Revista Brasileira de Saúde Funcional

The FUNCTIONAL PROFILE OF PEDIATRIC PATIENTS ADMITTED TO THE ICU OF A REFERRAL HOSPITAL IN THE BRAZILIAN AMAZON

2024-08-13T11:06:33-03:00

Introduction: Intensive care units are a relatively recent area in medicine, having emerged about 50 years ago, around 1980, for the care of children in critical health conditions. At an epidemiological level, it is of utmost importance to discover patterns of events in relation to the health and subsequent treatment of these patients. Objective: To assess the level of functionality of critically ill pediatric patients upon admission and discharge from the pediatric intensive care unit. Methods: This is a retrospective, descriptive, observational, cross-sectional, analytical and cohort study, with critically ill patients in the period from 2021 to 2022. Functional status upon admission and discharge was assessed using the Functional Status Scale in Intensive Care Unit, gestational age in the case of premature infants, weight, diseases acquired during pregnancy, and reason for hospitalization. Results: 61 female and 80 male children were selected, under 1 year and over 10 years old. Individuals aged between 01 and 02 years, 47.54% female and 41.25% male, the mean age was 3.61, with height 86.83 cm. Pneumonia (p=0.0035) was the most prevalent pathology causing greater functional impairment. Conclusion: The data obtained in our study can be compared to those reported for other PICUs in Brazil and worldwide, considering population differences. The results found are similar to those of other health centers.

EXPERIÊNCIAS DA ATUAÇÃO DO SERVIÇO SOCIAL EM COMUNIDADES COMPASSIVAS DE FAVELAS

2024-12-13T15:56:51-03:00

ABSTRACT: Objective: To describe the role of Social Services in assisting elderly patients receiving palliative care in the Compassionate Community of a favela. Method: This is a report of professional experience, about the role of social services in assisting elderly patients undergoing palliative care in a compassionate favela community. Results: The challenges observed in favela territories require more time from the social worker for social articulation inside and outside this scenario. Direct and constant contact with patients in the compassionate community and local agents (volunteer project residents) minimizes this barrier. Coordination with the health and social assistance devices present in these locations is essential. Discussion: Elderly patients eligible for the Compassionate Community project are, in the vast majority, suffering from advanced cancer that was diagnosed late. Social demands vary due to lack of knowledge about possible services and difficulty in accessing social rights. In turn, the need for assistance for individuals and their families who experience minimum survival conditions is evident. Final considerations: Therefore, it is important to offer knowledge that can be multiplied in the territories where the Compassionate Community operates in order to minimize the harm caused by the lack of assistance. By listening carefully and free from prejudice, it is possible to develop professional skills to work in different contexts and to promote quality assistance.

Impact of painful characteristics, Anxiety, and Depression symptoms on Quality of Life in Sickle Cell Disease individuals

2024-05-23T18:50:28-03:00

ABSTRACT

Introduction: Sickle cell disease (SCD) is the most common hemoglobinopathy in the world, with 275,000 newborns annually. Hemoglobin polymerization leads to erythrocyte rigidity and Vaso-occlusion, which leads to pain and other changes in the body, seriously affecting the quality of life (QoL) of carriers. Purpose: To analyze the impact of tender points in the body, average pain, Catastrophizing, Central Sensitization (CS), Anxiety, and Depression on the QoL of adults with SCD. Method: This is a descriptive cross-sectional study. It collected sociodemographic data and applied the Brazilian-Portuguese Central Sensitization Inventory, the Brief Pain Inventory, the Hospital Anxiety/Depression Scale, the Brazilian-Portuguese Pain Catastrophizing Scale, and the Short Form Health Survey 36. Statistical analysis was done to define associations (Chi-square or Fisher's Exact) and correlation (Pearson correlation test). The alpha level was 5%, and the Beta of 80%. Results: 100 individuals participate, with genotypes HbSS/HbSC. 69% were women. Age 34.14+10.12 years. Pain intensity 4.20+2.67; 71% had chronic pain; 60% had widespread pain; 59% had CS; 33% had Anxiety; and 18% had Depression. The lowest mean score for QoL was for the Physical Aspect domain (35.55+40.16). Anxiety, Average Pain, CS, and Catastrophizing correlated with all the domains of QoL. Anxiety and CS showed a significant negative influence over the Mental Health domain (F(2.95)=43.014 p< .001; adjusted R2=.464), explaining 46.6% of the outcome. Catastrophizing and CS had a significant negative influence on the General Health Status (F(2.95)=21.592 p<.001; adjusted R2=.298), explaining 29.8% of the outcome; and Anxiety, Pain in lower limbs, and Depression had a significant negative influence on Pain domain (F(2.95)=15.207 p<.001; adjusted R2=.270), explaining 27% of the outcome. Conclusion: Anxiety, Depression, Catastrophizing, and CS are significant factors that impact QoL. In a population of SCD individuals, the primary objective is to control pain, which leads to chronic pain directly affecting these predictors and, inevitably, QoL.

