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Análise da variabilidade da frequência cardíaca em crianças submetidas a jogos eletrônicos 接受电子游戏的儿童心率变异性分析
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-12-17 DOI: 10.15448/1980-6108.2020.1.35785
Daniel Tineu Leite Maia, Davidson Ribeiro Costa, Emanuelle Paiva de Vasconcelos Dantas, Thiago Dos Santos Maciel, Rodrigo Aléxis Lazo Osório
Objetivo: avaliar a função autonômica do coração de crianças sadias em situações de jogos eletrônicos, mediante a análise de Variabilidade da Frequência cardíaca.Métodos: participaram deste estudo 60 crianças sadias, que foram monitoradas por um monitor de frequência cardíaca digital e submetidas ao experimento com o jogo eletrônico. A análise da Variabilidade da Frequência cardíaca foi calculadacom emprego da transformada Wavelet Contínua.Resultados: pode-se observar um aumento na intensidade dos valores de baixa frequência/alta frequência, sugerindo influência das fases do protocolo, de modo que houve uma elevação nos valores da fase de Repouso para a fase de Jogo, mas não foi encontrado um valor significativo. Entre as fases de Repouso (1,52±0,97 ms²) e Recuperação (1,89±1,04 ms²) houve um aumento significativo obtendo um valor de p=0,003. Comparando os valores de baixa frequência/alta frequência entre as fases Jogo 2,37±1,20 ms² e Recuperação 1,89±1,04 ms², verificou-se uma redução significativa da relação (p = 0,016).Conclusão: conclui-se que Jogos eletrônicos podem provocar um aumento da atividade simpática, diminuindo a Variabilidade da Frequência cardíaca das crianças estudadas, sugerindo uma situação estressante.
摘要目的:通过心率变异性分析,评价健康儿童在电子游戏情境下心脏的自主功能。方法:60名健康儿童通过数字心率监测器进行监测,并进行电子游戏实验。采用连续小波变换计算心率变异性分析。结果:可以观察到低频/高频值的强度增加,这表明方案阶段的影响,因此从休息阶段到游戏阶段的值增加,但没有发现显著的值。休息阶段(1.52±0.97 ms²)和恢复阶段(1.89±1.04 ms²)显著增加,p= 0.003。比较游戏阶段2.37±1.20 ms²和恢复阶段1.89±1.04 ms²的低频/高频值,发现比率显著降低(p = 0.016)。结论:我们的结论是,电子游戏可以增加交感神经活动,降低被研究儿童的心率变异性,提示有压力的情况。
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引用次数: 1
Clinical characteristics of COVID-19 patients and the main nursing diagnoses 新冠肺炎患者临床特点及主要护理诊断
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-11-03 DOI: 10.15448/1980-6108.2020.1.38509
Laurindo Pereira De Souza, C. Vasconcellos, Marcia Guerino De Lima, Rafael Ayres Romanholo
AIMS: to present a reflection on the clinic of patients infected by COVID-19 and to propose the main nursing diagnoses based on International Classification for Nursing Practice (ICNP©). METHOD: this is a reflection study, in which the selection criteria used were articles indexed in the MEDLINE, LILACS and BDENF databases published between December 2019 and April 2020, in English and Portuguese. RESULTS: 10 scientific articles were part of the study, which made it possible to know the symptomatologic profile of the disease, with emphasis on the classic triad of COVID-19, which is cough, shortness of breath and fever. It revealed that the basic human need most affected in this patient profile is oxygenation in view of hypoxemia being the main complication, for which the clinical outcome was negative, especially in elderly patients. CONCLUSION: there was a shortage and studies related to nursing in the face of this pandemic, but it was possible to conclude that ICNP© is one of the taxonomies that can be used to implement nursing diagnoses and intervention, the most frequent nursing diagnoses are related to the basic human and social need for oxygenation and vascular regulation.
