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Jomar RT, Velasco NS, Mendes GLQ, Guimarães RM, Fonseca VADO, Meira KC. Factors associated with time-to-treatment initiation of breast cancer. Cien Saude Colet 2023; 28:2155-2164. [PMID: 37436327 DOI: 10.1590/1413-81232023287.14982022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 01/03/2023] [Indexed: 07/13/2023] Open
Abstract
The present retrospective study investigated factors associated with time-to-treatment initiation of breast cancer of a cohort of 12,100 cases of health facilities qualified for high complexity in oncology within the scope of the Brazilian Public Health System (SUS) of Rio de Janeiro between 2013 and 2019. Multivariate logistic regression was used to estimate odds ratios and 95% confidence intervals. Of all cases, 82.1% were submitted to the first treatment >60 days. Patients without previous diagnosis history, higher education and in stages III and IV were less likely to have their first treatment >60 days, while treatment at a health facility outside the capital showed a higher probability. Patients with a previous diagnosis history, aged ≥50, non-white race/skin color and in stage I were more likely to be submitted to their first treatment >60 days, while subjects with higher education, treated in a health facility outside the capital and in stage IV showed a lower probability. To summarize, sociodemographic, clinical and health facility-related factors are associated with time-to-treatment initiation of breast cancer.
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Affiliation(s)
- Rafael Tavares Jomar
- Coordenação de Assistência, Instituto Nacional de Câncer (INCA). Praça Cruz Vermelha 23, Centro. 20230-130 Rio de Janeiro RJ Brasil.
| | | | - Gelcio Luiz Quintella Mendes
- Coordenação de Assistência, Instituto Nacional de Câncer (INCA). Praça Cruz Vermelha 23, Centro. 20230-130 Rio de Janeiro RJ Brasil.
| | - Raphael Mendonça Guimarães
- Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz (Fiocruz). Rio de Janeiro RJ Brasil
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Dutra VGP, da Silva JHCM, Jomar RT, Silveira HCS, Muzi CD, Guimarães RM. Burden of occupational cancer in Brazil and federative units, 1990-2019. Rev Bras Epidemiol 2023; 26:e230001. [PMID: 36629613 PMCID: PMC9838239 DOI: 10.1590/1980-549720230001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 10/03/2022] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVE To analyze the spatiotemporal distribution of the burden of occupational cancer in Brazil and federative units between 1990 and 2019. METHODS Data were extracted from the Global Burden of Disease (GBD) study. Deaths from cancer whose attributable risk factor was occupational carcinogens were considered. Spatial analysis was performed with the first and last years of the series (1990 and 2019). Age-adjusted mortality rates were used to estimate the global Moran's Index (Moran's I), and the local indicator of spatial association (LISA) to identify clusters in the country with the respective statistical significance. The occupational cancer mortality rate, adjusted for age, was analyzed based on its trend for Brazil and federative units, in the period between 1990 and 2019. RESULTS Between 1990 and 2019, occupational cancer mortality rate showed a decreasing trend (R2=0.62; p<0.001) as well as the burden of disease indicator - DALY (R2=0.84; p<0.001). However, mortality is increasing in most states, suggesting that a minority of federative units induce the country's global trend. There is also the development of a spatial pattern of autocorrelation, indicating clusters of states with low mortality and DALY rates in the Northeast and high values in the South of the country. CONCLUSION The overall decreasing trend in the trend of occupational cancer masks the heterogeneity across states. This scenario may be associated with the diversity of economic activities, and suggests a decentralized and equitable plan for occupational cancer surveillance.
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Affiliation(s)
| | | | - Rafael Tavares Jomar
- Instituto Nacional de Câncer, Hospital Cancer Registry – Rio de Janeiro (RJ), Brazil
| | | | - Camila Drumond Muzi
- Instituto Nacional de Câncer, Assistance Division — Rio de Janeiro (RJ), Brazil
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Dutra VGP, Silva JHCMD, Jomar RT, Silveira HCS, Muzi CD, Guimarães RM. Carga de câncer relacionado ao trabalho no Brasil e unidades da federação, 1990–2019. Rev bras epidemiol 2023. [DOI: 10.1590/1980-549720230001.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
RESUMO: Objetivo: Analisar a carga de câncer relacionado ao trabalho no Brasil e unidades da federação, entre 1990 e 2019. Métodos: Extraímos os dados do estudo Carga Global de Doenças (GBD). Consideramos as mortes por câncer cujo fator de risco atribuível fossem agentes ocupacionais carcinogênicos. A análise espacial foi realizada com o primeiro e último anos da série (1990 e 2019). As taxas de mortalidade ajustadas por idade foram utilizadas para calcular o índice de Moran global (I de Moran) e o indicador local de associação espacial (LISA). A taxa de mortalidade por câncer relacionado ao trabalho, ajustada por idade, foi analisada com base em sua tendência, para Brasil e unidades da federação, no período entre 1990 e 2019. Resultados: No período citado, a taxa de mortalidade por câncer relacionado ao trabalho exibiu tendência de decréscimo (R2=0,62; p<0,001), assim como o indicador de carga de doença — DALY (R2=0,84; p<0,001). Contudo, a mortalidade é crescente na maioria dos estados, o que sugere que uma minoria de unidades induz a tendência global do país. Há ainda formação de um padrão espacial de autocorrelação, indicando agrupamentos de estados com baixas taxas de mortalidade e DALY no Nordeste e valores altos no Sul do país. Conclusão: A tendência global de decréscimo na tendência do câncer relacionado ao trabalho mascara a heterogeneidade entre estados. Esse cenário pode estar associado à diversidade de atividades econômicas e sugere um plano descentralizado e equitativo da vigilância do câncer relacionado ao trabalho.
