This study aims to analyze the quality of life of mothers of children with cerebral palsy, correlated with the evolution of their children's gross motor function after ten months of rehabilitation. An observational, longitudinal study was carried out in Goiânia, Goiás, Brazil, involving 100 mothers and children with cerebral palsy. The children's motor function was evaluated using the Gross Motor Function Measure (GMFM) and the mothers' quality of life using the Medical Outcomes Study 36-item Short Form Health Survey (SF-36). After ten months of rehabilitation, the children's gross motor function had significantly improved (p<0.001), while the mothers only presented a significant improvement (p<0.001) in the bodily pain domain. The improvement in the motor function of children with cerebral palsy did not influence the changes in the mothers' quality of life.

Abstract

Objective: to compare the quality of life of elderly participants and non-participants of public physical exercise programs. Method: a control, analytical and cross-sectional study analyzing 108 elderly participants of public exercise programs (SG) and 126 non-participants (CG) in the city of Goiânia, Goias, Brazil, was performed. An initial Assessment Form, the Mental State Mini-Exam, the short version of the International Physical Activity Questionnaire, the World Health Organization Quality of Life - Bref (Whoqol-Bref) and the World Health Organization Quality of Life - Old (Whoqol-Old) were used. Comparison of socio-demographic profile and health conditions was performed using the Chi-squared test, while comparison of the quality of life of the SG and the CG was performed using covariance analysis (ANCOVA), followed by the post-hoc Tukey test. Results: the elderly persons in the SG had higher mean scores than those of the CG in all the Whoqol-Bref and Whoqol-Old domains (p<0.05). The active elderly in the CG did not exhibit differences in relation to the insufficiently active or sedentary members of the CG for any Whoqol-Bref or Whoqol-old domain (p≥0.05). Conclusion: the elderly participants in public physical exercise programs had a better perception of quality of life than non-participating elderly persons, and it was found that simply being active may not be enough to guarantee a better quality of life.

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Resumo: Estudo com objetivo de avaliar a presença de níveis de estresse geral e parental em pais de crianças e adolescentes com síndrome de Down. Trata-se de um estudo transversal e analítico, realizado em cinco Instituições que atendem pessoas com deficiência em Goiânia, Goiás. A amostra foi composta por 40 pais. Instrumentos de avaliação do estresse: Inventário de Sintomas de Estresse para Adultos de Lipp (ISSL), Parenting Stress Index Short Form (PSI/SF). Quanto à avaliação do estresse geral, por meio do ISSL: a maioria dos pais não estava estressada. Quanto à manifestação do estresse parental: o escore médio do estresse dos pais foi baixo. Entretanto, nas três subescalas e no questionário total, 35% dos pais apresentaram níveis de estresse considerado preocupante. Pais de adolescentes apresentaram escore médio mais alto do que pais de crianças, na subescala interação disfuncional genitor-criança (p=0,03). Houve maior proporção de pais de adolescentes com nível de estresse considerado preocupante (n= 54,50%, p=0,008). A comparação entre os dados socioeconômicos e o estresse parental revelou que o estresse é maior em pais com menos escolaridade. Os resultados chamam atenção para a necessidade de assistir a saúde emocional de pais de filhos com síndrome de Down, com foco para os pais de adolescentes.Palavras-chave: Pai. Síndrome de Down. Estresse. Abstract:The aim of this study is analysing the presence of worried levels of general and parental stress in parents who has children and teenagers with down´s syndrome. This is a transversal and analytic study that happened in five institutions that assist people with deficiency in Goiânia, Goiás. The sample consists of forty parents. Instruments of analyses of the stress: List of symptoms of stress to adults of LIPP (ISSL). The analyses of the general stress happened through of LIPP test: most of the parents wasn´t stressed but those who had stress were in the phase of resistance. In respect of the manifestation of the parental stress: the average level of stress of the parents was low in the three subscales and in the entire questionaire, however, 35% of the parents showed worried levels of stress. Parents of teenagers showed average level higher than the parents of children in the subscale dysfunctional interaction genitor-child. There was bigger proportion of parents of teenagers they have worried levels of stress. Comparison between the socioeconomic data and the parental stress revealed that the stress is bigger in parents who have studied a little bit. The results show that it´s necessary to help the emotional health of parents and children with down´s syndrome with the focus to the parents of teenagers.