目的:对新型冠状病毒感染患者的临床情况进行反思,并根据国际护理实践分类(ICNP©)提出主要的护理诊断。方法:这是一项反思研究,选择标准是2019年12月至2020年4月期间发表的MEDLINE、LILACS和BDENF数据库中检索的英文和葡萄牙文文章。结果:本研究纳入10篇科学论文,了解了新冠肺炎的症状特征,重点介绍了新冠肺炎的典型三联征,即咳嗽、呼吸急促和发烧。结果显示,由于低氧血症是主要并发症,因此在该患者中受影响最大的基本人类需求是氧合,其临床结果是阴性的,特别是在老年患者中。结论:面对此次大流行,与护理相关的研究不足,但可以得出ICNP©是可用于实施护理诊断和干预的分类之一,最常见的护理诊断与人类和社会对氧合和血管调节的基本需求有关。
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引用次数: 1
COVID-19 2019冠状病毒疾病
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-09-17 DOI: 10.15448/1980-6108.2020.1.38769
Virgílio José Strasburg, Thais O. Hammes, Andrea C. S. Gonzales, Gisela Von Zeidler, Janaína G. Venzke1, Zilda E. A. Santos, Vera L. Bosa
Introduction: The global pandemic for the new coronavirus has had repercussions in all areas of human activities. Health services are essential for serving the population. However, workers in this sector also deserve attention, the provision of meals being one of those precautions.Aims: This study aims to publicize the actions related to the development of a contingency plan and the provision of meals to workers at a public university hospital in southern Brazil during the coronavirus pandemic.Methods: Study design: descriptive observational. This case study evaluates for the period from March to June 2020 on the evolution of contingency plans in order to guarantee the provision of adequate food and preserve the health of workers in the cafeteria space.Results: The hospital cafeteria served, on average, more than 2,500 lunches before the COVID-19 pandemic began in Brazil. Actions developed by the hospital administration allowed remote work by workers. However, an average of 1,500 lunches is still served daily. In this study, the actions are presented in order to guarantee an adequate environment that does not transmit outbreaks to workers in the hospital environment. Among some actions are issues of menu pattern, guidance, and mandatory handwashing by all users, visual signage on-site, and the internal website, among others.Conclusions: The actions have been effective since there are no records of a COVID-19 outbreak among hospital workers.
引言:新型冠状病毒的全球大流行对人类活动的各个领域都产生了影响。卫生服务对于为人民服务至关重要。然而,该行业的工人也值得关注,提供膳食是其中一项预防措施。目的:这项研究旨在宣传与制定应急计划和在冠状病毒大流行期间为巴西南部一所公立大学医院的工作人员提供膳食有关的行动。方法:研究设计:描述性观察。本案例研究评估了2020年3月至6月期间应急计划的演变,以确保提供充足的食物并保护自助餐厅员工的健康。结果:在新冠肺炎疫情在巴西开始之前,医院自助餐厅平均提供2500多份午餐。医院管理部门制定的措施允许员工远程工作。然而,平均每天仍提供1500份午餐。在这项研究中,采取行动是为了确保有一个适当的环境,不会将疫情传播给医院环境中的工作人员。一些行动包括菜单模式、指导和所有用户强制洗手、现场视觉标识和内部网站等问题。结论:由于没有新冠肺炎在医院工作人员中爆发的记录,这些行动是有效的。
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引用次数: 1
Potentially inappropriate medication and associated factors such as depression and dementia: An analysis of middle-aged and elderly people 潜在的药物不当和相关因素,如抑郁症和痴呆症:对中老年人的分析
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-07-15 DOI: 10.15448/1980-6108.2020.1.34478
V. Sgnaolin, Paula Engroff, Natascha Melo Linkievicz, I. Gomes, Alfredo Cataldo Neto
AIMS: To establish the frequency potentially inappropriate medications use and the associated factors, such as signs and symptoms of depression and cognitive deficit among middle-aged and elderly people.METHODS: A cross-sectional population study was performed with 2,350 people, aged between 55-103 years, registered in the primary health care. Potentially inappropriate medications were defined by updated 2019 Beers criteria. Studied variables were sociodemographic, lifestyle and health, and signs and symptoms of depression and cognitive deficit. Multinomial regression analysis was executed.RESULTS: The frequency of potentially inappropriate medications use was 65.4%. Former and current smokers, regular self-perception of health, polypharmacy, and individuals with signs and symptoms of depression and cognitive deficit were significantly associated with potentially inappropriate medications use. Antiarrhythmics, antihistamines and antiadrenergic agents were the highest potentially inappropriate medications classes used for individuals with signs and symptoms of depression and cognitive deficit.CONCLUSIONS: The frequency of use of potentially inappropriate medications is high among middle-aged people, a population that was previously under-researched, as well as among elderly people. Cognitive impairment alone or together with depression symptoms were associated factor for a potentially inappropriate medications use. Knowledge of the pharmacoepidemiology of potentially inappropriate medications is an important for the promotion of the rational use of drugs in public health.
