913 resultados para Privação do sono Complicações
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Vrios trabalhos tm demonstrado uma relao entre sono e memria. Desta forma, tem sido descrito um papel importante do sono na consolidao da memria e um efeito negativo pela privação do mesmo. O hipocampo uma regio importante para a formao e consolidao da memria espacial, e contm uma alta expresso de receptores para corticosterides. As aes dos corticosterides no hipocampo so fundamentais para a aquisio de memria e dependem de um balano adequado entre receptores de Glicocorticides (RGc) e Mineralocorticides (RMn). Assim descrito na literatura que um aumento na expresso de RMn promotor de aquisio de memria, enquanto que um aumento na expresso de RGc produz um efeito negativo. Apesar dos nveis circulantes de glicocorticides na privação de sono paradoxal (PSP), no serem responsveis pelo enfraquecimento de memria, no existem dados sobre a expresso dos receptores para corticosterides no hipocampo, aps PSP. Neste trabalho tivemos como objetivo investigar a expresso de receptores de Glicocorticides no hipocampo, bem como avaliar aprendizado e memria em ratos privados de sono paradoxal. Ratos Wistar machos (250- 350g) foram submetidos PSP, utilizando-se o mtodo de mltiplas plataformas por um perodo de 96 horas. Aps 96h de privação os animais foram anestesiados e perfundidos. Seces de 25 μm na rea do hipocampo foram obtidas e reagidas com anticorpos para receptores de Glicocortidides. Avaliamos as reas CA1, CA3 e Giro Denteado. O aprendizado e memria espacial foram avaliados atravs do teste do labirinto aqutico de oito braos, antes e aps o perodo de privação de sono. Avaliou-se a latncia de escape e o nmero de erros obtidos. O grupo PSP apresentou um aumento na expresso de RGc nas regies: CA1 e Giro Denteado, no se observando diferena significativa na regio CA3. A PSP prvia aos testes de aprendizado e memria no provocou alteraes significativas. A privação de sono ps-aprendizado tambm no produziu diferenas estatisticamente significativas, mas um aumento no tempo de latncia de escape e nmero de erros sugere um enfraquecimento na consolidao da memria. O aumento na expresso de RGc nas reas estudadas, pode ser consequente a uma alterao no balano entre os receptores para corticosterides no hipocampo e ser responsvel por alteraes no aprendizado e memria em ratos PSP.
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A privação de sono paradoxal (PSP) provoca diversas alteraes neuroqumicas e comportamentais relacionadas a mudanas nas funes de sistemas de neurotransmissores. So descritas na literatura respostas aumentadas a estmulos lgicos em animais privados desta fase de sono. Os mtodos de PSP frequentemente utilizados tm sido associados gerao de ansiedade nos animais, e a hiperalgesia observada poderia, portanto, ser conseqncia aos estmulos ansiognicos gerados pelo mtodo. Neste trabalho tivemos como objetivos avaliar se o mtodo utilizado para a PSP ansiognico e investigar o efeito dos frmacos ansioltico, diazepam e analgsico, cido acetilsaliclico sobre a ansiedade e resposta a estmulos trmicos lgicos em animais PSP. Ratos machos Wistar com 90 dias de vida foram privados de sono paradoxal por 96 horas, sendo a resposta lgica avaliada pelo tempo de retirada da pata traseira em ratos expostos placa quente (46C). A avaliao do nvel de ansiedade dos animais foi feita atravs do teste do campo aberto, atravs da relao entre a permanncia nos quadrantes centrais e nos quadrantes perifricos, e tambm pelo teste do labirinto em cruz elevado, sendo quantificado o nmero de vezes que o animal entrava nos braos abertos do labirinto e o tempo gasto pelo animal nos mesmos braos. Os animais PSP apresentaram aumento no ndice de locomoo em relao aos animais controles (+314,8%, p<0,05), aumento no nmero de entradas (+257,1%) e no tempo gasto nos braos abertos do labirinto em cruz elevado (+319,2%, p<0,05), e reduo na latncia de retirada da pata traseira da placa quente (-64,2%, p<0,05). O frmaco diazepam, no influenciou nas respostas apresentadas pelos animais PSP no teste de campo aberto e no teste da placa quente, mas influenciou nas repostas apresentadas por estes animais no teste do labirinto em cruz elevado tanto no tempo (+308, p<0,05), quanto no nmero de entradas (+316,6%, p<0,05). O frmaco cido acetilsaliclico promoveu uma diminuio do ndice de locomoo nos animais PSP submetidos ao teste de campo aberto que tambm foram administrados com o diazepam (-99,5%, p<0,05). No teste da placa quente o cido acetilsaliclico no apresentou nenhuma influncia na percepo de dor nos animais. Os resultados obtidos neste trabalho indicam que o mtodo de privação de sono paradoxal por perodo de 96 horas no induz ansiedade, e a reduo farmacolgica dos nveis de ansiedade no influencia na resposta lgica induzida pela privação de sono paradoxal.
