measurement and decIsIon makIng
NURSES AND ASSESSMENT CARDIOVASCULAR RISK IN PEOPLE HOSPITALIzED By NON-
CARDIAC CAUSES
Luana Lopes Neves EstevesI,a, CristinaArreguy-SenaI,b,
Luciene Muniz BragaII,c, Pedro Miguel Santos Diniz
ParreiraIII,d
IFaculdade de Enfermagem. Universidade Federal de
Juiz de Fora. Juiz de Fora, Brasil
IIUniversidade Federal de Viçosa. Viçosa, Brasil IIIEscola Superior de Enfermagem de Coimbra. Coimbra,
Portugal
Introduction: Cardiovascular diseases are the leading
cause of morbidity and mortality in developed and devel- oping countries that need to be monitored.
Objective: We analyzed the presence of cardiovascular vul-
nerability factors in people admitted for noncardiac causes.
Methods: Survey. Participated patients hospitalized for
reasons of noncardiac allocated to the female/male of the clinical/surgical Brazilian hospital (December/2012). Anthropometric measurements were taken and used (inter) national scales for mapping the comorbidities and cardio- vascular risk factors. Attended ethical requirements.
Results: Participants 53 people: 67,9% men; 49±14.6 years
(21-76 years), admitted for surgical causes (62,2%) or clinic (37,8%) and report any comorbidity (54,7%) (hypertension 22,6%, AVE 3,8%, vericose veins 13,2% and DM 11,3%) treated 41,5%. Detected: 1) hormonal changes in meno- pause (18,9%) and endocrine therapy (1,9%); 2) irregu- lar eating habits (18,9%) with daily consumption of fried foods (83%), often adding salt after preparation (43,4%); often added sugar (56,5%); 3) non-adherence to regular physical practices (67,9%); 4) tobacco use (18,9%) with high to very high dependence (18,9% Fasgeström), type the physical, behavioral, and behavior associated with smoking (Laranjeiras), ranked stage: contemplation and pre-contemplation (17% DiClemente/Prochaka); 5) stress causing moderate risk (17%) and light (83%) for illness; 6) regular consumption of alcoholic beverages (32,1%); 7) excessive sleepiness (Epworth 43,4%) (58,5% Quetelet); 9) Framingham risk score calculated (3,77%) and known as medium to high (54,7%); 10) increased Mean arterial pressure (MAP) (20,4%) and decreased (2,3%) and 11) high waist circumference in men (13,9%) and women (70,6%).
Conclusions: There is evidence capable of exploiting the
nurses in planning educational care.
Descriptors: Vulnerability; Risk Factors; Cardiovascular
Diseases; Nursing.
a luana.lne@hotmail.com b cristina.arreguy@ufjf.edu.br c lucienemunizbraga@yahoo.com.br d pedromiguel.parreira@gmail.com
PHySICAL ACTIVITy PREDICTS SELF-REPORTED DISABILITy AND PERFORMANCE IN ADULTS AGED ≥60
Bruno PorteladaI,a, Tiago ValenteI,b, Anabela G. SilvaII,c,
Alexandra QueirósII,d
ISecção Autónoma de Ciências da Saúde. Universidade
de Aveiro. Aveiro, Portugal
IIEscola Superior de Saúde. Universidade de Aveiro.
Universidade de Aveiro. Aveiro, Portugal
Introduction: Inactivity is a common problem in today’s
society which tends to aggravate with age.
Objective: The objective of this study is to investigate
the relationship between physical activity, self-reported disability and performance in adults aged ≥60 who use primary health care services.
Methods: The following indicators were assessed: self-re-
ported function, using World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), performance, using Short Physical Performance Battery (SPPB), depres- sion using the Geriatric Depression Scale (GDS), pain intensity using a 10 cm Vertical Numeric Scale (VNS) and the level of physical activity, using Rapid Assessment of Physical Activity (RAPA). A regression analysis was performed with disability and performance as the depen- dent variables.
Results: A total of 147 participants were assessed. The
total mean score of WHODAS was 19.16±7.15, which indicates a low level of disability. The total mean score of SPPB was 8.15±2.48, which indicates a good perfor- mance. Only 10.2% (n=15) of the sample had a level of physical activity that could be considered active; 62.6% (n=92) had a physical activity level that varied between sedentary to regular light activities. The regression anal- ysis showed that RAPA, GDS and VNS scores explained 48% of the variance of self-reported disability. RAPA scores were the main predictor for performance, explain- ing 29% of the SPPB variance.
Conclusions: Physical activity seems to be an important
predictor for both self-reported disability and performance in adults aged ≥60, suggesting the need to encourage the practice of physical activity as a means of reducing or delaying disability.