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Rodrigues CF, Martins TCDF, Muzi CD, Coutinho JVA, Jomar RT, Guimarães RM. Confiabilidade do EORTC QLQ-INFO25 para Avaliar a Necessidade de Informação de Pacientes Oncológicos. Rev Bras Cancerol 2022. [DOI: 10.32635/2176-9745.rbc.2022v68n3.2151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Introdução: A maioria dos pacientes não possui um grau satisfatório de compreensão acerca do câncer. Para que o processo de comunicação de informações seja verdadeiramente efetivo, e necessário identificar anteriormente o nível de conhecimento do paciente. Objetivo: Verificar a estabilidade teste-reteste do instrumento EORTC QLQ-INFO25 em sua versão em português do Brasil, para avaliação da necessidade de informação do paciente oncológico. Método: O instrumento foi aplicado em 253 pacientes hospitalizados nas enfermarias clinicas e cirúrgicas de um hospital de alta complexidade no tratamento do câncer situado no município do Rio de Janeiro, por meio de um questionário com entrevista individual. Para testar a adequação do processo de aferição, 85 pacientes aderiram ao reteste, com intervalo de sete a 15 dias. Os dados foram inseridos em um banco de dados por dupla digitação independente no programa Microsoft Excel. A análise foi realizada por meio da estatística Kappa simples e ponderada. Resultados: As respostas mostraram-se estáveis, e as estimativas de confiabilidade teste-reteste variaram de boas a excelentes (0,66 a 0,99). O instrumento também demonstrou boa estabilidade quando aplicado em outras populações e em pacientes com diferentes tipos de câncer. Conclusão: O instrumento EORTEC QLQ-INFO25 pode contribuir para a mensuração da satisfação do paciente em relação a sua necessidade de informação, uma vez que os resultados sugerem alta estabilidade das informações, tornando viável a sua aplicabilidade na população brasileira.
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Santos TBD, Borges AKDM, Ferreira JD, Meira KC, Souza MCD, Guimarães RM, Jomar RT. Prevalência e fatores associados ao diagnóstico de câncer de mama em estágio avançado. Ciênc saúde coletiva 2022; 27:471-482. [DOI: 10.1590/1413-81232022272.36462020] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 12/01/2020] [Indexed: 11/21/2022] Open
Abstract
Resumo Este estudo transversal investigou a prevalência e os fatores associados ao diagnóstico de câncer de mama em estágio avançado entre 18.890 mulheres assistidas em hospital especializado da capital do Rio de Janeiro, Brasil, entre os anos 1999 e 2016. Utilizou-se regressão de Poisson com variância robusta para estimar razões de prevalência e respectivos intervalos de 95% de confiança. Apresentaram maiores prevalências de diagnóstico nessa condição mulheres com idade entre 20-39 e 40-49 anos, de raça/cor da pele preta e parda, que viviam sem companheiro(a), procedentes de outros municípios do estado do Rio de Janeiro, que tiveram o Sistema Único de Saúde como origem do encaminhamento e que foram diagnosticadas nos sexênios 1999-2004 e 2005-2010. Em contrapartida, mulheres com idade entre 60-69 e 70-99 anos, que cursaram algum nível de escolaridade, com histórico familiar de câncer e que chegaram ao hospital com diagnóstico e sem tratamento apresentaram menores prevalências de diagnóstico em estágio avançado. Esses resultados podem ser considerados no planejamento de ações de prevenção secundária, a fim de antecipar o diagnóstico de câncer de mama dos grupos mais vulneráveis e assim colaborar para a redução da prevalência do diagnóstico em estágio avançado.
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Abreu ÂMM, Costa RMFD, Jomar RT, Portela LF. Factors associated with psychoactive substance use among professional truck drivers. Rev Bras Enferm 2022; 75Suppl 3:e20210187. [DOI: 10.1590/0034-7167-2021-0187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 07/12/2022] [Indexed: 11/06/2022] Open
Abstract
ABSTRACT Objectives: to identify factors associated with the use of psychoactive substances among professional truck drivers. Methods: cross-sectional study that investigated the use of at least one psychoactive substance and its association with sociodemographic, occupational, and health characteristics in 354 professional truck drivers. Researchers collected data through face-to-face interviews using forms. Multiple regression analyzes estimated prevalence ratios (PR) and respective 95% confidence intervals (95%CI). Results: lower family income (PR: 2.03; 95%CI: 1.08-3.83), symptoms of insomnia (PR: 2.18, 95%CI: 1.46-3.26), and long working hours (PR: 1.95, 95%CI: 1.30-2.92) independently associated with the use of at least one psychoactive substance. Conclusions: a set of sociodemographic, occupational, and health variables acts at distinct levels and is independently associated with the use of psychoactive substances among professional truck drivers.
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Gouveia BR, Jomar RT, Santos DCLD, Valente TCDO. Construção e Validação de um Protocolo de Cuidados para Pacientes Críticos com Câncer em Delirium. Rev Bras Cancerol 2021. [DOI: 10.32635/2176-9745.rbc.2021v67n3.1311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Introdução: A frequência de delirium em unidades de terapia intensiva oncológica e elevada. Objetivo: Construir um protocolo de cuidados para pacientes com câncer em delirium, internados em uma unidade de terapia intensiva e investigar sua validade de face e de conteúdo. Método: Estudo descritivo realizado em 2016 em um centro de assistência de alta complexidade em oncologia localizado na cidade do Rio de Janeiro, Brasil. Um comitê formado por 43 juízes apreciou as validades de face e de conteúdo do protocolo que foi construído a partir das recomendações constantes no Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium. Calcularam-se o índice de validade de conteúdo e as proporções de pertinência e de conformidade de cada item desse protocolo. Resultados: Todos os 19 itens obtiveram índice de validade de conteúdo >0,80 e proporções de conformidade superiores a 95%. A proporção de pertinência de cada item variou de 86% a 100%. Conclusão: O protocolo apresentou adequadas validades de face e de conteúdo, mostrando-se promissor no manejo do delirium em pacientes com câncer internados em unidade de terapia intensiva.
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Santos MSD, Thomaz FDM, Jomar RT, Abreu AMM, Taets GGDCC. Music in the relief of stress and distress in cancer patients. Rev Bras Enferm 2021; 74:e20190838. [PMID: 34037140 DOI: 10.1590/0034-7167-2019-0838] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 11/26/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital. METHODS quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test. RESULTS the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress - p < 0.001. CONCLUSIONS the use of music diminishes the stress and the distress of cancer patients.
