Browsing by Author "Lopes, Ivo"
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- A atividade física e o exercício físicoPublication . Novo, André; Mendes, Eugénia; Lopes, Ivo; Preto, Leonel; Loureiro, Maria; Delgado, BrunoA enfermagem de reabilitação tem como alvo a pessoa com necessidades especiais ao longo do ciclo vital. Visa o diagnóstico e a intervenção precoce, a promoção da qualidade de vida, a maximização da funcionalidade, o autocuidado e a prevenção de complicações, evitando as incapacidades ou minimizando as mesmas (Mesa do Colégio de Especialidade de Enfermagem de Reabilitação da Ordem dos Enfermeiros, 2015). Desta forma, o treino de exercício para as pessoas com necessidades especiais toma-se uma ferramenta essencial, constituindo-se muitas vezes como um coadjuvante terapêutico essencial para cumprir os desígnios da enfermagem de reabilitação.
- Behaviour face to packaging waste and drugs out of usePublication . Nascimento, Luís; Costa, Xavier Taboada; Cardoso, Marisa; Figueiredo, Laura; Lopes, Ivo; Torres, RuiAccording to Directive No. 2004/12/EC of 11 February, up to the present calendar year (2011 ), Portugal should meet established with respect to the recycling of packaging waste and discarded drug targets . For this, it is essential that the population has acquired over the past few years, the necessary information. So, for that it is important the active participation of everyone in this delivery, in places due to the effect . The objectives of this research consisted in knowing what they know and do students of Health School of Sciences , in Polytechnic Institute of Bragança. The medicines and no longer use and its packaging , thus evaluating the delivery behavior of this type of waste in pharmacies . To achieve these goal, we selected the school referred to earlier as a case of study , using as an analytical tool , a questionnaire to be applied manually . The questionnaire was administered to a sample of 356 students from the Health School of Bragança . The results showed that most respondents only disposes drugs left over when finish their expiration date , and archive them first at home and then giving them as a destination in the first place , the dust and then the pharmacy . It is mainly women who goes to the pharmacy delivery medicines out of use, having as main reasons the binomial environment / health. It was also noticeable that people who do not deliver the medicines in pharmacies still overlap those that deliver them in pharmacies. These results, which allow a better understanding of the behavior of the students of the Health School of Bragança face to medicines , provide an important communication strategies and actions to improve the rates of recovery and recycling waste contribution .
- Capacidade funcionalPublication . Delgado, Bruno; Novo, André; Mendes, Eugénia; Lopes, Ivo; Preto, Leonel; Gomes, Catarina Maria Graça Peixoto“Reabilitação cardíaca: evidência e fundamentos para a prática” é um livro organizado e maioritariamente escrito por 6 pessoas geograficamente afastadas, mas que o destino quis juntar. O que nos une? A paixão pela reabilitação e, mais em concreto, pela reabilitação cardíaca. Para além dos 6 principais autores, este livro contou com a preciosa colaboração de mais de 30 autores distribuídos ao longo dos diferentes capítulos.Existia em Portugal um défice de literatura aglutinadora sobre reabilitação cardíaca. Assim, procurámos organizar neste livro as melhores e mais recentes evidências e fundamentos científicos que servem de alicerces para uma prática segura e eficiente. Esperamos que este livro não se encerre em si mesmo e estimule quem nos lê a procurar ainda mais evidências e fundamentos sobre reabilitação cardíaca.Este livro é direcionado para profissionais. Se não é um profissional de saúde, ler o conteúdo deste livro não habilita para a implementação de programas de reabilitação cardíaca. Os programas de reabilitação cardíaca devem ser geridos por profissionais de saúde especializados e experientes. Se é um paciente e não tem orientação, procure um profissional de saúde que o possa ajudar.
- Characteristics of good response to aerobic axercise training in decompensated heart failure patientsPublication . Delgado, Bruno; Lopes, Ivo; Gomes, Bárbara; Novo, AndréExercise training is an excellent tool to promote functional capacity in chronic heart failure (HF) patients. Although its benefits in this population, it needs to be demonstrated in decompensated HF patients. A way to optimize an intervention is to evaluate who are the good responder and understand the causes of no response. Knowing the factors of good response is also important to emphasize the feasibility of an intervention and to deliver it to the ones who get the most benefit of it. Purpose To identify the characteristics that lead a patient to have a better response to an aerobic exercise training program for decompensated HF inpatients – ERICHF (early rehabilitation in cardiology – heart failure) Methods 50 patients who performed ERICHF program during the phase of stabilization were evaluated in terms of their sociodemographic, functional and physiological characteristics and performance during the program. The main variable used to understand the performance of the patients was the variation of the distance walked in the 6minute walking test (6MWT), performed as soon as the patient were able to do it (6MWTinicial) and at discharge (6MWTdischarge). A multiple linear regression was made in order to determine which variables are related to a better variation on the 6MWT, namely: age, LCADL and Barthel index (BI) scores at admission and discharge, number of days of hospitalization, number of cardiovascular risk factors, NYHA class, etiology of HF and ventricular function. DurbinWatson test was used to analyze the existence of independence of residual random variables. It was assumed a significance level at p<0.05. Results: Patient’s average age was 71 (±11) years old, 34 are male, 80% are in NYHA class III and 73% have severe left ventricular depression. Patients present a median of 76 points in BI at admission (minimum of 45 and maximum of 97) and a median of 32 at LCADL (minimum of 24 and maximum of 45 points). The mean distance walked in the 6MWTinicial performed by the patients was 199,9 (±115,9) meters and 287,6 (±128,9) meters at 6MWTdischarge, representing a 87,7 (±170,6) meters variation. According to the linear regression, an equation was obtained: Difference of the 6MWT = 454,6941* 6MWTinitial+2,981*Barthelinitial5,554* age. This equation explains 65% of the variation of the model in this sample of patients. Using this variables it’s possible to know how much distance a patient can walk, and understand if he is going to have a good performance in the program. Conclusions Patients with the worst results in the initial 6MWT, higher initial Barthel and younger ages, will get the most gains in terms of difference walked between the initial and final 6MWT and have the most benefit from the intervention program.
- Characteristics of good response to aerobic exercise training in decompensated heart failure patientsPublication . Delgado, Bruno; Lopes, Ivo; Gomes, Bárbara; Novo, AndréExercise training is an excellent tool to promote functional capacity in chronic heart failure (HF) patients. Although its benefits in this population, it needs to be demonstrated in decompensated HF patients. A way to optimize an intervention is to evaluate who are the good responder and understand the causes of no response. Knowing the factors of good response is also important to emphasize the feasibility of an intervention and to deliver it to the ones who get the most benefit of it. Purpose To identify the characteristics that lead a patient to have a better response to an aerobic exercise training program for decompensated HF inpatients – ERICHF (early rehabilitation in cardiology – heart failure) Methods 50 patients who performed ERICHF program during the phase of stabilization were evaluated in terms of their sociodemographic, functional and physiological characteristics and performance during the program. The main variable used to understand the performance of the patients was the variation of the distance walked in the 6minute walking test (6MWT), performed as soon as the patient were able to do it (6MWTinicial) and at discharge (6MWTdischarge). A multiple linear regression was made in order to determine which variables are related to a better variation on the 6MWT, namely: age, LCADL and Barthel index (BI) scores at admission and discharge, number of days of hospitalization, number of cardiovascular risk factors, NYHA class, etiology of HF and ventricular function. DurbinWatson test was used to analyze the existence of independence of residual random variables. It was assumed a significance level at p<0.05. Results: Patient’s average age was 71 (±11) years old, 34 are male, 80% are in NYHA class III and 73% have severe left ventricular depression. Patients present a median of 76 points in BI at admission (minimum of 45 and maximum of 97) and a median of 32 at LCADL (minimum of 24 and maximum of 45 points). The mean distance walked in the 6MWTinicial performed by the patients was 199,9 (±115,9) meters and 287,6 (±128,9) meters at 6MWTdischarge, representing a 87,7 (±170,6) meters variation. According to the linear regression, an equation was obtained: Difference of the 6MWT = 454,6941* 6MWTinitial+2,981*Barthelinitial5,554* age. This equation explains 65% of the variation of the model in this sample of patients. Using this variables it’s possible to know how much distance a patient can walk, and understand if he is going to have a good performance in the program. Conclusions Patients with the worst results in the initial 6MWT, higher initial Barthel and younger ages, will get the most gains in terms of difference walked between the initial and final 6MWT and have the most benefit from the intervention program.
- Comportamentos face aos resíduos de embalagens e medicamentos fora de usoPublication . Nascimento, Luís; Costa, Xavier Taboada; Cardoso, Marisa; Ferreira, Luciana; Lopes, Ivo; Torres, RuiOs medicamentos têm um papel importante na prevenção e tratamento das doenças do Homem e dos animais, no entanto, contêm substâncias químicas que podem contaminar o solo e a água, não devendo ser colocados no lixo comum. O problema é que boa parte da população não sabe disso ou mesmo sabendo não lhe dá o devido valor.1 A eliminação destes resíduos pela rede de esgotos ou pelo sistema de resíduos urbanos tem consequências no meio ambiente, comprovadas por vários estudos.2 O impacte ambiental resulta da ineficácia dos vários processos de tratamento, acabando as substâncias residuais por serem transferidas para os meios hídricos (rios, afluentes, lençóis de água, etc.) e para o solo.3
- Considerações finais e um olhar sobre o futuro da reabilitação cardíacaPublication . Novo, André; Delgado, Bruno; Mendes, Eugénia; Lopes, Ivo; Preto, Leonel; Loureiro, Maria“Reabilitação cardíaca: evidência e fundamentos para a prática” é um livro organizado e maioritariamente escrito por 6 pessoas geograficamente afastadas, mas que o destino quis juntar. O que nos une? A paixão pela reabilitação e, mais em concreto, pela reabilitação cardíaca. Para além dos 6 principais autores, este livro contou com a preciosa colaboração de mais de 30 autores distribuídos ao longo dos diferentes capítulos.Existia em Portugal um défice de literatura aglutinadora sobre reabilitação cardíaca. Assim, procurámos organizar neste livro as melhores e mais recentes evidências e fundamentos científicos que servem de alicerces para uma prática segura e eficiente. Esperamos que este livro não se encerre em si mesmo e estimule quem nos lê a procurar ainda mais evidências e fundamentos sobre reabilitação cardíaca.Este livro é direcionado para profissionais. Se não é um profissional de saúde, ler o conteúdo deste livro não habilita para a implementação de programas de reabilitação cardíaca. Os programas de reabilitação cardíaca devem ser geridos por profissionais de saúde especializados e experientes. Se é um paciente e não tem orientação, procure um profissional de saúde que o possa ajudar.
- Do heart failure inpatients present a suitable self-management of their disease?Publication . Delgado, Bruno; Lopes, Ivo; Gomes, Bárbara; Pestana, Sandra; Correia, Ana Luísa; Novo, AndréHeart failure (HF) is a syndrome that conduct patients to high levels of impairment. Knowing the symptoms of the disease and being aware about the most important aspects related to a good selfmanagement is very important. The first step to improve knowledge is to know what patients really understand about HF and what are they capable of doing, in order to control the disease. Purpose To characterize the level of selfmanagement of the disease on patients admitted due to decompensated HF Methods Using the Self Care Heart Failure Index (SCHFI), 92 inpatients were evaluated in order to understand their level of awareness about selfcare in HF and what are the main strategies used when they identify symptoms of decompensation. Variables like age, gender and functional status (Barthel index (BI) and LCADL) at admission were used to made some correlations. Descriptive statistics was used to identify the most common strategies used by patients and to analyze the selfcare items of the scale. Results The mean age was 70 (±9,4) years and patients were mainly male (66,7%). They presented high levels of functional impairment with 32 points on LCADL and 73 on BI and a mean of 4 cardiovascular risk factors. Regarding section A, the three most frequent instructions performed by patients was: 1) Avoid getting sick, 2) keep doctor or nurse appointments and 3) Don´t forget to take the medicines. The most notfollowed instructions were: 1) Do some physical activity or Exercise for 30 minutes, 2) Weight themselves and 3) check ankles for swelling. Regarding section B only 7,6% of the patients immediately recognized the symptom of HF decompensation and 57,6% did not. 64,1% of the patients refers Very likely to Call the doctor or nurse for attendance. Section C refers to confidence of patients in selfmanagement, 53% of the patients refer to be not confident about any of the items of the list. The mean score of the scale was 43 (±10) points. Regarding correlations, patients who refer to perform same physical activity or exercise at least 30 minutes show a negative correlation with number of CVRF and LCADL at admission and a positive correlation with BI at admission. Conclusions Patients demonstrate high confidence on their health team providers, however they do not perform correctly the instructions given and showed difficulties in identifying symptoms of decompensation. Self management and knowledge must be improved to these patients. Other study must be devolved in order to understand the causes for this results. Conclusions Patients demonstrate high confidence on their health team providers, however they do not perform correctly the instructions given and showed difficulties in identifying symptoms of decompensation. Self management and knowledge must be improved to these patients. Other study must be devolved in order to understand the causes for this results.
- Do heart failure inpatients present a suitable selfmanagement of their disease?Publication . Delgado, Bruno; Lopes, Ivo; Pestana, Sandra; Correia, Ana Luísa; Gomes, Bárbara; Novo, AndréHeart failure (HF) is a syndrome that conduct patients to high levels of impairment. Knowing the symptoms of the disease and being aware about the most important aspects related to a good selfmanagement is very important. The first step to improve knowledge is to know what patients really understand about HF and what are they capable of doing, in order to control the disease. Purpose To characterize the level of selfmanagement of the disease on patients admitted due to decompensated HF Methods Using the Self Care Heart Failure Index (SCHFI), 92 inpatients were evaluated in order to understand their level of awareness about selfcare in HF and what are the main strategies used when they identify symptoms of decompensation. Variables like age, gender and functional status (Barthel index (BI) and LCADL) at admission were used to made some correlations. Descriptive statistics was used to identify the most common strategies used by patients and to analyze the selfcare items of the scale. Results The mean age was 70 (±9,4) years and patients were mainly male (66,7%). They presented high levels of functional impairment with 32 points on LCADL and 73 on BI and a mean of 4 cardiovascular risk factors. Regarding section A, the three most frequent instructions performed by patients was: 1) Avoid getting sick, 2) keep doctor or nurse appointments and 3) Don´t forget to take the medicines. The most notfollowed instructions were: 1) Do some physical activity or Exercise for 30 minutes, 2) Weight themselves and 3) check ankles for swelling. Regarding section B only 7,6% of the patients immediately recognized the symptom of HF decompensation and 57,6% did not. 64,1% of the patients refers Very likely to Call the doctor or nurse for attendance. Section C refers to confidence of patients in selfmanagement, 53% of the patients refer to be not confident about any of the items of the list. The mean score of the scale was 43 (±10) points. Regarding correlations, patients who refer to perform same physical activity or exercise at least 30 minutes show a negative correlation with number of CVRF and LCADL at admission and a positive correlation with BI at admission. Conclusions Patients demonstrate high confidence on their health team providers, however they do not perform correctly the instructions given and showed difficulties in identifying symptoms of decompensation. Self management and knowledge must be improved to these patients. Other study must be devolved in order to understand the causes for this results. Conclusions Patients demonstrate high confidence on their health team providers, however they do not perform correctly the instructions given and showed difficulties in identifying symptoms of decompensation. Self management and knowledge must be improved to these patients. Other study must be devolved in order to understand the causes for this results.
- Doença cardíacaPublication . Novo, André; Delgado, Bruno; Mendes, Eugénia; Lopes, Ivo; Preto, Leonel“Reabilitação cardíaca: evidência e fundamentos para a prática” é um livro organizado e maioritariamente escrito por 6 pessoas geograficamente afastadas, mas que o destino quis juntar. O que nos une? A paixão pela reabilitação e, mais em concreto, pela reabilitação cardíaca. Para além dos 6 principais autores, este livro contou com a preciosa colaboração de mais de 30 autores distribuídos ao longo dos diferentes capítulos.Existia em Portugal um défice de literatura aglutinadora sobre reabilitação cardíaca. Assim, procurámos organizar neste livro as melhores e mais recentes evidências e fundamentos científicos que servem de alicerces para uma prática segura e eficiente. Esperamos que este livro não se encerre em si mesmo e estimule quem nos lê a procurar ainda mais evidências e fundamentos sobre reabilitação cardíaca.Este livro é direcionado para profissionais. Se não é um profissional de saúde, ler o conteúdo deste livro não habilita para a implementação de programas de reabilitação cardíaca. Os programas de reabilitação cardíaca devem ser geridos por profissionais de saúde especializados e experientes. Se é um paciente e não tem orientação, procure um profissional de saúde que o possa ajudar.