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Sono e imunidade parecem apresentar uma relao de reciprocidade. A ativao do sistema imune altera o padro de sono e distrbios do sono podem afetar a funo imune. Alm disso, bem descrito que a privação de sono paradoxal (PSP) leva hiperalgesia e o tratamento com frmacos clssicos, como opiides ou antidepressivos tricclicos, no capaz de reverter este quadro. Neste trabalho, avaliamos se a PSP afetaria a resposta inflamatria e a sobrevida em ratos e se o tratamento com um anlogo sinttico de lipoxinas (ATL-1) seria capaz de reverter a hiperalgesia induzida pela PSP. Todos os protocolos experimentais foram previamente aprovados pelo Comit de tica para o Uso de Animais, da UERJ (CEUA/032/2010). Ratos Wistar machos foram submetidos a 96 h de PSP, induzidas pelo mtodo de plataforma nica (PU) ou de mltiplas plataformas modificado (MPM). Aps 96 h de PSP os animais foram submetidos ao modelo da bolha de ar ou pleurisia utilizando-se a carragenina como agente flogstico, ou ainda a PSP foi aplicada antes ou aps a induo de um modelo de ligao e perfurao do ceco (CLP). Quatro horas aps a injeo de carragenina os animais apresentaram um aumento no recrutamento de leuccitos para a cavidade da bolha, porm no houve diferena entre animais PSP e controles. O nmero total de leuccitos no plasma no se alterou aps a injeo de carragenina. Na pleurisia, os animais PSP apresentaram um aumento nos nveis de IL-6, IL-1β e TNF-α no plasma, enquanto apenas IL-1β e IL-6 estavam aumentados no exsudato pleural dos animais que receberam carragenina. O padro de recrutamento de leuccitos para o local da injria foi bastante semelhante entre os animais controle e PSP 2 h, 4 h e 24 h aps a injeo de carragenina. Houve um aumento progressivo com o tempo, apresentando um pico em 24 h, no entanto, no foi observada diferena significativa na resposta dos grupos PSP. A PSP aplicada antes ou aps a induo do CLP reduziu a sobrevida dos animais, mas no alterou o acmulo de neutrfilos, nos dois protocolos. Quando a PSP foi aplicada antes do CLP, os nveis sricos de IL-6 estavam aumentados nos grupos PSP e PSPCLP, porm quando a PSP foi aplicada aps o CLP, ambas IL-6 e IL-1β estavam aumentadas nos grupo PSPCLP. O efeito do tratamento com ATL-1 (10 g/kg, i.v.) na hiperalgesia induzida pela PSP foi determinado atravs do teste da formalina. O anlogo reduziu o nmero de comportamentos relacionados dor em animais PSP e controles na fase inflamatria do teste. Nossos resultados demonstraram que a PSP por 96 h aumentou os nveis plasmticos de citocinas, reduziu a sobrevida dos animais, contudo no foi capaz de alterar o recrutamento de leuccitos frente a um estmulo inflamatrio ou infeccioso. O aumento de mediadores inflamatrios observado nesses animais pode estar relacionado hiperalgesia em animais PSP, uma vez que o tratamento com o ATL-1 reverteu esse efeito, possivelmente atravs de mecanismos envolvendo sua ao anti-inflamatria.
