Objective: To assess the quality of life (QoL) of asthmatic adolescents and its association with asthma severity, chronic diseases, and life style. Method:Cross-sectional study involving 210 female and male asthmatic adolescents between 12 and 21 years old. The Paediatric Asthma Quality of Life Questionnaire, a self-administered instrument, was used. Explanatory variables were: allergic diseases, use of medication, passive smoking, occupational status, asthma severity, and life style. The analyses considered the dichotomous outcome (good/poor QoL) based on the mean scores. Generalized linear models (log-binomial) were used to calculate the crude and adjusted prevalence ratios.Results: Forty-six per cent of the girls and 57% of the boys had poor QoL. There was not correlation between chronic diseases and poor QoL. Low educational level, use of medication, passive smoking, and occupational factors had a statistically significant association (p < 0.05) with poor QoL. The adjusted analysis showed that severe asthma (PR = 1.53; 95%CI 1.12-2.11), use of medication (PR = 1.58; 95%CI 1.09-2.28), having asthma diagnosis established less than 5 years ago (PR = 1.30; 95%CI 0.97-1.86), passive smoking (PR = 1.38; 95%CI 1.35-2.00), and being employed (PR = 1.30; 95%CI 0.96-1.74) were associated with poor QoL. Conclusion:A multidisciplinary team needs to face the challenge of providing good QoL with the purpose of making these patients better adapted to society and to their own needs.J Pediatr (Rio J). 2009;85(6):523-530: Quality of life, asthma, adolescents, chronic disease. ResumoObjetivo: Avaliar a qualidade de vida (QV) de adolescentes asmá-ticos e sua associação com a gravidade da asma, doenças crônicas e estilo de vida.Método: Estudo seccional em 210 adolescentes asmáticos entre 12 e 21 anos de ambos os sexos. Utilizou-se questionário autopreenchível, o Paediatric Asthma Quality of Life Questionnaire. Variáveis explicativas: doenças alérgicas, uso de medicamentos, fumo passivo, trabalho, gravidade da asma e estilo de vida. As análises consideraram o desfecho dicotômico (QV boa/ruim) a partir da média dos escores. Modelos lineares generalizados (log-binomial) foram utilizados para o cálculo de razões de prevalência (RP) brutas e ajustadas.Resultados: Quarenta e seis por cento das meninas e 57% dos meninos apresentavam uma QV ruim. Não houve correlação entre doenças crônicas e QV ruim. Escolaridade baixa, uso de medicamentos, fumo passivo e trabalho tiveram relação estatisticamente significativa (p < 0,05) com QV ruim. A análise ajustada mostrou que asma grave (RP = 1,53; IC95% 1,12-2,11), uso de medicação (RP = 1,58; IC95% 1,09-2,28), ter menos de 5 anos de diagnóstico de asma (RP = 1,30; IC95% 0,97-1,86), fumo passivo (RP = 1,38; IC95% 1,35-2,00) e estar trabalhando (RP = 1,30; IC95% 0,96-1,74) se associavam a QV ruim. Conclusão:A equipe multidisciplinar necessita enfrentar esse desafio que é manter a boa QV, visando a uma melhor adequação desse paciente à sociedade e a ele próprio.J Pediatr (Rio J). 2009;85(6):...
Objective: To assess the quality of life (QoL) of asthmatic adolescents and its association with asthma severity, chronic diseases, and life style.Method: Cross-sectional study involving 210 female and male asthmatic adolescents between 12 and 21 years old. The Paediatric Asthma Quality of Life Questionnaire, a self-administered instrument, was used. Explanatory variables were: allergic diseases, use of medication, passive smoking, occupational status, asthma severity, and life style. The analyses considered the dichotomous outcome (good/poor QoL) based on the mean scores. Generalized linear models (log-binomial) were used to calculate the crude and adjusted prevalence ratios (PR).Results: Forty-six per cent of the girls and 57% of the boys had poor QoL. There was no correlation between chronic diseases and poor QoL. Low educational level, use of medication, passive smoking, and occupational factors had a statistically significant association (p < 0.05) with poor QoL. The adjusted analysis showed that severe asthma (PR = 1.53; 95%CI 1.12-2.11), use of medication (PR = 1.58; 95%CI 1.09-2.28), having asthma diagnosis established less than 5 years ago (PR = 1.30; 95%CI 0.97-1.86), passive smoking (PR = 1.38; 95%CI 1.35-2.00), and being employed (PR = 1.30; 95%CI 0.96-1.74) were associated with poor QoL. Conclusion:A multidisciplinary team needs to face the challenge of providing good QoL with the purpose of making these patients better adapted to society and to their own needs.J Pediatr (Rio J). 2009;85(6):523-530: Quality of life, asthma, adolescents, chronic disease.
The results of this study suggest that greater attention should be paid to the emotional needs of adolescents with chronic diseases, including more effective actions in the field of mental health in order to improve quality of life and overall treatment of young asthmatic patients.
A violência contra a mulher é definida pelo ato que cause morte, dano ou sofrimento físico, sexual, psicológico, moral e patrimonial à mulher, tanto na esfera pública quanto na privada. Cabe ressaltar que nem sempre esse ato é percebido pela vítima, sendo de suma importância seu reconhecimento pelos profissionais da atenção básica à saúde. Realizou-se um estudo descritivo, qualitativo, do tipo relato de caso, por meio de análise de prontuário eletrônico fornecido pela unidade básica de saúde. Em paralelo, realizou-se revisão da literatura acerca da violência doméstica contra mulher. Os dados foram analisados pelo método de análise de conteúdo. A violência contra a mulher corresponde a um problema de saúde pública, o qual requer muita atenção e cuidado. Os serviços de atenção básica correspondem à principal porta de entrada dessas vítimas no sistema de saúde, sendo necessário capacitar as equipes para que possam auxiliá-las.
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