Objective: To analyze the insulin therapy waste disposal produced in the households of people with diabetes mellitus (DM). Method: Cross-sectional study with 105 Primary Care patients. Socio-demographic and clinical variables and insulin therapy practice were analyzed through the absolute and relative frequencies, Fisher's exact test and prevalence ratio (PR). Results: The association between types of insulin (60.0%), administered with a disposable syringe attached to a needle (80.9%), and a high percentage of reuse and disposal in normal household waste (57.1%) stood out. The professionals who most frequently provided guidance to people with diabetes were the nurses. Patients who had received instructions about disposal were 21 times more likely to dispose of waste properly than those who had not (PR 21.5; P < 0.0001). Age, gender, skin color, education, marital status, occupational status and type of DM did not interfere in the disposal (P > 0.05). Conclusion: People with diabetes served in Primary Health Care require guidance and material resources to carry out the appropriate disposal of insulin therapy waste. Descriptors: Diabetes Mellitus; Insulin; Disposal of Health Services Residues; Nursing; Health Promotion. RESUMO Objetivo: Analisar o descarte de resíduos da insulinoterapia produzidos no domicílio de pessoas com diabetes mellitus (DM). Método: Estudo transversal com amostra de 105 pacientes da Atenção Primária. Variáveis sociodemográfi cas, clínicas e prática de insulinoterapia foram analisadas por meio das frequências absoluta e relativa, teste exato de Fisher e razão de prevalência (RP). Resultados: Destacou-se associação entre insulinas (60,0%), administradas com seringa descartável acoplada à agulha (80,9%), alto percentual de reutilização e descarte no lixo doméstico comum (57,1%). Os profi ssionais que mais orientaram os diabéticos foram os enfermeiros. Pacientes orientados sobre descarte tiveram 21 vezes mais chances de descartarem resíduos adequadamente que os não orientados (RP 21,5; P < 0,0001). Idade, sexo, cor da pele, escolaridade, estado civil, situação ocupacional e tipo de DM não interferiram no descarte (P > 0,05). Conclusão: Diabéticos atendidos na Atenção Primária necessitam de orientações e recursos materiais para realizarem descarte adequado dos resíduos da insulinoterapia. Descritores: Diabetes Mellitus; Insulina; Eliminação de Resíduos de Serviços de Saúde; Enfermagem; Promoção da Saúde. RESUMEN Objetivo: Analizar la eliminación de los residuos de la terapia con insulina en las viviendas de personas con diabetes mellitus (DM). Método: Estudio transversal, del cual participaron 105 pacientes asistidos en atención primaria. Se analizaron las variables sociodemográfi cas, clínicas y la administración de la terapia con insulina a través de las frecuencias absoluta y relativa, la prueba exacta de Fisher y la razón de prevalencias (RP). Resultados: Se destacaron la asociación entre insulinas (60,0%) aplicadas con jeringuillas desechables pegadas a la aguja (80,9%), su elevado...
Objective: To develop and evaluate an educational primer to promote healthy lifestyles in people with HIV. Methods: Study of technological development in three stages: Development of the booklet, with bibliographical review, illustrations, layout, diagramming, adopting as reference the trans-theoretical model of behavior change; Analysis of content and appearance by 22 judges; Semantic analysis by 22 people with HIV. The proportion of positive evaluations of the items was measured, considering a percentage equal to or greater than 85%. Results: My motivational booklet for change! Practices for promoting a healthy lifestyle" had six areas: Body weight control; Healthy eating; Exercise practice; Smoking, alcohol and other drugs; Stress control; and Drug treatment. Most of the items evaluated agreed with an overall average of 92.4% by the judges and 98.9% by the target audience. Conclusion: The booklet had evidence of adequate validity to be used by people with HIV.
Antiretroviral therapy has increased the survival of patients with HIV/AIDS, thus necessitating health promotion practice with immunization. Vaccines are critical components for protecting people living with HIV/AIDS (PLWHA). The purpose of study was to analyze the vaccination status of PLWHA in outpatient care in Fortaleza, Ceará, Brazil. Cross-sectional study performed from June 2014 to June 2015. The screening was done with patients in antiretroviral therapy, 420 patients underwent screening, but only 99 met the inclusion criteria. Data were collected for interviews using forms to characterize sociodemographic, clinical and vaccination situations. Only 14 patients had complete vaccination schedules. The most used vaccines were hepatitis B, influenza vaccine and 23-valent pneumococcal. There was no difference between men and women regarding the proportion of PLWHA with full vaccination schedule or between sex, skin color, marital status, sexual orientation, religion or occupational status. There was no difference between having or not having a complete vaccination schedule and age, years of education, family income or number of hospitalizations. CD4+ T-cells count of patients with incomplete immunization was lower than patients with complete immunization. Health education strategies can be done individually or in groups to explain the importance of vaccination and to remind about doses to be administered. Most patients did not have proper adherence to vaccination schedules, especially due to lack of guidance. Results implied that education in health is important for vaccination adhesion, knowledge of adverse events and continuation of schemes.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.