Effects of an intervention program with health education and hatha yoga on the health of professionals with musculoskeletal symptoms.

INTRODUCTION: Musculoskeletal and mental disorders are relevant in the workers' disease process, and ergonomic interventions that include guidance and physical exercise consist of strategies of health promotion. Integrative and complementary practices are presented as a possibility of promoting comprehensive care and yoga consists of a therapeutic alternative. OBJECTIVE: To evaluate the effects of an intervention including educational measures and hatha yoga in musculoskeletal pain, disability, and stress in professionals of a university hospital. METHODS: We selected 125 professionals with musculoskeletal symptoms of intensity ≥ 1 who did not practice yoga and randomly assigned them to intervention (n = 63) and control (n = 62) groups, requesting answers to the following questionnaires: initial characterization, the Nordic Musculoskeletal Questionnaire and a numeric scale, the Pain Disability Questionnaire, and the Perceived Stress Scale. The intervention group went through a 12-week program with educational measures and hatha yoga. At the end of the study period, both groups answered to the questionnaires once again. We compared data before and after the intervention and between groups. RESULTS: Both groups presented improvements after 12 weeks, but the difference between mean results obtained in the first and second data collections revealed that the levels of pain, disability, and stress decreased more strongly in the intervention group than in the control group. Considering that the intervention group began the program in worse clinical conditions, the program led to a reduction in the difference between groups, but this was not enough for the intervention group to reach better results than the control. CONCLUSIONS: The intervention promoted improvements in the intensity of pain, disability, and stress among the participants of the intervention group. Similar programs could be explored in the promotion of occupational health.

Relationship Between Anticoagulant Medication Adherence and Satisfaction in Patients With Stroke.

AIM: The aim of this study was to investigate the accuracy of the self-reported measure of adherence and the relation between adherence to warfarin use, demographic and clinical variables, and the satisfaction with the treatment in patients affected by stroke. METHODS: This is a correlational, quantitative, and cross-sectional study, carried out in the outpatient clinics of a public university hospital from October 2017 to April 2018. Sociodemographic and clinical data were collected through interviews and hospital charts, as well as by applying the Measurement of Treatment Adherence (MTA) and the Duke Anticoagulation Satisfaction Scale, in their Brazilian versions. Results of the international normalized ratio (INR) were collected. Measurements of accuracy of the MTA scale were calculated in relation to the INR classification. RESULTS: Of 99 patients (55.6% male with a mean age of 58.6 years), 57.6% presented with therapeutic INR values and 75.8% of the patients were adherent to the oral anticoagulant therapy according to the MTA. The accuracy analysis of the measurement provided by the MTA scale in relation to the INR classification showed a sensitivity of 77.2% and a specificity of 26.2%. The patients' satisfaction with the treatment was high. The Duke Anticoagulation Satisfaction Scale had an average total score of 46.4, with the dimension impact in the field having the highest score (20.3). CONCLUSION: Stroke patients were adherent and satisfied with the oral anticoagulant therapy. The MTA had good sensitivity and poor specificity. Sociodemographic and clinical characteristics identified were not associated with adherence and satisfaction with treatment.

Psychometric Performance of the Brazilian Version of the Diabetes Distress Scale in Patients With Diabetes Mellitus Type 2.

BACKGROUND AND PURPOSE: Assessing the stress of patient with diabetes requires reliable and valid instruments. This study evaluated the measurement properties of the Brazilian version of the Diabetes Distress Scale (B-DDS). METHODS: This cross-sectional study enrolled 139 patients with Type 2 diabetes mellitus (DM2) receiving outpatient treatment. Reliability and construct validity were estimated through convergent validity and confirmatory factor analysis. RESULTS: Evidence of reliability was obtained-Cronbach alpha = .87 and intraclass correlation coefficient (ICC) = .93. Significant positive correlations of moderate-to-strong magnitudes were observed between the dimensions of the DDS and the total score of the PAID; the confirmatory factor analysis supported the four dimensions of the original instrument. CONCLUSIONS: The B-DDS is reliable and valid for evaluation of the stress related to diabetes mellitus.