Efeito da técnica de curtimento e do método utilizado para remoção da pele da tilápia-do-nilo sobre as características de resistência do couro

Um estudo foi realizado com o objetivo de avaliar os efeitos do método de remoção da pele do filé (com alicate e com máquina) e da técnica de curtimento (com ou sem sais de cromo, bioleather) sobre a resistência da pele de tilápia-do-nilo (Oreochromis niloticus). Foram retiradas as peles de 40 tilápias (450 g), 20 com uso de alicates e 20 com auxílio de máquina. Após o curtimento e a retirada dos corpos-de-prova, as peles foram encaminhadas a um laboratório aclimatizado (23ºC e 50% de umidade relativa do ar) para realização dos testes de resistência em dinamômetro EMIC, com velocidade de afastamento entre cargas de 100 ± 20 mm/mm. O método de retirada da pele do filé não afetou os resultados dos testes de tração e rasgamento progressivo. A pele retirada com a máquina apresentou elongação superior (88,48%) à removida com alicate (71,09%). Peles curtidas com sais de cromo (25,54 N/mm; 12,18 N/mm²) foram mais resistentes que as curtidas sem sais de cromo (bioleather) (13,11 N/mm; 9,89 N/mm²). Peles curtidas por estas técnicas (com cromo e bioleather) podem ser utilizadas na confecção de vestuários, pois as médias dos testes de tração, alongamento e rasgamento progressivo foram superiores a 9,80 N/mm², 60% e 14,72 N/mm, respectivamente, valores mínimos recomendados para couros curtidos ao cromo.

Avaliação da qualidade da assistência aos portadores de úlceras venosas atendidos no ambulatório de um hospital universitário em Natal/RN

Study descriptive that was designed to assess the quality of care for people with venous ulcers (VUs) tended at the ambulatory of a university hospital in Natal / RN. The target population of the study was composed by 40 users bearers of venous ulcers served in the ambulatory of angiology of a university hospital in the level of tertiary education. The study received assent of the Ethics Committee of the Federal University of Rio Grande do Norte (Protocol No. 169/06). The collect of data was performed using a form of interview and tour with collection of measures biophysiologic, for a team comprised by the researchers and an academic of nursing, in the period of three months. The data were analyzed in SPSS 14.0, using descriptive statistics and presented in the form of charts, tables and graphs. Identified a clientele of holders of VUs predominantly female, married, aged up to 59 years, low level of education and household income, from Natal, retirees or those exercising professions and occupations that require long periods standing or sitting. In relation to the characteristics of health, those surveyed had risk factors for venous disease and had UVs chronic, located in Zone 2, lost tissue in grade II and serous exudates on average quantity. The assistance to holders of UVs has been characterized by a lack of professional nurses and unavailability of products for the realization of the right curative in ambulatory and outside it; by the inadequacy of products used in VUs, for long periods of treatment without resolution, where the compressive therapy is not priority, by the lack of completeness in the levels of assistance; by monitoring the bearer of UVs only by doctors and the nurses, even with the other team of professionals in the health service; by the completion of guidelines by health professionals and the lack the standardization of conducting laboratory and specifics tests. The assistance was assessed as inadequate in aspects: reference and counter-reference (75.0%), number of consultations with angiologists last year (87.5%), documentation of the clinical findings (85.0%), use of compressive therapy in the past 30 days (77.5%), part of the team interdisciplinary (97.5%), completion of laboratory and specifics tests in the last year (100%), availability of products used in achieving the curative in ambulatory (80, 0%), and indication of products used in the conduct of dressing outside the clinic (70.0%) and appropriate in the guidelines made on the use of socks, lifting of the members and prescription of exercises regular (82.5%) and indication products used in achieving the curative in ambulatory (97.5%). We conclude that the assistance provided to holders of UV was inadequate in 80% of cases interviewed, becoming non-resolutive and assistematic

