ANÁLISE DO DESEMPENHO FUNCIONAL E PERFIL SÓCIODEMOGRÁFICO DE UMA POPULAÇÃO COM QUEIXA DE LOMBALGIA

O objetivo foi avaliar o desempenho funcional e caracterização de indivíduos com queixas de lombalgia de um grupo de exercícios terapêuticos de uma Estratégia de Saúde da Família (ESF). Foi realizado estudo transversal descritivo com 17 indivíduos, de idade média de 59 anos de ambos os sexos. O desempenho funcional foi avaliado pelo Questionário Roland Morris (RM) e a caracterização dos participantes foram a partir da coleta de dados sociodemográficos, antropométricos, localização da dor lombar, intensidade da dor pela Escala Visual Analógica (EVA). No perfil sociodemográfico a renda média foi de 1,64 salário. O índice de massa corporal variou de 22,39 a 38,91 Kg/m2. O escore do RM variou de 9 a 24 pontos de incapacidade funcional. Os resultados da EVA demonstraram que 41,2% dos indivíduos caracterizaram a dor lombar como intensa. Conclui-se que o comprometimento funcional dos indivíduos avaliados foi grave, causado pela presença de dores na coluna, principalmente, na região lombar

AVALIAÇÃO DO NÍVEL DE ESTRESSE E DO GRAU DE SONOLÊNCIA DOS ENFERMEIROS DE UM HOSPITAL DE PRESIDENTE PRUDENTE-SP

O estresse é um “esforço de adaptação do organismo para enfrentar situações que considera ameaçadoras à sua vida e ao seu equilíbrio”. O ambiente hospitalar é propício para o desenvolvimento do estresse nos profissionais. Por meio de um questionário, foram avaliados o estresse, os sentimentos dos enfermeiros em relação à determinadas condições de trabalho e o grau de sonolência pela Escala de Sonolência de Epworth. A população constou de 23 auxiliares de enfermagem, 5 enfermeiros e 2 enfermeiras chefe. A média do tempo em cada setor correspondeu a cerca de 4 anos e 9 meses e quanto ao turno, 66,6% deles variavam de turno. O maior nível de estresse foi encontrados nos enfermeiros com 29%; 31% dos enfermeiros-chefe relataram pouco estresse e 25% dos auxiliares relataram ausência de estresse. Em relação ao sono, 63,3% apresentaram grau de sonolência normal; 33,3% sonolência diurna excessiva e 3,3% não responderam ao questionário

Respiratory physiotherapy and its application in preoperative period of cardiac surgery

Procedimentos cirúrgicos torácicos podem alterar a mecânica respiratória, repercutindo na função pulmonar. A presença de profissionais fisioterapeutas é fundamental no preparo e na reabilitação dos indivíduos que são submetidos à cirurgia cardíaca, visto que dispõem de um grande arsenal de técnicas. O objetivo foi verificar a efetividade de exercícios respiratórios, com e sem a utilização de dispositivos, e o treinamento muscular respiratório pré-cirurgia cardíaca na redução das complicações pulmonares pós-operatórias. Mesmo existindo controvérsias a respeito de qual técnica utilizar, estudos demonstram a eficácia da fisioterapia respiratória pré-cirúrgica na prevenção e na redução de complicações pulmonares pós-operatórias.Cardiac surgical procedures change respiratory mechanics, defecting in lung dysfunction. The physical therapists play an important role in the preparation and rehabilitation of individuals who are undergoing cardiac surgery, as they have a large quantity of techniques. The objective was to evaluate the effectiveness of breathing exercises with and without the use of devices, and respiratory muscle training in preoperative period of cardiac surgery in reducing postoperative pulmonary complications. Although there are controversies as to which technique to use, studies show the effectiveness of preoperative physiotherapy in the prevention and reduction of postoperative pulmonary complications

Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city

Abstract AIMS To compare the profile of adults attended at primary care level of the Brazilian National Health System according to occurrence of T2DM during 18 months of follow-up. METHOD Longitudinal study carried out with 316 adults. T2DM and PA were assessed by questionnaires. Measurements of weight, height and waist circumference (WC) were also performed. Healthcare expenditures were based on the demand of services registered in medical records. Analysis of variance (ANOVA) with Tukey’s post hoc test was used, as well as their similar for non-parametric variables. Spearman’s correlation coefficient analyzed the relationship between variables. All analyzes were performed using the statistical software BioEstat (release 5.0) and the significance level was set at p-value <0.05. RESULTS Patients with T2DM at baseline showed higher values of WC, BMI, nursing appointments, customer services, medication, total cost and lower values of PA when compared to patients T2DM-free. Patients who developed T2DM during the follow-up presented higher values of WC, screening, pharmacy frequency, medications and total cost when compared to individuals without T2DM. Being in the highest quartile of PA did not change the costs of health services among patients T2DM-free. Healthcare expenditures were positively correlated to BMI among participants T2DM-free and with T2DM at baseline. CONCLUSION Participants with T2DM and participants who developed T2DM during the follow-up showed higher values of BMI, WC, healthcare expenditures and were less active when compared to participants T2DM-free. Healthcare expenditures were positively correlated with BMI among participants with T2DM at baseline and T2DM-free

Changes in leisure physical activity, commuting and television watching in men and women users of the Brazilian National Health System in a middle-sized city: 18-months of follow-up

Given the importance of physical activity for health promotion and for the prevention of chronic non-communicable diseases, the Unified Health System (SUS) has changed its strategy of action in the last decades, trying to adopt preventive activities, seeking better quality of life of the Brazilian population and reduce costs with treatment of diseases. The aim of this study was to investigate changes in physical activity and sedentary behavior patterns in users of the Brazilian National Unified Health System during 18 months and the impact of sex and time on such variables. One hundred and ninety-eight participants (58 men and 140 women) were evaluated. Physical activity level was assessed using the Baecke questionnaire. Men had higher scores in all physical activity variables compared to women: walking (p-value = 0.013), cycling (p-value = 0.001) and commuting (p-value= 0.007), but not for TV watching (p-value = 0.362). After 18 months, in the overall sample, walking score increased 25.9% (95%CI = 10.6 to 41.1), but not cycling (1.5% [95%CI = -2.7 to 5.7]), commuting (14.4% [95%CI = -0.4 to 29.3]) and TV watching (1.6% [95%CI = -5.7 to 9.1]). Men were usually more active than women in active behaviors, but not in TV watching. However, differences over time were similar between sexes

Changes in leisure physical activity, commuting and television watching in men and women users of the Brazilian National Health System in a middle-sized city: 18-months of follow-up

<div><p>Abstract Given the importance of physical activity for health promotion and for the prevention of chronic non-communicable diseases, the Unified Health System (SUS) has changed its strategy of action in the last decades, trying to adopt preventive activities, seeking better quality of life of the Brazilian population and reduce costs with treatment of diseases. The aim of this study was to investigate changes in physical activity and sedentary behavior patterns in users of the Brazilian National Unified Health System during 18 months and the impact of sex and time on such variables. One hundred and ninety-eight participants (58 men and 140 women) were evaluated. Physical activity level was assessed using the Baecke questionnaire. Men had higher scores in all physical activity variables compared to women: walking (p-value= 0.013), cycling (p-value= 0.001) and commuting (p-value= 0.007), but not for TV watching (p-value= 0.362). After 18 months, in the overall sample, walking score increased 25.9% (95%CI= 10.6 to 41.1), but not cycling (1.5% [95%CI= -2.7 to 5.7]), commuting (14.4% [95%CI= -0.4 to 29.3]) and TV watching (1.6% [95%CI= -5.7 to 9.1]). Men were usually more active than women in active behaviors, but not in TV watching. However, differences over time were similar between sexes.</p></div