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Affiliation(s)
| | | | - Rafael Tavares Jomar
- Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro, Rio de Janeiro, Brazil
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Meira KC, Jomar RT, Santos JD, Silva GWDS, Dantas ESO, Resende EB, Rodrigues WTDS, Silva CMFPD, Simões TC. [Temporal effects of corrected female homicide mortality estimates in Northeast Brazil]. CAD SAUDE PUBLICA 2021; 37:e00238319. [PMID: 33624695 DOI: 10.1590/0102-311x00238319] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 06/29/2020] [Indexed: 11/21/2022] Open
Abstract
This study aimed to analyze the temporal effects (age, period, and cohort) on female homicide mortality in the states of Northeast Brazil from 1980 to 2017. This ecological time trend study used APC with a Bayesian approach and the deterministic method Integrated Nested Laplace Approximations (INLA) in the parameters' inference. The female homicide rates for each state of the Northeast were standardized by the direct method after correction of the death records for quality of information and underreporting. Data were also obtained on race/color, place of death, and means of perpetration. During the period analyzed, after correcting the death records, the Northeast region showed a mean rate of 5.40 female homicide deaths per 100,000 women, with a significant increase in all the states in the 2000s. In all the states, there was an increase in relative risk (RR) of homicide death in the second and third decades of life and a protective effect in older women. Except for the state of Sergipe, there was an increase in the risk of death in all five-year periods in the 2000s. The Northeast region as a whole and the states of Paraíba, Pernambuco, and Piauí showed a protective effect for women from older generations. There were also higher proportions of deaths in black women, homicides committed at home, and those perpetrated with firearms. The current study's findings may correlate with the spread of violence in Brazil in the 2000s and the Brazilian State's failure to protect women from violence.
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Affiliation(s)
| | - Rafael Tavares Jomar
- Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro, Brasil
| | - Juliano Dos Santos
- Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro, Brasil
| | | | | | | | | | | | - Taynãna César Simões
- Instituto de Pesquisa René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil
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Costa RMFD, Abreu ÂMM, Portela LF, Taets GGDCC, Jomar RT. Associação entre horas de trabalho e de descanso e o uso de substâncias psicoativas entre motoristas profissionais de caminhão. J bras psiquiatr 2021. [DOI: 10.1590/0047-2085000000353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
Abstract
RESUMO Objetivo: Investigar a associação de horas diárias de trabalho e de descanso com o uso de substâncias psicoativas entre motoristas profissionais de caminhão. Métodos: Estudo transversal conduzido em 2016 com 354 motoristas profissionais de caminhão que aguardavam a inspeção da mercadoria transportada em um Posto de Controle Fiscal localizado na cidade de Itatiaia, RJ, Brasil. A associação entre horas diárias de trabalho (exposição), horas diárias de descanso (exposição) e uso de substâncias psicoativas (desfecho) foi investigada por meio de modelos de regressão linear que estimaram coeficientes de regressão (β) e respectivos erros-padrão,considerando p< 0,05. Resultados: Mostraram-se positivas as associações entre horas diárias de trabalho e uso de anfetamina (β = 0,91; erro-padrão = 0,19; p< 0,01) e de cocaína/crack (β = 1,32; erro-padrão = 0,35; p< 0,01) e negativa a associação entre horas diárias de descanso e uso de anfetamina (β = -0,43; erro-padrão = 0,09; p< 0,01). Conclusão: Horas diárias de trabalho e de descanso parecem ser determinantes do uso de anfetaminae de cocaína/crack entre motoristas profissionais de caminhão.
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Da Rosa Noronha I, Da Mota Borges AK, Dantas Ferreira J, Quintella Mendes GL, Da Rosa Noronha I, Tavares Jomar R. Sobrevida e Fatores Prognósticos de Pacientes com Sarcoma de Kaposi Atendidos em um Centro de Assistência de Alta Complexidade em Oncologia. Rev Brasileira De Cancerologia 2020. [DOI: 10.32635/2176-9745.rbc.2020v66n3.1142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Introdução: A sobrevida do sarcoma de Kaposi ainda não e bem conhecida porque os poucos estudos que avaliaram-na foram, em maioria, conduzidos com pessoas vivendo com vírus da imunodeficiência humana (HIV). Objetivo: Avaliar a sobrevida e os fatores prognósticos pré-tratamento de pacientes com sarcoma de Kaposi associado ou não ao HIV. Método: Estudo retrospectivo realizado em uma coorte hospitalar de 81 pacientes diagnosticados com sarcoma de Kaposi entre 2000 e 2014, atendidos em um centro de assistência de alta complexidade em oncologia da cidade do Rio de Janeiro, Brasil. A probabilidade de sobrevida em cinco anos foi estimada por meio do método de Kaplan-Meier. O modelo semiparamétrico de riscos proporcionais de Cox estimou hazard ratios (HR) e respectivos intervalos de 95% de confiança (IC95%). Resultados: A sobrevida global em cinco anos foi de 50,9% (IC95%: 38,2-62,3). Os fatores associados ao óbito foram idade ≥50 anos (HR: 4,19; IC95%: 1,5-11,29) e sorologia anti-HIV positiva (HR: 5,82; IC95%: 1,90-17,85). Conclusão: A coorte apresentou sobrevida baixa. O prognostico foi influenciado pela idade ≥50 anos e sorologia anti-HIV positiva, devendo esses fatores serem considerados na avaliação de risco pré-tratamento.
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Meira KC, Silva GWDS, dos Santos J, Guimarães RM, de Souza DLB, Ribeiro GPC, Dantas ESO, de Carvalho JBL, Jomar RT, Simões TC. Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast. PLoS One 2020; 15:e0226258. [PMID: 32074101 PMCID: PMC7029866 DOI: 10.1371/journal.pone.0226258] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 11/23/2019] [Indexed: 12/11/2022] Open
Abstract
Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980–2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women.
