Navegando por Assunto "Quality of life"

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Análise da adesão medicamentosa de pacientes hansenianos em uma Unidade Básica de Saúde
(Universidade Federal do Pará, 2023-06-16) PINHEIRO, Alcivaldo Mendes; MELLO, Amanda Gabryelle Nunes Cardoso; http://lattes.cnpq.br/8951750304102610; https://orcid.org/0000-0001-7661-1615
Introduction: Leprosy is a chronic transmissible infectious disease that still persists as a public health problem in Brazil. However, through the analysis of polychemotherapy medication adherence, a better quality of life is sought for diagnosed leprosy patients, with the pharmacist playing an important role in promoting early diagnosis and rational use of medication. Objective: To analyze the therapeutic adherence of patients undergoing treatment for leprosy treated at a basic health unit in Belém. Methodology: It is a prospective observational study to characterize the sociodemographic profile of patients undergoing polychemotherapy drug treatment at the Basic Health Unit located in the Guamá neighborhood, in Belém do Pará. Results: The study had the participation of 75 patients, 60 were undergoing treatment and 15 had already been discharged, in which the latter were consulted only to assess the dermatological quality of life. For the demographic and economic survey of patients, those who did not have confirmed diagnoses or had not started treatment were excluded. Final considerations: The predominant age group was between 50 and 59 years old, approximately (11.25%), male (41.25%), self-declared black patients (18.75%), married (21, 0%), high school (15.75%) and who had a formal contract with an income of up to one minimum wage (11.25%). Most patients adhered positively to the treatment, and at the end of the research a Therapeutic Adherence Manual was prepared for the follow-up of patients with leprosy, aiming at updating pharmaceutical practices with an exclusive focus on the care of patients with leprosy.
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Análise da sarcopenia e a sua associação com indicadores clínicos, funcionais e de qualidade de vida em pessoas idosas atendidas no ambulatório do hospital Universitário João de Barros Barreto
(Universidade Federal do Pará, 2024-08-09) MORAES, Janine Brasil de Araújo; NEVES, Laura Maria Tomazi; http://lattes.cnpq.br/4235603520707156; HTTPS://ORCID.ORG/0000-0002-3115-2571; CARNEIRO, Saul Rassy Carneiro; http://lattes.cnpq.br/9162153771863939; https://orcid.org/0000-0002-6825-0239
Introduction: Introduction: Ageing can be accompanied by a progressive decline in muscle mass, strength and function. This resulting health condition is known as sarcopenia, a muscle disease that develops progressively and chronically. Age-related sarcopenia has several factors that accelerate this process and need to be identified and controlled in order to promote a good health prognosis and quality of life for the elderly population. Objective: To assess the association between sarcopenia and functional and quality of life indicators in elderly people treated at the geriatrics outpatient clinic of the João de Barros Barreto University Hospital (HUJBB). Methods: This is an observational, analytical, cross-sectional study carried out at the HUJBB geriatrics outpatient clinic. Sociodemographic and clinical assessments were carried out: sarcopenia assessment (SARC-Calf, handgrip strength assessment, Tetrapolar Electrical Bioimpedance (BIA) and Short Physical Performance Battery (SPPB)), functional indicators assessment (Barthel, quadriceps strength assessment, physical activity level assessment (IPAQ) and presence of falls in 60 days) and quality of life assessment (SF-12). The algorithm of the European Working Group on sarcopenia in the elderly (EWGSOP2) was used. Results: 129 participants were assessed (73% women, p = 0.001), with a mean age of 75.4 years and from the capital (80.6%). 57% were found to be at risk of sarcopenia, with a prevalence of sarcopenia of 27.1%. Handgrip strength (HGS) 18kg/f, skeletal muscle mass 18.3kg; SPPB 9 points; Barthel score 58.8% of independent participants; quadriceps strength 14kg/f; IPAQ 38.8% with a low level of physical activity and SF-12 37.7 points for the physical component and 48.2 points for the mental component. There was an association between appendicular skeletal muscle mass (ASMR) and calf circumference (WC), age, SARC-Calf, FPM and quality of life (physical component) for men (adjusted R2 0.42 and p<0.05), as well as sarcopenia, classified by ASMR, with BIA variables: body resistance, total body water in lean mass, lean mass and basal metabolic rate for men (adjusted R2 0.49 and p<0.05), and for women, intracellular water and total body water in body weight (adjusted R2 0.60 and p<0.05). Conclusion: This study concludes that WC, age, sarcopenia risk screening, HGS and quality of life were associated with MMEA measured by BIA. For the diagnosis of sarcopenia, there were different associations between the BIA markers when adjusted for gender.