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The objective of the present study was to compare parameters such as total time, number of episodes and mean duration of episodes of each wake-sleep cycle stage, and sequences of stages in electroencephalographic records scored in 10 and 30 seconds epochs in controls and sleep deprived animals, submitted to avoiding tasks of learning and memory. This comparing tried to discuss the need of lesser epochs in the EEG scoring, and of the search for more details and shorter sequences, present in many studies nowadays
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Learning and memory are important mechanism for species, since its allows to recognize conspecifics, routes and food place. Sleep is one of behaviors known by facilitate learning, it is a widespread phenomenon, present in most of vertebrates lives and highly investigated in many aspects. It is known that sleep deprivation modifies physiologic behavioral processes in animals, however, sleep function in organism is still debatable. Hypothesis range from energy conservation to memory consolidation, with different roles in animals evolution. The zebrafish (Danio rerio) emerg e in the last years as vertebrate model in genetics and developmental biology and quickly become popular in behavioral studies, as learning and memory. Despite the fact that zebrafish is a diurnal animal and have well characterized sleep behavior, zebrafish fish still has advantages due to its small size and low cost of maintenance, whichestablishes this species as interesting model for research on sleep. In this study we aimed to analyze the effects of partial and total sleep deprivation on learning acquisition, as well the concomitant administration of alcohol and melatonin. For this, the research was divided in three phases, each one with a different kind of conditioning: (1) object Recognition, (2) avoidance conditioning and (3) appetitive conditioning. The results showed the fish partially sleep deprived and totally sleep deprived + et hanol could perform the tasks just like the control group, however, fish totally sleep deprived and totally sleep deprived + melatonin showed impairments in attention and memory during the tests. Our results suggest that only one night of sleep deprivation is enough to harm the zebrafish performance in cognitive tasks. In addition, ethanol exposure on the night previously the test seems to suppress the negative effects of sleep deprivation, while the melatonin treatment seems not to be enough to promote sleep state, at least on the protocol applied here.
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Learning and memory are important mechanism for species, since its allows to recognize conspecifics, routes and food place. Sleep is one of behaviors known by facilitate learning, it is a widespread phenomenon, present in most of vertebrates lives and highly investigated in many aspects. It is known that sleep deprivation modifies physiologic behavioral processes in animals, however, sleep function in organism is still debatable. Hypothesis range from energy conservation to memory consolidation, with different roles in animals evolution. The zebrafish (Danio rerio) emerg e in the last years as vertebrate model in genetics and developmental biology and quickly become popular in behavioral studies, as learning and memory. Despite the fact that zebrafish is a diurnal animal and have well characterized sleep behavior, zebrafish fish still has advantages due to its small size and low cost of maintenance, whichestablishes this species as interesting model for research on sleep. In this study we aimed to analyze the effects of partial and total sleep deprivation on learning acquisition, as well the concomitant administration of alcohol and melatonin. For this, the research was divided in three phases, each one with a different kind of conditioning: (1) object Recognition, (2) avoidance conditioning and (3) appetitive conditioning. The results showed the fish partially sleep deprived and totally sleep deprived + et hanol could perform the tasks just like the control group, however, fish totally sleep deprived and totally sleep deprived + melatonin showed impairments in attention and memory during the tests. Our results suggest that only one night of sleep deprivation is enough to harm the zebrafish performance in cognitive tasks. In addition, ethanol exposure on the night previously the test seems to suppress the negative effects of sleep deprivation, while the melatonin treatment seems not to be enough to promote sleep state, at least on the protocol applied here.