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Affiliation(s)
- Karina Cardoso Meira
- Health School, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- * E-mail:
| | | | - Juliano dos Santos
- Cancer Hospital III, National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - Gilcilene Pretta Cani Ribeiro
- Biologist, specialist in management in Health Systems and Services, State Secretariat of Espírito Santo, Vitória, Espírito Santo, Brazil
| | | | | | - Rafael Tavares Jomar
- Assistance Coordination, National Cancer Institute, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Taynãna César Simões
- René Rachou Institute, Oswaldo Cruz Foundation, Belo Horizonte, Minas Gerais, Brazil
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Jomar RT, Jesus RPD, Jesus MPD, Gouveia BR, Pinto EN, Pires ADS. Incidence of pressure injury in an oncological intensive care unit. Rev Bras Enferm 2019; 72:1490-1495. [PMID: 31644735 DOI: 10.1590/0034-7167-2018-0356] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Accepted: 05/07/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to investigate the incidence of pressure injury in cancer patients of an intensive care unit. METHOD A longitudinal study with 105 patients admitted to an oncological intensive care unit. The incidence rate was calculated as the number of events per 100 patient-days. Cumulative incidence was calculated both globally and according to selected characteristics, and submitted to hypothesis tests. RESULTS incidence rate per 100 patient-days was 1.32, and global cumulative incidence was 29.5%. A higher incidence was observed in patients with chronic diseases who had at least one episode of diarrhea, received enteral nutrition, and took vasoactive or sedative drugs for a prolonged period of time. Regarding type of tumour and antineoplastic treatments, no differences in incidence were observed. CONCLUSION A high cumulative global incidence of pressure lesion was reported in cancer patients admitted to the intensive care unit, although tumour characteristics and antineoplastic treatments did not affect incidence.
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Affiliation(s)
- Rafael Tavares Jomar
- Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro, Rio de Janeiro, Brazil
| | - Rubens Pelágio de Jesus
- Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro, Rio de Janeiro, Brazil
| | - Marcos Pelágio de Jesus
- Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro, Rio de Janeiro, Brazil
| | - Bárbara Rocha Gouveia
- Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro, Rio de Janeiro, Brazil
| | - Eriane Nascimento Pinto
- Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro, Rio de Janeiro, Brazil
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Gouveia BR, Jomar RT, Valente TCDO. Delirium in cancer patients admitted to the intensive care unit: a retrospective study. Rev Bras Ter Intensiva 2019; 31:536-540. [PMID: 31967229 PMCID: PMC7008997 DOI: 10.5935/0103-507x.20190064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 08/26/2019] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To describe the occurrence of delirium in cancer patients admitted to the intensive care unit according to clinical and demographic characteristics. METHODS A retrospective study was conducted with 135 adults admitted to the intensive care unit of a public cancer hospital in the city of Rio de Janeiro, Brazil, between January and March 2016. Fisher's exact test and the linear association test were used to identify statistically significant associations between the occurrence of delirium and categorical and ordinal variables, respectively, considering a p-value < 0.05. RESULTS The overall occurrence of delirium was 39.3%. Delirium was more frequent among individuals aged 60 years or older and those who required extensive assistance or were bedbound, were admitted to the intensive care unit for clinical reasons, were using sedative drugs, were undergoing chemotherapy, and those who remained 8 or more days in the intensive care unit. Considering only patients on mechanical ventilation, the overall occurrence of delirium was 64.6%, and only a length of stay in the intensive care unit ≥ 8 days showed a statistically significant association with delirium. CONCLUSION The occurrence of delirium in critically ill cancer patients is high. When only those on mechanical ventilation are considered, the occurrence of delirium is even greater.
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Affiliation(s)
- Bárbara Rocha Gouveia
- Instituto Nacional de Câncer José Alencar Gomes da Silva - Rio de Janeiro (RJ), Brasil
| | - Rafael Tavares Jomar
- Instituto Nacional de Câncer José Alencar Gomes da Silva - Rio de Janeiro (RJ), Brasil
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Carvalho MS, Belmiro AAMDLM, Da Rocha LF, Viana ÁFV, Moura SF, Jomar RT, Muzi CD, Guimarães RM. Equivalência conceitual, semântica e operacional da versão brasileira do EORTC QLQ-INFOR25. ACS 2019. [DOI: 10.17696/2318-3691.26.1.2019.1243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Introdução: O fornecimento de informações sobre o diagnóstico e tratamento do câncer é uma característica importante da assistência a pacientes acometidos por essa doença. Por isso, o instrumento EORTC QLQ-INFO25 foi desenvolvido pela European Organization for Research and Treatment of Cancer com o objetivo de avaliar as informações recebidas por pacientes com câncer. Objetivo: Descrever a primeira fase do processo de adaptação transcultural da versão brasileira do EORTC QLQ-INFO25. Material e Métodos: Estudo metodológico baseado no modelo universalista que focalizou as quatro primeiras etapas do processo de adaptação transcultural: avaliação das equivalências conceitual, de itens, semântica e operacional. Para tanto, foram feitas revisão da literatura, discussão com especialistas, tradução e retrotradução dos itens. Resultados: Pré-testes realizados com 24 pacientes hospitalizados revelaram que alguns itens ainda não captavam os construtos subjacentes pretendidos. Após mudanças sutis em sua redação, os itens foram compreendidos corretamente por outros 16 pacientes hospitalizados, conforme proposto pelo instrumento original. Conclusão: Os resultados indicam que a versão brasileira do EORTC QLQ-INFO25 parece promissora quando aplicada por entrevista.
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Abstract
Objetivo: ddescrever a cessação do tabagismo entre usuários da estratégia saúde da família. Método: estudo longitudinal realizado em duas unidades de atenção básica no período de junho a dezembro de 2016 com usuários tabagistas participantes do Programa de Tratamento do Tabagismo. A cessação do tabagismo foi descrita segundo variáveis sociodemográficas e variáveis relacionadas à história tabagística e à participação no Programa. As análises bivariadas se basearam no teste exato de Fisher, nos testes não paramétrico U de Mann-Whitney e Correlação de Spearman); foi adotado nível de significância de 5%. Resultados: verificou-se que sexo masculino, uso de medicamento e número de sessões que o indivíduo participou relacionaram-se estatisticamente à cessação do tabagismo. Conclusão: O presente estudo evidenciou que a cessação do tabagismo é influenciada pelo sexo masculino, participação nas sessões propostas pelo programa de tabagismo e uso de medicamentos oferecidos pelo Sistema Único de Saúde.