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Análise dos índices de qualidade de vida amazônicos por meio de indicadores sociais
(Universidade Federal do Pará, 2023-12-27) FARIAS, Ana Paula Vilhena; SERUFFO, Marcos Cesar da Rocha; http://lattes.cnpq.br/3794198610723464; https://orcid.org/0000-0002-8106-0560; PIRES, Yomara Pinheiro; http://lattes.cnpq.br/5304797342599931; https://orcid.org/0000-0001-7724-6082
The Amazonian scenario is diverse, where ways of life, as well as its quality, are directly related to environmental and social interactions. From the analysis of the indicators used in the Amazon Social Progress Index and Pastoral da Criança and considering the high degree of subjectivity that comprises Quality of Life, it would be possible to develop a methodology to measure these indexes aimed at the Amazonian social sphere that address the quality of life? The objective is to understand the quality of life in Amazonian municipalities through indicators that portray developments based on social performances such as the Amazon Social Progress Index and the Pastoral da Criança. The data analysis methodology will be carried out in two ways: firstly through the Knowledge Discovery in Databases (KDD) process originating from data from Pastoral da Criança and the second will be based on the Systematic Mapping of the Social Progress Index (IPS) of the Amazon based on the PICOC methodology (P: population/patients; I: intervention; C: comparison/control; O: result; C: context). Research and databases, bibliographic review, study and selection of productions, characterization, study and monitoring in the field and comparative report between these were carried out. With regard to the results obtained, it is noted that IPS Amazônia, in its latest reports, did little to address the traditional peoples who inhabit the corresponding area, as well as the periodicity of its publications. Pastoral da Criança, on the other hand, does not operate in the environmental area and excludes other audiences from its support other than pregnant women, babies and children up to 6 years of age. It is noteworthy that both sources of research and QoL activities benefit, but do not completely meet the needs of the region, providing a basis to guide public policy planning and actions aimed at the Amazon.
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Atividades físicas coletivas para a terceira idade: o uso dos três momentos pedagógicos em contextos ambientais
(Universidade Federal do Pará, 2024-05-28) SILVA, José Augusto Baeta e; SILVA, Ronaldo Adriano Ribeiro da; http://lattes.cnpq.br/2020211060475648; https://orcid.org/0000-0002-4974-4620
According to data from the World Health Organization (WHO), the number of people over the age of 60 will reach 2 billion in 2050. As a preventive measure against the ills that affect elderly people, including those caused by environmental factors, find-physical activity, defined by the WHO as any bodily movement produced by skeletal muscles that requires energy expenditure. This research aimed to investigate the perceptions of elderly people about the relationships that exist in quality of life, health promotion and environmental conditions. The study was developed with 17 elderly people enrolled and participating in the Extension Program of the University of the Elderly – UNITERCI, on the Campus of the Federal University of Pará, in Belém. As a data collection instrument, a semi-structured questionnaire was used, containing approaches to health, style of life and environment. The work was developed through a Didactic Sequence, using the Three Pedagogical Moments Methodology. The study supported the development of a technical educational product, called “Pedagogical Notebook: didactic sequence of collective physical activities for seniors in environmental contexts”. The results showed that the elderly use their free time in search of activities that bring them personal satisfaction and that they are recognized as practice when seeking quality of life. Another relevant aspect was the recognition of UNITERCI as a welcoming and necessary institution for the lives of elderly people and the importance of outdoor activities as a contribution to health and the preservation of natural resources. Therefore, it is necessary to urgently carry out studies and public policies that can minimize the harmful effects of climate change that interfere with the quality of life of elderly people.
