Objective: to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis. Method: cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test. Results: 55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day. Conclusion: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.
RESUMOObjetivo: analisar as evidências sobre práticas tradicionais e complementares implementadas por profissionais da saúde para a melhoria da qualidade de vida e depressão de pacientes renais crônicos em hemodiálise. Método: trata-se de estudo bibliográfico, tipo revisão integrativa, com artigos originais publicados de 2012 a setembro de 2017 nas bases BDENF, LILACS, MEDLINE, Scopus e Web of Science. Analisaram-se 26 artigos a partir de figuras. Resultados: evidenciaram-se qualidade de vida prejudicada pela doença renal e hemodiálise e escores de depressão entre 10,2 e 33,6; implantaram-se, mais frequentemente, atividades do tipo mente-corpo, terapia física e outras práticas para a saúde, além do uso de produtos naturais, respectivamente. Incluíram-se, entre as abordagens mente-corpo, atividades educativas, musicoterapia, terapia psicológica e outras, que reduziram a depressão e melhoraram a qualidade de vida. Conclusão: constatou-se que as práticas tradicionais e complementares compreenderam, principalmente, abordagens mente-corpo, que produtos naturais merecem mais investigações e tais ações podem melhorar a qualidade de vida, os sintomas depressivos e devem ser utilizadas para qualificar o cuidado. Descritores: Terapias Complementares; Insuficiência Renal Crônica; Qualidade de Vida; Depressão; Terapias Mente-Corpo; Exercício. ABSTRACT Objective: to analyze the evidence on traditional and complementary practices implemented by health professionals to improve the quality of life and depression of chronic renal patients on hemodialysis. Method: this is a bibliographical study, type integrative, with original articles published from 2012 to September 2017 in the databases BDENF, LILACS, MEDLINE, Scopus and Web of Science. We analyzed 26 articles from figures. Results: quality of life was impaired by renal disease and hemodialysis and depression scores between 10.2 and 33.6; mind-body activities, physical therapy and other health practices, as well as the use of natural products, were implemented more frequently. Included among mind-body approaches were educational activities, music therapy, psychological therapy and others, which reduced depression and improved quality of life. Conclusion: it was found that traditional and complementary practices mainly understood mind-body approaches, that natural products deserve further investigation and such actions can improve quality of life, depressive symptoms and should be used to qualify care. Descriptors: Complementary Therapies; Chronic Renal Insufficiency; Quality of life; Depression; Mind-Body Therapies; Exercise. RESUMEN Objetivo: analizar las evidencias sobre prácticas tradicionales y complementarias implementadas por profesionales de la salud para mejorar la calidad de vida y depresión de pacientes renales crónicos en hemodiálisis. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, con artículos originales publicados de 2012 a septiembre de 2017 en las bases BDENF, LILACS, MEDLINE, Scopus y Web of Science. Se analizaron 26 artículos a partir de figuras. Resultados: se evidenció calidad de vida perjudicada por la enfermedad renal y hemodiálisis, puntajes de depresión entre 10,2 y 33,6; se implantó más a menudo actividades del tipo mente-cuerpo, terapia física y otras prácticas para la salud, y uso de productos naturales, respectivamente. Se incluyeron entre los abordajes mente-cuerpo actividades educativas, musicoterapia, terapia psicológica y otras, que redujeron depresión y mejoraron calidad de vida. Conclusión: se constató que las prácticas tradicionales y complementarias comprendieron principalmente abordajes mente-cuerpo, que productos naturales merecen más investigaciones y tales acciones pueden mejorar la calidad de vida, síntomas depresivos y ser utilizadas para calificar el cuidado. Descritores: Terapias Complementarias; Insuficiencia Renal Crónica; Calidad de Vida; Depresión; Terapias Mente-cuerpo; Ejercicios.
Workers in the prison system experience stress at high levels in their daily lives, so they become prone to the development of the Burnout Syndrome. In order to evaluate the occupational stress, the most sensitive and of easy access biochemical method is salivary cortisol. Aim: to evaluate the concentration of salivary cortisol in prison workers and to relate it to the Burnout Syndrome. Methodology: a cross-sectional and analytical study with 240 prison workers from the 3rd Penitentiary Region of the State of Rio Grande do Sul in Brazil, covering 8 counties and 10 prison houses. The instruments of data collection used were a sociodemographic characterization form, the Maslach Burnout Inventory and some salivary samples. The data collection period was from April to June 2017. Results: It was observed an increase in the dimensions of burnout concomitant with the increase of salivary cortisol levels in the research participants. Conclusion: The population studied experienced occupational stress evidenced by the use of the burnout and salivary cortisol instrument analysis, which is an important physiological indicator.
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