Adherence and barriers to general and respiratory exercises in cystic fibrosis.

OBJECTIVES: To investigate the adherence and the self-reported barriers to general and respiratory exercises reported by individuals with cystic fibrosis (CF). STUDY DESIGN: An exploratory, experimental study. METHODS: Community-dwelling individuals aged 16 years and over, diagnosed with CF, who were accompanied in referral centers were included. Information regarding adherence to exercises was obtained by a questionnaire and reported as a ratio between prescribed exercises and self-reported adherence. The weekly frequency was used to verify adherence to exercise initiation, and the amount of session duration concluded was used to verify adherence to exercise duration. Values above 0.70 were considered as high adherence. Eight demographic and clinical factors were examined to explore their relationships with adherence, and the barriers to exercises were also collected by questionnaire. RESULTS: Thirty-four participants met the inclusion criteria. Overall, adherence to exercise initiation was 0.40 (standard deviation [SD] = 0.3) for general exercises and 0.63 (SD = 0.4) for respiratory exercises. Adherence to exercise duration was 0.76 (SD = 0.4) for general exercises and 0.73 (SD = 0.4) for respiratory exercises. Forced vital capacity (r = 0.39; P = .02) was associated with adherence to the duration of general exercises, and body mass index (r = -0.33; P = .05) was associated with adherence to the duration of respiratory exercises. The main reported barriers were lack of interest, motivation and time, tiredness, noncommitment, and do not recognize the benefits of exercises. CONCLUSIONS: Individuals with CF minded completing the sessions of prescribed exercises once they have initiated it, but most of the days they did not practice general or respiratory exercises.

Qualidade de vida e nível de satisfação dos sujeitos submetidos ao tratamento dermatológico com laser e luz intensa pulsada em clínicas da Grande Vitória/ES / Quality of life and satisfaction of patients after dermatological treatment with laser and intense pulsed light in clinics at Vitória/ES

Introdução: Laser é formado através da amplificação de luz por emissão estimulada da radiação já a Luz Intensa Pulsada (LIP) é uma fonte que alcança um comprimento de onda na faixa de 400 a 1.400 nm, uma luz não coerente, porém, não é um laser, abrange comprimento de onda amplo absorvido pelo cromóforo desejado; ambos são usados para tratamentos dermatológicos que são definidos de acordo com a finalidade terapêutica. Objetivo: Avaliou-se a qualidade de vida e o nível de satisfação dos sujeitos submetidos ao tratamento dermatológico com laser e LIP. Métodos: Estudo de corte transversal e qualitativo, realizado em clínicas de estética da Grande Vitória/ES. Indivíduos com idade entre 18 e 80 anos, ambos os sexos, submetidos à intervenção com laser e LIP para tratamento de afecções dermatológicas ou necessidade estética. Oito clínicas foram selecionadas. Aplicou-se questionário de dados sociodemográficos e clínicos, elaborado pelos pesquisadores e a versão brasileira do questionário Índice de Qualidade de Vida para Dermatologia (IQVD). Resultados: 85 sujeitos, média de idade 39,78 ± 14,95 anos, sendo 90,58% sexo feminino e 9,41% sexo masculino. Maioria de indivíduos do fototipo III 45,88%. Não houve influência na qualidade de vida de mais da metade dos participantes e a satisfação foi de 81,17%. Conclusão: Nessa amostra as alterações dermatológicas ou estéticas não influenciaram diretamente na qualidade de vida e a maioria fica satisfeita com os resultados obtidos. (AU)

Introduction: Laser is formed through the amplification of light by stimulated emission of radiation, and the Intense Pulsed Light (IPL) is a source that reaches a wavelength in the range of 400 to 1,400 nm, a non-coherent light, but it is not a laser, covers wide wavelength absorbed by the desired chromophore; both are used for dermatological treatments that are defined according to the therapeutic purpose. Objective: The quality of life and level of satisfaction of patients undergoing dermatological treatment with laser and IPL were evaluated. Methods: Crosssectional and qualitative study, performed at esthetics clinics in Grande Vitória/ES. Individuals aged between 18 and 80 years, both sexes, underwent laser and IPL intervention for the treatment of dermatological conditions or aesthetic needs. Eight clinics were selected. A questionnaire on sociodemographic and clinical data was prepared by the researchers and the Brazilian version of the questionnaire Quality of Life Index for Dermatology (IQVD). Results: 85 patients, mean age 39.78 ± 14.95 years, being 90.58% female and 9.41% male. Majority of individuals of phototype III (45.88%). There was no influence on the quality of life in more than half of the participants and the satisfaction was 81.17%. Conclusion: In this sample dermatological or aesthetic alterations did not directly influence the quality of life and most are satisfied with the results. (AU)