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Bacias hidrográficas urbanas : aspectos socioambientais da bacia do Tucunduba, Amazônia, Brasil
(Universidade Federal do Pará, 2021-09-15) FIGUEIREDO, Camila de Magalhães e Souza; SOUSA-FELIX, Rosigleyse Corrêa de; http://lattes.cnpq.br/1452935151806378; https://orcid.org/0000-0002-3769-0792
The Tucunduba Hydrographic Basin (THB) is the second largest basin in the city of Belém, in Pará. It drains four districts of Belém: Marco, Canudos, Terra Firme and Guamá. It is one of the most densely populated areas in the city, with a population of approximately 200,000 inhabitants. This work aims to analyze the socio-environmental conditions of the Tucunduba Basin, based on the macro-environmental elements needed to understand the dynamics of use throughout the basin. The methodological approaches of the research included the application of a questionnaire to the residents of the THB, a calculation based on the local Urban Quality of Life Index (UQLI), a calculation of the Simplified Environmental Impact Index, an estimate of the per capita sewage discharge of the neighborhoods belonging to the THB and an Environmental Impact Assessment of the physical, biotic and anthropic environments in the 3 sections of the macrodrainage project. Based on the results obtained, the IQVU in the Tucunduba Basin is approximately 0.6, i.e. regular. In addition, the results generated through the simplified environmental impact assessment show that the stretches analyzed have considerable environmental impacts (either high or very high). This demonstrates the precariousness of the services offered to the population and highlights the fragility of local urban management. There is therefore an urgent need for integrated management strategies, the evaluation and monitoring of space, and the provision of services that guarantee a good quality of life and the environment.
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Burnout e clima organizacional: intervenções para redução de riscos de incidência nas IFES
(Universidade Federal do Pará, 2020-06-24) SILVA, Josemare de Nazaré Sousa da; TEIXEIRA, Eliana Maria de Souza Franco; http://lattes.cnpq.br/5865287894194983; https://orcid.org/0000-0002-7979-2404
Acesso aberto (Open Access)
Cidades inteligentes: principais rankings e propostas de melhoria para São Luís, Maranhão
(Universidade Federal do Pará, 2020-12-11) COSTA, Belisa Souza; BATISTA, Clauderino da Silva; http://lattes.cnpq.br/1345689043203622
The concept of smart city has been spread, nowadays, as an adequate place for people to live, where technological resources cooperate with each other to generate well-being, social inclusion and participation of its inhabitants, in addition to the sustainability of the environment, and where there is sustainable growth, monitoring and integration of all infrastructure components; it is up to governments to optimize resources, preventive maintenance, ensuring security, while maximizing their services to citizens. There are international indexes that measure the level of development of cities, using criteria and dimensions that are very similar, although not all indexes use the same criteria and dimensions. Objetives: the present work is configured as an analysis of the main rankings that measure the conditions of the cities and classifies them as to the position between smart cities, aiming at improvement proposals for the city of São Luís, facing the reality of these cities, seeking quality of life, sustainability and respect for the environment. Methods: It uses the city of Curitiba as a national reference, considered first in 2018, in the Connected Smart Cities Ranking, while São Luís was not among the analyzed positions. Results: An intervention plan is proposed in order to make São Luís more competitive in terms of its classification as a smart and sustainable city, in the items urban mobility, environment, health, technology and innovation, and security. These items were consolidated in three strategic lines to organize the proposed interventions: Management x of public administration; Management of basic sanitation in a broad sense; Adequacy of the use of the territory and the relationships between the natural and the built environment, as well as their interferences on mobility in the municipality; in addition to the transversal theme of energy management, as a way of encouraging the generation of jobs and income, reduction of municipal public spending (public lighting, energy spent in the areas of health and education), combined with the application of sustainable practices and environmental sanitation. Conclusion: It was concluded that it is possible to transform São Luís into a smart and sustenaible city, through the proposed intervention plan, with investments and partnerships in order to achieve these goals, improving the quality of life of its inhabitants.