Keywords: Sickle Cell Disease, Quality of life, Central sensitization, Catastrophizing, Depression, Anxiety.

REPERCUSSÕES DA VIVÊNCIA ACADÊMICA NA SAÚDE MENTAL DOS ESTUDANTES DE ENFERMAGEM EM UMA UNIVERSIDADE PÚBLICA

2024-11-07T21:24:50-03:00

Objective: this study aims to examine the impact of the academic journey on the mental well-being of nursing students enrolled in a public university. Methodology: the research adopts a descriptive approach with a qualitative framework, involving nursing students who took part in semi-structured interviews utilizing Bardin's Content Analysis Technique. Results and discussion: a total of eight nursing students, comprising six females and two males in their 3rd to 8th semesters, with ages ranging from 20 to 37, participated. Findings suggest a direct correlation between mental health issues, societal shifts, and biopsychosocial welfare policies. Final Considerations: The study delves into students' perspectives on university experiences, their comprehension of mental health, and the transformative impacts post-enrollment.

PERCEPTION OF HEALTHCARE STUDENTS ABOUT THE USE OF DERIVATIVES OF Cannabis sativa FOR PSYCHIATRIC TREATMENTS

2024-06-04T09:45:07-03:00

Cannabis sativa has been explored as a treatment option for psychiatric conditions, due to the properties presented by its metabolites, especially cannabinoids. Cannabidiol (CBD) is one of the most studied cannabinoids with great therapeutic potential, acting as an anxiolytic, antidepressant, antipsychotic, anticonvulsant and anti-inflammatory. One of the main advantages of this compound is that it does not have numbing effects. Even with its proven therapeutic efficacy for various pathologies, its clinical use is still an obstacle. The present study aims to analyze the perception of health students regarding the use of cannabidiol for psychiatric treatments. This is a field study with an exploratory focus with quantitative data, the research was carried out using a questionnaire with students from undergraduate courses in the health area at the Centro Universitário do Recôncavo da Bahia. The research was evaluated by a Research Ethics Committee with opinion No. 6,339,318, shortly afterwards the research began, the data was obtained, organized and tabulated. The students' perception of medicinal and recreational use, and how they deal with the use of plant derivatives for psychiatric treatments, was notable. However, it is still necessary to bring the use of medicinal plants to the academic sphere, highlighting their beneficial and harmful effects, considering that tests have shown significant results in relation to C. sativa in psychiatry.

MODIFIED OSTEOTOMY FOR REMOVAL OF ECTOPIC DENTAL UNIT RETAINED IN MANDIBLE: CASE REPORT

2024-06-11T16:29:51-03:00

Introduction: Ectopic teeth are mostly discovered in routine radiographic examinations, their etiology is uncertain and little described in the literature. The ectopic lower molar is no exception to the rule of the others, its location can vary and can be found in: mandibular condyle, coronoid process and mandibular body. In these types of cases, you can choose to monitor or intervene. If surgical intervention is the treatment option and given the complexity of this type of tooth positioning, well-designed surgical planning is crucial, thus avoiding trans- and post-surgical complications. Objective: to report the clinical case of a modified osteotomy to remove an ectopic tooth unit retained in the mandible. Case presentation: male patient, 21 years old, sought the Oral and Maxillofacial Traumatology Clinic service at Hospital Otorrinos - Feira de Santana – Bahia to remove ectopic retained units 47 and 48. The surgical procedure was performed via intra-oral access in a hospital environment under general anesthesia. Use of piezoelectric for osteotomy and odontosection, and synthesis with autogenous and xenogeneic grafts together with titanium plates and screws. Results: The patient evolved without complications other than expected, such as controlled edema, trismus and paresthesia, which lasted only one week. Conclusion: individualized planning and the use of modern techniques enabled a better prognosis for the case.