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Projeto de Ps-Graduao/Dissertao apresentado Universidade Fernando Pessoa como parte dos requisitos para obteno do grau de Mestre em Cincias Farmacuticas
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RESUMO: Enquadramento: O sono cada vez mais reconhecido como um fator determinante na Sade Infantil porque, quando desadequado, pode ter consequncias na regulao emocional e do comportamento, nas funes cognitivas, no rendimento acadmico, na regulao do peso e no risco de leses acidentais. Os hbitos e problemas do sono das crianas portuguesas no se encontram ainda bem caracterizados. Este conhecimento importante para o desenvolvimento da investigao e para a promoo da sade nesta rea. Objetivos: Adaptar e validar o Children's Sleep Habits Questionnaire (CSHQ) para a cultura portuguesa; Caracterizar os hbitos de sono de uma amostra de crianas dos 2 aos 10 anos tendo em vista a obteno de dados de referncia; Estimar a prevalncia dos problemas do sono na perspetiva dos pais; Avaliar se existem diferenas nos hbitos e problemas do sono entre as regies de mdia-alta e baixa densidade populacional; Identificar potenciais consequncias dos problemas do sono. Mtodos: Foi realizado um estudo transversal, descritivo e correlacional. A verso portuguesa do questionrio (CSHQ-PT) foi desenvolvida de acordo com as orientaes previamente publicadas e validada numa amostra de 315 crianas dos 2 aos 10 anos. Para o estudo dos hbitos e problemas do sono, o CSHQ-PT foi distribudo aos pais de 2257 crianas recrutadas em 17 zonas de agrupamentos escolares (15 escolhidos de forma aleatria) das reas da Grande Lisboa, Pennsula de Setbal e Alentejo, compreendendo zonas litorais e do interior, e de alta, mdia e baixa densidade populacional. Foram obtidos 1450 (64%) questionrios vlidos. Resultados: O CSHQ-PT mostrou propriedades psicomtricas semelhantes s das verses de outros pases e adequadas para a investigao. A avaliao dos hbitos de sono nos dias de semana mostrou que as crianas se deitam, em mdia, pelas 21h 44m (DP 38 min.). A necessidade da companhia dos pais para adormecer diminui com a idade, ocorrendo em 49% das crianas aos 2-3 anos e 10% aos 9-10 anos. O hbito de adormecer a ver televiso foi descrito em 15,8% das crianas. O tempo total de sono dirio diminui com a idade, com uma diferena mais marcada dos 2 para os 3 anos e dos 3 para os 4 anos, quando a sesta se torna menos frequente. No fim de semana, 25% das crianas dormia pelo menos mais uma hora. As diferenas nos hbitos de sono entre regies de mdia-alta e de baixa densidade populacional foram reduzidas, sem reflexo na durao mdia do sono. Considerando valores de referncia de outros pases, verificou-se que 10% das crianas estudadas tinha uma durao do sono dois desvios-padro abaixo da mdia esperada para a idade. A prevalncia dos problemas do sono na perspetiva dos pais foi de 10,4%, sem diferenas significativas entre classes etrias, subgrupos de nvel educacional dos pais, nem entre zonas de mdia-alta e baixa densidade populacional. Estes problemas do sono mostraram-se associados, sobretudo, durao do sono insuficiente, resistncia em ir para a cama, dificuldade em adormecer sozinho, despertares noturnos frequentes e ocorrncia de parassnias. A baixa prevalncia de problemas do sono identificados pelos pais contrasta com cotaes elevadas no CSHQ-PT que traduzem comportamentos-problema mais frequentes, que so bem aceites por alguns pais. O ndice de Perturbao do Sono foi mais elevado nas famlias com menor nvel educacional. Em anlise multivariada mostraram valor preditivo para a sonolncia diurna: o tempo total de sono dirio, a diferena da durao do sono noturno durante a semana e no fim de semana, a frequncia de algumas parassnias e o hbito de adormecer a ver televiso. O rendimento escolar mostrou associao com os problemas do sono, que so mais frequentes nas crianas com dificuldades escolares e hiperatividade/problemas de ateno. A relao entre estas variveis complexa. Concluses: Este estudo mostrou que os problemas comportamentais do sono e a privação de sono so frequentes na populao estudada. Estes problemas tm consequncias, uma vez que correspondem a uma frequncia mais elevada de sintomas de sonolncia diurna, por comparao com outros pases. Perante este cenrio, muito importante reforar a promoo de hbitos de sono saudveis e continuar a estudar as consequncias do sono desadequado nas crianas portuguesas. -----------ABSTRACT:Framework: Sleep is increasingly being recognized as important to Child Health, for inadequate sleep may impact behavioral and emotional regulation, cognitive functions, academic performance, weight regulation and the risk of accidental injuries. The sleep habits and sleep problems of Portuguese children are not well characterized. This knowledge is important to support further studies and health promotion actions. Objectives: Develop and validate a Portuguese version of the Children's Sleep Habits Questionnaire (CSHQ-PT); Characterize the sleep habits and problems in a sample of Portuguese children from the ages of 2 to 10 for future reference; Estimate the prevalence of parent-defined sleep problems; Assess whether there are differences in sleep habits and problems between regions of medium-high and low population densities; Identify potential consequences of sleep problems. Methods: We conducted a cross-sectional, descriptive and correlational study. The Portuguese version of the questionnaire (CSHQ-PT) was developed according to published guidelines and validated in a sample of 315 children from 2 to 10 years old (y.o.). In order to study sleep habits and problems we delivered the CSHQ-PT to 2257 children recruited from 17 school districts (15 were chosen randomly) in areas with low, medium and high population densities, including coastline and inland regions. 