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Diabetes mellitus: fatores associados entre usuários da Estratégia Saúde da Família Diabetes mellitus: factores asociados entre usuarios de la Estrategia Salud de la Familia Diabetes mellitus: associated factors among users of the Family Health Strategy
Niciane Bandeira Pessoa Marinho,Hérica Cristina Alves de Vasconcelos,Ana Maria Parente Garcia Alencar,Paulo César de Almeida
Acta Paulista de Enfermagem , 2012,
Abstract: OBJETIVO: Identificar os fatores associados ao Diabetes Mellitus tipo 2 (DM2) em usuários da Estratégia Saúde da Família (ESF) da cidade de Itapipoca-Ceará. MéTODOS: Estudo transversal, realizado no período de mar o/2009 a outubro/2010, em 11 unidades básicas de saúde, nas quais foram coletados dados sociodemográficos e clínicos de amostra de 419 usuários dessas unidades. RESULTADOS: Entre os participantes do estudo, 250 (59,7%) estavam com excesso de peso, 352 (84,0%) com obesidade central, 349 (83,3%) eram sedentários e 225 (53,7%) n o comiam frutas e/ou verduras diariamente. Houve associa o estatisticamente significante entre as variáveis obesidade central e sexo (p<0,001), idade (p=0,001) e estado civil (p<0,001); e entre investiga o nutricional e escolaridade (p=0,033) e classe econ mica (p=0,007). CONCLUS O: Diante dos fatores de risco modificáveis para DM2 identificados com maior prevalência sugere-se o desenvolvimento de interven es educativas para mudan as no estilo de vida dos indivíduos e o acompanhamento sistemático dessas mudan as, objetivando reduzir ou retardar o aparecimento da doen a. OBJETIVO: Identificar los factores asociados a la Diabetes Mellitus tipo 2 (DM2) en usuarios de la Estrategia Salud de la Familia (ESF) de la ciudad de Itapipoca-Ceará. MéTODOS: Estudio transversal, realizado en el período de marzo/2009 a octubre/2010, en 11 unidades básicas de salud, en las cuales fueron recolectados los datos sociodemográficos y clínicos de la muestra de 419 usuarios de esas unidades. RESULTADOS: Entre los participantes del estudio, 250 (59,7%) estaban con exceso de peso, 352 (84,0%) con obesidad central, 349 (83,3%) eran sedentarios y 225 (53,7%) no comían frutas y/o verduras diariamente. Hubo asociación estadísticamente significativa entre las variables obesidad central y sexo (p<0,001), edad (p=0,001) y estado civil (p<0,001); y entre investigación nutricional y escolaridad (p=0,033) y clase económica (p=0,007). CONCLUSIóN: Frente a los factores de riesgo modificables para DM2 identificados con mayor prevalencia se sugiere el desarrollo de intervenciones educativas para cambios en el estilo de vida de los individuos y el acompa amiento sistemático de esos cambios, objetivando reducir o retardar la aparición de la enfermedad. OBJECTIVE: To identify factors associated with type 2 diabetes (DM2) in users of the Family Health Strategy (FHS) in the city of Itapipoca, Ceará (Brazil). METHODS: A transversal study, conducted during the period from March/2009 to October/2010, in 11 basic health units, in which sociodemographic and clinical
Risks for non-communicable chronic diseases: A cross-sectional study with undergraduate nursing students
Hérica Cristina Alves de Vasconcelos,Niciane Bandeira Pessoa Marinho,Roberto Wagner Júnior Freire de Freitas,Lorena Barbosa Ximenes
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v2n3p103
Abstract: Background: The situational analysis is one of the essential competencies of the nurse as a health promoter to ensure planning by the use of adequate strategies, coherent approaches and attainable goals in a community. The present study focused on performing a situational analysis of lifestyles related to the risk factors for non-communicable chronic diseases (NCCD) with undergraduate nursing students. Methods: A cross-sectional study developed with 77 female nursing undergraduates where the sociodemographic variables, physical conditions and lifestyles inherent to the risk for non-communicable chronic diseases were investigated. Results: Female undergraduates between the ages of 20 and 24 years prevailed in the study. They were white, single, belonged to social class B and were in the 3rd and 4th year of the course. Though sedentary, the students had their weight fitting their height and their waist circumference values within normal standards. In addition to this, they stated being non-smokers, besides presenting low risk regarding alcohol consumption. Conclusions: It is worth noting the nurse’s role as a health promoter at the development of encouragement strategies for healthy life practices and the planning of interventions against sedentarism.
