Objective  To evaluate the serum concentrations of vitamin D and their relation with inflammatory bowel diseases. Methods  This is a quantitative and descriptive study, with individuals assisted by the interdisciplinary ambulatory of Inflammatory Bowel Disease of the Family and Community Health Unit of Itajaí/SC from September 2015 to October 2016. Socioeconomic data, life habits, and biochemical tests were collected, with the use of clinical indexes of classification of the disease activity: Harvey-Bradshaw Index (Crohn's Disease) and Partial Mayo Score (Chronic Nonspecific Ulcerative Colitis). Results  Of the 60 patients evaluated, 57% ( n = 34) had Crohn's Disease and 43% ( n = 26) had Chronic Nonspecific Ulcerative Colitis. According to disease activity, 75% ( n = 45) were in the remission phase, 13% ( n = 8) had mild activity, and 9% ( n = 5) had moderate activity. Regarding vitamin D, 63% ( n = 38) had deficiency of this vitamin and 37% ( n = 22) presented sufficiency. With the association of serum vitamin D concentrations and disease activity, we observed statistical significance among the variables ( p = 0.005). Regarding biochemical exams, the majority of patients with fecal calprotectin elevation presented vitamin D deficiency ( p = 0.025). Statistically significant correlation between HSV and vitamin D ( p = 0.0001) was found. Conclusion  According to the findings of this study, vitamin D deficiency is related to the clinical and laboratory activity of inflammatory bowel diseases.

BACKGROUND: Inflammatory bowel disease encompasses pathological entities, the main being Crohn’s disease and ulcerative rectocolitis. Both are characterized by chronic inflammation of the intestine. It affects young people of active age, compromising the situation of those patients, especially their quality of life, experiencing a strong deterioration in their clinical condition, from physical to social and emotional aspects. OBJECTIVE: Evaluate the quality of life of patients assisted in the multidisciplinary reference outpatient clinic for the treatment of inflammatory bowel diseases, through sociodemographic data and specific questionnaires on the disease, evaluating the intestinal and systemic symptoms and the social and emotional aspects. Make a comparison between the two scales used to obtain the data. METHODS: A cross-sectional study was carried out in which patients diagnosed with inflammatory bowel disease were evaluated and observed at a reference outpatient clinic for treatment from May 2017 through December 2018. The participants responded to the Socio-demographic and Clinical Protocol, the SF-36 general quality of life questionnaire and the specific Inflammatory Bowel Disease questionnaire, in addition the correlation between the two scales was performed using Pearson’s Correlation (metric scale), which data were analyzed by means of descriptive statistics and the significance level adopted was 5% (P≤0.05). The population studied consisted of 71 patients, excluding pregnant or nursing women and patients under 18 years of age. RESULTS: Seventy-one patients participated in the study, with an average age of 46.5 years and standard deviation of ±13.8; 45 patients had Crohn’s disease and 26 were diagnosed with ulcerative rectocolitis; 73.2% were women; 64.8% married; 8.4%, smokers; 50.7% reported practising some type of physical activity. A good distribution of patients was observed between the domains of each questionnaire; no low scores were found for quality of life, and systemic symptoms and emotional aspects were those with the lowest scores among the parameters of the Inflammatory Bowel Disease Questionnaire; physical (40.6±44.4) and emotional aspects (49.5±46.0) had lower scores among the Short Form-36 domains. The correlation between the two questionnaires proved to be significant. CONCLUSION: The clinical profile of the patients followed the characteristics of distribution and prevalence of these diseases. The impact of diseases on quality of life was observed in several aspects, especially those related to psychological components. Multidisciplinary follow-up, as well as psychological, social, nutritional and educational support should be considered important determinants to maintain or improve the quality of life of these patients.

Resumo Esta pesquisa teve como objetivo investigar a percepção de egressos de um curso de Psicologia sobre seu processo de formação, inserção e atuação profissional. Os dados foram coletados virtualmente por meio de um questionário semiestruturado, envolvendo 19 egressos. A análise foi realizada a partir da distribuição de frequência simples e da análise de conteúdo. Os resultados evidenciaram que o processo de inserção e atuação profissional se constitui como instância multifatorial, com variáveis relacionadas à formação, características pessoais e mercadológicas. Os participantes da pesquisa sugerem, como aspectos a serem aperfeiçoados, melhor articulação entre teoria e prática e ampliação dos contextos de estágio, diversificando a interlocução com outros campos do conhecimento. A maioria dos psicólogos realiza pós-graduação, e inseriu-se na vida profissional por meio de network. Os não inseridos atribuem esse fato à falta de especialização e de experiência, à baixa oferta de trabalho e remuneração. Evidencia-se a importância de contemplar no escopo das ênfases curriculares o desenvolvimento de habilidades comportamentais e planejamento de carreira para facilitar o processo de inserção profissional. Palavras-chave: Transição acadêmico-profissional, formação em Psicologia, mercado de trabalho.

As Doenças Inflamatórias Intestinais (DII) são distúrbios inflamatórios intestinais crônicos, cuja atividade gera impactos em vários âmbitos da vida do paciente, como no consumo alimentar e no estado psicológico. O presente trabalho avaliou as mudanças no consumo alimentar e nas condições psicossociais geradas pelo desenvolvimento da DII. Foi realizado um estudo transversal e descritivo, por meio da aplicação de um formulário aos pacientes assistidos em um Ambulatório Interdisciplinar do município de Itajaí – Santa Catarina, contendo perguntas abertas e fechadas, sobre o consumo de alimentos, as restrições alimentares e as alterações psicossociais que possam ter sido gerados pela doença em decorrência dos sintomas. Dos 65 pacientes avaliados, 90,8% restringem algum alimento/bebida, sendo os mais evitados: álcool, refrigerante, leite e derivados e alimentos gordurosos; e 89,2% sofreram alguma modificação psicossocial após o desenvolvimento da doença. Diante disto, as mudanças alimentares e psicossociais parecem iminentes ao diagnóstico de DII. A doença ainda parece ter gerado impacto em âmbitos socioemocional e profissional na vida desses pacientes. Dessa forma, faz-se necessário um atendimento interdisciplinar, além de um olhar humanizado e integral por parte dos profissionais para esse paciente, que perpassa por modificações muito além das biológicas.

Objective  Evaluation of nutritional status and consumption frequency of inflammatory and anti-inflammatory food by patients with inflammatory bowel diseases. Methods  An observational study of the patients assisted by the interdisciplinary inflammatory bowel diseases ambulatory of UNIVALI-SC. The nutritional status of patients was evaluated and each patient was categorized according to his/her body max index and also through a research questionnaire of the individual social-economy situation, life habits, and inflammatory and anti-inflammatory food consumption in a determinate period of time. Results  Out of the 65 patients, 57% had Crohn's disease and 43% had ulcerative colitis. According to the disease activity, 71% were in remission and 29% in activity. Of the sample, 57% were classified as overweight. It was not possible to correlate nutritional status and type of inflammatory bowel diseases, nutritional status and income or nutritional status and level of education. The most inflammatory foods were beef (65%) and coffee (60%), while the anti-inflammatory ones were garlic (75%), olive oil (54%), and sweet potatoes (23%). There was no association between the most consumed inflammatory and anti-inflammatory food and body max index. Conclusion  According to the results, most of the patients were overweight. The most commonly consumed inflammatory foods were beef and coffee and the anti-inflammatory ones were garlic, olive oil, and sweet potatoes.

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