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Construção de um protocolo de exercícios físicos para o atendimento a pessoas com diabetes mellitus tipo 2: revisão rápida
(Universidade Federal do Pará, 2022-08-30) RIBEIRO, Andressa Karoline Pinto de Lima; TORRES, Natáli Valim Oliver Bento; http://lattes.cnpq.br/1927198788019996; https://orcid.org/0000-0003-0978-211X
Type 2 Diabetes Mellitus (DM2) accounts for 90-95% of all diabetes cases. This form covers individuals with relative insulin deficiency and peripheral insulin resistance. Physical exercise is an efficient therapeutic strategy for the treatment of people with DM2 as it contributes to glycemic control, as well as reducing cardiovascular risk factors, increasing physical fitness, contributing to body weight control and improving people's quality of life. Objective: Formulate a physical exercise protocol aimed at health professionals for the treatment and maintenance of glycemic control of adults with type 2 Diabetes Mellitus. Methodology: The study consists in the elaboration of the protocol from a rapid review in search of studies who investigated the effects of physical exercise on the glycemic control of adults with type 2 Diabetes Mellitus (DM2) to analyze which exercise parameters (modality, frequency, volume, intensity, interval and progression) are recommended to achieve better glycemic control in the population of interest. The PICOT strategy was adopted for the elaboration of the inclusion criteria of the studies and the PRISMA protocol for the writing of the manuscript. PubMed and LILACS databases were used. The study selection process took place through 4 steps: identification, selection by title and abstract, eligibility assessment and inclusion. Two authors independently extracted data on population, intervention and outcome from each study, and the extracted information was organized into tables. The methodological quality of each study was analyzed based on the PEDro scale (PROSPERO - CRD 42021262614). Results: From a total of 1152 articles, 17 studies met the inclusion criteria and were analyzed. A total of 1,141 (745 in exercise groups and 396 in sedentary control groups) people with T2DM were included. Regarding the type of study, 15 (88.2%) were randomized clinical trials and 2 (11.8%) were non-randomized clinical trials. The age of patients ranged from 45.6 to 61.7 years. The mean intervention time was 17 weeks, ranging from 9 to 48 weeks. Six studies 35.3% reported that no adverse events occurred during the intervention, two (11.8%) reported some event and nine (52.9%) did not present any information. The theoretical basis obtained from the rapid review and other studies supported the construction of a guidance protocol for professionals about physical exercise as a treatment for DM2 and management of glycemic control. The following elements were elaborated: frameworks of concepts, flowcharts and explanatory texts constructed with objective and easy-to-understand language as didactic tools in order to assist in the outpatient routine of professionals responsible for prescribing exercises in the management of patients treated at all levels of care of the Unified Health System (SUS). Discussion: Aerobic, resistance and combined training are associated with decreases in HbA1c, fasting glucose or postprandial glucose. however, combined training should be prioritized as they appear to have greater effects on glycemic control than either method alone. Conclusion: The protocol created from this review aims to offer professionals working at the various levels of health care in the SUS, updated, objective information, presented in a didactic way about physical exercise as a form of treatment for DM2. It is recommended that physical exercise protocols include both resistance and aerobic exercise, as their effects are greater on glycemic control than either method alone.
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A dança jazz como estratégia de cuidado ao adolescente com Diabetes Mellitus Tipo 1: um relato de caso
(Universidade Federal do Pará, 2024-02-26) DOURADO, Julyanna Nazareth da Silva; BENTO-TORRES, Natáli Valim Oliver; http://lattes.cnpq.br/1927198788019996; https://orcid.org/0000-0003-0978-211X
Diabetes Mellitus (DM) is a metabolic disorder associated with persistent hyperglycemia due to inadequate insulin production or reduced effectiveness of its mechanism of action. Type 1 Diabetes Mellitus (DM1), previously called “insulin-dependent diabetes” or “juvenile-onset diabetes,” accounts for 5 to 10% of DM cases. The DM1 complications can affect the living conditions of adolescents over the years and influence their quality of life. Physical exercise is a therapeutic tool for the treatment of people with DM1 and can improve insulin sensitivity and glycemic control, improving quality of life, mental health, and physical fitness. Dance is a low-explored option of physical exercise in the context of DM. In the present study, we report a single case study to investigate the potential of Jazz Dance as an intervention to achieve glycemic management, promote mental health, improve the physical fitness and quality of life of a 12-year-old female teenager with DM1, improve physical fitness and quality of life in an adolescent with DM1. The intervention program encompasses 24 Jazz classes twice a week, lasting 60 minutes, at moderate intensity (65 to 75% of maximum heart rate, Polar@). Pre- and post-intervention assessments (1 day after the choreographic presentation) include usual physical activity practice (Physical Activity Questionnaire for Adolescents PAQ-A), quality of life (Diabetes Quality of Life for Youths - DQOLY), symptoms of anxiety and depression (Depression, Anxiety and Stress Scale - Short Form - DASS-21), physical fitness (muscle strength of lower and upper limbs and indirect measure of cardiorespiratory fitness), and glycemic control (glycemia and glycated hemoglobin). Discursive textual analysis was also applied to assess the adolescent and her caregiver experiences (CAAE: 66423922.2.0000.0017/Approval number: 5.913.924). The results demonstrated a reduction in Fasting Glycemia (-16.02%), HbA1c (-4.00%), pre-test (-24.21%) and post-test (-9.56%) heart rate, depressive and anxious symptoms (-7.14%), and improved quality of life (3.61%). There was an increase in muscular strength in the upper limbs (20.00%), flight time, strength, and power in the lower limbs (0.27%; 1.62%; 1.70%, respectively). Despite limited evidence on the effect of dancing on people with DM, the data presented indicate the beneficial potential of Jazz in the care of adolescents with DM1, just as the report of the experience lived by the adolescent points to the positive impact of the intervention on her self-care routine and perceived quality of life. Despite the limitations of extrapolating our results to the teenage population with DM1, it is necessary to expand the research to include a more significant number of participants, as well as expand research on dance modalities as part of the treatment of DM1, aiming to quantify and qualify more precisely the potential adaptations and modifications provided to these people through dance.
