OBJECTIVE: to compare the effectiveness of two educational interventions used by a healthcare provider in the monitoring of individuals with type 2 diabetes mellitus (T2DM), regarding knowledge of the disease, impact on quality of life and adoption of self-care actions. METHODS: comparative, longitudinal, prospective study performed with 150 subjects with type 2 diabetes, analyzed according to the type of participation in the program (individual and/or group). Participants of the individual intervention (II) received nursing consultations every six months and those of the group intervention (GI) took part in weekly meetings for three months. Data were collected through four questionnaires: Identification questionnaire, Problem Areas in Diabetes Questionnaire (PAID), Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) and the Diabetes Knowledge Scale (DKN-A). Data were analyzed using the Friedman and Mann Whitney tests, considering a statistical significance of p ≤ 0.05. RESULTS: there was an increase in knowledge about the disease in the II (p<0.003) and GI (p<0.007), with reduction of the impact on the quality of life in the II (p<0.007) and improvement in self-care actions in the GI (p<0.001). CONCLUSION: in both intervention models improvements were observed in the indicators, over the six month monitoring period.

Modelo de estudo: Estudo transversal, de base populacional, tipo inquérito domiciliar. Objetivo: Identificar os fatores associados às doenças cardiovasculares na população adulta residente na região metropolitana de Maringá. Metodologia: Participaram 1232 indivíduos de ambos os sexos e com idade entre 20 e 59 anos, residentes na região metropolitana de Maringá-Paraná. Para a identificação dos fatores associados foi utilizada a regressão logística múltipla não condicionada após análise de associação univariada. Resultados: A maioria dos indivíduos era do sexo feminino (72,2%), com idade entre 40 e 59 anos (54,1%), da cor branca (72,3%), com companheiro (66,1%) e pertencente à classe econômica C (56%). A prevalência de doenças cardiovasculares foi de 27,9%, sendo as mais prevalentes a Hipertensão Arterial (25,8%) e Angina (5%). Os fatores associados às doenças cardiovasculares, de modo geral, e às doenças cardiovasculares isoladas, foram a circunferência abdominal (p=0,004), Índice de Massa Corporal (p=0,023), dislipidemia (p=0,002) e etilismo (p=0,024). O tabagismo associou-se especificamente ao Infarto Agudo do Miocárdio e à Insuficiência Cardíaca. Conclusão: Os resultados indicam ser imperativas a preocupação e a união dos esforços por parte dos profissionais de saúde quanto à necessidade de estabelecimento de medidas preventivas relacionadas aos fatores de risco responsáveis pela ocorrência das doenças cardiovasculares

Objective: to understand the perceptions of people with leprosy about disease and treatment. Methods: qualitative study conducted with nine adults in chemotherapy treatment. Data was collected through semistructured interviews and submitted to content analysis in thematic modality. Results: participants reported a concern, distrust, and resistance to accepting the diagnosis. When diagnosed, they felt shame and fear of suffering prejudice. Living with the disease caused important changes, such as the inability to get out, to exercise or perform leisure activities, but the improvement resulting from treatment reassured them, and the need to care for a dependent care motivated them to do it. Families expressed attention, and care was recognized as important, and the absence of these events meant abandonment and exclusion. Conclusion: people with leprosy have demanded not always identified by health professionals, but they had repercussions in the management of the treatment and welfare of these people. Descriptors: Leprosy; Community Health Nursing; Therapeutics; Diagnosis; Family Relations. Objetivo: compreender as percepções de pessoas com hanseníase acerca da doença e tratamento. Métodos: estudo qualitativo, realizado com nove adultos em tratamento poliquimioterápico. Dados coletados mediante entrevista semiestruturada e submetidos à análise de conteúdo, modalidade temática. Resultados: os participantes relataram preocupação, desconfiança e resistência em aceitar o diagnóstico. Diagnosticados, sentiram vergonha e medo de sofrerem preconceito. Conviver com a doença provocou mudanças importantes, como a impossibilidade de saírem, se exercitarem ou realizarem atividades de lazer, mas a melhora advinda do tratamento os tranquilizou, e a necessidade de cuidar de um familiar dependente de cuidados lhes motivou a realizá-lo. As famílias que manifestaram atenção e cuidados foram reconhecidas como importantes; e a ausência dessas manifestações significou abandono e exclusão. Conclusão: pessoas com hanseníase apresentam demandas nem sempre identificadas pelos profissionais de saúde, mas estas repercutem no manejo do tratamento e bem-estar destas.

