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Avaliação estratégica de educação em grupo e individual no programa educativo em diabetes; Evaluation of group and individual strategies in a diabetes education program; Evaluación estratégica de educación en grupo e individual en el programa educativo en diabetes

TORRES, Heloisa de Carvalho; FRANCO, Laercio Joel; STRADIOTO, Mayra Alves; HORTALE, Virginia Alonso; SCHALL, Virginia Torres
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
65.74%
OBJETIVO: Comparar a efetividade de estratégias, em grupo e individual, de programa educativo em diabetes. MÉTODOS: Cento e quatro pacientes com diabetes tipo 2, atendidos no ambulatório e com seguimento em programa educativo de hospital de Belo Horizonte (MG), foram aleatoriamente recrutados e alocados em dois grupos: educação em grupo (n=54) e individual (n=50). A educação em grupo consistia de três encontros mensais, nos quais eram desenvolvidas dinâmicas lúdicas e interativas. Simultaneamente, o outro grupo era acompanhado individualmente. O acompanhamento ocorreu por seis meses durante o ano de 2006, sendo avaliados por questionários específicos: conhecimentos em diabetes, atitudes psicológicas, mudança de comportamento, qualidade de vida. Foi realizada avaliação clínica no tempo inicial, depois de três e seis meses da intervenção. RESULTADOS: A média de idade dos pacientes era de 60,6 anos. Os resultados da educação em grupo e individual foram semelhantes no teste de atitudes, mudança de comportamento e qualidade de vida. Observou-se redução nos níveis de HbA1c nos dois grupos, entretanto apenas no de educação em grupo a diferença apresentou significância estatística (p= 0,012). CONCLUSÕES: As duas estratégias do programa educativo em diabetes foram efetivas...

Performance of a Brazilian population on the test of functional health literacy in adults; Desempenho de uma população brasileira no teste de alfabetização funcional para adultos na área de saúde; Desempeño de una población brasilera en la prueba de alfabetización funcional para adultos en el área de salud

CARTHERY-GOULART, Maria Teresa; ANGHINAH, Renato; AREZA-FEGYVERES, Renata; BAHIA, Valeria Santoro; BRUCKI, Sonia Maria Dozzi; DAMIN, Antonio; FORMIGONI, Ana Paula; FROTA, Norberto; GUARIGLIA, Carla; JACINTO, Alessandro F; KATO, Eliane Mayumi; LIMA, Edson
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
55.68%
OBJECTIVE: To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age. METHODS: The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of São Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age. RESULTS: The mean age of the sample was 47.3 years(sd=16.8) and the mean education was 9.7 years(sd=5; range: 1 - 17). A total of 32.4% of the sample showed literacy/numeracy deficits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not significant when the effects of education were held constant (rp=-0.031...

Estudo da eficácia de um programa de educação na higiene e desinfecção dos nebulizadores de uso domiciliar de pacientes com fibrose cística; Study of the effectiveness of an education program on hygiene and disinfection of home nebulizers of patients with cystic fibrosis

Della-Zuana, Adriana
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 25/02/2014 PT
Relevância na Pesquisa
65.63%
Pacientes com fibrose cística (FC) apresentam infecções respiratórias recorrentes e crônicas por patógenos peculiares e realizam inalações diariamente como parte de seu tratamento. É reconhecido que patógenos específicos são comumente isolados nestes nebulizadores e existe uma preocupação de que estes equipamentos possam contribuir como fonte de infecção bacteriana para as vias aéreas inferiores. Objetivo: Descrever os patógenos encontrados nos nebulizadores de uso domiciliar e nas amostras de trato respiratório de pacientes com FC e verificar a eficácia de uma técnica padronizada de higiene e desinfecção destes nebulizadores na redução da contaminação dos mesmos. Método: Quarenta pacientes com FC (22M:18F) com mediana de idade de 11,2 ± 3,74 anos e que utilizavam o nebulizador PRONEB/sistema PARI foram incluídos no estudo. Amostras dos nebulizadores foram coletadas do bocal e do copo reservatório utilizando-se um swab estéril umedecido em solução salina estéril. As amostras de trato respiratório dos pacientes foram colhidas por expectoração em coletor estéril ou com swab de orofaringe após estímulo de tosse. As culturas foram realizadas em meios seletivos e a identificação bacteriana feita através de provas bioquímicas clássicas. Instruções verbais e escritas de higiene e desinfecção dos nebulizadores foram ministradas. Resultados: A contaminação de alguma parte dos nebulizadores foi observada em 23/40 casos (57...