目的:确定中老年人潜在不适当药物使用的频率和相关因素,如抑郁和认知缺陷的体征和症状。方法:对2350名年龄在55-103岁之间的初级卫生保健注册人员进行横断面人群研究。2019年更新的Beers标准定义了可能不合适的药物。研究的变量包括社会人口统计学、生活方式和健康,以及抑郁症和认知缺陷的体征和症状。进行多项式回归分析。结果:潜在不适当药物使用的频率为65.4%。以前和现在的吸烟者、对健康的定期自我认知、多药治疗以及有抑郁和认知缺陷迹象和症状的人与潜在不适当的药物使用显著相关。抗心律失常药、抗组胺药和抗肾上腺素能药物是用于有抑郁和认知缺陷体征和症状的人的最高潜在不合适药物类别。结论:在以前研究不足的中年人和老年人中,使用潜在不合适药物的频率很高。单独的认知障碍或与抑郁症状一起是潜在的不适当药物使用的相关因素。了解潜在不合适药物的药物流行病学对于促进公共卫生中药物的合理使用非常重要。
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引用次数: 0
PANDEMIA, INFORMAÇÕES, EDUCAÇÃO, SAÚDE E MUDANÇA 流行病、信息、教育、卫生和变革
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-06-09 DOI: 10.15448/1980-6108.2020.1.38332
Alexander Sapiro, Ivan Carlos Ferreira Antonello, Luiz Gustavo Guilhermano
---
---
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引用次数: 1
Leishmaniose visceral humana: um retrato da situação de casos em idosos e longevos 人类内脏利什曼病:老年人和老年人病例情况的概况
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-04-30 DOI: 10.15448/1980-6108.2020.1.34225
Ibrahim Clós Mahmud, Carla Viero Kowalski, P. Behar, C. Stobäus
Aims: to analyze the current Brazilian and of the state of Rio Grande do Sul epidemiological situation of visceral leishmaniasis (LVH) in the elderly and verifythe mortality coefficient.Methods: This is a cross-sectional study with a secondary data source, taken from SINAN data from January 2013 to December 2017, with confirmed visceral leishmaniasis in Brazil and Rio Grande do Sul, which are tabulated in Excel and analyzed with Epiinfo 7.Results: cases of LVH in the elderly have increased in the last 5 years, within the Brazilian and the state of Rio Grande do Sul settings. Although not widely reported, it is frequent to compromise and increase the proportion of elderly people who die from LVH, which was 20,3% of the cases in the period from 2013 to 2017, demonstrating the seriousness of the infection in this public. In our study we also found a strong relation between age and the increase in the lethality coefficient, reaching 46.87% in 2016.Discussion: One of the recent strategies in the fight against HVL is the slaughter of dogs that contains the parasite responsible for the transmission of the disease, but this method of control has not been very effective. Thus, the immunoprophylactic measurement by Leish-Tec® vaccine has a favorable effect in the fight  against the disease only in animals that are not in high transmission areas.