EFICáCIA DE INTERVEN ES QUE UTILIZAM O TELEFONE COMO ESTRATéGIA PARA O CONTROLE GLICêMICO: REVIS O INTEGRATIVA DA LITERATURA
H rica Cristina Alves de Vasconcelos,Roberto Wagner J nior Freire de Freitas,Niciane Bandeira Pessoa Marinho,Marta Maria Coelho Damasceno
Texto & Contexto - Enfermagem , 2013,
Abstract: El objetivo fue analizar la eficacia de intervenciones que usan el teléfono como estrategia para el control glucémico de adultos con Diabetes Mellitus tipo 2. Se trata de una revisión integrativa llevada a cabo de abril a mayo de 2011 a través de la búsqueda en las bases de datos Cochrane, PubMed/Medline, Lilacs y Cinahl. Nueve estudios cumplieron los criterios de inclusión, prevaleciendo entre ellos los ensayos aleatorios y controlados. Mientras al seguimiento, hubo variación de ocho semanas a doce meses. Participaron 1.294 pacientes, 671 aleatorios para seguimiento telefónico y 479 con atención habitual. El control de la glucemia fue determinado por niveles de hemoglobina glucosilada (HbA1c) en ocho estudios analizados. Las informaciones que se encontraron se alaron que las intervenciones son efectivas en el control glucémico de pacientes con Diabetes tipo 2. El autocontrol estuvo mejorado y la reducción de las posibles complicaciones de la enfermedad fue potencializada.
Fatores relacionados ao diagnóstico de enfermagem autocontrole ineficaz da saúde entre diabéticos
Freitas, Roberto Wagner Júnior Freire de;Araújo, Márcio Flávio Moura de;Marinho, Niciane Bandeira Pessoa;Damasceno, Marta Maria Coelho;Caetano, Joselany áfio;Galv?o, Marli Teresinha Gimeniz;
Acta Paulista de Enfermagem , 2011, DOI: 10.1590/S0103-21002011000300010
Abstract: objective: to investigate the related factors of the nursing diagnosis, ineffective self-health management, in clients with type 2 diabetes mellitus treated with oral antidiabetic (ao), receiving primary health care services, according to gender. methods: a secondary analysis of database research conducted between january and july 2009, in the homes of 377 users of 12 family health centers in fortaleza-ce. to determine the presence of the nursing diagnosis, an analogy was made between the test questions measure treatment adherence and four of the five defining characteristics of the diagnostic search. results: men had a greater sense of powerlessness (30.4%) than women (18.4%) about the need for taking the ao (p = 0.034). women were better able to understand the benefits of taking ao to ensure proper control of their diabetes (p = 0.002). conclusion: socioeconomic factors important in controlling the disease, such as excessive demand and social support deficit, were prevalent and significant among men.
Hábitos alimentares de adolescentes de escolas públicas de Fortaleza, CE, Brasil
Silva, Ana Roberta Vilarouca da;Damasceno, Marta Maria Coelho;Marinho, Niciane Bandeira Pessoa;Almeida, Lívia Silva de;Araújo, Márcio Flávio Moura de;Almeida, Paulo César;Almeida, Isabela Saraiva de;
Revista Brasileira de Enfermagem , 2009, DOI: 10.1590/S0034-71672009000100003
Abstract: the research aimed at learning food habits of adolescents from public schools in fortaleza, ce, brazil. seven hunndred students age ranging from14 to 19 years-old were interviewed from twelve education institutions by means of a structured form. from the usual food consumed the energetic rice and bread were highlighted, consumed by 95.8% and 85.2% of the adolescents, respectively (p=0.0001). within constructor food, meat and beans are ingested by 60.6% and 75.0%, respectively (p=0.0001). regulative food like fruit and vegetables do not have a usual consumption among adolescents, since just (34.3%) and (47.6%) respectively consume them (p=0.0001 and p=0.226). an unbalance in proper nutrient ingestion for the adolescence was stated, favoring overweight and, consequently, chronic diseases like mellitus diabetes.