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Depression after CABG: a prospective study
(Sociedade Brasileira de Cirurgia Cardiovascular, 2013-12) NUNES, Joana Kátya Veras Rodrigues Sampaio; FIGUEIREDO NETO, José Albuquerque de; SOUSA, Rosângela Maria Lopes de; COSTA, Vera Lívia Xavier de Castro; SILVA, Flor de Maria Araújo Mendonça; HORA, Ana Flávia Lima Teles da; SILVA, Edna Lúcia Coutinho da; REIS, Lívia Mariane Castelo Branco
INTRODUCTION: Depression during or shortly after hospitalization elevated two to three times the risk of mortality or nonfatal cardiac events, significantly increasing the morbidity and mortality of these patients. OBJECTIVE: To assess the impact of revascularization on symptoms of depression in patients with coronary artery disease. METHODS: A prospective cohort study of 57 patients of both sexes undergoing coronary artery bypass grafting between June 2010 and June 2011. We used the SF-36 to assess quality of life, and the Beck Depression Inventory to detect depressive symptoms, applied preoperatively and six months. RESULTS: The prevalence of patients aged 60-69 years was 22 patients (38.60%), 39 men (68.42%), 26 described themselves as mixed race (45.61%), 16 literate (28.07 %) and 30 married (52.63%). The beck depression inventory score demonstrated increased after revascularization: 15 patients mild (26.32%) at time zero to 17 (29.82%) after. And with moderate, seven patients (12.28%) before and 10 (17.54%) after. In the categories of individuals with decreased minimum degree of 32 (56.14%) to 28 (49.12%), and severe of three (5.26%) for two (3.51%) patients. Association was observed between beck depression inventory, gender, age, lifestyle, comorbidities and quality of life. CONCLUSION: There was a high prevalence of elevated beck depression inventory scores, lowest scores of depressive symptoms among men and association between the improvement of quality of life scores and beck depression invento
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Os efeitos da atividade física baseada em movimentos de dança no movimento, funções executivas, episódios depressivos e qualidade de vida de pessoas com doença de Parkinson
(Universidade Federal do Pará, 2022-06-21) DUARTE, Juliana dos Santos; KREJCOVÁ, Lane Viana; http://lattes.cnpq.br/2604693973864638; BAHIA, Carlomagno Pacheco; http://lattes.cnpq.br/0910507988777644; https://orcid.org/0000-0003-3794-4710
Parkinson's disease is considered the second most frequent neurodegenerative disease in the world and is characterized by being chronic and progressive. Motor symptoms are understood, but non-motor symptoms may be present and appear at different temporal stages of the disease. Although pharmacological treatments are important to alleviate PD symptoms, they are still limited and most often trigger side effects. Therefore, therapeutic approaches that complement the pharmacological approach are increasingly being investigated to assess their possible beneficial effects on symptomatology and disease progression. Physical activity based on dance movements is emerging as a therapeutic approach to a range of PD symptoms as it is a multidimensional activity that requires rhythmic synchronization and more neuromuscular functions. To evaluate the effects of physical activity based on dance movements on movement, executive functions, depressive episodes and quality of life in individuals diagnosed with PD. 13 individuals with PD (8♀ 5♂), aged 65.9 ± 6.5 years (mean ± SD), Hoehn & Yahr stages I to III, MDS-UPDRS 67.62 ± 20.83 (mean ± SD) performed two weekly sessions (50 min/session) of physical activity based on dance movements for six months. The assessment protocols were performed pre and post-intervention, applying the POMA test to assess movement, the FAB test to assess executive function and subdomains, the MADRS test to assess depressive episodes, the PDQ-39 questionnaire to assess the perception of quality of life and, finally, the MDS-UPDRS scale to assess the severity of PD. Student's t test was used to compare pre- and post-intervention results of physical activity based on dance movements. The significance level was 95% (p < 0.05). We observed significant improvement in balance and gait by the POMA test, t (12) = 2.283, p = 0.0207. Executive function by the FAB test, t (12) = 2.840, p = 0.0074, abstract reasoning and inhibitory control by the subdomains of the FAB Conceptualization test, t (12) = 2.941, p = 0.0062, and Inhibitory Control, t (12) = 2.920, p = 0.0064, showed significant improvements between the pre- and post-intervention periods of physical activity based on dance movements. Depressive episodes assessed by the MADRS test significantly reduced, t (12) = 2.264, p = 0.0214, and the perception of quality of life by the PDQ-39 had a significant increase after physical activity based on dance movements, t (12) = 4.239, p = 0.0006. We did not observe significant changes in PD severity. Physical activity based on dance movements has shown to have attenuating potential in movement, executive functions, depressive episodes and quality of life in PD, and may be effective in future rehabilitation. The characteristic elements of physical activity based on dance movements such as rhythmic synchronization, more cognitive-motor integration and social skills may have contributed to the results obtained in this study.
