Testes Ergométricos em Pacientes com Anemia Falciforme: Segurança, Viabilidade e Possíveis Implicações no Prognóstico

Araújo, Christiano Gonçalves de; Resende, Maria Betânia Solis; Tupinambás, Julia Teixeira; Dias, Rebeca Coeli Teodoro Maciel; Barros, Flávio Coelho; Vasconcelos, Maria Carmen Melo; Januário, José Nélio; Ribeiro, Antônio Luiz Pinho; Nunes, Maria Carmo P.

doi:10.36660/abc.20200437

Cited by 7 publications

(2 citation statements)

References 45 publications

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“…Thus, our results showed that these Because of the various cardiometabolic and vascular sequelae of SCD, exercise intolerance in this population can be attributed to multiple factors. Chronic anemia, 17 lung function, 12 pulmonary blood flow, 26 left ventricular diastolic dysfunction, 27 and altered cardiac reserve 28 have all been implicated as major contributors. However, a growing body of evidence has also pointed to the implications of skeletal muscle function.…”

Section: Discussionmentioning

confidence: 99%

Diaphragm excursion correlates with performance and ventilation on the 6‐min walk test in children with sickle cell disease

Rock

Marchese

2023

Pediatric Pulmonology

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Introduction: Diaphragm function may be impaired in children with sickle cell disease (SCD). We hypothesized that diaphragm function is related to performance and ventilation on the 6-min walk test (6MWT).Methods: Respiratory muscle testing, diaphragm ultrasonography, and the 6MWT with portable gas analysis were performed on children with SCD and age-and sex-matched controls.Results: Fourteen children with SCD were enrolled. Comparisons were made between nine children with SCD (9.89 ± 2.93 years) and nine controls (10.33 ± 2.35 years). Diaphragm thickness at total lung capacity, thickening fraction, and excursion time during quiet breaths and deep breaths (DB), all normalized by forced vital capacity, were greater in children with SCD (p< 0.05 for all). 6MWT distance was shorter in children with SCD (450.87 ± 74.2 m vs. 579.22 ± 72.46 m, p = 0.01). Tidal volume (V T ), minute ventilation (V E ̇), and oxygen consumption (V O2 ̇) were also lower (p< 0.05 for all). DB excursion correlated positively with 6MWT distance (r = 0.648, p = 0.023) and negatively with rate of perceived exertion (RPE) (r = −0.759, p = 0.003). RPE correlated negatively with distance (r = −0.680, p = 0.015). DB excursion time correlated positively with distance (r = 0.611, p = 0.035), V T (r = 0.770, p = 0.009), V E ̇(r = 0.736, p = 0.015), and V O2 ̇(r = 0.751, p = 0.012).Conclusions: Increased diaphragm excursion may be a strategy used to relieve air hunger while longer excursion time may reflect compensations to increase lung recruitment. Further studies are needed to better understand how these mechanisms affect exercise tolerance in children with SCD.

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Section: Discussionmentioning

confidence: 99%

Diaphragm excursion correlates with performance and ventilation on the 6‐min walk test in children with sickle cell disease

Rock

Marchese

2023

Pediatric Pulmonology

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“…However, even with the best medical care, life expectancy is lowered by nearly three decades for patients with SCD, which is projected to continue to rise. [ 2 ] It is imperative that health-care providers and their patients have proper communication channels if they are to provide patients with comprehensive treatment. Studies in outpatient clinics show that better medication adherence and better outcomes are correlated to patient and physician agreement on diagnosis and treatment plan.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of nurses toward sickle cell disease patients in Jazan

Alaajmi

Abdeldafie

2022

J Family Med Prim Care

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A BSTRACT Background: In this study, we look at the role of nurses in dealing with sickle cell disease (SCD) patients in Jazan city. Objectives: The aim of this study was to determine the knowledge of nurses and their attitudes toward SCD patients in Jazan hospitals, Saudi Arabia. Materials and Methods: In this cross-sectional, hospital-based study, based on the inclusion and exclusion criteria, we recruited 240 nurses from Prince Mohammed bin Nasser and Jazan general hospitals in Jazan city, Saudi Arabia. We depend on the validity and reliability of the instrument that were done by the author who prepared the tool of the primary research, and data management processing was incorporated. Statistical analysis was performed with the obtained data. Results: In this study, 24.2% of males and 75.8% of females were included. Of these, 40.4% of nurses between 35 and 40 years of age. About 50.4% has 10–15 years of working experience. 5% of the study participants’ salary is equal to 5000 SR which is the lower salary in the group of the participants. Also, 54.6% of nurses had a bachelor’s degree, 32.9% had a diploma, and only 12.5% had a master’s degree. Approximately 65% of nurses were married. Around 52% of nurses knew that SCD patients should have daily intake of 3 l of liquid and 44% of them recommended pop, juice, and broth. Among the sociodemographic variables, gender and income source were associated with attitude and knowledge scales, whereas among nurses’ groups, only marital status was associated ( P < 0.05). Also, among the sociodemographic variables of nurses, There is statistically significant relation between the nurses’ knowledge and attitude and the demographic characteristics such as income levels, marital status and experiences as revealed by P.vale <0.05. In this study, 72.5% of nurses had poor knowledge score levels and 27.5% had good knowledge. Conclusion: This study concludes that the average total knowledge score was 8.41 and only 27.5% of nurses had good knowledge about SCD in Jazan region. This study also suggests increasing educational interventions, which could aid in improving nurses’ knowledge and attitudes toward SCD. It is recommended to conduct a similar study with a large number of professionals in order to generalize the findings.

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Knowledge and Practice of Nursing in Sickle Cell Disease and Hemoglobinopathies in Primary Care

Araújo,

Ferreira,

Meira

et al. 2023

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Objective: to investigate the level of knowledge of nurses in Basic Health Units and their engagement in monitoring patients with sickle cell disease and other hemoglobinopathies. Methods: this is a qualitative, descriptive-exploratory study, carried out with 12 nurses from basic health units in the municipality of Santa Luzia/Minas Gerais between August 2018 and February 2019. The semi-structured interview was the technique used for data collection, which was analyzed using Content Analysis. Results: the analysis of the interviews emerged in the construction of three categories: understanding of sickle cell disease, risk factors, and alterations on physical examination; nursing care at the health unit according to the recommendation of the Ministry of Health; obstacles and facilitators for the tracking and identification of patients. Discourse analysis highlighted: the outstanding presence of misconceptions regarding sickle cell disease; the absence of effective follow-up of patients in the area covered by the nurse; and the non-existence of a positive sickle cell disease patient link with primary care. Conclusion: although nursing plays a fundamental role in monitoring and assisting patients with sickle cell disease, the study revealed a significant gap between care recommendations and practice in basic health units.

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Testes Ergométricos em Pacientes com Anemia Falciforme: Segurança, Viabilidade e Possíveis Implicações no Prognóstico

Cited by 7 publications

References 45 publications

Diaphragm excursion correlates with performance and ventilation on the 6‐min walk test in children with sickle cell disease

Diaphragm excursion correlates with performance and ventilation on the 6‐min walk test in children with sickle cell disease

Knowledge and attitudes of nurses toward sickle cell disease patients in Jazan

Knowledge and Practice of Nursing in Sickle Cell Disease and Hemoglobinopathies in Primary Care

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