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Id: biblio-1041357
Autor: Freitas, Carla Kalline Alves Cartaxo; Rodrigues, Manuel Alves; Parreira, Pedro Miguel Santos Dinis; Santos, Ana Carla Ferreira Silva dos; Lima, Shirley Verônica Melo Almeida; Fontes, Viviane Santos; Freitas, João Paulo Almeida; Santos, José Marcos de Jesus; Mota, Edilene Curvelo Hora.
Título: Educational program for the promotion of knowledge, attitudes and preventive practices for children in relation to traffic accidents: experimental study / Programa educativo para promoção de conhecimentos, atitudes e práticas preventivas de crianças em relação aos acidentes de trânsito: estudo experimental
Fonte: Rev. Paul. Pediatr. (Ed. Port., Online);37(4):458-464, Oct.-Dec. 2019. tab.
Idioma: en.
Resumo: ABSTRACT Objective: To evaluate knowledge, attitudes and preventive practices on traffic accidents in schoolchildren, before and after the implementation of a health education program. Methods: Experimental study carried out in two public schools in Northeastern Brazil. The sample was composed of 173 children from 3rd to 5th grade and was randomized into Experimental Group (EG; n=0) and Control Group (CG; n=8). The educational program was carried out at EG with the use of the educational therapeutic method (Health Magic Box). The data were obtained through the questionnaire Knowledge, Attitudes and Practices (KAP), applied at the beginning of the study, before any educational actions, and one month after the experimental treatment. Paired Student's t-test was used to compare the moments before and after the intervention in the EG and initial and final evaluation in the CG. Results: The children in the EG and CG were similar in relation to sociodemographic variables, and no significant difference was observed in the level of knowledge, attitudes and preventive practices on traffic accidents between the groups in the initial evaluation. One month after the experimental treatment, a significant improvement in knowledge was observed in EG (p=0.027). Preventive attitudes and practices were also higher in children in the EG, but without significant differences in relation to CG (p=0.060 and p=0.282, respectively). Conclusions: The educational intervention increased the level of knowledge and maintained the preventive attitudes and practices on traffic accidents at the same level in 3rd-5th grade students.

RESUMO Objetivo: Avaliar o conhecimento, as atitudes e as práticas preventivas de acidentes de trânsito entre crianças escolares antes e depois da aplicação de um programa educativo. Métodos: Estudo experimental, com abordagens descritiva e analítica, realizado em duas escolas públicas do nordeste brasileiro. A amostra foi composta de 173 crianças do 3º ao 5º ano do ensino fundamental e aleatorizada em Grupo Experimental (GE), com 90 participantes, e Grupo Controle (GC), com 83 participantes. O programa educativo foi realizado no GE com a utilização do método eduterapêutico (Health Magic Box). Os dados foram obtidos por meio do questionário Conhecimento, Atitudes e Práticas (CAP), aplicado no início da pesquisa, antes de qualquer ação educativa, e após um mês da realização do tratamento experimental. Na análise estatística foi utilizado o teste t de Student pareado para comparação entre os momentos anteriores e posteriores à intervenção no GE e avaliação inicial e final no GC. Resultados: As crianças do GE e GC mostraram-se semelhantes quanto às variáveis sociodemográficas, e não foi observada diferença significativa no nível de conhecimento, atitudes e práticas preventivas de acidentes de trânsito entre os grupos na avaliação inicial. Entretanto, ainda após um mês da realização do experimento, foi evidenciada melhora significativa no conhecimento do GE (p=0,027). As atitudes e práticas preventivas também foram superiores nas crianças do GE, porém sem diferença significativa em relação ao GC (p=0,060 e p=0,282, respectivamente). Conclusões: A intervenção educativa aumentou o nível de conhecimento e manteve as atitudes e práticas preventivas de acidentes de trânsito estabilizadas em estudantes de 3º a 5º ano.