Descriptors: Functionality, Older adults, Physical activity.
a na17415@ua.pt b tiagovalente@ua.pt c asilva@ua.pt d alexandra@ua.pt
DISABILITy AND HEALTHCARE CONSUMPTION AMONG OLDER ADULTS
Tiago ValenteI,a, Bruno PorteladaI,b, Anabela G. SilvaII,c,
Alexandra QueirósII,d
ISecção Autónoma de Ciências da Saúde. Universidade
de Aveiro. Aveiro, Portugal
IIEscola Superior de Saúde. Universidade de Aveiro.
Universidade de Aveiro. Aveiro, Portugal
Introduction: The continuous expansion of the elderly
population and the high prevalence of chronic diseases and disability in this age group are associated with greater healthcare consumption. Signaling groups at risk of greater disability might be a strategy to promote the effective- ness of preventive interventions and decrease healthcare consumption.
Objective: The aim of this study is to explore the asso-
ciation between disability and healthcare consumption.
Methods: Self-reported healthcare consumption was char-
acterized for the period of one year after the assessment of participants’ disability profile (self-reported disability, per- formance, physical activity, pain and chronic conditions). Healthcare consumption was assessed using a telephone administered questionnaire. A binary logistic regression analysis was performed with healthcare consumption as the dependent variable and self-reported disability, per- formance, physical activity, pain and chronic conditions as independent variables.
Results: A total of 65 participants were included. There was
a significant association between healthcare consumption and pain frequency, physical activity and chronic diseases, consistent with a higher healthcare consumption for those participants that reported pain more often, more chronic diseases and a lower level of physical activity.
Conclusions: Aspects of the disability profile appear to
be associated with healthcare consumption, suggesting that individuals’ disability profile might be used to iden- tify groups at risk. However further research is needed to clarify the relationship between these predictors and healthcare consumption.
Descriptors: Functionality, healthcare use, older people.
a tiagovalente@ua.pt b a17415@ua.pt c asilva@ua.pt d alexandra@ua.pt
RESULTS FROM A 9-MONTH PHySICAL ACTIVITy INTERVENTION IN PHySICAL FITNESS OF OLDER wOMEN
Teresa BentoI,II,a, Joana AzulI, Rita Santos-RochaI,III,b
IEscola Superior de Desporto de Rio Maior. Instituto
politécnico de Santarém. Rio Maior, Portugal
IIResearch Center in Sports Sciences. Health and Human
Development. Universidade Trás-os-Montes e Alto Douro. Vila Real, Portugal
IIINeuromechanics of Human Movement group.
Interdisciplinary Centre for the Study of Human Performance. Faculdade de Motricidade Humana. Universidade de Lisboa. Lisboa, Portugal
Introduction: Benefits from participation in regular phys-
ical activity in health are well established, especially in the older age. However, more data from long-term com- munity-based interventions are needed since slowing the physical decline is one goal in this population.
Objective: The main purpose of our study was to analyze
the effects of a 9-month, physical activity intervention pro- gram in physical fitness in older women.
Methods: Older women were recruited and randomly
assigned to a supervised physical activity group or to a control group. Combined exercise sessions were per- formed three times a week, for 45 minutes and controlled for intensity. Sociodemographic data, health and daily habits, and physical function was assessed at baseline and after nine months.
Results: However the intervention group showed better
results at the end of the program, comparison between groups revealed no statistically meaning differences, for all studied variables. Baseline results from both groups revealed to be higher than the reference standards for their age and gender, meaning that participants were already very active at the beginning of the intervention. Not con- trolling for physical activity in the control group may have limited the analysis.
Conclusions: Although not statistically significant, our
results indicate that participants of the intervention group achieved better results, meaning that this supervised, com- munity based physical activity intervention program was beneficial. It should also be acknowledge that participants, at least, maintained their initial high level, meaning that there was no decline in their physical function.
Descriptors: elderly; women; physical activity; intervention.
a nteresabento@esdrm.ipsantarem.pt b ritasantosrocha@esdrm.ipsantarem.pt
MEASURES TO ASSESS THE SUITABILITy OF QUANTITATIVE COMPOUND TESTS wITH THE DILUTION EFFECT
Rui SantosI,II,a, Miguel FelgueirasI,II,b, João Paulo MartinsI,II,c
IEscola Superior de Tecnologia e Gestão. Instituto
Politécnico de Leiria. Leiria, Portugal
IICentro de Estatística e Aplicações. Universidade de
Lisboa. Lisboa, Portugal
Introduction: Quantitative compound tests use the group
mean to decide if the group maximum is greater than a prefixed threshold which distinguishes one healthy indi- vidual from an infected one. The main drawback is its higher probability of misclassification, mainly due to the dilution effect. Nevertheless, under certain conditions, it can be applied to save resources maintaining a high-qual- ity accuracy.
Objective: The main goal of this investigation is to exam-
ine measures that allow assessing the appropriateness of the use of quantitative compound analysis without wors- ening the problem of misclassification.