目的:分析目前巴西及南巴西大德州老年人内脏利什曼病(LVH)流行病学情况,并验证其死亡率系数。方法:这是一项横断面研究,二级数据源来自2013年1月至2017年12月的SINAN数据,其中巴西和巴西大德州确诊的内脏利什曼病在Excel中制表,并使用Epiinfo 7进行分析。结果:在过去的5年中,在巴西和巴西南大德州,老年LVH病例有所增加。虽然没有被广泛报道,但老年人因LVH死亡的比例往往会增加,2013年至2017年期间LVH死亡的比例为20.3%,这表明了这一人群感染的严重性。在我们的研究中,我们还发现年龄与死亡率系数的增加有很强的关系,2016年达到46.87%。讨论:最近与HVL作斗争的策略之一是屠宰含有导致疾病传播的寄生虫的狗,但这种控制方法并不十分有效。因此,Leish-Tec®疫苗的免疫预防测量仅在非高传播地区的动物中具有良好的效果。
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引用次数: 0
Conhecimento e atitudes de estudantes da área da saúde sobre a doação de córneas 健康学生对角膜捐献的认识与态度
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2020-04-16 DOI: 10.15448/1980-6108.2020.1.35854
Isabela Mirandola Bartolomeu, Sidney Júlio Faria e Sousa, Miriane Lucindo Zucoloto, Edson Zangiacomi Martinez
Aims: assess the knowledge and attitudes toward corneal donation among health sciences undergraduate students.Methods: this is an observational, descriptive, cross-sectional study, that included students enrolled in the undergraduate courses in Speech Therapy, Nutrition and Metabolism, Physical Therapy and Occupational Therapy, offered by the University of São Paulo at Ribeirão Preto Medical School (FMRP), University of São Paulo (USP), Ribeirão Preto campus. The students responded to a structured instrument in the classroom. A questionnaire containing 16 items regarding knowledge about corneal transplantation and questions about attitudes towards donation was applied. The questionnaire was based on instruments used in similar studies.Results: 335 students (83.1% female) participated in the research. Only 6.6% reported knowing how to proceed to be a corneal donor, and 55.5% reported knowing that corneal removal can only be performed after the donor’s death. Among the 16 items of the knowledge questionnaire, the students had a mean of only 5.6 correct answers, with a standard deviation of 3.1.Conclusions: the knowledge of the interviewed students about corneal donation is quite unsatisfactory. Given the known shortage of corneas for transplantation, educational actions are needed to make these future professionals able to spread the practice of corneal donation among their future patients and their families.
目的:评估健康科学专业本科生对角膜捐献的知识和态度。方法:这是一项观察性、描述性、横断面研究,包括圣保罗大学里贝里奥普雷托医学院(FMRP)、圣保罗大学(USP)里贝里奥普雷托校区开设的言语治疗、营养与代谢、物理治疗和职业治疗本科生。学生们在课堂上对一种结构化的乐器做出反应。采用了一份包含16项关于角膜移植知识和对捐赠态度问题的问卷。调查表是根据类似研究中使用的工具编制的。结果:335名学生(83.1%为女性)参与了本研究。只有6.6%的人表示知道如何成为角膜捐献者,55.5%的人表示只有在捐献者死亡后才能进行角膜摘除。在知识问卷的16个项目中,学生的平均正确答案只有5.6个,标准差为3.1。结论:受访学生对角膜捐献的知识非常不满意。鉴于已知用于移植的角膜短缺,需要采取教育行动,使这些未来的专业人员能够在未来的患者及其家人中推广角膜捐献的做法。
{"title":"Conhecimento e atitudes de estudantes da área da saúde sobre a doação de córneas","authors":"Isabela Mirandola Bartolomeu, Sidney Júlio Faria e Sousa, Miriane Lucindo Zucoloto, Edson Zangiacomi Martinez","doi":"10.15448/1980-6108.2020.1.35854","DOIUrl":"https://doi.org/10.15448/1980-6108.2020.1.35854","url":null,"abstract":"Aims: assess the knowledge and attitudes toward corneal donation among health sciences undergraduate students.Methods: this is an observational, descriptive, cross-sectional study, that included students enrolled in the undergraduate courses in Speech Therapy, Nutrition and Metabolism, Physical Therapy and Occupational Therapy, offered by the University of São Paulo at Ribeirão Preto Medical School (FMRP), University of São Paulo (USP), Ribeirão Preto campus. The students responded to a structured instrument in the classroom. A questionnaire containing 16 items regarding knowledge about corneal transplantation and questions about attitudes towards donation was applied. The questionnaire was based on instruments used in similar studies.Results: 335 students (83.1% female) participated in the research. Only 6.6% reported knowing how to proceed to be a corneal donor, and 55.5% reported knowing that corneal removal can only be performed after the donor’s death. Among the 16 items of the knowledge questionnaire, the students had a mean of only 5.6 correct answers, with a standard deviation of 3.1.Conclusions: the knowledge of the interviewed students about corneal donation is quite unsatisfactory. Given the known shortage of corneas for transplantation, educational actions are needed to make these future professionals able to spread the practice of corneal donation among their future patients and their families.","PeriodicalId":44024,"journal":{"name":"Scientia Medica","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2020-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46175205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Análise cinemática da marcha pós protocolo de fadiga global de curta duração 短期整体疲劳方案后步态的运动学分析