1450 (64%) valid questionnaires were obtained. Results: The CSHQ-PT demonstrated psychometric properties that were similar to the versions from other countries and adequate for research. The evaluation of sleep habits showed that on schooldays children go to bed, on average, at 21h 44m (SD 38 min.). The need of having the parent in the room at bedtime decreases with the age of the child, occurring in 49% of children with 2-3 y.o. and 10% of children between 9 and 10 y.o. The habit of going asleep while watching TV was reported in 15,8% of the children. Total sleep time diminishes with the age of the child, having a major decrease from 2 to 3 y.o. and from 3 to 4 y.o., along with less frequent naps. During the weekend, 25% of the children sleep at least one extra hour. Considering reference values from other series, we found that 10% of the children had a sleep duration two standard deviations below the mean for the age. The differences in sleep habits between regions of medium-high and low population densities are few, and there are no differences in average sleep durations. The prevalence of parent-defined sleep problems was 10.4%. There were no significant differences between age classes, parent education subgroups or between regions of medium-high and low population densities. These sleep problems were associated with insufficient sleep duration, bedtime resistance, difficulty in falling asleep alone, frequent night awakenings and the occurrence of parasomnias. The low prevalence of parent-defined sleep problems contrasts with high CSHQ scores meaning that problematic behaviors are more frequent, but acceptable to some parents. The Sleep Disturbance Score was higher in families with a lower educational level. In multivariate analysis, the following factors predicted the daytime somnolence score: total sleep time, the difference in night sleep duration between the weekend and school days, the frequency of some parasomnias and the habit of falling asleep while watching TV. School achievement showed a negative correlation with the sleep problems, which are more frequent in children with school difficulties and hyperactivity/attention problems. The relationship between these variables is complex. Conclusions: This study evidenced that behavioral sleep problems and sleep deprivation are common in our population. These sleep problems have consequences as they correspond to more symptoms of excessive daytime somnolence comparing to other countries. Therefore, we reinforce the importance of promoting healthy sleep habits and further study the consequences of inadequate sleep in Portuguese children.
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In the school environment is fundamental the knowledge about the sleep-wake cycle (SWC), because we find children and adolescents with excessive sleepiness and learning difficulties. Furthermore, teachers with high demand and with different work schedule, which may contribute to changes in SWC. The aim of this study was to describe the SWC of high school teachers in Natal/RN. Habits and knowledge about sleep, chronotype, SWC, daytime sleepiness, sleep quality and job satisfaction were described in 98 high school teachers from public and private school. These parameters were compared according to the characteristics of work, family structure and gender. Data collection was performed with the use of questionnaires in two stages: 1) "health and sleep" (general characterization of sleep habits), Horne & Ostberg questionnaire (characterization of chronotype), Epworth Sleepiness Scale and the Index of Pittsburg Sleep Quality, 2) The sleep diary for 14 days. From the results, we observe that the teachers woke up and went to bed earlier in the week and showed a reduction of time in bed around 42min comparing to weekend. This reduction in time in bed during the week was accompanied by an increase in nap duration on weekend. In addition the teachers woke up earlier on Saturdays than on Sundays, probably due to housework and leisure. The teachers' knowledge about sleep was low in relation to individual differences and effect of alcoholic beverages on sleep, and high in the consequences of sleep deprivation. The differences found in comparisons on the characteristics of work, family structure and gender were punctual, except concerning the work schedule. The teacher who started work in the morning and finished in the night, woke up earlier, went to bed later and had less time in bed, when compared to teachers who work only in two shifts. In addition, teachers with late chronotypes who begin the work in the morning had a greater irregularity in the wake up time compared to teachers with earlier and intermediate chronotypes. Half of teachers have excessive sleepiness, which was positive correlated with work dissatisfaction. In general, teachers showed IPSQ averages equivalent to poor sleep quality and the women showed worst averages. From the results, it is suggested that the SWC of teachers varies according to work schedule, leading to irregularity and partial sleep deprivation in the week, although these responses vary according to chronotype. These changes are accompanied by excessive daytime sleepiness and poor sleep quality. However, it is necessary to expand the sample to clarify the influence of variables related to work, family structure and gender together