Performance of a Brazilian population on the test of functional health literacy in adults

Carthery-Goulart,Maria Teresa; Anghinah,Renato; Areza-Fegyveres,Renata; Bahia,Valeria Santoro; Brucki,Sonia Maria Dozzi; Damin,Antonio; Formigoni,Ana Paula; Frota,Norberto; Guariglia,Carla; Jacinto,Alessandro F; Kato,Eliane Mayumi; Lima,Edson P; Mansur,Le
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2009 EN
Relevância na Pesquisa
55.67%
OBJECTIVE: To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age. METHODS: The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of São Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age. RESULTS: The mean age of the sample was 47.3 years(sd=16.8) and the mean education was 9.7 years(sd=5; range: 1 - 17). A total of 32.4% of the sample showed literacy/numeracy deficits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not significant when the effects of education were held constant (rp=-0.031...

Interacting effects of preoperative information and patient choice in adaptation to colonoscopy

Pearson, S.; Maddern, G.; Hewett, P.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
65.64%
PURPOSE: The aim of this study was to match patient information requirements by determining whether giving patients a choice for additional preprocedural audiovisual information modifies the effectiveness of this information on anxiety, worry, knowledge, and patient satisfaction. METHODS: Patients scheduled to undergo colonoscopy were approached one week before their procedure. All patients received an information leaflet during their standard preanesthetic clinic visit. Patients were randomly assigned to a choice or no-choice condition. Patients in the choice condition were free to watch or not watch the video, people in the no-choice condition were further randomized to watch or not watch the video. Measures of anxiety and worry were completed before watching the video. Anxiety, worry, knowledge, and satisfaction were measured one week later just before the colonoscopy. RESULTS: One hundred sixty-six patients completed the study. Of those patients randomized to the choice condition, 69 percent wanted to watch the video. Those who chose not to watch the video were significantly more worried on the day of their procedure. Consistent with current evidence, watching the video was associated with improvements in short-term knowledge (F(1...

Asthma self-management skills and the use of asthma education during pregnancy

Murphy, V.; Gibson, P.; Talbot, P.; Kessel, C.; Clifton, V.
Fonte: European Respiratory Soc Journals Ltd Publicador: European Respiratory Soc Journals Ltd
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
75.67%
During pregnancy, patients with asthma are at risk of poor outcomes, particularly when asthma is poorly controlled. The aim of this study was to determine the level of asthma self-management skills and knowledge among pregnant subjects and describe the implementation of an asthma education programme delivered in an antenatal clinic setting. Pregnant subjects with asthma were assessed by an asthma educator at 20 (n = 211) and 33 weeks gestation (n = 149). Lung function, symptoms, medication use, adherence, knowledge and inhaler technique were assessed. They were asked whether they had a written asthma action plan, or performed peak flow monitoring. Asthma was classified as mild, moderate or severe. At the first visit with the asthma educator, 40% of females reported nonadherence to inhaled corticosteroids, inhaler technique was assessed as inadequate in 16% and 42% had inadequate medication knowledge. Peak flow monitoring was performed by 3% and 15% had a written action plan. There were significant improvements in all aspects of asthma self-management following education. In females with severe asthma, night symptoms and reliever medication use significantly decreased after education. In conclusion, during pregnancy, patients with asthma have poor asthma knowledge and skills...

Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes

Harvey, P.; Petkov, J.; Misan, G.; Cayetano, T.; Warren, K.; Fuller, J.; Battersby, M.; Holmes, P.
Fonte: Australian Healthcare Association Publicador: Australian Healthcare Association
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
55.73%
The Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate more effectively in the management of their condition and to improve their self-management skills. Participants with chronic and complex conditions were recruited into the Sharing Health Care SA program and offered a range of education and support options (including a 6-week peer-led chronic disease self-management program) as part of the Enhanced Primary Care care planning process. Patient self-reported data were collected at baseline and subsequent 6-month intervals using the Partners in Health (PIH) scale to assess self-management skill and ability for 175 patients across four data collection points. Health providers also scored patient knowledge and self-management skills using the same scale over the same intervals. Patients also completed a modified Stanford 2000 Health Survey for the same time intervals to assess service utilisation and health-related lifestyle factors. Results show that both mean patient self-reported PIH scores and mean health provider PIH scores for patients improved significantly over time...