Prática de atividade física por adolescentes de Fortaleza, CE, Brasil
Freitas, Roberto Wagner Júnior Freire de;Silva, Ana Roberta Vilarouca da;Araújo, Márcio Flávio Moura de;Marinho, Niciane Bandeira Pessoa;Damasceno, Marta Maria Coelho;Oliveira, Marcos Renato de;
Revista Brasileira de Enfermagem , 2010, DOI: 10.1590/S0034-71672010000300010
Abstract: it aimed to learn the daily habits related to the physical activity practice among private state schools adolescents in fortaleza-brazil. we investigated 307 students between 12 and 17 years old from six private schools, in the months march to june 2007. we applied a form which recorded sedentarism, bmi, blood pressure and blood glucose. the chi-squared test was used for to analysis the proportions. about 68% of young people were sedentary. the sedentarism was higher in females surveyed (p=0, 000) and those with over-weight (p=0,001). among adolescents active exercise was the most practiced football (42%) and weights (19%). the health education in schools can assist in combating the sedentarism of the adolescents.
Risk Factors for Type 2 Diabetes Mellitus in Children
Macêdo, Suyanne Freire de;Araújo, Márcio Flávio Moura de;Marinho, Niciane Pessoa Bandeira;Lima, Adman Camara Soares;Freitas, Roberto Wagner Freire de;Damasceno, Marta Maria Coelho;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000500014
Abstract: this study investigates risk factors for type 2 diabetes mellitus in a population of children in public schools, fortaleza, ce, brazil. a total of 727 children aged 6 to 11 years old from 12 schools were evaluated between march and june 2008. a form addressing socio-demographic data, body mass index, blood pressure, capillary blood glucose and waist circumference was applied. a total of 54.1% of the children were female, 21.7% were overweight, 6.6% were obese, 27% had central obesity, 6.2% showed altered capillary glucose, and 17% high blood pressure. in relation to risk factors, 53.4% presented no risk factors; 24.3% had at least one factor and 18.8% two risk factors. nurses can intervene in schools through educational health programs encouraging the adoption of healthy habits and identifying children at risk of type 2 diabetes mellitus.
Esplenectomia com ligadura da veia gástrica esquerda e desvasculariza o da grande curvatura do est mago no tratamento da esquistossomose hepatoesplênica: é necessária a escleroterapia endoscópica pós-operatória
FERRAZ álvaro Ant?nio Bandeira,LOPES Edmundo Pessoa de Almeida,BARROS Fábio Marinho do Rego,SETTE Marcelo José Antunes
Arquivos de Gastroenterologia , 2001,
Abstract: Objetivo - Com o intuito de avaliar a eficácia e a manuten o da esclerose endoscópica pós-operatória como rotina, em associa o à esplenectomia com ligadura da veia gástrica esquerda e desvasculariza o da grande curvatura do est mago, foi realizado o presente estudo. Método - Entre 1992 e 1998 foram operados 131 pacientes no Hospital das Clínicas da Universidade Federal de Pernambuco, Recife, PE. O seguimento médio foi de 30 meses. Os pacientes foram solicitados a retornar ao ambulatório daquele hospital para realiza o de controle clínico e laboratorial. Dos 111 pacientes que retornaram ao ambulatório, apenas 80 realizaram endoscopia digestiva alta de controle. Destes 80, 36 seguiram a recomenda o e realizaram esclerose endoscópica pós-operatória (grupo 1), enquanto 44 n o a realizaram (grupo 2). Resultados - Observou-se de forma relevante e estatisticamente significativa, a diferen a entre os dois grupos quando se analisou a erradica o das varizes de es fago, com melhor resultado para o grupo 1 (52,7% do grupo 1 versus 18,2% do Grupo 2). Nos demais itens analisados (mortalidade, recidiva hemorrágica, trombose da veia porta, varizes de fundo gástrico e grau de fibrose periportal) n o se observou relevancia estatística. Conclus o - Conclui-se que a associa o da escleroterapia endoscópica pós-operatória à esplenectomia com ligadura de veia gástrica esquerda e desvasculariza o da grande curvatura do est mago, no tratamento da hipertens o portal esquistossomótica com antecedentes de hemorragia digestiva, deve ser mantida.
