia en un Centro de Atención Psicosocial II (CAPS II) del Distrito Federal, Brasil, a través del Análisis de Redes Sociales (ARS). Se observó que la mayoría consigue retribuir el apoyo recibido, en especial a los miembros de la familia. Prolongar esa reciprocidad podría ser una propuesta a ser desarrollada para fortalecer las relaciones para más allá del ámbito familiar e incentivar mejorías de la red social de apoyo. Una cultura participativa en todos los contextos en los cuales se encuentran los portadores de esquizofrenia puede contribuir, en extremo, para el aumento de la autonomía y la autoestima de los mismos. Se verifica que es viable, por medio de este estudio, reconocer las limitaciones de los pacientes en cuestión, así como identificar sus potencialidades.(AU)

Rede de apoio social de pacientes com diagnóstico de esquizofrenia: estudo exploratório / Social support network of patients with schizophrenia diagnosis: exploratory studying / Red social de apoyo a pacientes com diagnóstico de esquizofrenia: estudio exploratório

Este artigo objetivou descrever e analisar a rede de apoio social de pacientes com diagnóstico de esquizofrenia de um Centro de Atenção Psicossocial II (CAPS II) do Distrito Federal, Brasil, por meio da Análise de Redes Sociais (ARS). Observou-se que a maioria consegue retribuir o apoio recebido, especialmente para os membros da família. Estender essa reciprocidade poderia ser uma proposta a ser desenvolvida, a fim de fortalecer as relações para além do âmbito familiar e incentivar melhorias na rede de apoio social. Uma cultura participativa em todos os contextos, nos quais se encontram inseridos os portadores de esquizofrenia, pode contribuir, sobremaneira, para o aumento da autonomia e da autoestima dos mesmos. Verifica-se que é viável, por meio deste estudo, reconhecer as limitações dos pacientes em questão, assim como identificar suas potencialidades...

The article describes and analyses the social support network of patients with schizophrenia diagnosis of an attention psychosocial center of the Distrito Federal, Brazil, through the Social Network Analysis. The findings relate that many patients are able to give back the received support, especially to the family members. Therefore, the support reciprocity may be a purpose to be developed, turning stronger the relationships, and motivating improvements on the social support network. A participative culture in all contexts where the schizophrenia has been included may contribute for increasing autonomy and self-steam. Overall, the social support network studying becomes possible through the network evaluation, recognizing the limitations and identifying the potentialities for better changes...

El objetivo de este artículo fue describir y analizar la red social de apoyo a pacientes con el diagnostico de esquizofrenia en un Centro de Atención Psicosocial II (CAPS II) del Distrito Federal, Brasil, a través del Análisis de Redes Sociales (ARS). Se observó que la mayoría consigue retribuir el apoyo recibido, en especial a los miembros de la familia. Prolongar esa reciprocidad podría ser una propuesta a ser desarrollada para fortalecer las relaciones para más allá del ámbito familiar e incentivar mejorías de la red social de apoyo. Una cultura participativa en todos los contextos en los cuales se encuentran los portadores de esquizofrenia puede contribuir, en extremo, para el aumento de la autonomía y la autoestima de los mismos. Se verifica que es viable, por medio de este estudio, reconocer las limitaciones de los pacientes en cuestión, así como identificar sus potencialidades...

Chronic obstructive pulmonary disease patients' experience with pulmonary rehabilitation: a systematic review of qualitative research.

The aim of this study was to give an in-depth consideration of the chronic obstructive pulmonary disease (COPD) patients' subjective view of the impact of pulmonary rehabilitation (PR) on their lives. A systematic review in PubMed, Embase, CINAHL and PsychInfo databases yielded 3306 articles, of which 387 were duplicates, 263 remained after screening abstract and title; of them, 4 were excluded (editorial or due to lacking of full text) remaining a total of 259 for full text reading. Among these, eight studies met the inclusion criteria and were finally included. The meta-ethnography approach synthesized an understanding of the studies, which focused on constructing interpretations and developed a 'line-of-argument' synthesis. The psychosocial support of PR contributes to the patients' strength and desire for participation and the health education leads to illness-perception learning. Both psychosocial support and health education develop patients' empowerment, while PR promotes opportunities to health transitions. The empowerment experienced by the patients in taking advantage of these opportunities leads to positive impacts over time. If they do not exploit these occasions, negative impacts arise in their life, which make the treatment assistance or follow-up more difficult. The COPD patients' feedback revealed that PR promotes a better 'way of life', well-being and important behavioural changes towards health promotion.