Function after spinal treatment, exercise and rehabilitation (FASTER): Improving the functional outcome of spinal surgery

McGregor, A.; Doré, C.; Morris, T.; Morris, S.; Jamrozik, K.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
55.68%
BACKGROUND: The life-time incidence of low back pain is high and diagnoses of spinal stenosis and disc prolapse are increasing. Consequently, there is a steady rise in surgical interventions for these conditions. Current evidence suggests that while the success of surgery is incomplete, it is superior to conservative interventions. A recent survey indicates that there are large differences in the type and intensity of rehabilitation, if any, provided after spinal surgery as well as in the restrictions and advice given to patients in the post-operative period. This trial will test the hypothesis that functional outcome following two common spinal operations can be improved by a programme of post-operative rehabilitation that combines professional support and advice with graded active exercise and/or an educational booklet based on evidence-based messages and advice. METHODS/DESIGN: The study design is a multi-centre, factorial, randomised controlled trial with patients stratified by surgeon and operative procedure. The trial will compare the effectiveness and cost-effectiveness of a rehabilitation programme and an education booklet for the postoperative management of patients undergoing discectomy or lateral nerve root decompression...

Postpartum education for contraception: A systematic review

Lopez, L.; Hiller, J.; Grimes, D.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
65.64%
Contraceptive education is generally considered a standard component of postpartum care, but the effectiveness is seldom examined. Two-thirds of postpartum women may have unmet needs for contraception, and many adolescents become pregnant again within a year of giving birth. Women may prefer to discuss contraception prenatally or after hospital discharge. The objective of this systematic review was to assess the effects of educational interventions for postpartum mothers about contraceptive use. We searched computerized databases for randomized controlled trials that evaluated the effectiveness of postpartum contraceptive education. The intervention must have started within 1 month after delivery. The Mantel-Haenszel odds ratio was calculated with 95% confidence interval for the dichotomous outcomes. Eight trials met the inclusion criteria. Of 4 short-term interventions, 1 did not have sufficient data and 1 was statistically underpowered. The remaining 2 showed a positive effect on contraceptive use. Of 4 multifaceted programs, 2 showed fewer pregnancies or births among adolescents in the experimental group that had enhanced services, and 1 structured home-visiting program showed more contraceptive use. The effective interventions were conducted in Australia...

A brief structured education programme enhances self-care practices and improves glycaemic control in Malaysians with poorly controlled diabetes

Tan, M.; Magarey, J.; Chee, S.; Lee, L.; Tan, M.
Fonte: Oxford Univ Press Publicador: Oxford Univ Press
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
65.63%
We assessed the effectiveness of a brief structured diabetes education programme based on the concept of self-efficacy on self-care and glycaemic control using single-blind study design. One hundred and sixty-four participants with poorly controlled diabetes from two settings were randomized using computer-generated list into control (n = 82) and intervention (n = 82) groups, of which 151 completed the study. Monthly interventions over 12 weeks addressed the self-care practices of diet, physical activity, medication adherence and self-monitoring of blood glucose (SMBG). These self-care practices were assessed at Weeks 0 and 12 using pre- and post-questionnaires in both groups together with glycated haemoglobin A1c (HbA1c) and diabetes knowledge. In the intention-to-treat analysis (n = 164), the intervention group improved their SMBG (P = <0.001), physical activity (P = 0.001), HbA1c (P = 0.03), diabetes knowledge (P = <0.001) and medication adherence. At Week 12, HbA1c difference adjusted for SMBG frequency, medication adherence and weight change remained significant (P = 0.03) compared with control group. For within group comparisons, diabetes knowledge (P = <0.001), HbA1c level (P = <0.001), SMBG (P = <0.001) and medication adherence (P = 0.008) improved from baseline in the intervention group. In the control group...