PRINCIPAIS COMPLICAÇÕES RELACIONADAS AO DESMAME PRECOCE DO ALEITAMENTO MATERNO

2024-10-31T18:45:45-03:00

Introdução: O aleitamento materno é considerado a forma ideal de nutrição infantil, especialmente nos primeiros meses de vida. Contudo, o desmame precoce, definido como a interrupção do aleitamento antes dos seis meses de vida, ainda é comum e pode resultar em diversas complicações de saúde para a criança. Fatores como retorno ao trabalho, dor durante a amamentação e falta de suporte social contribuem para o desmame precoce, impactando negativamente a saúde e o desenvolvimento infantil. Objetivo: Identificar e analisar as principais complicações associadas ao desmame precoce do aleitamento materno e seus efeitos na saúde infantil. Método: Realizou-se uma revisão integrativa de literatura entre outubro e novembro de 2024, com pesquisas nas bases SciELO, BVS e PubMed, utilizando descritores relacionados a aleitamento materno, desmame e complicações associadas, como doenças respiratórias e infecções. A seleção final resultou em quatro artigos publicados entre 2019 e 2024, analisados com base na abordagem metodológica e relevância para o tema. Resultados: Dos 1354 artigos encontrados, após critérios de inclusão e exclusão, quatro estudos foram selecionados, abrangendo países como Dinamarca, Paquistão e Estados Unidos. Os estudos analisaram amostras de crianças com idades de seis meses a cinco anos, indicando que o desmame precoce está associado a um aumento na incidência de infecções respiratórias, alergias e deficiências nutricionais. Conclusão: O desmame precoce do aleitamento materno representa um importante risco à saúde infantil, com prevalência de complicações que comprometem o desenvolvimento e aumentam a carga para o sistema de saúde pública. A promoção do aleitamento materno prolongado e o suporte adequado às mães são essenciais para prevenir essas complicações e melhorar a qualidade de vida das crianças.

INFLUÊNCIA DO GLÚTEN E CASEÍNA NO COMPORTAMENTO DE CRIANÇAS COM TRANSTORNO DO ESPECTRO AUTISTA: UMA REVISÃO INTEGRATIVA DA LITERATURA

2024-07-30T15:41:11-03:00

Resumo: Introdução: O autismo é também conhecido como transtorno do espectro autista, esta síndrome se manifesta na infância e perdura até o final da vida do indivíduo. Apesar de não haver cura, tratamentos multiprofissionais têm mostrado bons resultados, destacando-se a alimentação como uma das principais aliadas. No entanto, a alimentação inadequada pode causar efeitos negativos no comportamento e gerar desconfortos abdominais no indivíduo. Portanto, faz-se necessário abordar o efeito da alimentação no comportamento do autista e explanar as possíveis mudanças de humor e desconfortos abdominais com o uso de alimentos inadequados para o consumo. Objetivo: Analisar por meio de revisão de literatura o comportamento do autista no uso de proteínas. Metodologia: A pesquisa baseia-se em revisão bibliográfica realizada nas bases de dados indexadas da Biblioteca Virtual em Saúde (BVS), Google Acadêmico, Scielo e PubMed e LILACS. Com recorte temporal entre XX a XX. Os descritores utilizados nas buscas foram. Resultados: Apontaram que no momento da digestão da proteína ocorre alteração da permeabilidade intestinal concebida devido a inflamação, e assim perpassa a barreira hematoencefálica, que influencia nas alterações do sistema nervoso centra e entérico. Conclusão: O consumo de proteína desencadeia alterações na permeabilidade intestinal, provocando modificações no sistema nervoso central do autista. Existe uma influência da alimentação sobre os padrões comportamentais e transtornos gastrointestinais dos autistas, é importante que a alimentação do autista seja exclusiva e individualizada.