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Biological rhythms are part of the life from the simplest to the most complex living beings. In humans, one of the most important biological rhythms is the sleep-wake cycle (SWC), which represents an indispensable behavior for health, since sleep deprivation can lead to deficits in attention and memory, mood and daytime sleepiness which may affect school performance. Nevertheless, the SWC is a content rarely discussed in schools. Thus, the aim of this research was to address contents of the sleep-wake cycle, related to the content of Health to encourage healthy sleep habits. This study was conducted in a public school with 33 students of the 3rd year of high school and is divided into four stages: 1st) Study and analysis of the content of the textbook adopted by the school to subsidize the activities covered in the teaching unit (TU) and approximation with the biology teacher from the class to evaluated the feasibility of schedules for the development of TU; 2nd) Survey of students' prior knowledge, through a questionnaire, to guide the development of the TU; 3rd) Development and implementation of a TU based on meaningful learning and characterization of the students sleep habits, 4th) Evaluation of the TU as a viable proposal to teach biological rhythms concepts. Previous knowledge of students about the SWC are scarce and this content is not covered in the books adopted by the school. Alternative conceptions were observed, particularly with regard to individual differences in sleep, which may contribute to the occurrence of inadequate sleep habits, as reported by the adolescents in this study. The activities developed during UD were well received by the students who showed participative, motivated and evaluated positively the procedures used by the researcher. After the TU, students' knowledge about the concept of biological rhythms has been increased and they started to identify that the SWC changes throughout life and occur due biological and socio-cultural factors. Thus, the UD elaborated in this study represents a viable proposal to teach the concepts of biological rhythms contextualized to the content of Health, in high school
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Academic demands, new social context, new routines and decrease of the parental control, are factors that may influence the sleep pattern of freshman students at the University. Medical students from the Federal University of Rio Grande do Norte (UFRN) have a full-time course, subjects with high-level content, and, at the first semester, classes begin at 7 a.m. This group composed by young adults who still suffering with delayed sleep phase, common in adolescence, indicating that this class schedule can be inappropriate at this age. The reduction of nocturnal sleep during school days, and the attempt to recover sleep on free days social jet lag (JLS), suggests that in the first semester, students suffer from high sleep pressure. High sleep pressure may reflect on cognitive tasks and performance. Therefore, the aim of this study was to investigate the relationship between sleep pressure and the academic profile of medical students from the first semester of UFRN, characterizing this population socio-demographically and investigating possible impacts on therestactivity rhytm and academic performance. A sample of 88 students, healthy men and women awswered the following questionnaires: Pittsburgh Sleep Quality (PSQI), Epworth Sleepiness Scale (ESS), Horne & Ostberg Chronotype (HO), Munich Chronotype (MCTQ) and Health and Sleep adapted. Actigraphy was used during 14 days to make actogramas and obtain non-parametric variables of the rest-activity rhythm and the grades of the morning schedule were used as academic performance. The JLS was used as a measure of sleep pressure. Statistics significance level was 95%. The population was sociodemographic homogeneous. Most students have healthy lifestyle, practice physical activity, use car to go to the university and take between 15 and 30 minutes for this route. Regarding CSV, most were classify as intermediate (38.6%) and evening (32%) chronotypes, needs to nap during the week, suffer daytime sleepiness and have poor sleep quality. 83% of the sample has at least 1h JLS, which led us to divide into two groups: Group <2h JLS (N = 44) and Group 2h JLS (N = 44). The groups have differences only in chronotype, showing that most evening individuals have more JLS, however, no differences were found in relation to sociodemographic aspect, rest-activity rhythm or academic performance. The homogeneity of the sample was limited to compare the groups, however, is alarming that students already present in the first half: JLG, poor sleep quality and excessive daytime sleepiness, which can be accentuated through the university years, with the emergence of night shifts and increased academic demand. Interventionsaddressingthe importance of good sleep habits and the change of the class start time are strategies aimed to improve students health.