The aim of this study was to know and understand the representations and use of medicinal plants by elderly men assisted in the Family Health Strategies of Dourados, MS. Participated in this study, 18 elderly men aged over 60 years, using four or more medications. The research was conducted with qualitative approach. The results showed that there is still the consumption of medicinal plants among the elderly, especially in the treatment of minor harm. The representations about the plants seem anchored in the concept of safety; they are natural and few side effects. Its use is made concurrently with the manufactured medicines without regard to risk of interactions. Older men use medicinal plants, without however reporting to health professionals. Therefore, it is necessary continuing education focused on phytotherapy health team and nursing, contributing to safe and effective use of medicinal plants.

HighlightsFor the women the older age increased the risk of developing diabetic foot.The claw toes and calluses increased the risk of developing diabetic foot in woman.For the men, the use of insulin increased the risk of developing diabetic foot.The presence of sensory comorbidities and ulcers also increased the risk for men.

Qualitative research approach, descriptive and exploratory with objective of to know the practices and representations of medication on the use of drugs by people transplanted kidney. 18 people participated in the Dourados (MS), through semistructured interview. The theoretical contributions of medication practices were Peter Conrad and representation of Stuart Hall. The definition of the categories of theoretical analysis was Michel Foucault. Respondents had a mean age of 53.5 years, 13 males and 5 females, with median time to transplant eight years. The medications predominantly used were immunosuppresssive. We developed three categories of analysis: the drug as part of everyday life, the central role of the drug and correlation with rejection, and medicine and the autonomy of the transplanted kidney. The drugs are part of everyday life and the representations of autonomy and quality enhance your daily use.

RESUMOEsta pesquisa objetivou identificar a vulnerabilidade familiar das crianças com necessidades especiais de cuidados múltiplos, complexos e contínuos. Trata-se de estudo transversal, realizado com famílias de 68 crianças. Os dados foram coletados no período de junho a setembro de 2015, por meio de entrevistas realizadas no domicílio. Utilizou-se amostragem não probabilística por conveniência e os dados foram analisados por meio de estatística descritiva e correlação de Pearson. Todas as famílias apresentaram-se vulneráveis, contudo, 8,8% apresentaram até 40% de vulnerabilidade. Identificou-se, ainda, notória vulnerabilidade individual devido à fragilidade clínica da criança, social pela exclusão e programática relacionada à precariedade de acesso aos serviços de saúde. Faz-se necessário que as redes de atenção à saúde sejam reavaliadas por seus gestores, a fim de proporcionar acesso e atendimentos a essa população. Destaca-se a importância de investir na formação de profissionais qualificados para atuarem na atenção primária, que compreendam o contexto das famílias e valorizem a vulnerabilidade das mesmas na implementação de ações de cuidado. Palavras-chave: Análise de Vulnerabilidade; Vulnerabilidade em Saúde; Enfermagem Pediátrica; Saúde da Criança; Enfermagem Familiar. ABSTR ACT

Objective:To assess the association of sociodemographic and self-rated health in the presence of cardiovascular diseases and the association of this perception with the type of disease. Methods: A cross-sectional population survey study carried out with 1,232 individuals aged between 20 and 59 years of both genders living in the metropolitan region of Maringá-PR. Data were analyzed using multiple and simple logistic regression. Results: In multivariate analysis, the age range and self-rated health were associated with cardiovascular disease, and in the univariate analysis self-rated regular health was associated with arterial hypertension, while self-rated poor health was associated to heart failure, stroke, and to acute myocardial infarction (heart attack). Conclusion: The differences in association of self-rated health with these diseases can indicate how individuals with certain characteristics cope with the disease, allowing for more individualized and specific health care.