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Fatores associados à qualidade de vida de mulheres submetidas à radioterapia
(Universidade Federal do Rio Grande do Sul, 2024) VILHENA, Fabiane Diniz Machado; PEREIRA, Odenilce Vieira; SOUSA, Fabianne de Jesus Dias de; MARTINS, Nandara Celana Negreiros; ALBUQUERQUE, Gisela Pereira Xavier; LOPES, Renata Glaucia Barros da Silva; SAGICA, Taís dos Passos; RAMOS, Aline Maria Pereira Cruz
Objective: To evaluate the skin characteristics and quality of life of patients with breast cancer undergoing radiotherapy. Method: Cross-sectional study conducted with 60 women. The classification scales of skin changes resulting from exposure to ionizing radiation (RTOG) and the validated versions in Portuguese of those that classified skin types (Fitzpatrick), symptoms (RISRAS) and quality of life (DLQI) were applied. in the period between December 2021 and October 2022. For data analysis, Fisher’s Exact Test, Chi-Square and Asymptotic General Independence Test were used. Results:100% of patients had skin irritation. As the treatment progressed and the radiodermatitis appeared or worsened, there was a tendency for the intensity of signs and symptoms to increase, such as: sensitivity, discomfort or pain, itching, burning and heat, dry and wet desquamation, which may have impacted the quality of life and reflected in other aspects, such as: shopping activities or outings (p=0.0020), social activities or leisure activities (p=0.0420). Conclusion: Radiodermatitis is a common condition that affects women with breast cancer undergoing radiotherapy, skin characteristics and quality of life of patients affected during this treatment
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Impactos do Diabetes Mellitus Tipo 2 na qualidade de vida da população amazônica: a importância da atuação da equipe multiprofissional
(Universidade Federal do Pará, 2024-08-01) TORRES, Luana Cristina Fiel; PIANI, Pedro Paulo Freire; http://lattes.cnpq.br/6434100473666705
In the diagnosis of Type 2 Diabetes Mellitus (T2DM), the individual produces insufficient insulin, and the group most affected by this disease are people over 30 years old, obese or overweight, caused by the result of the relationship between hereditary and environmental factors and/or associated with population aging and an unhealthy lifestyle, with low frequency of physical activity, obesity and inadequate diet. T2DM is a chronic disease associated with high morbidity and mortality and impaired Quality of Life (QoL) and represents a public health problem due to its increased incidence and prevalence. The objective of this research was to present the possible association between QoL and T2DM and the evidence regarding the impacts of factors such as the performance of the multidisciplinary team. For this purpose, a cross-sectional study was carried out with 30 patients, in which two scales were applied and analyzed: the “B-PAID” and the WHO Quality of Life (WHOQOL – Brief), from October 2023 to June 2024, at the Endocrinology outpatient clinic of the João de Barros Barreto University Hospital - Belém - PA, in addition to the sociodemographic survey such as gender, age group, race/ethnicity, municipality, team and complications of DM2. Through this study, a profile of participants was obtained, these being people of both genders, aged between 50-69 years, brown, who lived in Belém, had greater monitoring by the endocrinologist and the nurse and had as main complications hypertension and dyslipidemia. The results found after analyzing the climbs were that this participant profile had as risk factors their QoL, economic variables, physical pain as an impediment to performing their routine activities, the feeling of not having clear goals for their treatment; not knowing how to deal with complications resulting from DM2 and a future of possible worsening of these. Subsequently, the participants were divided into two groups: “participants accompanied by up to two professionals” and “participants accompanied by three or more professionals” and the result obtained was that the latter group had the possibility of greater success in their treatment and better quality of life.