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Jomar RT, Ramos DDO, Fonseca VADO, Junger WL. Effect of the zero-tolerance drinking and driving law on mortality due to road traffic accidents according to the type of victim, sex, and age in Rio de Janeiro, Brazil: An interrupted time series study. Traffic Inj Prev 2019; 20:227-232. [PMID: 30985221 DOI: 10.1080/15389588.2019.1576035] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Revised: 01/24/2019] [Accepted: 01/25/2019] [Indexed: 06/09/2023]
Abstract
Objective: The objective of this study was to estimate the effect of the Brazilian zero-tolerance drinking and driving law on mortality rates due to road traffic accidents according to the type of victim, sex, and age. Methods: An interrupted time series design was used to compare yearly mortality rates due to road traffic accidents in Rio de Janeiro, Brazil, before and after the zero-tolerance drinking and driving law came into effect on June 19, 2008. Yearly mortality rates were compared according to the type of victim: pedestrian, cyclist, motorcyclist, and vehicle occupant. We used the Prais-Winsten procedure of autoregression in the analysis of time series; the outcome of this analysis was the annual percentage change in the rates. Overall and stratified analyses were conducted to investigate whether the zero-tolerance drinking and driving law may have had a distributional effect on mortality rates due to road traffic accidents depending on sex and age group; a significance level of P < .01 was accepted. Results: From 1999 to 2016, there were 15,629 deaths due to road traffic accidents in Rio de Janeiro. The effect of the zero-tolerance drinking and driving law on overall mortality rates due to road traffic accidents in Rio de Janeiro was not statistically significant. However, among cyclists and motorcyclists aged ≥60 years and among pedestrians of both sexes and aged ≥20 years, the effect of the zero-tolerance drinking and driving law was to decrease mortality due to road traffic accidents at a yearly rate. Conclusion: There is evidence of reduced mortality rates due to road traffic accidents among cyclists and motorcyclists aged ≥60 years and among pedestrians of both sexes aged ≥20 years in the second major Brazilian capital 9 years after the zero-tolerance drinking and driving law was adopted.
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Affiliation(s)
- Rafael Tavares Jomar
- a Coordination of Assistance, National Cancer Institute José Alencar Gomes da Silva , Ministry of Health , Rio de Janeiro , Brazil
| | - Dandara de Oliveira Ramos
- b Center for Data Integration and Knowledge for Health , Gonçalo Moniz Institute, Oswaldo Cruz Foundation , Salvador , Brazil
| | | | - Washington Leite Junger
- d Department of Epidemiology, Institute of Social Medicine , Rio de Janeiro State University , Rio de Janeiro , Brazil
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Gomes HF, Gonçalves FGDA, Pires ADS, Jomar RT, Peres EM, Gallasch CH. Precarização do trabalho de enfermagem e repercussões na saúde dos trabalhadores brasileiros: revisão integrativa. Rev Enferm Atual In Derme 2019. [DOI: 10.31011/reaid-2016-v.77-n.15-art.376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introdução: O trabalho em saúde, na atualidade, vem atendendo à lógica do mercado capitalista, na perspectiva deatuação mínima do Estado. Isto interfere diretamente nos modos de produção em saúde, refl etindo no processode trabalho neste setor, no qual se observa uma intensifi cação da terceirização dos serviços, bem como umaprecarização das condições de trabalho. Objetivos: Identifi car e caracterizar a produção científi ca relacionada àprecarização do trabalho de enfermagem no Brasil, e avaliar as repercussões da precarização do trabalho na saúdedos trabalhadores de enfermagem. Métodos: Revisão integrativa conduzida entre os meses de dezembro de 2012e janeiro de 2013 na Biblioteca Virtual em Saúde, a qual inclui, entre outras, as bases de dados LILACS, BDENF eSCIELO. Resultados: A precarização do trabalho de enfermagem relaciona-se à perda de direitos trabalhistas, àbaixa remuneração, aos múltiplos vínculos empregatícios, às diversas formas de contratação e jornadas extensasde trabalho e à precarização dos ambientes e de condições de trabalho. Conclusões: A precarização está presentenos diversos ambientes de trabalho da enfermagem com repercussões diretas na saúde dos trabalhadores deenfermagem, causando-lhes adoecimento físico e psíquico.Palavras-chave: Saúde do trabalhador; Enfermagem do trabalho; Condições de trabalho; Relações trabalhistas.
ABSTRACTBackground: Labor in health services has been serving the logic of the capitalism, with minimum perspectiveof the State performance. In this context, health production modes have been infl uenced, refl ected in the workprocess in this sector, with an intensifi cation of work schedule as well as a deterioration of working conditions.Objectives: To identify and to characterize the scientifi c publications related to the precarization of the nursinglabor in Brazil, and to assess the effects of labor precarization to nursing workers health. Methods: An integrativereview was conducted between 2012 December and 2013 January using the Virtual Health Library, which includes,among others databases, LILACS, BDENF and SCIELO. Results: The precarization of nursing labor is related to theloss of worker rights, low salaries, multiple employment relationships, various forms of employment and longworking hours, and precarious environments and working conditions. Conclusions: Nursing labor precarizationis present in different nursing work environments, representing direct impact on the nursing workers health,causing physical and mental disabilities.Keywords: Occupational health; Occupational health nursing; Working conditions; Labor relations.
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Taets GGDC, Jomar RT, Abreu AMM, Capella MAM. Effect of music therapy on stress in chemically dependent people: a quasi-experimental study. Rev Lat Am Enfermagem 2019; 27:e3115. [PMID: 30698217 PMCID: PMC6336358 DOI: 10.1590/1518-8345.2456.3115] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Accepted: 10/18/2018] [Indexed: 11/27/2022] Open
Abstract
Objective: to evaluate the effect of music therapy on the stress of chemically dependent people. Method: quasi-experimental study conducted at a philanthropic institution with 18 chemically dependent people undergoing treatment. Salivary cortisol (stress hormone) was collected in three moments: before, 60 minutes after, and 120 minutes after a music therapy group intervention. Statistical analysis adopted a significance level of p < 0.05 and used the Wilcoxon and Kruskal-Wallis non-parametric tests. Results: after 60 minutes of intervention, there was a statistically significant reduction in mean salivary cortisol levels (p < 0.001). A reduction was also noted after 120 minutes, but without statistical significance (p = 0.139). Conclusion: a single session of 60 minutes of group music therapy was able to reduce stress (salivary cortisol levels) of chemically dependent people.