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-17 DOI: 10.15448/1980-6108.2019.4.35217
Leandro Viçosa Bonetti, Filipe Queiroz Triches, Eduardo Carraro Armiliato, Gabriel Johann Lazzari, Vinícius Mazzochi Schmitt, Fernanda Cechetti, Raquel Saccani
AIMS: Evaluate the effects of a short-term fatigue protocol on gait’s kinematic parameters of healthy subjects.METHODS: 21 healthy young adults participated in the sample. The parameters of linear kinematics of gait (velocity, cadence, step length, step width, step time) and angular kinematics of gait (hip’s flexion and extension; knee’s flexion and extension; ankle’s dorsiflexion and plantar flexion) were analyzed before and after performing a short-term fatigue protocol. For gait evaluation, a three dimensional gait trajectory capture system was used, consisting of a kinematic system with 7 integrated cameras. The Short-Term Functional Agility Fatigue Protocol, which consists of a short-term global fatigue protocol with series of functional agility exercises, was used to fatigue participants. For comparisons between pre and post fatigue evaluations, the mean values to paired t test, and statistical significance was set as p < 0.05.RESULTS: There were no statistically significant differences in the angular and linear parameters evaluated, except for cadence (p = 0.03).CONCLUSIONS: The short-term global fatigue protocol did not alter the angular and kinematic gait parameters in young subjects, except for the cadence, that was higher after the fatigue protocol.
目的:评估短期疲劳方案对健康受试者步态运动学参数的影响。方法:以21名健康青年为样本。步态线性运动学参数(速度、节奏、步长、步宽、步时间)和步态角运动学参数(髋屈伸);膝关节屈伸;在执行短期疲劳方案之前和之后分析踝关节背屈和足底屈。步态评估采用了一个三维步态轨迹捕获系统,该系统由7个集成摄像机组成。短期功能敏捷性疲劳方案是由一系列功能敏捷性练习组成的短期全局疲劳方案,用于疲劳参与者。疲劳评价前后的比较采用配对t检验的平均值,p < 0.05为统计学意义。结果:除节奏外,两组的角度和线性参数均无统计学差异(p = 0.03)。结论:短期整体疲劳方案没有改变年轻受试者的角度和运动学步态参数,除了节奏,疲劳方案后更高。
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引用次数: 0
Asma, rinite e atopia em escolares de duas cidades ambientalmente distintas: metrópole industrializada e região agrícola 两个环境截然不同的城市:工业化大都市和农业区的学童哮喘、鼻炎和特应性疾病
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-17 DOI: 10.15448/1980-6108.2019.4.34336
M. Strassburger, Simone Zeni Strassburger, Cristian Roncada, P. M. Pitrez, R. T. Stein
AIM: To analyze the characteristics of asthma among students from metropolitan and agricultural regions.METHODS: Students from both locations answered a questionnaire for epidemiological diagnosis of asthma and clinical characteristics of asthma, rhinitis and atopy according to ISAAC. They were also evaluated by the Asthma Control Test and measure of physical activity.RESULTS: Among the 290 and 123 asthmatics evaluated in the metropolitan region and agricultural region, respectively, the prevalence of asthma was 20.4% and 19.2%. Asthmatics in the agricultural region had a higher frequency of rhinitis (87% vs. 48.8%, p < 0.001) and atopy (81.4% vs. 63.5%, p = 0.005) No difference was observed in disease control measures (51.9% vs. 47.2%, p = 0.378). The combination asthma with Rhinitis or atopy presented significant risk for disease control in schoolchildren in the agricultural region (OR: 2,300; 95% CI: 1,867-2,833).CONCLUSION: There was no difference in asthma frequency and disease control among the students studied. However, the students of agricultural region have higher rates of rhinitis and atopy which negatively interfered with asthma control. These findings suggest that Asthma in populations with different environments have different clinical characteristics, which should be taken into account when defining prevention strategies and clinical management.