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The nurses in the hemodialysis has an important role in the nursing process implementation, in the context of a theoretical referential. Among the nursing theories, highlights the Roys adaptations model, who considers a person as an holistic adaptive system that aims to adapt customers to different living conditions. Thus, it is believed that the Roys nursing process will guide nursing care to patients on dialysis. Therefore, the study aimed to analyze the nursing diagnosis present in patients with chronic kidney disease on hemodialysis based on the theoretical model of Roy and NANDA-International. Descriptive and cros-sectional study, performed at a dialysis center in a city in northeastern Brazil. Sample of 178 patients and consecutive sampling by convenience. Data collection ocurred from October/2011 until February/2012, through interview and physical examination forms. Data analysis was initiated by clinical reasoning, diagnosis judgment and similarity relation. Then, the data were entered into SPSS program, 16.0 version, generating descriptive statistics. The project was approved by the Ethics Research Committee (protocol n 115/11) with a Presentation Certificate for Ethics Appreciation (in 0139.0.051.000-111) and was funded by the Universal edict MCT / CNPq 14/2010. The results revealed that most patients were male (52.2%), married (62.9%) and residents in the Natals metropolitan region (54.5%). The mean age was 46.6 years and the years of study, 8,5. Regarding nursing diagnosis obtained an average of 6.6, especially: Risk of Infection (100%), excessive fluid volume (99.4%) and hypothermia (61.8%). On the other hand the adaptive problems average was 6.4, and the most common: intracellular fluid retention (99.4%); Hyperkalemia (64.6%); Hypothermia (61.8%) and edema (53.9%). Were established 20 similarity relations between the NANDA-International nursing diagnosis and adaptive problems of Roy, namely: risk of falls / injury risk and potential for injury, impaired physical mobility and walking mobility and / or restricted coordination, dressing self-care deficit and loss of self-care ability; hypothermia and hypothermia; impaired skin integrity and impaired skin integrity; excessive fluid volume and intracellular fluid retention / Hyperkalemia / Hypocalcemia / edema; imbalanced nutrition: less than body requirements and Nutrition less than the body's needs; constipation and constipation, acute pain and acute pain, chronic pain and chronic pain, sensorial perception disturbed: visual, tactile and auditory disabilities and a primary sense: sight, hearing and tactile; sleep deprivation and insomnia, fatigue and intolerance to activities; ineffective self health and fails in the role; sexual dysfunction and sexual dysfunction; situational low self-esteem and low self-esteem, and diarrhea and diarrhea. We conclude that there is similarity between the typologies and was required a models analysis, because they present different ways to establish the nursing diagnosis. Moreover, the nursing process use, under the context of a theory and a classification system, subsidizes the care and contributes to the strengthening of nursing science
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Ps-graduao em Pediatria - FMB
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Objective: To analyze the association between sleep quality and quality of life of nursing professionals according to their work schedules. Methods: A prospective, cross-sectional, observational study was conducted between January and December 2010, with 264 nursing professionals, drawn from 989 subjects at Botucatu General Hospital and stratified by professional category. The Pittsburg Sleep Quality Index and the WHOQOL-bref were administered to evaluate sleep quality and quality of life, respectively. Self-reported demographic data were collected with a standard form. Continuous variables were reported as means and standard deviations, and categorical variables were expressed as proportions. Associations were evaluated using Spearman's correlation coefficient. The association of night-shift work and gender with sleep disturbance was evaluated by logistic regression analysis using a model adjusted for age and considering sleep disturbance the dependent variable. The level of significance was p < 0.05. Results: Night-shift work was associated with severe worsening of at least one component of sleep quality in the model adjusted for age (OR = 1.91; 95% CI 1.04; 3.50; p = 0.036). Female gender was associated with sleep disturbance (OR = 3.40; 95% CI 1.37; 8.40; p = 0.008). Quality of life and quality of sleep were closely correlated (R = -0.56; p < 0.001). Conclusions: Characteristics of the nursing profession affect sleep quality and quality of life, and these two variables are associated.