Qualidade de vida de pessoas com úlceras venosas atendidos no ambulatório de um hospital universitário

Descriptive study aimed to analyze the quality of life (QOL) of patients with venous ulcers (UV) outpatient clinic of a university hospital in Natal / RN. The aim of the study population was composed of 50 patients with UV treated at the cardiology clinic of a university teaching hospital at the tertiary level. The study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (Protocol 279/09). Data collection was performed over a period of two months by the very a masters degree and an academic nursing through the application of a form concerning the socio-demographic, clinical, and health care, and the instruments WHOQOL and WHOQOL - old. The data were analyzed with SPSS 15.0, using descriptive and inferential statistics presented in the form of tables, charts and graphs. Of the surveyed, female predominance, age range 59 years, Catholic, low education, married, with up to 03 children, not working, retired, or with occupations requiring long periods in one position, wage income of up to 02 minimum wages, inadequate sleep, patients with chronic venous insufficiency and other chronic diseases such as diabetes and hypertension, were taking medications for treatment, being a minority to IVC. In patients with predominant only one injury, time of injury up to five years, inadequate rest, pain, edema and lesions colonized. The assistance the UV patients began treatment of the injury until four months after the onset of the ulcer, and services primary health care most wanted, access to angiologist by reference form, commuted by public transportation, received support regarding the treatment of injuries. The topical product most used in the lesion was healing, and few were using compression therapy. respondents suffer discrimination in society, showed changes in quality of life after the occurrence of ulcer in relation to leisure, pain, restriction of social / school / transportation; barring employment / financial / social ladder; Physical appearance / discrimination and restriction of domestic activity. These changes were related to the time of injury and found that the more chronic injury is the most negative changes occur in their QV (ρ = 0.000). Analyzing the characteristics of QV measured by the WHOQOL-bref, we found for the two general questions they are dissatisfied with their health (ρ = 0.023) and all areas have significant difference compared with the worst QV have the injury of more than 5 years (ρ = 0.000). The QV measured by the WHOQOL-old, we found that these patients had no changes from the time of injury. We conclude that the QV of patients with UV was considered unsatisfactory when compared to the time of injury on more than 5 years which shows that the quality of life worsens with time the chronic UV.

Qualidade da água de nascentes com diferentes usos do solo na bacia hidrográfica do córrego rico, São Paulo, Brasil

Com o objetivo de verificar a influência de remanescentes de vegetação ciliar e da ação antrópica na qualidade da água, estudaram-se quatro nascentes, sendo duas com a presença de vegetação natural remanescente e duas com predominância de atividades agrícolas. Essas nascentes fazem parte da bacia hidrográfica do Córrego Rico, estando localizadas nos municípios de Taquaritinga e de Guariba - SP, em duas classes de solo: Argissolo e Latossolo, respectivamente. Definiram-se pontos de coleta da água nas nascentes e ao longo dos cursos d'água (entre 0 a 50 m da nascente), em dois períodos (chuvoso e seco). Foram analisadas as seguintes variáveis: cor, pH, temperatura, turbidez, alcalinidade, dureza total, dureza em magnésio, dureza em cálcio, fósforo, nitrogênio e demanda bioquímica de oxigênio. de maneira geral, ocorreu agrupamento por nascentes e também por períodos, confirmando que os períodos de amostragem, assim como as características e diferentes usos do solo influenciam na qualidade da água das microbacias. As variáveis cor, turbidez, alcalinidade e nitrogênio total foram as que apresentaram maior importância relativa nas variáveis canônicas.