Descritores: Acidentes de Trânsito/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Prevenção de Acidentes/métodos
Promoção da Saúde/métodos
-Brasil
Avaliação de Resultados (Cuidados de Saúde)
Limites: Seres Humanos
Masculino
Feminino
Criança
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: BR1.1 - BIREME


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Id: lil-659899
Autor: González-Mariño, Mario A..
Título: Evaluación de la utilidad de un programa de cribado mamográfico en Bogotá, Colombia / Evaluating the usefulness of a breast screening program in Bogotá, Colombia
Fonte: Rev. salud pública (Córdoba);14(1):41-52, jun. 2010. ilus, tab.
Idioma: es.
Resumo: Objetivo Evaluar mediante un modelo de simulación la utilidad de un programa organizado de cribado mamográfico en Bogotá, Colombia. Material y Métodos Diseño análisis de costo-efectividad usando el modelo Markov. Se compara la realización de cribado mamográfico bienal en mujeres de 50 a 69 años con respecto al statu quo en el cual no existe este programa. Se evalúa sobrevida, costos e incrementos en la tasa de costo-efectividad. Resultados El modelo muestra una reducción de la tasa de mortalidad por cáncer de mama en el esquema de cribado mamográfico de ciclo bienal. Se observa que hay un incremento lineal de los años de vida acumulados desde el tercer ciclo con un ahorro acumulado de costos de tratamiento en las diferentes tasas de cribado generando ahorros al sistema de salud.La Razón de costo por año de vida ganado y Producto interno bruto se hace menor de 3 por encima del 50 % de cobertura (indicando que es una intervención costo-efectiva). El costo medio del programa experimenta una disminución porcentual del 40 % cuando se llega al ciclo 10. De allí la disminución de este costo es menor. Conclusiones Según el modelo desarrollado es costo-efectivo adelantar un programa de cribado mamográfico bienal con cobertura mayor al 50 %, obteniéndose reducción en la mortalidad que se hace más notoria desde el tercer ciclo del esquema evaluado, obteniendo un ahorro en los recursos queelsistema de salud destina al cáncer de mama.

Objective Using a simulation model for evaluating the usefulness of an organized breast cancer screening program in Bogotá, Colombia Material and methods The Markov model was used for designing a cost-effectiveness analysis; this was compared to a biennial breast cancer screening for women aged 50 to 69 years old. The disease's natural history, breast screening studies and publications concerning breast cancer were used as input for the model; the number of diagnosed cancer cases, stage distribution and mortality, survival, costs and increased effectiveness rate were also analyzed. Results The model showed that breast cancer mortality rate decreased in biennial breast cancer screening. Life-years-gained became increased from the third cycle onwards. The ratio between the cost of a life-year-gained and gross domestic product was lower than 3 when more than 50 % of the population were screened (meaning that such program would be cost-effective). The program's lowest average cost was achieved by increasing the number of screening cycles as far as the sixth cycle. Conclusions The simulation model for studying the impact of changing a breast cancer screening program's coverage for women aged 50 to 69 years led to ascertaining that introducing biennial frequency would be cost-effective when more than 50 % of the population were studied. A lower mortality rate would result, mainly from the third cycle onwards, thereby saving important health system resources in Bogotá, Colombia.
Descritores: Neoplasias da Mama
Detecção Precoce de Câncer/economia
Mamografia/economia
-Neoplasias da Mama/economia
Neoplasias da Mama/mortalidade
Neoplasias da Mama/prevenção & controle
Colômbia/epidemiologia
Simulação por Computador
Análise Custo-Benefício
Detecção Precoce de Câncer/métodos
Custos de Cuidados de Saúde/estatística & dados numéricos
Mamografia/métodos
Cadeias de Markov
Modelos Econômicos
Modelos Estatísticos
Avaliação de Resultados (Cuidados de Saúde)
Limites: Idoso
Feminino
Seres Humanos
Meia-Idade
Tipo de Publ: Estudos de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-1018087
Autor: Editores Margarita Samudio, Margarita B. de Cabral : revisión de trabajo Graciela Velázquez, Margarita B. de Cabral, Graciela Russomando, Elena Kasmatsu, Antonieta R. Arias, Margarita Samudio, Asistente de diagramación Nancy E. Chaparro.