Esplenectomia com ligadura da veia gástrica esquerda e desvasculariza??o da grande curvatura do est?mago no tratamento da esquistossomose hepatoesplênica: é necessária a escleroterapia endoscópica pós-operatória
FERRAZ, álvaro Ant?nio Bandeira;LOPES, Edmundo Pessoa de Almeida;BARROS, Fábio Marinho do Rego;SETTE, Marcelo José Antunes;ARRUDA, Severino Marco Borba;FERRAZ, Edmundo Machado;
Arquivos de Gastroenterologia , 2001, DOI: 10.1590/S0004-28032001000200002
Abstract: objective ? with the intention of evaluating the effectiveness and the maintenance of the postoperative endoscopic sclerosis as routine, in association to splenectomy with left gastric vein ligature and devascularization of the great curvature of the stomach, the present study was accomplished. method - between 1992 and 1998, 131 patient were operated in the general division of the "hospital das clínicas" (federal university of pernambuco, recife, pe, brazil). the medium follow-up was 30 months. all patients were requested to come back to the clinic for accomplishment of clinical and laboratory control. of the 111 patients that came back to the clinic, 80 patients had a digestive endoscopy done. of these 80 patients, 36 followed the recommendation and underwent to a postoperative endoscopic sclerosis program (group 1), while 44 did not accomplish postoperative endoscopic sclerosis (group 2). results - regarding the eradication of the esophagus varices, the authors found a statistical difference between the groups (52,7% of the group 1 vs. 18,2% of the group 2). other analyzed items (mortality, rebleeding rate, thrombosis of the portal vein, gastric varices and degree of periportal fibrosis) statistical relevance was not observed. conclusion - the association of the postoperative endoscopic sclerosis to the splenectomy with left gastric vein ligature and devascularization of the great curvature of the stomach, in the treatment of schistosomotic portal hypertension with digestive hemorrhage antecedent, should be maintained.
Avalia??o nutricional de uma dieta suplementada com multimistura: estudo em ratos
Madruga, Marta Suely;Santos, Hosana Bandeira;Bion, Francisca Martins;Antunes, Norma Lúcia Marinho;
Ciência e Tecnologia de Alimentos , 2004, DOI: 10.1590/S0101-20612004000100023
Abstract: a study was developed with 60 wistar male rats, aiming to evaluate the influence of a "multimistura" against malnutrition. all animals were submitted to 14 days of malnutrition, and after this period, 12 rats were selected to constitute group "o" or non-protein; the others were distributed among 4 groups: i - control diet of casein; ii - crèche diet; iii - crèche diet plus 1,2g of multimistura; iv - crèche diet plus 2.4g of "multimistura". the "multimistura" was formulated by using 47.5% of corn bran, 47.5% of wheat bran, 4% of powder from melon seeds, sesame, pumpkinseeds and peanut; 0.5% of powder from cassava leaves and 0.5% of eggshell powder. the chemical composition showed that the multimistura presented high contents of carbohydrates (74.24%) and proteins (11.75%). the "multimistura" presented in its mineral composition 8.07mg% of iron; 357.45mg% of calcium; 235.10mg% of magnesium; 677.65mg% of potassium; 570.21mg% of phosphorus and 7.02mg% of sodium. the biological essay revealed that group i presented a body-weight 42% higher than groups ii and iii, and 37% more than group iv. the food and protein intake were better presented by group i. the addition of multimistura did not affect the rat recovery.
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