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Affiliation(s)
| | - Rafael Tavares Jomar
- Instituto Nacional de Câncer José Alencar Gomes da Silva, Coordenação de Assistência, Rio de Janeiro, RJ, Brazil
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Abstract
ABSTRACT Objective: analyze income and work conditions of nurses in Brazil in 2000 and 2010. Methods: based on demographic census samples, socioeconomic characteristics of nurses were described according to income and work hours. Statistic models estimated the chances (odds ratios) of nurses having lower income despite working more than 40 hours per week. Results: the nurse population in Brazil grew at a rate of 12.5% per year. In the two study periods, approximately 11.0% of nurses received the lowest incomes and worked more than 40 hours per week. The most pronounced chances of belonging to this group were observed for those residing in the interior the South and Southeast regions of Brazil. They were also more elevated for nurses whose color/race was black or brown (pardo) and who lived with their parents. Conclusion and implications for the practice: the expressive increase in nurses occurred within the context of reduced socioeconomic inequalities. Less favorable work conditions were most evident for those classified as black and brown who lived in their parents’ homes. We argue that the scenarios described may be related to the expansion of university educational institutions during the first decade of the twenty-first century, among other aspects.
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Jomar RT, Lourenço RA, Lopes CDS. [Dimensional structure of the Brazilian version of the Functional Activities Questionnaire (FAQ-BR)]. CAD SAUDE PUBLICA 2018; 34:e00209917. [PMID: 30427420 DOI: 10.1590/0102-311x00209917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Accepted: 05/18/2018] [Indexed: 11/21/2022] Open
Abstract
This study aimed to assess the dimensional structure and internal consistency of the Brazilian version of the Functional Activities Questionnaire (FAQ-BR) for measurement of functional capacity in the elderly, based on the informant's report. This was a cross-sectional study with 525 non-institutionalized elderly informants, in which confirmatory factor analyses (CFA) and exploratory/confirmatory factor analyses (E/CFA) modeled according to CFA principles were used to identify the most parsimonious model and that with the best fit. The internal consistency of the FAQ-BR was assessed by composite reliability, and correlations between its dimensions were examined to investigate discriminant factor validity. CFA did not corroborate the unidimensional structure as originally proposed. Next, E/CFA fit a bidimensional structure that was reassessed by CFA, displaying a model without cross loads as the most parsimonious and with adequate fit indices. The internal consistency of FAQ-BR was considered satisfactory, and the correlation between its dimensions was acceptable. These findings are important, since they demonstrate the scale's capacity to capture the elderly's functional capacity construct in a different sociocultural context from that in which it was originally developed. The FAQ-BR can thus be considered an appropriate bidimensional instrument for measuring the elderly's functional capacity based on the informant's report, and its use in studies with similar populations is recommended.
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Abreu ÂMM, Jomar RT, Taets GGDC, Souza MHDN, Fernandes DB. Screening and Brief Intervention for the use of alcohol and other drugs. Rev Bras Enferm 2018; 71:2258-2263. [PMID: 30365792 DOI: 10.1590/0034-7167-2017-0444] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Accepted: 05/17/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. METHOD a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. RESULTS the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. CONCLUSION it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.
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Affiliation(s)
| | - Rafael Tavares Jomar
- Universidade do Estado do Rio de Janeiro, Nursing School. Rio de Janeiro, Brazil
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Aguiar CRGS, Jomar RT, Abreu ÂMM, Barroso TMMDDA. Vítimas de causas externas alcoolizadas atendidas em serviço de urgência e emergência: estudo seccional. Rev Eletr Enf 2017. [DOI: 10.5216/ree.v19.45271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Estudo seccional que objetivou caracterizar o atendimento e o perfil de vítimas de causas externas alcoolizadas no principal serviço de urgência e emergência de São Tomé e Príncipe. Para tanto, todas as 672 vítimas atendidas entre abril de 2014 e abril de 2015 que estavam sob efeito do álcool tiveram seus prontuários avaliados. A maioria delas era jovem (56,8%), do sexo masculino (76,5%), cujos atendimentos foram realizados majoritariamente no período noturno (38,8%) dos finais de semana (75,1%) e resultaram em alta hospitalar (62,9%). Quanto ao tipo de causa externa, as agressões foram aquelas que demandaram mais atendimentos (40,0%), seguidas pelos acidentes de trabalho ou de trajeto (30,5%) e dos acidentes de trânsito (29,1%). Os resultados deste estudo pioneiro em São Tomé e Príncipe apontam as causas externas, especialmente as agressões, como um grave problema de saúde pública no país que demanda muitos atendimentos hospitalares.
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Guimarães RM, Silva RLPD, Dutra VGP, Andrade PG, Pereira ACR, Jomar RT, Freire RP. Factors associated to the type of childbirth in public and private hospitals in Brazil. Rev Bras Saude Mater Infant 2017. [DOI: 10.1590/1806-93042017000300009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Abstract Objectives: to estimate the prevalence of cesarean sections and factors associated to the type of childbirth in Brazil. Methods: data on childbirths were collected in Brazil in 2014. Demographic characteristics, related to pregnancy and birth hospital regime (public or private) were evaluation. For each hypothesis raised, the variables were modeled by the binary logistic regression, which the outcome was considered in the type of childbirth. Results: the prevalence of the cesarean sections in Brazil in 2014 was 52.8%; that is 38.1% at public hospitals and 92.8% at private ones. The association between cesarean section and the legal regime at the hospital was highlighted in the logistic model which presented a positive association and interaction between age groups (OR = 23.26; 95% CI= 13.39 - 41.79 for women between 20 and 24 years old and OR = 51.04; 95% CI 31.06 - 84.23 for women aged 35 and over). Conclusions: the performance of childbirth in Brazil meets the routines and recommendations regarding women's health and humanized childbirth established by the Brazilian National Health System policies.