Título: Annual Rports 1997.
Fonte: Asunción; EFACIM, EDUNA; mayo1997. 168 p.
Idioma: es; en.
Resumo: Es la novena publicación anual de lo trabajos de investigaciones biomedicas realizadaz por profesionales del Instituto de Investigaciones en Ciencias de la Salud, dentro del annual Reports 1997, se presentan un numero de trabajos cientificos aprximadamente 30,que son el fruto y resultado del trabajo cotidiano de jóvenes rofesionales de la medicina, la bioquimica y la biologia con vocación y dedicación en la investigación cientifica
Descritores: Avaliação de Resultados (Cuidados de Saúde)
Responsável: PY37.1 - Biblioteca
001422 892#Ann78a


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Id: lil-783875
Autor: Lima, Elaine; Teixeira-Salmela, Luci F; Simões, Luan; Guerra, Ana C. C; Lemos, Andrea.
Título: Assessment of the measurement properties of the post stroke motor function instruments available in Brazil: a systematic review
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(2):114-125, Mar.-Apr. 2016. tab, graf.
Idioma: en.
Resumo: Background While there are several instruments in Brazil that measure motor function in patients after stroke, it is unknown whether the measurement properties of these instruments are appropriate. Objective To identify the motor function instruments available in Brazil for patients after stroke. To assess the methodological quality of the studies and the results related to the measurement properties of these instruments. Method Two independent reviewers conducted searches on PubMed, LILACS, CINAHL, Web of Science, and Scopus. Studies that aimed to cross-culturally adapt an existing instrument or create a Brazilian instrument and test at least one measurement property related to motor function in patients after stroke were included. The methodological quality of these studies was checked by the COSMIN checklist with 4-point rating scale and the results of the measurement properties were analyzed by the criteria developed by Terwee et al. Results A total of 11 instruments were considered eligible, none of which were created in Brazil. The process of cross-cultural adaptation was inadequate in 10 out of 11 instruments due to the lack of back-translation or due to inappropriate target population. All of the instruments presented flaws in the measurement properties, especially reliability, internal consistency, and construct validity. Conclusion The flaws observed in both cross-cultural adaptation process and testing measurement properties make the results inconclusive on the validity of the available instruments. Adequate procedures of cross-cultural adaptation and measurement properties of these instruments are strongly needed.
Descritores: Psicometria/normas
Acidente Vascular Cerebral
-Psicometria/instrumentação
Brasil
Inquéritos e Questionários
Reprodutibilidade dos Testes
Avaliação de Resultados (Cuidados de Saúde)
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: lil-783874
Autor: Mokkink, Lidwine B; Prinsen, Cecilia A. C; Bouter, Lex M; Vet, Henrica C. W de; Terwee, Caroline B.
Título: The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(2):105-113, Mar.-Apr. 2016. tab, graf.
Idioma: en.
Resumo: Background: COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) is an initiative of an international multidisciplinary team of researchers who aim to improve the selection of outcome measurement instruments both in research and in clinical practice by developing tools for selecting the most appropriate available instrument. Method: In this paper these tools are described, i.e. the COSMIN taxonomy and definition of measurement properties; the COSMIN checklist to evaluate the methodological quality of studies on measurement properties; a search filter for finding studies on measurement properties; a protocol for systematic reviews of outcome measurement instruments; a database of systematic reviews of outcome measurement instruments; and a guideline for selecting outcome measurement instruments for Core Outcome Sets in clinical trials. Currently, we are updating the COSMIN checklist, particularly the standards for content validity studies. Also new standards for studies using Item Response Theory methods will be developed. Additionally, in the future we want to develop standards for studies on the quality of non-patient reported outcome measures, such as clinician-reported outcomes and performance-based outcomes. Conclusions: In summary, we plea for more standardization in the use of outcome measurement instruments, for conducting high quality systematic reviews on measurement instruments in which the best available outcome measurement instrument is recommended, and for stopping the use of poor outcome measurement instruments.
