Navegando por Palavras-chave "Disability And Health"

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    Funcionalidade, Incapacidade e Saúde do Idoso Insulinodependente da Comunidade
    (Universidade Federal de São Paulo (UNIFESP), 2019-12-09) Miguel, Michele Rita Oliveira [UNIFESP]; Aveiro, Mariana Chaves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: The aim of this study was to evaluate the functionality and disability of elderly insulin-dependent elderly in the area covered by UBS-Morro Nova Cintra in the city of Santos-SP and also to compare the elderly with diabetes who do not undergo insulin treatment. Methods: This is an observational, cross-sectional, population-based study. Forty-four elderly people diagnosed with diabetes mellitus were analyzed. Participants were divided into two groups: insulin dependent group (ID) and non-insulin dependent group (NID). Both groups underwent evaluation with a survey regarding demographic data, medications in use, diabetes diagnosis time and lifestyle. Translated and validated questionnaires were also used for the Brazilian population, being WHODAS 2.0 to measure life and participation activities, WHOQOL-Bref to assess the quality of life and elderly MOS-SSS for social participation. To perform the functional physical tests we used the TUG (Time up and go) which evaluates the mobility and functional balance and the TAF (Functional Range Test) in order to assess risk of falls, ending with the evaluation of the diabetic foot. The evaluations were carried out at the Morro Nova Cintra Basic Health Unit (UBS), Santos - SP during the monthly meetings on health education and distribution of inputs and with individual appointments. Results: In the physical evaluation of the Diabetic Foot, among the evaluated variables: the Improper Nail Clipping variable was associated with the classification in the groups (p = 0.033), and the ID group showed the highest frequency of improper clipping. In the MOSS questionnaire, the emotional support and information variables showed significant differences between the p-value groups 0.041 and 0.006 respectively. In the WHOQOL quality of life questionnaire, the domain variables showed no significant difference between the groups. For the TUG and TAF functional tests, the groups ID and NID did not present significant difference. Conclusion: when comparing both groups, it can be concluded that the R&D group presented better levels of functionality in relation to the NID group, inferring that Health Education actions are necessary and monitoring of the health team is a essential factor in the quality of life and functionality of the elderly insulin dependent.
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    Relação do trabalho com o desenvolvimento de incapacidades em cozinheiros
    (Universidade Federal de São Paulo (UNIFESP), 2019-11-25) Diniz, Alessandra Peixoto [UNIFESP]; Aveiro, Mariana Chaves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Identify if there is a relation between the work of the cooks with the development of functional incapacities. Methods: This is an observational cross-sectional and descriptive study of qualitative and quantitative nature. 241 permanent civil servant cooks of Prefeitura Municipal de Santos (PMS) were analyzed. It was applied to all the sociodemographic questionnaire developed by the researcher, the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and the Nordic Musculoskeletal Questionnaire (NMQ). Of the cooks included in this study, 33 participated in individual interviews and 30 in group interviews which were distributed in 3 different groups: day-care, kindergarten and elementary school. The perception of the cooks about work and their illness were evaluated in accordance with the content analysis method. The quantitative data were evaluated through the descriptive statistics and for inferential analysis it was used the Mann-Whitney U e ANOVA Kruskal-Wallis nonparametric tests, pos hoc Dwass-Steel- Critchlow-Fligner, considering the significance level of 5%. Results: Of the 241 cooks evaluated in the last 12 months, 168 (70.3%) presented problems in the lower back and 96 (40.2%) presented problems in the lower back in the last 7 days. 172 cooks had pain in some region of the body in the last 7 days and WHODAS total score 16,63 (8,68 – 13,17). When compared to individuals who did not have pain 6,18 (2,04 – 11,52), a significant difference was observed (p<0,001), The interpersonal relationship score was the only one that had no significant difference, demonstrating that the functionality is worse for individuals who have some pain in the last 7 days. Of the participants, 41 had already been on a leave of absence from work by ICD-M, WHODAS total score 19,65 (7,60 – 33,81), while the individuals who did not leave presented total score 11,80 (4,87 – 21,35). We found significant difference for the total score (p=0,01), however, among the domains, interpersonal relationship (p=0,10) had no significant difference. We found in our research that cooks who work in kindergarten schools had better functional indexes total score 10,10 (4,0 – 19,6) when compared to day-care centers (Total score 16,50 (8,3 – 24,2)), where p=0,04. In the interviews it was possible to identify barriers in the performance of the work, such as: lack of equipment and products, inadequate physical structures, high temperatures, reduced staff, absence of workers, lack of support from supervisors and restriction of activities. Conclusion: The work developed by the cooks has several work overloads that can facilitate the emergence of musculoskeletal diseases and consequently limitation of activities.