ResumoEste artigo é uma revisão integrativa da literatura cujo objetivo foi analisar a compreensão e a legibilidade de termos de consentimento livre e esclarecido de participantes de pesquisas que envolvem seres humanos, e verificar quais fatores influenciam sua compreensão e legibilidade. Por conseguinte, pretendeu-se observar os fatores associados ao problema da obtenção de consentimento válido. Integram a amostra desta revisão onze artigos selecionados, nacionais e internacionais, dos quais quatro em Português (36,36%), um em Espanhol (9,10 %) e seis em Inglês (54,54%). Concluiu-se que a maioria dos estudos analisados confirma a hipótese de que os participantes não compreendem o que leem no termo de consentimento livre e esclarecido. Logo, os fatores inferidos como responsáveis pela dificuldade de leitura e compreensão dos termos de consentimento livre e esclarecido foram o nível de escolaridade dos participantes e a linguagem utilizada nos termos. Palavras-chave: Consentimento livre e esclarecido. Leitura-Compreensão. Resumen La comprensión y la legibilidad del consentimiento informado en investigaciones clínicasEste artículo es una revisión integradora de la literatura cuyo objetivo fue analizar la comprensión y la legibilidad de los consentimientos informados de los participantes de las investigaciones con seres humanos; y comprobar cuáles son los factores que influyen en su comprensión y legibilidad. Por lo tanto, se buscó identificar los factores asociados con el problema de la obtención del consentimiento válido. Forman parte de la muestra de esta revisión once artículos seleccionados, nacionales e internacionales, de los cuales cuatro eran en portugués (36, 36%), uno en español (9,10%) y seis en inglés (54,54%). Se concluyó que la mayoría de los estudios analizados confirma la hipótesis de que los participantes no entienden lo que leen en el consentimiento informado. Así, los factores deducidos como responsables de la dificultad para la lectura y la comprensión de los consentimientos informados fueron el nivel educativo de los participantes y el lenguaje usado en los términos. Palabras-clave: Consentimiento informado. Lectura-Comprensión. Abstract Comprehension and readability of the informed consent form in clinical researchThis article is an integrative literature review whose aims were to analyze the understanding and readability of informed consent forms applied to participants of researches involving humans, and to check the factors that influence their understanding and readability. Therefore, it intended to identify factors associated with the problem of obtaining a valid consent. The sample included eleven articles selected for this review, national and international, four of which were in Portuguese (36,36%), one in Spanish (9,10%) and six in English (54,54%). It was concluded that most of the studies analyzed confirms the hypothesis that the participants do not understand what they read in the informed consent form. Thus, the factors inferred as responsible for the difficulty in reading and u...

Objective: to assess the quality of life (QOL) of adolescents with cerebral palsy (CP) by self-report and by the caregiver’s report, and to analyze the agreement between these reports. Method: cross-sectional study conducted with 101 adolescents with CP and 101 caregivers. Both answered the Pediatric Quality of Life Inventory (PedsQL), module 4.0 - Generic (PedsQL 4.0) and module 3.0 - PC (PedsQL 3.0). Agreement between reports was analyzed using the Mann-Whitney test and the intra-class correlation coefficient (ICC) (p<0.05). Results: the lowest scores were in physical health, school activities and fatigue in the self-report. The lowest scores were in physical health and daily activities, in the caregivers’ report. Perceptions among adolescents and caregivers differed in physical health, movement and equilibrium, daily and school activities, with a lower score for caregivers in all of them. The agreement between the self-report and the caregivers’ report was poor (ICC<0.44) and in both instruments, the caregivers’ report was less optimistic. Conclusion: physical health is the most impaired domain of the QOL of adolescents with CP, both in the self-report and in the caregivers’ report. However, there is poor agreement between these reports, emphasizing that the use of the caregivers’ report should be cautious.

O acidente vascular cerebral (AVC) causa um impacto negativo nos indivíduos afetados e ocasiona alto número de mortes e internações no mundo. O AVC causa incapacidades funcionais, e a reabilitação na fase aguda ajuda a reduzir instalação de complicações secundárias e favorecer a independência. A medida de independência funcional (MIF) é um instrumento amplo para mensurar a capacidade funcional nesta fase de reabilitação. O Objetivo: Avaliar o perfil sociodemográfico, clínico e funcional de indivíduos com AVC internados em um centro de reabilitação em Goiânia - GO. Método: O estudo foi transversal, analisou o prontuário de pacientes internados de julho de 2016 a julho de 2018, foi coletado o perfil sociodemográfico e a MIF no primeiro dia de internação. Resultados: Foram analisadas 138 fichas, houve predominância do sexo masculino, mediana de idade de 61 anos, 70,3% tiveram AVC isquêmico, 89,9% apresentaram hemiplegia, 46,4% o lado esquerdo foi mais acometido, 84,1% utilizavam cadeiras de rodas. 51,4% eram casados, 36,2% tinham baixa escolaridade e 60,1% eram hipertensos e 55 de mediana da MIF destacando  maior independência funcional nos cuidados pessoais, controle, esfincteriano e conhecimento social. Concluisão: O perfil dos pacientes com AVC internados foi caracterizado por indivíduos do sexo masculino, baixa escolaridade e renda, idade avançada, altos índices de incapacidade funcional, alterações na marcha, espasticidade, hemiplegia e disfagia. Conhecer o perfil dos indivíduos com AVC ajudará a compreender suas causas e guiar políticas de prevenção, permitindo melhor qualidade de vida, rápida recuperação e reinserção às atividades de vida diária e à vida profissional.