Descritores: Avaliação de Resultados (Cuidados de Saúde)
Equipamentos e Provisões
-Qualidade de Vida
Projetos de Pesquisa
Brasil
Indicadores Básicos de Saúde
Consenso
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: biblio-950011
Autor: López Álvarez, José M; Pérez Quevedo, Olivia; Ramírez Lorenzo, Teresa; Limiñana Cañal, José M; Loro Ferrer, Juan F.
Título: Canalización vascular ecoguiada: Experiencia en el paciente pediátrico crítico / Ultrasound-guided vascular cannulation: Experience in critically-ill pediatric patients
Fonte: Arch. argent. pediatr;116(3):204-209, jun. 2018. tab, ilus, graf.
Idioma: en; es.
Resumo: Introducción. La canalización vascular central en niños presenta alta complejidad técnica y dificultades. La ecografía vascular puede facilitar este procedimiento. Objetivo. Describir las características de las canalizaciones vasculares ecoguiadas en el paciente pediátrico crítico. Población y métodos. Las variables de interés registradas prospectivamente fueron los vasos más comúnmente canalizados, su localización, la medición del diámetro/profundidad, la tasa de éxito y las complicaciones presentadas, entre otras. Resultados. En 86 pacientes pediátricos, se realizaron 124 punciones vasculares. Los accesos vasculares fueron la vena femoral (39,7%), seguida de la arteria femoral (27,2%) y la vena yugular interna (14,7%). Los vasos femorales se localizaron a una profundidad de 0,75 ± 0,25 mm con un diámetro medio de 0,31 ± 0,16 mm. La profundidad de los vasos venosos yugulares fue menor (0,64 ± 0,24 mm) y su diámetro global, mayor (0,44 ± 0,19 mm). El número medio de intentos en las canalizaciones vasculares ecoguiadas fue de 2,2 ± 1,3. La tasa de éxito fue del 79% asociada a un mayor diámetro del vaso (0,39 ± 0,20 mm vs. 0,28 ± 0,13 mm, p 0,01) y un menor número de intentos (1,90 ± 1,16 vs. 3,45 ± 1,77, p= 0,001). Las complicaciones, fueron la punción accidental de otro vaso (5,3%) y el desarrollo de un hematoma durante la punción (2,3%). Conclusiones. La canalización vascular ecoguiada en los pacientes pediátricos estudiados permite visualizar los vasos y medir su profundidad y diámetro; presenta una alta tasa de éxito y se asocia a una baja tasa de complicaciones.

Introduction. Central vascular cannulation in children is a highly complex technique and poses many difficulties. Vascular ultrasound can make this procedure easier. Objective. To describe the characteristics of ultrasound-guided vascular cannulation in critically-ill pediatric patients. Population and methods. Outcome measures prospectively recorded were vessels most frequently cannulated, their localization, the measurement of their diameter/depth, the success rate and complications developed, among others. Results. One hundred and twenty four vascular punctures were performed in 86 pediatric patients. Vascular accesses were the femoral vein (39.7%), followed by the femoral artery (27.2%) and the internal jugular vein (14.7%). Femoral vessels were localized at a depth of 0.75 ± 0.25 mm, with a mean diameter of 0.31 ± 0.16 mm. The depth of jugular vein vessels was smaller (0.64 ± 0.24 mm) and their overall diameter, larger (0.44 ± 0.19 mm). The mean number of attempts in ultrasound-guided cannulations was 2.2 ± 1.3. The success rate was 79% and was associated to a larger vessel diameter (0.39 ± 0.20 mm vs. 0.28 ± 0.13 mm, p= 0.01) and a lower number of attempts (1.90 ± 1.16 vs. 3.45 ± 1.77, p= 0.001). Complications were accidental puncture of another vessel (5.3%) and hematoma formation during puncture (2.3%). Conclusions. In the pediatric patients studied, ultrasound-guided vascular cannulation allowed vessel visualization and measurement of their depth and diameter; the success rate was high and it was associated to a low complication rate.