Qualidade de vida de pessoas com úlcera venosa: associação dos aspectos sociodemográficos, de saúde, assistência e clínicos da lesão

Venous ulcer (VU) is a lower limbs injury resulting from inadequate return of venous blood in feet or legs. Although it is not a deadly disease, it causes chronic wounds, which seriously undermine patients´ quality of life (QOL) and sometimes leads to drastic family, social, economic and psychological changes. In this sense, there are several aspects that may influence the venous ulcers patients´ QOL. The study´s objective aimed on the association of socio-demographic and health, health care and clinical injury on UV patients‟ QOL. Analytical studies, which consider the complexity of factors involved in changes in UV patients‟ QOL has a cross-sectional and quantitative approach. The HUOL Ethics Committee approved this project (n.279/09). The collection of data lasted a period of 3 months in 2010 and it took place at the clinic of Angiology at Hospital Universitário Onofre Lopes (HUOL). The data sample consisted of 60 patients treated by UV angiologists in the HUOL Surgical Clinic. The results were analyzed with SPSS 15.0 by descriptive and inferential statistics. The study was based on UV patients that were predominantly female, average age of 61.4 years, that had low education level and low family income, with occupations requiring long periods of standing or sitting, but mostly retired, unemployed or laid off due to the disease and/or due to chronic diseases associated with the UV. The study took also into consideration patients that used inappropriate products, that were improperly treated by a professional caregiver, that lacked of adequate guidance and compression therapy, that performed no lifting of the lower limbs and regular exercise, that the time of injury were greater than or equal to six months, that were missing specific laboratory tests. The study‟s reference were on recurrent lesions, medium to large lesions area, bed of the lesion (injuries) with fibrin and/or necrosis, with amount of exudate with medium to large, odorless and no signs of infection, with tissue loss between 1st and 2nd degree, without collecting swab or biopsy and with pain. In general, QOL of researched individuals were considered low, the maximum score was 69 points, which the areas that were mostly influenced were the total scores of QOL functional capacity (0.021), emotional (0.000) and social functioning (0.080). Of the 60 individuals, 53.3% had scores between 40 and 69 points in SF-36, and they had the best scores in sociodemographic and health variables (ρ = 0.049). In respect to the assistance and injury characteristics, patients who scored between 40 and 69 points in SF-36 had better scores on these characteristics. By combining the socio-demographic variables, health, and handling characteristics of the injury, we observed a significant difference (ρ = 0.032) when linking them with the QOL total scores. When analyzing separately the domains of the SF-36 scores on the quality of life, we find that the areas that showed statistical significance were functional ability (ρ = 0.035), appearance (ρ = 0.019), emotional (ρ = 0.000), and mental health (ρ = 0.050). Among the socio-demographic characteristics studied, gender and marital status contributed more to the reduction of QOL and among the variables of assistance and the injury, orientation, reference and area of UV contributed the most. By analyzing these five variables all together in accordance with the overall score obtained in the quality of life, we found a significant correlation (ρ = 0.002); with 6.23 times more chances of patients have better QOL in the presence of these five positive factors. By conducting the Mann Whitney U test between all the five demographic variables, health, and clinical care, we found that this combination also proved to be significant (ρ = 0.006). Therefore, patients with these five variables positive tend to have a better QOL. Based on these results, we reject the null hypothesis (H0) and accept the alternative hypothesis (H1) proposed in this study because we noted that the QOL of patients with UV is associated with sociodemographic and health, health care and clinical aspects of the injury