Improving the implementation of tailored expectant management in subfertile couples: Protocol for a cluster randomized trial

van den Boogaard, N.; Kersten, F.; Goddijn, M.; Bossuyt, P.; van der Veen, F.; Hompes, P.; Hermens, R.; Braat, D.; Mol, B.; Nelen, W.
Fonte: BioMed Central Ltd Publicador: BioMed Central Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
55.77%
BACKGROUND Prognostic models in reproductive medicine can help to identify subfertile couples who would benefit from fertility treatment. Expectant management in couples with a good chance of natural conception, i.e., tailored expectant management (TEM), prevents unnecessary treatment and is therefore recommended in international fertility guidelines. However, current implementation is not optimal, leaving room for improvement. Based on barriers and facilitators for TEM that were recently identified among professionals and subfertile couples, we have developed a multifaceted implementation strategy. The goal of this study is to assess the effects of this implementation strategy on the guideline adherence on TEM. METHODS/DESIGN In a cluster randomized trial, 25 clinics and their allied practitioners units will be randomized between the multifaceted implementation strategy and care as usual. Randomization will be stratified for in vitro fertilization (IVF) facilities (full licensed, intermediate/no IVF facilities). The effect of the implementation strategy, i.e., the percentage guideline adherence on TEM, will be evaluated by pre- and post-randomization data collection. Furthermore, there will be a process and cost evaluation of the strategy. The implementation strategy will focus on subfertile couples and their care providers i.e....

Education for contraceptive use by women after childbirth

Hiller, J.; Griffith, E.; Jenner, F.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
75.71%
BACKGROUND: n 1966, the Population Council (a non-profit, non-government organisation which aims to foster reproductive health around the world) sponsored demonstration projects (known as the 'International Postpartum Program') on postpartum family planning, focussing primarily on developing countries and including 25 hospitals in 14 countries (Zatuchni 1970). These projects were based on the assumptions that women are receptive to family planning education in the postpartum period, and that they will not return to health centres for contraception once they have been discharged from hospital. The demonstration projects were declared a success given their ability to reach large numbers of women, and they were expanded to include hospitals in 21 countries (Winikoff et al 1991). Randomised controlled trials were not used to assess the effectiveness of the program. The provision of education on contraceptive use to postpartum mothers has come to be considered a standard component of postnatal care, with up to 84% of women noting that a discussion on contraception took place with a midwife on the postnatal floor (Glasier et al 1996). Although education frequently is provided as an integral component of discharge planning, many women experience this as a perfunctory discussion included as part of a checklist of topics (Glasier et al 1996). Midwifery and obstetric texts routinely refer to the provision of such education as a responsibility in the provision of postpartum care; however...

Education for contraceptive use by women after childbirth

Lopez, L.; Hiller, J.; Grimes, D.
Fonte: Update Software Ltd Publicador: Update Software Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
65.73%
Background Providing contraceptive education is now considered a standard component of postpartum care. The effectiveness is seldom examined. Questions have been raised about the assumptions on which such programs are based, e.g., that postpartum women are motivated to use contraception and that they will not return to a health center for family planning advice. Surveys indicate that women may wish to discuss contraception prenatally and after hospital discharge. Nonetheless, two-thirds of postpartum women may have unmet needs for contraception. In particular, many adolescents become pregnant again within a year a giving birth. Objectives Assess the effects of educational interventions for postpartum mothers about contraceptive use Search strategy We searched the computerized databases of MEDLINE, CENTRAL, EMBASE, CINAHL, PsycINFO, and POPLINE. We also searched for current trials via ClinicalTrials.gov and ICTRP. In addition, we examined reference lists of relevant articles, and contacted subject experts to locate additional reports. Selection criteria Randomized controlled trials were considered if they evaluated the effectiveness of postpartum education about contraceptive use. The intervention must have started postpartum and have occurred within one month of delivery. Data collection and analysis We assessed for inclusion all titles and abstracts identified during the literature searches with no language limitations. The data were abstracted and entered into RevMan. Studies were examined for methodological quality. For dichotomous outcomes...