Descritores: Cateterismo Venoso Central/métodos
Ultrassonografia de Intervenção/métodos
Artéria Femoral/diagnóstico por imagem
Veia Femoral/diagnóstico por imagem
Veias Jugulares/diagnóstico por imagem
-Cateterismo Venoso Central/efeitos adversos
Estudos Prospectivos
Avaliação de Resultados (Cuidados de Saúde)
Estado Terminal
Hematoma/etiologia
Hematoma/epidemiologia
Limites: Seres Humanos
Masculino
Feminino
Recém-Nascido
Lactente
Pré-Escolar
Criança
Adolescente
Tipo de Publ: Estudo Observacional
Responsável: AR94.1 - Centro de Información Pediatrica


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Id: biblio-887367
Autor: Gotthelf, Susana J; Tempestti, Claudia P.
Título: Desayuno, estado nutricional y variables socioeconómicas en alumnos de escuelas primarias de la Ciudad de Salta: Estudio transversal / Breakfast, nutritional status, and socioeconomic outcome measures among primary school students from the City of Salta: A cross-sectional study
Fonte: Arch. argent. pediatr;115(5):424-431, oct. 2017. tab.
Idioma: en; es.
Resumo: Introducción. El contexto socioeconómico y la dinámica familiar son determinantes al considerar los hábitos alimentarios y el estado nutricional de los escolares. En el caso del desayuno, se ha demostrado que omitirlo o realizarlo cada vez más ligero influye desfavorablemente sobre el estado nutricional. Objetivo. Relacionar el hábito del desayuno con el estado nutricional y las variables sociodemográficas en escolares de escuelas públicas urbanas y periurbanas de la Ciudad de Salta. Población y métodos. Estudio descriptivo, transversal. Muestra no probabilística intencional de alumnos de escuelas primarias públicas urbanas y periurbanas (9-13 años, ambos sexos). Variables: desayuno en casa (hábito, calidad "enKid", frecuencia, tiempo), estado nutricional (índice de masa corporal, puntaje z, Organización Mundial de la Salud) y sociodemográficas (tipo de familia, nivel educativo, actividad laboral, hábito del desayuno en el padre/madre, comensalidad). Análisis de frecuencias, asociaciones, regresión logística, OR, IC, p < 0,05, programas WHO AnthroPlus, SPSS v18. Resultados. Se evaluaron 283 alumnos, 49,8% pertenecientes a escuelas urbanas. Presentaron sobrepeso/obesidad 46,0%. El 55,1% no desayunó en su hogar el día de la evaluación; entre quienes lo hicieron, 79,5% fueron de pobre/muy pobre calidad. Entre los que no desayunaron, 40,7% de las mujeres y 54,7% de los varones presentaron sobrepeso/obesidad. Se observó, en las escuelas de áreas periurbanas, mayor vulnerabilidad socioeconómica y mayor porcentaje de alumnos que concurrieron sin desayunar. Conclusiones. La probabilidad de no desayunar en el hogar se asoció, finalmente, a familias numerosas, falta de hábito del desayuno en los padres, bajo nivel educativo de la madre, desayunar solos y ser obesos.

Introduction. Socioeconomic context and family dynamics are determining factors when considering eating habits and nutritional status among students. It has been demonstrated that skipping breakfast or having a light breakfast has an unfavorable impact on nutritional status. Objective. To establish a relationship among breakfast, sociodemographic outcome measures, and nutritional status among students attending public schools in the urban and peri-urban areas of the City of Salta. Population and methods. Descriptive, crosssectional study. Purposive, non-probability sampling of students attending urban and periurban primary schools (aged 9-13, boys and girls). Outcome measures: breakfast at home (habit, "enKid" breakfast quality, frequency, duration), nutritional status (body mass index, Z-score, World Health Organization), and sociodemographic outcome measures (family type, level of education, employment, parents' breakfast habit, commensality). Analysis of frequency, associations, logistic regression, odds ratio, confidence interval, p < 0.05, WHO AnthroPlus and SPSS v18 software. Results. Two hundred and eighty-three students were assessed; 49.8% attended urban schools. Overweight or obesity was observed in 46.0%. Also, 55.1% skipped breakfast at home on the day of the assessment; among those who did have breakfast, 79.5% had a poor or very-poor quality meal. Among those who skipped breakfast, 40.7% of the girls and 54.7% of the boys were overweight or obese. A greater socioeconomic vulnerability and a higher percentage of students who attended school without having breakfast were observed in peri-urban schools. Conclusions. Eventually, the probability of skipping breakfast was associated with having a large family, absence of parental breakfast habit, a low level of maternal education, having breakfast alone, and being obese.