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Projeto de macrodrenagem da Bacia do Una e índice de qualidade de vida de seus moradores
(Universidade Federal do Pará, 2004) BRASIL, Syane Cristina; TOBIAS, Maisa Sales Gama; http://lattes.cnpq.br/9635266655242384; CARDOSO, Ana Cláudia Duarte; http://lattes.cnpq.br/3138101153535395
This thesis addresses the investigation about quality of life conditions of population resident in the area affected by Una Basin´s Macrodrainage Project (PMU). This project embraces nine neighborhoods of Belém -PA. It was developed to clean up and to recover flooded areas in the city, generating better life conditions for its inhabitants. This research aims to evaluate the effects of the cited project on inhabitant's life conditions. The methodology adopted incorporates the inhabitant’s vision about the intervention and, also, promotes a comparative analysis among the several areas reached by the project. The research identifies aspects of inhabitants‘ lives such as habitation, infrastructure, public services and accessibility conditions. The project is not completely consolidated yet; however, we already shimmered positive and negative points of the intervention. PMU didn't get to satisfy the expectations of the involved population over its execution, in spite of the abundance of financial resources, professionals' support, management and planning actions from several government spheres, besides the support of the involved entities. Several reasons handicapped the project’s aims of improving the quality of urban life of 60% of Belém`s population. Quality of life assessment was the approach adopted, through the construction of an index capable to identify and mensure the levels of lack or satisfaction of case study areas’ social needs, though the questioning on satisfaction of inhabitant’s expectations. This index was obtained trough indicators collected through semi-structured interviews in three sub areas of the project originated as informal settlements and in the Paraíso dos Pássaros, area built to shelter the inhabitants realocated for the macrodrenagem project, which received 2000 families. This investigation is important to know the real effects of official actions and public interventions, as it is the case of PMU, on inhabitants‘ living conditions of affected areas. It is expected that the proposed index will subsidize technical and political decisions about planning and urban administration for the study area and to define spacial and sectorial priorities for urban intervention, facilitating a more efficient and just public resources distribution, and favoring the sustainable improvement of quality of urban life. This work hopes to help in setting standards for decision-making, regarding to action priorities and urban investments and, specially, to the formulation of public policies to combat social exclusion.