"I know I have arthritis but I don't know what type". Understanding and knowledge of this chronic condition

Gill, T.; Hill, C.; Adams, R.; Broderick, D.; Black, J.; Taylor, A.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
55.72%
Background: “Arthritis” is a common musculoskeletal condition but the knowledge of what type of arthritis people have, may be limited but may have changed over time in response to campaigns, increased awareness and improved health literacy. This paper describes people who did not know what type of arthritis they had, by a range of relevant demographic and socioeconomic variables, and assesses changes over time in the proportion of people who report having arthritis but do not know what type, using representative population surveillance data. Methods: Data were collected using the South Australian Monitoring and Surveillance System (SAMSS), a risk factor surveillance system where each month, a representative random sample of South Australians is selected from the Electronic White Pages, with interviews conducted using computer assisted telephone interviewing (CATI). Data were used for the period January 2006 to December 2008 (n = 16465) for respondents aged 18 years and over. Results: Overall, the proportion of respondents who did not know what type of arthritis they had, among people aged 18 years and over, for 2006 to 2008 was 6.5% (95% CI 6.1-6.9). When considering only those respondents reporting that they had been told by a doctor that they had arthritis...

Obstructive sleep apnoea in adults

Usmani, Z.; Chai-Coetzer, C.; Antic, N.; McEvoy, R.
Fonte: British Med Journal Publ Group Publicador: British Med Journal Publ Group
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
65.77%
Obstructive sleep apnoea (OSA) is characterised by repetitive closure of the upper airway, repetitive oxygen desaturations and sleep fragmentation. The prevalence of adult OSA is increasing because of a worldwide increase in obesity and the ageing of populations. OSA presents with a variety of symptoms the most prominent of which are snoring and daytime tiredness. Interestingly though, a significant proportion of OSA sufferers report little or no daytime symptoms. OSA has been associated with an increased risk of cardiovascular disease, cognitive abnormalities and mental health problems. Randomised controlled trial evidence is awaited to confirm a causal relationship between OSA and these various disorders. The gold standard diagnostic investigation for OSA is overnight laboratory-based polysomnography (sleep study), however, ambulatory models of care incorporating screening questionnaires and home sleep studies have been recently evaluated and are now being incorporated into routine clinical practice. Patients with OSA are very often obese and exhibit a range of comorbidities, such as hypertension, depression and diabetes. Management, therefore, needs to be based on a multidisciplinary and holistic approach which includes lifestyle modifications. Continuous positive airway pressure (CPAP) is the first-line therapy for severe OSA. Oral appliances should be considered in patients with mild or moderate disease...

Avaliação estratégica de educação em grupo e individual no programa educativo em diabetes; Evaluación estratégica de educación en grupo e individual en el programa educativo en diabetes; Evaluation of group and individual strategies in a diabetes education program

Torres, Heloisa de Carvalho; Franco, Laercio Joel; Stradioto, Mayra Alves; Hortale, Virginia Alonso; Schall, Virginia Torres
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/04/2009 POR; ENG
Relevância na Pesquisa
65.74%
OBJETIVO: Comparar a efetividade de estratégias, em grupo e individual, de programa educativo em diabetes. MÉTODOS: Cento e quatro pacientes com diabetes tipo 2, atendidos no ambulatório e com seguimento em programa educativo de hospital de Belo Horizonte (MG), foram aleatoriamente recrutados e alocados em dois grupos: educação em grupo (n=54) e individual (n=50). A educação em grupo consistia de três encontros mensais, nos quais eram desenvolvidas dinâmicas lúdicas e interativas. Simultaneamente, o outro grupo era acompanhado individualmente. O acompanhamento ocorreu por seis meses durante o ano de 2006, sendo avaliados por questionários específicos: conhecimentos em diabetes, atitudes psicológicas, mudança de comportamento, qualidade de vida. Foi realizada avaliação clínica no tempo inicial, depois de três e seis meses da intervenção. RESULTADOS: A média de idade dos pacientes era de 60,6 anos. Os resultados da educação em grupo e individual foram semelhantes no teste de atitudes, mudança de comportamento e qualidade de vida. Observou-se redução nos níveis de HbA1c nos dois grupos, entretanto apenas no de educação em grupo a diferença apresentou significância estatística (p= 0,012). CONCLUSÕES: As duas estratégias do programa educativo em diabetes foram efetivas...