Descritores: Estado Nutricional
Desjejum
-Argentina
Fatores Socioeconômicos
Saúde da População Urbana
Estudos Transversais
Avaliação de Resultados (Cuidados de Saúde)
Limites: Seres Humanos
Masculino
Feminino
Criança
Adolescente
Responsável: AR94.1 - Centro de Información Pediatrica


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Texto completo SciELO Cuba
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Id: biblio-1042979
Autor: Castro Espinosa, Jobany; Molineros Gallón, Luis Fernando; Cruz Papamija, Leidy Jhovanna; Calderon Zuleta, Margarita Rosa.
Título: Evaluación de la efectividad de una capacitación para el conocimiento de pacientes hipertensos / Evaluation of the effectiveness of a training program for knowledge in hypertensive patients
Fonte: Rev. cuba. salud pública;44(2), abr.-jun. 2018. tab, graf.
Idioma: es.
Resumo: Objetivo: Evaluar la efectividad de una capacitación para el conocimiento de pacientes hipertensos. Métodos: Es un estudio de intervención cuasi-experimental de antes y después sin grupo control, donde se evalúa con un test el conocimiento de los pacientes antes y después de una capacitación. El test comprende 9 preguntas sobre la definición, causas, síntomas, controles y tratamiento farmacológico de la hipertensión. Se realizaron dos tipos de análisis, uno por pregunta y otro por paciente. Para el primero se calculó la diferencia de la proporción de acierto antes y después de la capacitación (prueba de McNemar para muestras dependientes). Para el segundo se estableció el nivel general de conocimiento en función del número de respuestas correctas. La mejoría en las respuestas de cada paciente se asoció con variables demográficas, empleando el software Stata versión 10. Resultados: La capacitación se llevó a cabo con 45 individuos que mejoraron su conocimiento en el 16 por ciento (p< 0,05). Las preguntas relacionadas con la medicación fueron las que tuvieron el mayor impacto positivo, mientras que las relacionadas con las causas de la hipertensión y la frecuencia de control, presentaron un impacto negativo. Conclusiones: Con este trabajo se logra determinar que en términos globales la capacitación resulta efectiva, aunque en algunos aspectos falla, lo que permite identificar oportunidades de mejora para futuras charlas(AU)

Objective: To evaluate the effectiveness of a training program of knowledge for hypertensive patients. Method: This was a quasi-experimental and interventional study of before and after without control group, in which was evaluated with a test the patient's knowledge before and after the training. The test comprises nine questions on the definition, causes, symptoms, controls and drug treatment of hypertension. Two types of analysis were performed: one per question and one per patient. For the first, difference in the proportion of correct answers before and after training was calculated using McNemar test for dependent samples. For the second, the general level of knowledge was established by the number of correct answers. The improvement in the responses of each patient was associated with demographic variables. For these was used Stata software version 10. Results: The training was conducted with 45 individuals that improved their knowledge by 16 percent (p <0.05). Questions regarding medication were those with the greatest positive impact, while related to the causes of hypertension and control's frequency had a negative impact. Associations among improvement of knowledge and demographic variables were not statistically significant. Conclusions: This work is able to determine that training is effective in general terms, although in some aspects it has failed. This allows identifying opportunities of improvement for future talks(AU)
Descritores: Doenças Cardiovasculares/prevenção & controle
Educação de Pacientes como Assunto
Avaliação de Resultados (Cuidados de Saúde)
Hipertensão/etiologia
Hipertensão/epidemiologia
-Colômbia
Responsável: CU1.1 - Biblioteca Médica Nacional


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Texto completo SciELO Chile
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Id: biblio-977997
Autor: Lagos, María Elena; Salazar, Alide; Sáez, Katia.