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Proposta de intervenção para sensibilização dos gestores municipais quanto à implementação do serviço de acupuntura na saúde mental do municípo Castanhal, Pará
(Universidade Federal do Pará, 2023-05-10) SILVA, Jessé Jerônimo Fernandes e; SILVA, Marcos Valério Santos da; http://lattes.cnpq.br/0379783635000306; https://orcid.org/0000-0002-7824-0042; COSTA, Russany Silva da; http://lattes.cnpq.br/0435018266499256; https://orcid.org/0000-0002-2705-1591
Introduction: Depression encompasses biopsychosocial imbalances and is potentiated by stressful events. The progression of this, restricting quality of life through the exacerbation of negative symptoms and escape and avoidance behavior. Among the treatment approaches, acupuncture has proven effective for therapeutic success Objective: Application of the acupuncture technique in patients with depression disorder as an intervention proposal to sensitize municipal managers regarding the implementation of the mental health service in the municipality of Castanhal, Pará. Method: This was a quasi-experimental study with a quanti-qualitative approach, without a control group, with 17 participants. The data collection used a sociodemographic questionnaire, acupuncture form, Hamilton Scale, SF-12 Quality of Life questionnaire and field diary, the latter categorized into three domains, "quality of sleep", "quality of life" and "anxiety". Nine sessions were performed with a maximum use of 20 needles in each session. The data obtained were analyzed by descriptive statistics with the aid of SPSS software, using the chi-square test and the Student's t-test. Results: The majority of participants were female, in the age range 31 to 40 years, married, high school education, no fixed income, practice evangelism, perform household labor activities, have no children, smoker, sedentary, with unstable relationship in childhood and sexual abuse. The results showed improvement in the signs and symptoms associated with depression with a reduction in the Hamilton score from 19.3 ± 3.77 to 13.13 ± 2.43, student's t=5.6830, p=0.001, besides the improvement in the perception of general health status from the SF-12 from 4.06 ± 1.09 to 1.86 ± 0.83, p=0.001. Conclusion: The intervention with systemic acupuncture showed effective results in patients with depression, besides reducing complaints of anxiety crisis, improvement in sleep quality and concentration of the participants.
Acesso aberto (Open Access)
Tecnologia social para qualidade de vida em territórios de conservação: reservas de desenvolvimento sustentável Mamirauá e Amanã Amazonas
(Universidade Federal do Pará, 2016-12-12) NASCIMENTO, Ana Claudeise Silva do; MOURA, Edila Arnaud Ferreira; http://lattes.cnpq.br/2154370107837866; https://orcid.org/0000-0003-0093-8464; TEISSERENC, Maria José da Silva Aquino; http://lattes.cnpq.br/1799861202638255
The concept of Social Technology (ST) has been used—within academy and beyond—to mark the boundaries of a domain that is critical of the common positionings of technological determinism and scientific neutrality. The relationship between science, technology and society has resulted in a political agenda that aims to enhance local transformations, citizenship and social inclusion, by coordinating knowledge and practice, and to promote social emancipation. It is in this context, drawing from theoretical studies on science, technology and society, that the present work approached its subject. The research problem was defined in an analytical framework involving the nexus: “conservation unit; social technology; quality of life”, based on an experiment undertaken by the Sustainable Development Institute Mamirauá (IDSM). The aforementioned institute is an active protagonist in tackling technical-scientific problems such as inadequate drinking water and electricity in rural communities of Amazon floodplains. The main objective of the thesis is to analyze the diversity of effects and changes triggered by the IDSM in two riverside communities, located in the Sustainable Development Reserves Mamirauá and Amanã (Médio Solimões region), based on their access to other types of knowledge and technologies. The technologies were developed or reapplied by the IDSM with a technical-scientific perspective, aiming to promote quality of life among the local population as a component of sustainable use environmental conservation. The STs under analysis were water pumped from a river and household lighting, both using photovoltaic solar energy. To this end, the following aspects were considered: the social management—collective or individual—of a new technology proposed by a community; ways in which the aforementioned systems were appropriated; and the challenges and conflicts that interfered in their introduction and use. The methodological approach was designed by combining quantitative and qualitative research procedures, including bibliographic review, participant observation, ethnography and semi-structured interviews. Databases compiling demographic and socio-economic surveys of the Mamiraua and Amanã Sustainable Development Reserves, from the years 2001, 2002, 2006 and 2011, were analyzed to identify changes in the families’ lives throughout those years. Qualitative research also allowed the participating families’ perceptions on such changes to be evidenced. The findings indicate that, beyond reaching technical success, a series of measures are required as pertains to the social organization and use of the technologies. In this respect, consideration of the following factors would allow the concept of social technology to be understood in a broader fashion: the degree of the families’ involvement in the process of implementing the ST—in installation and maintenance—; the creation of mechanisms to ensure the systems’ sustainability; the creation of an internal standard and the instatement of a maintenance fund to buy spare parts and repair damages to the equipment; continued training to ensure local technical knowledge, and; follow-up of service failures and interruptions, in addition to user satisfaction. Such mechanisms are necessary as social technologies inherently incorporate innovative forms of organization and participation of the population as concerns the use of available resources.