EFEITOS DO PROGRAMA DE EDUCAÇÃO EM PACIENTES COM ARTRITE REUMATOIDE DO SERVIÇO DE REUMATOLOGIA DO HOSPITAL UNIVERSITÁRIO CASSIANO ANTÔNIO DE MORAES (HUCAM) - PROJETO PILOTO; Effects of education program in patients with rheumatoid arthritis Rheumatology Service of University Hospital Cassiano Antonio de Moraes (HUCAM) - pilot project

Gomes, Crystian Moraes Silva; Coutinho, Gilma Correa; Miyamoto, Samira Tatiyama
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 03/09/2014 POR
Relevância na Pesquisa
65.77%
As metas da educação ao paciente com artrite reumatoide (AR) visam estimular o sujeito a alcançar o máximo possível de independência funcional e qualidade de vida. O objetivo do trabalho foi verificar os efeitos do programa de extensão “Educação ao Paciente Reumático”, em um Serviço de Reumatologia, em Vitória/ES. A metodologia utilizada foi um ensaio clínico não controlado do tipo quantitativo. Pacientes foram avaliados ao iniciarem no programa e após quatro semanas, através do Health Assessment Questionnaire, do Patient Knowledge Questionnaire e da Escala de autoefi cácia para dor crônica. Nos dados foram utilizados o teste t-pareado, para as variáveis paramétricas, e o teste de Wilcoxon, para as não paramétricas, sendo considerado um p<0,05. Os resultados foram os seguintes: cinquenta pacientes com AR participaram do programa, sendo que quinze pacientes compareceram a todos os encontros e dezenove completaram as 1ª e 2ª avaliações; 18,2% completaram o Ensino Médio e 63,6% recebiam até um salário mínimo. Concluiu-se que não houve diferença estatisticamentesignificativa entre as avaliações iniciais e finais. A amostra utilizada demonstrou que os pacientes não adquiriram mais conhecimento sobre a doença através do programa de educação a curto-prazo...

Education for arthritis patients: a community pharmacy based pilot project

Petkova,Valentina B.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2009 ENG
Relevância na Pesquisa
65.63%
There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients' disease management, medication compliance and from there patients' quality of life. Objective: To develop and implement a community pharmacy-based educational program for patients with arthritis. Improvements in pain, medication compliance, decrease in general practitioner's visits and hospitalizations are expected. Methods: Prospective, randomized, controlled trial. The sample consisted of 43 individuals, with different stages of arthritis (aged 15 - 71), attending pharmacies - intervention group; and 43 individuals - control group. A 4-month education was conducted on the following topics: what causes arthritis and what are the factors that can intensify it; pain management and physical activities; self-management and prevention; pharmacotherapy and possible adverse drug reactions. Patient's health-related quality of life was assessed in the beginning and at the end of the survey. Results: Parameters assessed during the four stages of the program were: frequency of severe pain, frequency of general practitioner's visits...

Effect of patient counseling on quality of life of hemodialysis patients in India

Thomas,Dixon; Joseph,John; Francis,Babu; P. Mohanta,Guru
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2009 ENG
Relevância na Pesquisa
65.65%
End stage renal disease (ESRD) is a growing problem. The effect of patient counseling is to be defined on health-related quality of life. Objective: The purpose of this study was to find out the impact of patient counseling in health related quality of life (QoL). Methods: In this prospective interventional study, the Karnofsky Performance Status (KPS) for QoL questionnaire was used in test and control groups for data collection. The same data collection method was used during six months to study the effect of patient counseling. Results: Health related quality of life in test group showed a consistent improvement of 2% in six months. Improvement of awareness by patient counseling was also improved. Conclusion: As part of medication therapy management (MTM), patient counseling focusing on dialysis compliance, diet and medications are an effective way to improve health-related QoL and awareness in ESRD. Such services should be made mandatory by law in India to improve outcomes in chronic illness.

Performance of a Brazilian population on the test of functional health literacy in adults

Carthery-Goulart,Maria Teresa; Anghinah,Renato; Areza-Fegyveres,Renata; Bahia,Valeria Santoro; Brucki,Sonia Maria Dozzi; Damin,Antonio; Formigoni,Ana Paula; Frota,Norberto; Guariglia,Carla; Jacinto,Alessandro F; Kato,Eliane Mayumi; Lima,Edson P; Mansur,Le
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2009 EN
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OBJECTIVE: To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age. METHODS: The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of São Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age. RESULTS: The mean age of the sample was 47.3 years(sd=16.8) and the mean education was 9.7 years(sd=5; range: 1 - 17). A total of 32.4% of the sample showed literacy/numeracy deficits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not significant when the effects of education were held constant (rp=-0.031...