Título: Perfil de usuarios con diabetes e hipertensión arterial y su relación con indicadores de resultado clínicos / Diabetes and hypertension; how user profile relates to indicators of clinical outcomes
Fonte: Rev. chil. cardiol;37(3):161-169, dic. 2018. tab.
Idioma: es.
Resumo: Resumen: Objetivo: Describir el perfil de usuarios con diabetes mellitus (DM) e hipertensión arterial (HTA) y su relación con indicadores de resultado clínico. Sujetos y métodos: Estudio transversal, correlacional en usuarios con DM y/o HTA, reclutados desde 4 centros de salud de un Servicio de Salud del centro sur de Chile. Los instrumentos y mediciones incluyeron: cuestionario de variables biodemográficas, "Evaluación de la atención de enfermedades crónicas para pacientes", hemoglobina glicosilada (HbA1c), presión arterial sistólica (PAS) y diastólica (PAD). Resultados: Se evaluaron 222 personas con HTA y/o DM con edad promedio 53,9 (DE 7,5) años, la mayoría mujeres (67,6%). Se encontró un predominio de HTA (53,6%), seguido de DM+HTA (31,1%) y DM (15.3%). El promedio de PAS y de HbA1c fue levemente superior en usuarios con patología mixta (DM+HTA). El promedio de la evaluación de la atención desde la perspectiva del paciente fue 2,61 (DE 1,13), siendo mejor evaluado el "Diseño de un sistema de entrega de cuidados/Apoyo a la decisión". Se encontró relación significativa en usuarios con HTA entre PAS y n° de fármacos (p=0,026); en personas con DM entre HbA1c y años de enfermedad (p=0,002) y en usuarios con multimorbilidad (HTA+ DM) entre años de enfermedad con HbA1c (p=0,01) y con PAS (p=0,01). Conclusión: La evaluación de la atención sugiere la necesidad de mayor esfuerzo en el control de los parámetros terapéuticos, incorporando mejoras en la atención proporcionada. Se necesita más investigación para definir la relación entre el perfil de usuarios con enfermedades crónicas y los resultados clínicos.

Abstracts: Aim: To decribe the profile of users of a health program for chronic diseases (CD), especifically Diabetes Mellitus (DM) and Hypertension (HT), and its relation to indicators of clinical results. Subjects and methods: The subjects had DM and/or HT and were randomly selected form 4 health centers in southern Chile. Questionaires exploring demographic variables, Patient Assessement of Chronic Illness Care (PACIC) measurements of HbA1c, systolic (SBP) and diastolic (DBP) pressures were used as indicators of clinical results. Results: 222 subjects with DM and/or HT were evaluated. Mean age was 53.9 years-old (SD 7.5), 67.6% were females. The prevalence of CD was 53.6% for HT, 31.1% for DM+HT and 15.3% for DM. Mean BP and mean HbA1c were slightly higher in users with DM+HT. As perceived by the patient, the evaluation of care had a mean score 2.61 (SD 1.13). "Design of a method of care delivery / decission support" obtained the highest score. In subjects with HT there was a significant correlation between SBP and the number of drugs being received (p=0.03). Also, a significant correlation between HbA1c and disease duration was found in subjects with DM (p=0.02). In subjects with DM+HT significant correlation (p=0.01) existed between disease duration and both HbA1c and SBP. Conclusion: The evaluation of care suggests the need for a stronger effort in controlling therapeutic measures. Further studies are needed to refine the relation of user profile and clinical results.