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Jomar RT, Gomes RAF, Leite DC, Gomes HF, Peres EM, Junior EFP. Nursing diagnoses in adult/elderly patients undergoing outpatient antineoplastic chemotherapy: a review. Ecancermedicalscience 2017; 11:736. [PMID: 28596802 PMCID: PMC5440182 DOI: 10.3332/ecancer.2017.736] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Indexed: 11/16/2022] Open
Abstract
Objective To search in the scientific literature for nursing diagnoses identified in adult/elderly patients undergoing antineoplastic chemotherapy in an outpatient setting. Methods Review of studies published in Portuguese, English, or Spanish which were searched in five electronic databases in March 2016, using the descriptors nursing process, nursing diagnosis, neoplasms, drug therapy and hospital outpatient clinic. Results In the four studies selected for review, 40 nursing diagnoses were identified, namely unbalanced nutrition, less than body requirements, risk of deficient fluid volume, diarrhoea, fatigue, impaired home maintenance, deficient knowledge, disturbed body image, interrupted family processes, ineffective sexuality pattern, anxiety, powerlessness, fear, readiness for enhanced religiosity, risk of infection, impaired dentition, risk of impaired skin integrity, acute pain, and nausea. Conclusions The nursing diagnoses identified can support the selection of interventions and the creation of nursing guidelines in outpatient oncology services.
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Affiliation(s)
- Rafael Tavares Jomar
- Faculty of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ 20551-030, Brazil
| | | | - Dayana Carvalho Leite
- Pedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, RJ 20551-030, Brazil
| | - Helena Ferraz Gomes
- Faculty of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ 20551-030, Brazil
| | - Ellen Marcia Peres
- Faculty of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ 20551-030, Brazil
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Ramos DDO, Daly M, Seidl-de-Moura ML, Jomar RT, Nadanovsky P. Inconsistent reports of risk behavior among Brazilian middle school students: National School Based Survey of Adolescent Health (PeNSE 2009/2012). CAD SAUDE PUBLICA 2017; 33:e00145815. [PMID: 28538791 DOI: 10.1590/0102-311x00145815] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2015] [Accepted: 06/13/2016] [Indexed: 11/22/2022] Open
Abstract
This study assessed the consistency of self-reports of risk behavior (overall and within four specific domains: alcohol use, tobacco use, drug use, and sexual activity) in two editions of the Brazilian National School Based Survey of Adolescent Health (PeNSE): 2009 and 2012. The overall proportion of cases with at least one inconsistent response in the two editions was 11.7% (2.7% on the alcohol items, 2.1% for drug use, 4.3% for cigarette use, 3% for sexual activity) and 22.7% (12.8% on alcohol items, 2.5% for drug use, 4.3% for cigarette use, 4.1% for sexual activity), respectively. Such inconsistency was more prevalent among males, delayed students, those who reported having experimented with drugs, and those who did not have a cellphone. Because inconsistent responses were more prevalent among the students who claimed to have engaged in risky activities, removing inconsistent responders affected the estimated prevalence of all risk behaviors in both editions of the survey. This study supports the importance of performing consistency checks of self-report surveys, following the growing body of literature on this topic.
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Affiliation(s)
| | | | | | - Rafael Tavares Jomar
- Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
| | - Paulo Nadanovsky
- Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
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Jomar RT, Lourenço RA, Lopes CDS. Validade de construto da versão brasileira do Functional Activities Questionnaire. Geriatr , Gerontol Aging 2017. [DOI: 10.5327/z2447-211520171700064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Jomar RT, Ramos DDO, Abreu ÂMM. Teste do bafômetro: resultados e recusas de motoristas interceptados pela Operação Lei Seca no Rio de Janeiro. Ciênc saúde coletiva 2016; 21:3787-3792. [DOI: 10.1590/1413-812320152112.20572015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 10/22/2015] [Indexed: 11/22/2022] Open
Abstract
Resumo Estudo transversal que avaliou os resultados e as recusas ao teste do bafômetro entre motoristas interceptados pela Operação Lei Seca na capital do Rio de Janeiro e Baixada Fluminense. Realizado com base em dados cedidos pelo Governo do Estado que foram coletados durante atendimento de motoristas interceptados entre dezembro de 2013 e janeiro de 2014. Procederam-se análises descritivas da amostra e de associação entre as variáveis sexo, faixa etária e local de abordagem com as recusas e os resultados do teste do bafômetro através de um modelo de regressão logística. Dos 4756 (100%) condutores interceptados, 59 (1,2%) apresentaram resultado positivo no teste do bafômetro e 229 (4,8%) recusaram-no. Apenas a variável local de abordagem apresentou significância estatística com maiores chances de resultados positivos (OR = 4,01) e recusas ao teste (OR = 5,14) entre os condutores interceptados na Baixada Fluminense. As ações sistemáticas de fiscalização efetuadas pela Operação Lei Seca que ocorrem há mais tempo na capital parecem influenciar positivamente o comportamento de beber e dirigir dos motoristas.
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Jomar RT, Abreu ÂMM, Griep RH. [Patterns of alcohol consumption and associated factors among adult users of primary health care services of Rio de Janeiro, Brazil]. Cien Saude Colet 2016; 19:27-37. [PMID: 24473600 DOI: 10.1590/1413-81232014191.2009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2012] [Accepted: 10/31/2012] [Indexed: 01/16/2023] Open
Abstract
This study sought to verify the patterns of alcohol consumption and associated factors among adult users of a primary health care service in the city of Rio de Janeiro, Brazil. A household survey with a sample of 301 individuals who responded to a collection instrument containing the Alcohol Use Disorders Identification Test and social, demographic and health variables was conducted. Logistic regression was used to assess the association between the pattern of problematic alcohol consumption and the independent variables. Patterns of problematic alcohol consumption were identified among males, black, unmarried, smokers, with no religious affiliation, and persons without chronic disease attended at the health unit. Health services should therefore be prepared to identify the early stages of problematic alcohol abuse in order to prevent social and health consequences in the population, especially those attended in primary health care, for which the promotion of health and prevention of disease are priority health concerns.
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Abstract
O objetivo deste estudo foi descrever comportamentos relacionados ao beber e dirigir entre motociclistas abordados pela Operação Lei Seca. Foi realizado estudo descritivo com amostra não probabilística de motociclistas abordados na cidade do Rio de Janeiro, em 2012, que responderam questionário com informações sociodemográficas, sobre uso de álcool, envolvimento em acidentes de trânsito e o comportamento de beber e dirigir, antes e depois da Lei Seca. Dos 94 motociclistas entrevistados, 61 referiram já ter se envolvido em um acidente de trânsito e 11 destes apontaram o uso de álcool previamente ao acidente. Houve declínio do comportamento de beber e dirigir após a promulgação da Lei Seca (-81%). Por isso, é possível que as ações de fiscalização da Operação Lei Seca tenham contribuído para o declínio do comportamento de beber e dirigir.
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Garcia de Oliveira M, Tavares Jomar R, Salvador da Motta MC. Tuberculose pulmonar entre usuários de uma unidade de atenção básica. RBPS 2015. [DOI: 10.5020/18061230.2015.p106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Jomar RT, Fonseca VADO, Abreu ÂMM, Griep RH. Perfil do consumo de álcool de usuários de uma unidade de Atenção Primária à Saúde. J bras psiquiatr 2015. [DOI: 10.1590/0047-2085000000057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Objetivo Descrever o perfil de consumo de álcool de usuários adultos de uma unidade de Atenção Primária à Saúde, segundo características sociodemográficas. Métodos Inquérito domiciliar desenvolvido com usuários de uma unidade de Atenção Primária à Saúde na cidade do Rio de Janeiro, Brasil. Em 2010, amostra de 301 indivíduos respondeu a um instrumento de coleta que continha o Alcohol Use Disorders Identification Test e variáveis de caracterização sociodemográfica. Análises univariadas com distribuição de frequências simples e bivariadas com diferenças avaliadas pelo teste X2 e pelo teste exato de Fisher foram conduzidas, considerando-se um nível de significância de 0,05. Resultados O consumo de álcool de pessoas do sexo masculino, jovens, de baixa escolaridade, não casadas, empregadas e sem religião mostrou-se mais perigoso para a saúde. Conclusão Ações preventivas em saúde voltadas para o controle do consumo abusivo de álcool devem estar dirigidas para os grupos mais vulneráveis. É importante enfatizar ações de promoção à saúde de forma a evitar a iniciação e a manutenção de consumo perigoso de álcool, bem como sua evolução para casos de dependência.
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Jomar RT, de Souza Bispo VR. The most common nursing diagnosis among adults/seniors hospitalised with cancer: integrative review. Ecancermedicalscience 2014; 8:462. [PMID: 25228918 PMCID: PMC4162679 DOI: 10.3332/ecancer.2014.462] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Indexed: 11/18/2022] Open
Abstract
The nursing process, with emphasis on the diagnosis phase, is essential to oncology hospital services due to a high frequency of physical and psychological problems that compromise the quality of life of patients undergoing cancer treatment. The goal of this study was to identify, according to NANDA International, the most common nursing diagnosis among adults/seniors with cancer who are hospitalised. This study is an integrative review of the literature completed in 2013 using five electronic databases, resulting in the selection and analysis of nine articles. This review identified the following eight actual diagnoses and two risk diagnoses that are more common among hospitalised adults/seniors with cancer: anxiety, deficient knowledge, constipation, self-care deficit for bathing/hygiene, body image disturbance, acute/chronic pain, fear, disturbed sleep pattern, risk of infection, and risk of deficient fluid volume. The heterogeneity of the studies used in this review may not have allowed the identification of all the common nursing diagnoses in the practice of oncology nursing in hospitals. However, even though the results are not based on the highest possible level of scientific evidence, their correlation to clinical practice can contribute to the enhancement of the nursing process in oncology services provided by hospitals.
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Affiliation(s)
- Rafael Tavares Jomar
- Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro 20230-130, Brazil
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Jomar RT, Abreu ÂMM, Griep RH. Characterization of alcohol consumption among the population ascribed to the Family Health strategy. Escola Anna Nery - Revista de Enfermagem 2014. [DOI: 10.5935/1414-8145.20140014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Jomar RT, Abreu ÂMM, Laus MM. Teste do etilômetro e opinião sobre a Operação Lei Seca em amostra de motoristas abordados na cidade do Rio de Janeiro-RJ, 2010 - estudo transversal. Epidemiol Serv Saúde 2013. [DOI: 10.5123/s1679-49742013000100013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Abstract
OBJETIVOS: Identificar o consumo nocivo de álcool entre usuários de uma Unidade de Saúde da Família, analisando sua associação com características sociodemográficas. MÉTODOS: Estudo seccional realizado com 1.115 sujeitos que responderam ao Alcohol Use Disorders Identification Test e a perguntas referentes às variáveis sociodemográficas. Os dados foram submetidos a testes de associação, utilizando o programa estatístico Statistical Package Social Science. RESULTADOS: Observou-se elevada prevalência de consumo nocivo de álcool (31,0%), fortemente associado ao sexo masculino, ao baixo nível de escolaridade e à renda familiar mensal. CONCLUSÃO: Observou-se a elevada prevalência do consumo nocivo de álcool fortemente associado a pacientes do sexo masculino, à baixa escolaridade e à renda mensal até 2 salários mínimos.
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Jomar RT, Ribeiro MR, Abreu ÂMM, Figueirò RFS. Educação em saúde no trânsito para adolescentes estudantes do ensino médio. Esc Anna Nery 2011. [DOI: 10.1590/s1414-81452011000100026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Este é um relato de experiência de acadêmicos de enfermagem em uma atividade de Educação em Saúde no Trânsito que objetivou sensibilizar adolescentes estudantes de ensino médio quanto à relação perigosa do consumo de bebidas alcoólicas e os acidentes de trânsito. Aproximadamente 150 estudantes de 14 a 19 anos participaram da atividade, que foi composta por exibição de vídeo, palestra, discussão e distribuição de material educativo. Com esta experiência, os acadêmicos de enfermagem puderam vivenciar um trabalho de Extensão Universitária com enfoque na prevenção de agravos na comunidade e concluíram que o profissional enfermeiro pode desempenhar um papel importante na prevenção dos acidentes de trânsito envolvendo uso de álcool; entretanto, este tema precisa ser mais trabalhado durante sua formação.
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