Palavras-chave: Autismo; Nutrição; Proteína.

Práticas de Auditoria em Saúde Baseadas em Dados em Sistemas Tecnológicos para Garantia de Padrões de Qualidade: Uma Revisão de Literatura

2025-02-02T14:09:43-03:00

Abstract: Introduction: Quality in healthcare is defined as the ability to provide the greatest benefit to the patient at the lowest possible cost and risk. To provide care in a safe and effective way, specific tools are used to ensure that health services meet quality and reliability metrics, contributing to the improvement of the service. In this sense, the Health Audit operates by preventing and identifying failures, increasing the quality of information, has the ability to reduce costs, offer new opportunities, and concomitantly reduce the occurrence of future errors. Objective: This work aims to investigate the primary practices of health auditing, which use data from technological information and communication systems. Methodology: This is a literature review, with a descriptive approach, in the Medline and Pubmed database using the keywords "(AUDIT) AND (DATA) AND (QUALITY) AND (TECHNOLOGY)" per year, from 2019 to 2024. The inclusion criteria were full-text, free articles that addressed the topic, seeking articles as a final 22 sample. Results: Nine (9) articles were included for data tabulation after the selection process. Discussion: The research demonstrates the importance of effective strategies to ensure quality of care and minimize risks to patients. Conclusion: Health auditing based on data and technological systems proves to be a strategy to resize and redirect corrections and improvements in each of the care procedures, aiming at quality, safety and humanization of care.

Key-works: AUDIT AND DATA AND QUALITY AND TECHNOLOGY

Anxiety, Depression, or Other Psychological Disorders in Ostomized Patients

2025-02-02T22:57:52-03:00

Objective: To identify the occurrence of anxiety, depression, or other psychological disorders in ostomized patients as reported in the literature.

Methodology: This is a systematic literature review conducted between November and December 2024. The SciELO, BVS, and PubMed databases were consulted using specific descriptors. The selection included 13 studies published between 2014 and 2024 that analyzed psychological disorders in ostomized patients. Screening was performed using the Rayyan platform.

Results: After analysis, 13 articles met the inclusion criteria. The findings highlighted the presence of psychological distress as one of the most prevalent aspects in ostomized patients, often associated with body image disturbances. Other reported symptoms included depressed mood and self-harm thoughts, which, in more severe cases, could progress to suicidal ideation. Additionally, high rates of anxiety and depression were identified. Anxiety was reported as one of the most prevalent disorders, affecting up to 100% of patients in some samples, while depression showed prevalence rates ranging from 38.86% to 88.4%.

Analysis and Discussion: The results indicate a significant association between psychological disorders and the presence of stomas, influencing quality of life and body image. Studies reinforce the need for continuous psychological support, especially in the first months post-surgery.

Conclusion: The high prevalence of anxiety and depression in ostomized patients requires multidisciplinary interventions and public policies that prioritize comprehensive care for these patients, addressing both physical and emotional aspects.

DEPRESSÃO, SINTOMAS DEPRESSIVOS EM MULHERES VIVENDO EM SITUAÇÃO PRISIONAL

2024-12-20T18:16:50-03:00

Objective: to investigate scientific evidence about the prevalence of depression and depressive symptoms in women living in prison. Methodology: this is an integrative literature review based on articles published in the electronic databases Pubmed, MEDLINE, LILACS and SCIELO between 2014 and 2023, available in English and Portuguese. Results: the results indicate that the prevalence of depression and depressive symptoms ranged from 7.5% to 67.5% in the populations investigated, being associated with the occurrence of previous physical violence, involvement in sex work, use of illicit substances and the absence of family ties. In addition, the occurrence of other mental disorders was observed, such as: anxiety disorder (33.33%), post-traumatic stress disorder (22.22%), and substance abuse (22.22%). Conclusion: there is a considerable prevalence of depression and depressive symptoms among women living in prison. It is important to note that understanding prevalence can serve as a compass for planning public actions and policies. It is essential to develop care strategies that can ensure better mental health conditions for this population.