Descritores: Diabetes Mellitus Tipo 2/terapia
Serviços de Saúde/estatística & dados numéricos
Hipertensão/terapia
-Perfil de Saúde
Chile/epidemiologia
Estudos Transversais
Inquéritos e Questionários
Avaliação de Resultados (Cuidados de Saúde)
Diabetes Mellitus/epidemiologia
Hipertensão/epidemiologia
Limites: Seres Humanos
Masculino
Feminino
Adulto
Meia-Idade
Responsável: CL126.2 - Biblioteca Médica Dr. Profesor Hernán Alessandri R.


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Id: biblio-838271
Autor: Á. Latorre Roman, Pedro; Mora López, David; García Pinillos, Felipe.
Título: Prácticas de alimentación, actividad física y condición física de niños preescolares españoles: Influencia de variables sociodemográficas / Feeding practices, physical activity, and fitness in Spanish preschoolers: Influence of sociodemographic outcome measures
Fonte: Arch. argent. pediatr;114(5):441-447, oct. 2016. graf, tab.
Idioma: en; es.
Resumo: Introducción. La edad preescolar es un período esencial para establecer hábitos de nutrición y actividad física adecuados. Objetivo. El propósito de este estudio fue analizar el estado nutricional, el nivel de actividad física (AF) y la condición física (CF) de niños preescolares en relación con el sexo y con las variables sociodemográficas de los padres. Material y métodos. Se incluyeron niños preescolares seleccionados de 30 centros escolares del sur de España. Se registraron parámetros de CF, AF, antropometría, estado nutricional de los niños y variables sociodemográficas de los padres. Resultados. Participaron 1287 niños de entre 3 y 6 años, 643 niños y 644 niñas, y 1267 padres (el 72,4% eran madres y el 27,6%, padres). Las niñas presentaron niveles más bajos de sobrepeso y obesidad que los niños. Existieron diferencias significativas por sexos en el consumo de determinados alimentos: mayor consumo de lácteos en el desayuno y aceite de oliva en niñas y mayor consumo de comidas rápidas y pastas o arroz enlos varones. Los varones presentaron una mejor CF. Los niños del estrato socioeconómico más bajo mostraron mayor índice de masa corporal, peor estado nutricional y más bajo nivel de AF. Los niños de padres con estudios universitarios presentaron menor índice de masa corporal y mejor estado nutricional. Conclusiones. Los niños preescolares de este estudio presentaron valores elevados de sobrepeso y obesidad y bajo nivel de AF, teniendo en cuenta las referencias internacionales. Las niñas mostraron una CF inferior a la de los varones. Los niños cuyos padres presentaron un nivel socioeconómico bajo y sin estudios mostraron un nivel nutricional precario.

Introduction. Preschool age is critical for the development of adequate eating and physical activity habits. Objective. The purpose of this study was to analyze the nutritional status, physical activity (PA) and fitness levels in preschool children in relation to gender and parental sociodemographic outcome measures. Material and methods. Preschool children selected from 30 school facilities in Southern Spain were included. Children's PA and fitness parameters, anthropometry, and nutritional status, and parental sociodemographic outcome measures were recorded. Results. A total of 1287 children aged between 3 and 6 years old (643 boys and 644 girls) participated in the study, together with 1267 parents (72.4%: mothers, 27.6%: fathers). Girls had a lower overweight and obesity rate than boys. Significant differences were observed by gender in the consumption of certain food: girls ate more dairy products at breakfast and olive oil, whereas boys ate more fast food and pasta or rice. Boys had a better fitness level. Children from a lower socioeconomic level had a higher body mass index, a worse nutritional status, and a lower PA level. Children whose parents had completed university education had a lower body mass index and a better nutritional status. Conclusions. Preschoolers had a high overweight and obesity rate, and a low PA level, compared to international references. The fitness level of girls was lower than that observed in boys. Children whose parents had a low socioeconomic level and no education had a poor nutritional status.
Descritores: Exercício
Aptidão Física
Comportamento Alimentar
-Fatores Socioeconômicos
Espanha
Estado Nutricional
Avaliação de Resultados (Cuidados de Saúde)
Limites: Seres Humanos
Pré-Escolar
Responsável: AR94.1 - Centro de Información Pediatrica



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