O objetivo da pesquisa foi avaliar os indicadores de risco para a hipertensão arterial em crianças e adolescentes. Estudo transversal desenvolvido com 342 indivíduos de seis a 18 anos de uma escola da cidade de Fortaleza (CE). A maioria eram homens (51,5%). A média de idade foi 11,73 anos ( 3,19). Foram freqüentes os escolares com sobrepeso / obesidade (16,8%) e com pressão arterial acima do percentil 90 (44,7%). Sedentarismo, tabagismo e etilismo estiveram presentes em 51,5%, 38% e 15,5% dos avaliados. A pressão arterial sistólica esteve correlacionada com as variáveis: idade, peso, estatura, perímetros da cintura e do quadril, prega subescapular e Índice de Massa Corporal. Houve correlação da pressão arterial diastólica com idade, peso, estatura, perímetros da cintura e do quadril. Confirma-se a influência de fatores de risco sobre os valores da pressão arterial em jovens. A pressão arterial sistólica foi especialmente influenciada por indicadores antropométricos.
Aims To compare factors associated with the sedentary lifestyle described in the literature with the factors listed in NANDA International. Design Systematic review with meta‐analysis of factors associated with a sedentary lifestyle in adolescents, adults and older people. Data sources An electronic search of PubMed, Scopus, CINAHL and Latin America and the Caribbean Literature on Health and Science databases conducted in May 2016. Review methods Descriptive data were extracted according to a standardized form. The odds ratios for each etiological factor associated with a sedentary lifestyle were extracted directly from the articles or calculated from the data described therein. The meta‐analysis was conducted for factors that were investigated in more than one study. Results Thirty‐five articles were included. The statistically significant factors were: lack of social support, of physical space, of time, of motivation, of sports skills and of interest in physical activity, intolerance to activity, being retired, living in a low‐income country, laziness, not having a job/studying, low socioeconomic status and level of knowledge about physical activity, female gender, living in an urban area, negative self‐perception of health, using public transportation, being in the oldest age group in the study and perceived physical disability. Conclusion The new factors associated with a sedentary lifestyle and those already included in the NANDA International classification will lead to better clinical guidance for nurses. Impact Knowledge about these factors can contribute directly to public health policies.
Objective: the study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). Method: a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. Results: the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. Conclusion: the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.Descriptors: Nursing; Nursing Diagnosis; Respiratory Aspiration; Stroke. Validación clínica del diagnóstico de enfermería riesgo de aspiración en pacientes con accidente cerebrovascularObjetivo: el estudio tiene como objetivo la validación clínica del diagnóstico de enfermería riesgo de aspiración en pacientes con accidente cerebrovascular. Método: un estudio de cohorte prospectivo desarrollado con 24 pacientes hospitalizados para el tratamiento del ictus agudo. El instrumento utilizado para la recolección de datos contiene los factores de riesgo de aspiración respiratoria, validado en el análisis conceptual y por expertos. Resultados: los factores de riesgo para aspiración respiratoria más presentes en los pacientes fueron: disfagia (54,2%) y disminución de la movilidad física (41,7%). La prevalencia del diagnóstico de enfermería riesgo de aspiración fue del 58,3% y la prevalencia en 48 horas (el tiempo del seguimiento) de la aspiración respiratoria fue de 37,5%. Los factores de riesgo disfagia y la disminución de la movilidad física se asociaron significativamente con la aspiración respiratoria. Conclusión: los factores de riesgo disminución de la movilidad física y disfagia son buenos predictores para el diagnóstico de enfermería riesgo de aspiración. Este trabajo permitió contribuir a la mejora de la taxonomía NANDA-I y, por lo tanto, el lenguaje de la sistematización de la atención de enfermería. MethodsThis observational study was conducted in the CVA unit of a public general tertiary hospital, a referral center Cavalcante TF, Araujo TL, Moreira RP, Guedes NG, Lopes MVO, Silva VM.medical diagnoses (aspiration pneumonia, pneumonitis and pulmonary embolism), as well as readings of X-rays.After this preliminary assessment, those who met all the inclusion criteria were assessed in terms of socio-demographic, clinical and predictor variables (risk factors) by means of interviews, physical assessments, and consultation of their medical charts. After 48 hours from the...
This study showed a high prevalence of "sedentary lifestyle" and its associations with age and the presence of diabetes. IMPLICATIONS TO NURSING PRACTICE: The acknowledgement of "sedentary lifestyle" contributes to the choice for nursing interventions that promote physical activity centered on the subject and the surroundings.
O objetivo do estudo foi analisar o conhecimento sobre as intervenções de enfermagem aos pacientes hospitalizados por acidente vascular encefálico. Realizou-se uma revisão integrativa da literatura a partir de acesso on-line a cinco bases de dados, no mês de setembro de 2009. Utilizou-se os descritores Cuidados de Enfermagem e Acidente Cerebral Vascular nas línguas portuguesa, inglesa e espanhola. Foram encontrados 223 artigos e selecionados 12. Identificou-se nos artigos um maior número de intervenções de enfermagem assistenciais, seguidas das educacionais, gerenciais e de pesquisa. As do domínio assistencial estão mais relacionadas aos aspectos biológicos dos pacientes. Em relação às educativas, os artigos apontam o papel fundamental do enfermeiro, bem como dos familiares e dos cuidadores. A principal intervenção gerencial foi a coordenação dos cuidados. Quanto às intervenções de pesquisa foi identificada apenas uma descrita como o desenvolvimento e aprimoramento da prática de cuidados por meio de evidências clínicas.
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