RESUMO
En los últimos años se han observado cambios en los paradigmas debido a la mayor incidencia de shock séptico, razón por la cual la falla renal aguda a pasado de compromiso mono orgánico (como era en los años 70) por glomerulonefritis o nefrotoxicidad hasta la falla renal aguda que se observa actualmente en el contexto de falla multiorgánica en los pacientes graves (siendo el puente entre estas dos cosas la sepsis). Hasta 50 por ciento de los pacientes que desarrollan shock séptico y/o sepsis severa van a desarrollar IRA, y de éstos entre el 10-20 por ciento van a requerir terapia de reemplazo renal (TRR).(AU)
In recent years changes in paradigms have been observed due to the higher incidence of septic shock, which is why acute renal failure has passed from mono organic involvement (as it was in the 70s) due to glomerulonephritis or nephrotoxicity to renal failure acute syndrome that is currently observed in the context of multi-organ failure in severe patients (the bridge between these two things being sepsis). Up to 50 pertcent of patients who develop septic shock and / or severe sepsis will develop ARF, and of these 10-20 pertcent will require renal replacement therapy (RRT) (AU)
Assuntos
Humanos , Insuficiência Renal , Obstrução UretralRESUMO
Este estudo teve como objetivo a verificação de depressão entre idosos institucionalizados. Empregou-se o método transversal utilizando-se a Escala de Depressão Geriátrica de Yesavage em cinco instituições de longa permanência do Distrito Federal para verificar sintomas de depressão. Foram estudados ao todo 299 indivíduos. Destes, 181 não atenderam os critérios de inclusão e 16 se recusaram a participar do estudo. Dos 102 idosos com condições de participar do estudo, 49,0% apresentavam depressão. Destes, 36,3% com depressão leve a moderada e 12,7% com depressão severa. Verificou-se associações entre sintomas de depressão e aumento da idade, sexo feminino, limitação/dependência e insatisfação com a instituição. Houve ainda associação significativa entre depressão e insônia, taquicardia, parestesia, tontura e suor excessivo. A depressão é altamente prevalente entre idosos institucionalizados, é mais comum entre as mulheres, e relaciona-se a uma série de sinais e sintomas que podem auxiliar em um diagnóstico precoce, subsidiando uma assistência de enfermagem mais efetiva.
The objective of this study was to verify depression among institutionalized elderly individuals. The cross-section method and Yesavage's Geriatric Depression Scale were utilized in five geriatric long-term care facilities located in the Federal District to verify symptoms of depression. A total of 299 individuals were studied, 181 of whom did not meet the inclusion criteria. Sixteen individuals declined to participate. Considering the 102 individuals found suitable to participate in the study, 49.0% presented symptoms of depression; 36.3% suffered from mild to moderate depression and 12.7% showed symptoms of severe depression. Associations were found between depression symptoms and increased age, female gender, physical limitations/dependence and dissatisfaction with the institution. A significant association was also found between depression and insomnia, tachycardia, paresthesias, dizziness and excessive sweating. Depression is highly prevalent among institutionalized elderly individuals, more common among women, and correlated with a series of signs and symptoms that may help in making an early diagnosis, thus offering support to providing more effective nursing care.
Se objetivó verificar la depresión en ancianos institucionalizados. Se empleó el método transversal, utilizando la Escala de Depresión Geriátrica de Yesavage en cinco hogares geriátricos del Distrito Federal, para verificar sintomatología depresiva. Fueron estudiados en total 299 individuos, 181 no atendieron los criterios de inclusión y 16 recusaron su participación. De los 102 ancianos participantes del estudio, 49,0% presentaba depresión: 36,3% de leve a moderada, 12,7% depresión severa. Se verificaron asociaciones entre síntomas depresivos y aumento etario, sexo femenino, limitación/dependencia e insatisfacción con la institución. Existió inclusive asociación significativa entre depresión e insomnio, taquicardia, parestesia, mareos y sudoración excesiva. La depresión es altamente prevalente entre ancianos institucionalizados, es más común entre las mujeres, y se relaciona a una serie de signos y síntomas que pueden cooperar a un diagnóstico precoz, facilitándose una atención de enfermería más efectiva.
Assuntos
Idoso , Idoso de 80 Anos ou mais , Humanos , Pessoa de Meia-Idade , Depressão/epidemiologia , Depressão/enfermagem , Institucionalização , Estudos Transversais , Prevalência , Fatores de RiscoRESUMO
The objective of this study was to verify depression among institutionalized elderly individuals. The cross-section method and Yesavage's Geriatric Depression Scale were utilized in five geriatric long-term care facilities located in the Federal District to verify symptoms of depression. A total of 299 individuals were studied, 181 of whom did not meet the inclusion criteria. Sixteen individuals declined to participate. Considering the 102 individuals found suitable to participate in the study, 49.0% presented symptoms of depression; 36.3% suffered from mild to moderate depression and 12.7% showed symptoms of severe depression. Associations were found between depression symptoms and increased age, female gender, physical limitations/dependence and dissatisfaction with the institution. A significant association was also found between depression and insomnia, tachycardia, paresthesias, dizziness and excessive sweating. Depression is highly prevalent among institutionalized elderly individuals, more common among women, and correlated with a series of signs and symptoms that may help in making an early diagnosis, thus offering support to providing more effective nursing care.
Assuntos
Depressão/epidemiologia , Depressão/enfermagem , Institucionalização , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Prevalência , Fatores de RiscoRESUMO
BACKGROUND: Fatigue is a common complaint in rheumatoid arthritis patients and contributes to loss of quality of life. OBJECTIVE: To study the influence of hemoglobin levels and disease activity index upon fatigue in patients with rheumatoid arthritis (RA). METHODS: We studied 130 RA patients for DAS 28, hemoglobin levels and fatigue as measured by FACIT F. RESULTS: No association between fatigue with hemoglobin levels was observed. A positive association with DAS-28 was found. Decomposing DAS-28, no association could be detected with sedimentation rate but a positive correlation with analogical scale for general health, number of swollen and painful joints was found. CONCLUSION: Although a positive association of fatigue with DAS-28 is found it appears that the most important items in connection with fatigue are swollen and tender joints as well as general health status. Hemoglobin levels were not related to fatigue in our patients.