目的:分析都市区和农业区学生哮喘发病特点。方法:根据ISAAC对两地学生进行哮喘流行病学诊断和哮喘、鼻炎、特应性临床特征问卷调查。他们还通过哮喘控制测试和身体活动测量进行评估。结果:市区290例哮喘患者中哮喘患病率为20.4%,农业区123例哮喘患病率为19.2%。农区哮喘患者鼻炎(87%比48.8%,p < 0.001)和变态反应(81.4%比63.5%,p = 0.005)发生率较高,疾病控制措施差异无统计学意义(51.9%比47.2%,p = 0.378)。在农业区学龄儿童中,哮喘合并鼻炎或特应性有显著的疾病控制风险(or: 2,300;95% ci: 1867 - 2833)。结论:两组学生在哮喘频次及疾病控制方面无显著差异。而农区学生鼻炎、特应性患病率较高,对哮喘控制有不利影响。这些发现表明,不同环境人群的哮喘具有不同的临床特征,在确定预防策略和临床管理时应考虑到这一点。
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引用次数: 0
Estudo SABE: Fatores associados ao uso de medicamentos para controle da dor crônica em idosos SABE研究:老年人慢性疼痛控制药物使用的相关因素
IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-12-17 DOI: 10.15448/1980-6108.2019.4.34235
Eduardo Godoi Audi, M. S. Dellaroza, M. Cabrera, Hellen Geremias Dos Santos, Camila Helen, Dayane Aparecida Scaramal
AIMS: This study aims to analyze the factors associated with the use of medications to control chronic pain in the elderly, study carried out in the city of São Paulo.METHODS: This a cross-sectional study using data from the Health, Welfare and Ageing Study (SABE), which began in 2000 with reinterviews in 2006 and 2010. For this research, data from elderly people re-interviewed in 2010 were initially used. From this sample, elderly individuals showed chronic pain were selected for the analysis of factors associated with the use of medications for pain control. The Rao Scott test was used to identify these factors. Since this is a study with a complex sample design, estimated sample weights for the 2010 follow-up were considered for all analyses.RESULTS: From the initial sample of 978 elderly people, 303 (30.98%) reportedchronic pain. Among these elderly people, there was a lower frequency of using analgesics for those who reported having made the last medical consultation in a health care/private (OR = 0,55; IC 95%: 0,31-0,96); lower frequency of using antidepressants for those who reported not having health insurance (OR = 0,49; IC 95%: 0,24-0,98); greater use of symptomatic for dyspepsia; for those with regular health self-perception (OR = 2,20; IC 95%: 1,12-4,32); and for those who reported feeling pain daily (OR = 2,24; IC 95%: 1,31-3,81).CONCLUSIONS: Thus, it is concluded that pain is a factor that directly affects the life of the elderly and they often seek relief for their suffering in medications, and the fact of performing medical consultations in a private care or health service increases the frequency of use of certain medications.
目的:本研究旨在分析老年人使用药物控制慢性疼痛的相关因素,研究在圣保罗市进行。方法:这是一项横断面研究,使用来自健康、福利和老龄化研究(SABE)的数据,该研究于2000年开始,并于2006年和2010年重新访问。在这项研究中,最初使用的是2010年重新采访的老年人的数据。从这个样本中,选择有慢性疼痛的老年人进行分析,分析与使用药物控制疼痛相关的因素。使用Rao Scott检验来确定这些因素。由于这是一项具有复杂样本设计的研究,所有分析都考虑了2010年随访的估计样本权重。结果:在978名老年人的初始样本中,303人(30.98%)报告慢性疼痛。在这些老年人中,报告在医疗保健/私人机构进行过最后一次医疗咨询的人使用镇痛剂的频率较低(OR = 0.55;IC 95%: 0,31-0,96);报告没有健康保险的人使用抗抑郁药的频率较低(OR = 0,49;IC 95%: 0,24-0,98);更多地使用对症治疗消化不良;健康自我认知正常者(OR = 2,20;IC 95%: 1,12-4,32);以及那些每天都感到疼痛的人(OR = 2,24;IC 95%: 1,31-3,81)。结论:疼痛是直接影响老年人生活的一个因素,老年人经常通过药物寻求缓解疼痛,而在私人护理或卫生服务机构进行医疗咨询的事实增加了某些药物的使用频率。
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引用次数: 1
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