Navegando por Autor "Bezerra, Maria Amanda de Farias"
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Artigo Depressive symptoms and associated factors in institutionalized elderly(Experimental Aging Research, 2016) Souza, Dyego Leandro Bezerra de; Jerez-Roig, Javier; Oliveira, Nayara Priscila Dantas de; Lima Filho, Bartolomeu Fagundes de; Bezerra, Maria Amanda de Farias; Matias, Monayane Grazielly Leite; Ferreira, Lidiane Macedo; Amaral, Fabienne Louise Juvêncio dos Santos; https://orcid.org/0000-0001-8426-3120Background/Study Context: Depression is a common psychiatric disorder in the elderly that leads to a decrease in quality of life and functional impairment, among other health problems. The study of depressive symptoms in institutionalized elderly is scarce in Latin America and can contribute to plan prevention and treatment actions in order to improve health conditions for the residents as well as quality of life. Therefore, the aim of this study is to determine the prevalence of depressive symptoms and identify its associated factors in institutionalized elderly. Methods: A cross-sectional study is presented herein, carried out in 10 nursing homes of the municipality of Natal (Northeast Brazil). All individuals over the age of 60 were included. The Geriatric Depression Scale (GDS-15) was applied to verify the depressive symptoms, as well as sociodemographic variables related to the institution and health conditions (comorbidities, medication, body mass index, level of physical activity, mobility, and functional and cognitive capacities). Bivariate analysis was carried out using the chi-square Pearson’s test (or Fisher’s test) and the linear trend chi-square. Finally, logistic regression was utilized for multivariate analysis. Results: The final sample was constituted of 142 elderly, mostly of the female sex (78.9%), with an average age of 79.3 (SD: 8.2). Of these, 65 individuals presented depressive symptoms, with a 45.77% prevalence (95% confidence interval [CI]: 37.80–53.97%). The final model verified an association between the presence of depressive symptoms and functional impairment, prevalence ratio (PR) = 1.58 (95% CI: 1.04–2.42), and arterial hypertension, PR = 1.57 (95% CI: 1.07–2.31), adjusted by fecal incontinence, sex, and age. Conclusion: Depressive symptoms were present in almost half of the sample of institutionalized elderly, and this condition was associated with functional impairment and arterial hypertension. The results of this work indicate the importance of monitoring depression as well as intervening on these modifiable aspects, to avoid the cascade of negative outcomes associated with this disease and also improve the quality of life of this population groupTCC Efeito agudo da ventilação não invasiva nas variáveis cardiovasculares e respiratórias em indivíduos com insuficiência cardíaca(Universidade Federal do Rio Grande do Norte, 2018-01-13) Bezerra, Maria Amanda de Farias; Nogueira, Patrícia Angelica de Miranda Silva; Nogueira, Patrícia Angelica de Miranda Silva; Silva, . Ivanizia Soares da; Santos, Tácito Zaildo de MoraisObjetivo: Analisar o efeito agudo durante a Ventilação Não Invasiva (VNI) na pressão arterial sistólica (PAS), pressão arterial diastólica (PAD), frequência cardíaca (FC), frequência respiratória (FR) e saturação periférica de oxigênio (SpO2) em pacientes com Insuficiência Cardíaca (IC). Métodos: Trata-se de um ensaio clínico controlado, randomizado, cruzado, composto por 14 voluntários (63+9 anos), portadores de IC crônica, classe II (New York Heart Association), sintomáticos e clinicamente estáveis, os voluntários foram submetidos à 30 minutos de CPAP (Pressão Positiva Contínua nas Vias Aéreas) e 30 minutos de VNI modo Bi-nível em dias distintos. Resultados: No Bi-nível houve redução da FC (de 72,9+11,7 para 66,4+8,6 bpm), redução da FR (de 18,5+43,3 para 16,0+3,0 irpm) e aumento da SpO2 (de 96,6+1,5 para 97,6+1,2 %). No CPAP houve redução da FC (de 69,7+8,0 para 64,5+9,9bpm), redução da FR (de 18,0+3,4 para 15,4+3,2 irpm), e aumento da SpO2 de (97,2+1,3 para 97,8+1,0 %). Não houve diferença entre os modos ventilatórios CPAP e Bi-nível. Conclusão: Após 30 minutos de uso da VNI, em ambos os modos houve diminuição da FC e da FR, bem como aumento da SpO2 em indivíduos com IC.