Methods: Let the amount of the substance which allows
the identification of some disease be characterized by some known continuous distribution. Moreover, blood sam- ples from n individuals are pooled in order to perform the compound analysis. Thus, if we consider a perfect mixed procedure, the sample mean of the group is observed. The performed simulations apply two different methodologies (one to ensure a high sensitivity for epidemic scenarios and other to guarantee a high specificity in screening cases). The goal is to define the cutoff points of the combined clinical trials, evaluate several continuous distributions, group sizes, and prevalence rates of the disease.
Results and Conclusions: It is shown that (under certain
conditions) the mean is adequate to classify each group as infected (at least one infected individual within the group) or healthy (no infected individuals) with low probability of misclassification. Hence, quantitative compound clini- cal analysis can be applied with a quite high accuracy for low prevalence rates and unilateral heavy-tailed contin- uous distributions.
Descriptors: Quantitative compound tests, misclassifi-
cation, rarefaction, continuous distributions, simulation.
a nrui.santos@ipleiria.pt b mfelg@ipleiria.pt c jpmartins@ipleiria.pt
TEENAGERS AND DRUGS: SUBSIDy FOR DECISION MAKING IN EDUCATIONAL INTERVENTION IN HEALTH
Talyta Carmo VilelaI,a, Cristina Arreguy-SenaI,b, Luciene
Muniz BragaII,c, Pedro Miguel Santos Diniz ParreiraIII,d,
Paula KrempserI,e
IFaculdade de Enfermagem. Universidade Federal de
Juiz de Fora. Juiz de Fora, Brazil
IIUniversidade Federal de Viçosa. Viçosa, Brazil IIIEscola Superior de Enfermagem de Coimbra. Coimbra,
Portugal
Introduction: The teenage protagonist of the self/identity
and social articulation encouraging changes of behavior that stimulate experimentation of drugs.
Objectives: We analyzed the proximity adolescent drug
use from the social representation and sociocultural/demo- graphic profile.
Methods: Research outlined in the Structural Theory of
Social Representation. Participated elementary students: 11-17 years in a city whose average is adolescents (17,3%) higher than the Brazilian. Data collected: sociodemo- graphic, social-family, positioning on drugs, call-up (free/ hierarchical). Inducing expression: “drug use in adoles- cence”. Analysis using Evoc program and technical “box four houses”. Attended ethical requirements.
Results: Sample with 24.5% of adolescents of the city,
50,9% male, 45,6% mulatto and a mean age of 13.7 years (11-17). Profile of coexistence: shared housing with par- ents (62%) or one (25.7%); parents are idols (37%); con- sume alcohol (50.3%), smoking (29.2%), at least one fam- ily uses alcohol (91.8%), smoking (77.8%) or uses illegal drugs (17%). Captured evaluative, cognitive, behavioral dimensions in social representations (lexical: death, bad habit, bullshit and marijuana) allocated in the core. The core of the representations was maintained when used the techniques of hierarchical and free call-up, demonstrating consistency of representations. Allocation of crack (2nd periphery) portrayed their presence in everyday life of the participants.
Conclusions: We conclude that social representations
had negative character. Marijuana was centrally allocated, corroborated by the number of colleagues who use it. The crack was allocated in the periphery of the representations, showing proximity and vulnerability. Confronted with evi- dence of sociocultural/household vulnerability is a recom- mended preventive health intervention to reduce damage to users, their families and participants.
Descriptors: Nursing; Teenagers; Vulnerability; Drugs;
Public Health. a talytavilela@yahoo.com.br b cristina.arreguy@ufjf.edu.br c lucienemunizbraga@yahoo.com.br d pedromiguel.parreira@gmail.com e paulakrempser.enf@gmail.com
CRyOTHERAPy IMPAIRS PROPRIOCEPTION FUNCTION?
Sara Henriquesa, Nuno Cordeirob
Escola Superior de Saúde Dr. Lopes Dias. Instituto Politécnico de Castelo Branco. Castelo Branco, Portugal
Introduction: Cryotherapy application over a joint causes
a nerve conduction velocity decrease and proprioceptive changes.
Objective: This study aims to determine if cryotherapy
impairs proprioception acuity.
Methods: Proprioception was assessed by joint position
sense (JPS), measured with an isokinetic dynamometer Biodex System 3, in twenty one females on experimental group, before 15 minutes cryotherapy (T0) and immedi- ately after (T1). A control group (n=20) performed also the JPS, but without cryotherapy influence. In both tested instance, two angular positions were evaluated (15º and 45º of knee flexion).
Results: The error average was always greater in the
experimental group at both angular positions, exception T0 at 15º. Between T0 and T1 and for both angular knee positions the error mean diminished for both groups, how- ever the error reduction only was statistically significant (p=0.00) in the control group at 15º.
Conclusions: No reduction of proprioception was found
after 15 min. ice application.
Descriptors: Joint Position Sense; Proprioception;
Cryotherapy.
a henriques.sara@hotmail.com b ncordeiro@ipcb.pt
MUSCULAR STRENGTH AND ENDURANCE: