Browsing by Author "Pereira, Sara"
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- Polimedicação em idosos institucionalizados em lares do norte de PortugalPublication . Pinto, Isabel C.; Nascimento, Luís; Pereira, Filipa; Azevedo, Joana; Pereira, SaraA polimedicação é uma problemática em crescimento, sobretudo na população idosa, fruto das doenças crónicas que obrigam ao uso simultâneo de vários medicamentos. Esta problemática tem vindo a agravar-se dado que a população mundial tende a envelhecer drasticamente nos próximos anos. Em 2050 prevê-se que o número de idosos represente 32% da população portuguesa. Caracterizar a terapêutica medicamentosa, a polimedicação e eventuais interações em idosos institucionalizados, bem como fatores associados à polimedicação. Métodos: Trata-se de um estudo transversal de base populacional, descritivo-correlacional. A amostra foi constituída por 155 idosos (≥65 anos) polimedicados (≥3 medicamentos) e institucionalizados em lares localizados no norte de Portugal (distritos do Porto, Vila Real e Viseu). Os dados foram obtidos por consulta dos ficheiros clínicos. Na análise da terapêutica recorreu-se à lista de Beers e à classificação de Delafuente para avaliar eventuais interações. O tratamento de dados foi realizado no programa SPSS (v. 21.0), tendo sido aplicada estatística descritiva e os testes de Kolmogorov-Smirnov e ANOVA, com nível de significância de 5%. Resultados: A amostra constituída maioritariamente por idosos do sexo feminino (69% vs. 31%), com idades compreendidas entre os 65 e 99 anos (média de 83,73), sendo que 34,2% tinham entre 85-89 anos. Em média, são administrados por dia 6,85 medicamentos diferentes, sendo os anti-hipertensores os mais prescritos (71,0%), seguidos das benzodiazepinas (57,4%), dos antiácidos/antiulcerosos (51,6%) e dos antidislipidémicos (47,7%). Segundo a lista de Beers, 0,6% dos idosos toma fármacos a ser sempre evitados e 10,3% toma fármacos raramente apropriados. Segundo Delafuente, encontraram-se 13 possíveis interações medicamentosas. Apenas a idade parece estar associada ao número de medicamentos administrados diariamente (p=0,017), sendo os idosos entre 80-84 anos os que consomem mais medicamentos (média 7,85). Conclusão: Verificou-se a existência do fenómeno da polimedicação registando-se uma média de quase 7 medicamentos diferentes por dia, sendo os anti-hipertensores os mais prescritos. Identificaram-se 13 possíveis interações medicamentosas e 10,3% dos idosos tomavam fármacos raramente apropriados. A idade parece estar associada à polimedicação.
- Polypharmacy in institutionalized elderly in nursing homes of Northern PortugalPublication . Pinto, Isabel C.; Nascimento, Luís; Pereira, Filipa; Azevedo, Joana; Pereira, SaraThe polypharmacy is a growing problem, especially in the elderly population due to chronic diseases requiring the simultaneous use of drugs. This issue has become worse due to the increasing aging of the world population. Objectives: To characterize drug therapy, polypharmacy and possible interactions in institutionalized elderly, as well as polypharmacy associated factors. Methods: This cross-sectional and correlational study, had a sample of 155 elderly (≥65 years) polymedicated (≥3 drugs) and institutionalized in nursing homes in northern Portugal districts (Porto, Vila Real and Viseu). Data were obtained by consulting the clinical files. Beers list and the Delafuente classification were used to evaluate the therapeutic and possible interactions. It was used descriptive statistics, the Kolmogorov-Smirnov and ANOVA tests, with a significance level of 5%. Results: The sample consisted mainly of females elderly (69% vs. 31%), aged between 65 and 99 years (mean 83.73), while 34.2% was between 85-89 years old. On average, 6.85 different drugs are administered per day, and antihypertensives are the most prescribed (71.0%). According to the list of Beers, 0.6% of seniors take drugs that should be avoided wherever possible and 10.3% takes drugs rarely appropriate. According Delafuente, we find 13 possible drug interactions. Only age seems to be associated with the number of drugs administered daily (p=0.017), older between 80-84 years are those who consume more. Conclusions: Regarding polypharmacy there was an average of about 7 different drugs per day, antihypertensives the most prescribed. We identified 13 possible drug interactions and about 10% of elderly taking drugs rarely appropriate. Age seems to be associated with polypharmacy.
- Pre-school science education in Portugal: teacher education and innovative practicesPublication . Pereira, Sara; Rodrigues, Maria José; Martins, Isabel P.; Vieira, Rui MarquesAssuming science education in the early years as the stepping stone for the development of scientific and technological literacy, a teacher training program was developed with six kindergarten teachers in Portugal. Its aim was to promote the (re)construction of their subject content and pedagogical knowledge leading to innovative practices, based on the characterization of their profile, shortcomings and practices. Learning through practice was considered the most effective means to promote change in kindergarten teachers’ curricular approaches to science, hence the development of practical activities focusing on children’s understanding and requiring their scientific knowledge and enquiry processes. These include a teacher’s guide (presenting its objectives, concepts and teaching, learning and assessment strategies), a theoretical framework (presenting the concepts, known misconceptions and research references) and also the necessary didactic resources. The paper details the results of the developed teacher training program as well of the validation process of the designed teaching strategies.
- Pre-school science education in Portugal: teacher training and innovative practicesPublication . Pereira, Sara; Rodrigues, Maria José; Martins, Isabel P.; Vieira, Rui MarquesA current study about the development of a teacher training program in science education in the north of Portugal is presented. Practical activities with STS orientation aimed at 3-6 year old children are exemplified. The corresponding methodology is presented.
- Scientific literacy in the early years–practical work as a teaching and learning strategyPublication . Pereira, Sara; Rodrigues, Maria José; Vieira, Rui MarquesScience education become one prioritie of modern societies, with the purpose of forming scientifically literate youth and adults. They play an active role in solving the problems existing in society, making critical and informed decisions. In this paper we discuss the need for scientifically literate citizens and the relevance of practical work as a key strategy for science learning in the early years. We’ll describe the investigative process which supported in real-life educational contexts of a set of Didactic Strategies. We’ll focus on the results of the ‘Materials Lotto’ detailing the results in science teaching and learning in kindergarten. The results show that children mobilize a wide array of skills and attitudes/ beliefs, showing scientific knowledge at different degrees of complexity. We concluded that practical work in science education in the early years is an effective strategy for science teaching and learning, as groundwork for future science literacy of kindergarten children.