Qualidade de vida em gestantes no contexto na Estratégia Saúde da Família

The pregnancy as a process in woman's life requires several biological, psychological, relational and socio-cultural changes for the preparation for motherhood. By modifying its capacity and, at the expense of these factors, it is observed that the physical, social and emotional problems experienced by women during pregnancy can affect their quality of life, especially related to health. It had as objectives of this research verifying the quality of life of women in the context of the Family Health Strategy in a municipality in Paraíba, in order to characterize the sociodemographic aspects, lifestyle habits, and obstetric care of pregnant women and to characterize the fields of quality of life of pregnant women according to the WHOQOL-bref. This is a descriptive exploratory study with cross-sectional and quantitative approach. The population consisted of 120 pregnant women in primary care in the municipality of Sousa-PB. Data collection occurred over a period of two months by the own master's degree student and two nursing students in applying a standard form about sociodemographic characteristics, and obstetric care and the WHOQOL-bref instrument. The data collected were organized into an electronic database of the Microsoft Excel application, coded, tabulated and presented in tables, charts and figures with their respective percentage distributions. Of the surveyed, the predominant were age group of 20 to 25 years, Catholic religion, with a steady partner, low education, no employment, wage income of 01 minimum wage. As for the data and obstetric care, almost all had never aborted and reported to the care received as excellent. The most frequent complaints were back pain and in lower abdomen. Regarding quality of life according to the WHOQOL-bref, dissatisfactions that predominated in the areas were in the physical pain and discomfort, sleep, rest, energy and fatigue. In the psychological domain, body image and appearance, memory, concentration and negative feelings. In the field of social relationships, sexual activity and the environment domain, the greatest dissatisfaction with facets scored: financial resources, leisure opportunities and transport. It is concluded that the quality of life of the users interviewed were deemed unsatisfactory for these facets, indicating that assistance to this target audience should be done comprehensively and holistically, in order to accommodate the affected facets to improve the quality of life pregnant women attended in primary care

Qualidade da assistência e o conhecimento sobre o direito à saúde das pessoas com úlcera venosa crônica

The study aimed to identify the quality of care and knowledge of health rights of people with chronic venous ulcers (VU) in Brasilian National Health Care System (SUS). It is a cross-sectional study, with quantitative approach, performed at the University Hospital Onofre Lopes (HUOL). The study was approved by the Ethics Committee of HUOL (CAAE nº 0148.0.051.000-10). The sample by accessibility was composed for 30 people with VU treated at the outpatient surgical clinic of HUOL. For data collection we used a structured questionnaire composed of two parts: sociodemographic characteristics and of health, of care and the clinical course of VU; and knowledge of people with VU about the rights of health. The results were processed using SPSS 15.0 and analyzed by descriptive statistics. Given the characterizations sociodemographic and health presented, we identified a clientele of users with VU predominantly female (76,7%), aged from 60 years (66,7%), married/ stable union (60,0%), low education level (83,3%), family income lower than a minimum wage (73,3%), unemployeds and with chronic diseases (53,3%), sleep greater than or equal to 6 hours (76,7%) and were not alcoholics or smokers (93,3%). In relation to clinical conditions, were shown the presence of one or more relapses of VU (73,3%), predominance of granulation tissue/epithelialization in the bed of VU (60,0%), exudate serosanguineous (43,3%), in quantity medium/large (60,0%), with no predominance of presence or absence of odor (50,0%), all patients with tissue loss in grade III / IV, no signs of infection (73,3%) and presence of intense pain (50,0%). In the last 30 days the main venue of achievement of dressing was the HUOL (100,0%), the main compression therapy used was the Unna boot (60,0%) and on inability to perform the dressing on the unit were the own patients who made the exchange at home (40,0%). The majority of respondents listed out more positive factors associated with quality of care (56,7%) were satisfied with the care of SUS (76,7%), claimed to have knowledge about their rights (70,0%), but at the same time did not know the meaning of the acronym SUS (90,0%) and classified their level of information as inappropriate (70,0%). We realize that people with VU identified as good the quality of care and demonstrated inadequate knowledge about their rights to health in the SUS, but showed interest in acquiring more information. The basic rights to entry in the SUS are constitutionally guaranteed and need to be disseminated in order to make them known to the population, so it can be implemented and ensured a greater resolution assistance in treating this type of injury

Produção e qualidade de melão rendilhado sob diferentes substratos em cultivo protegido

This paper aimed to evaluate the performance of hybrids of muskmelon on different substrates. Five substrates were evaluated: S(1) = coconut husk fiber, S(2) = sand; S(3) = 1/2 sand and 1/2 crushed of sugarcane, S(4) = 1/2 sand and 1/2 of peanut shell, and S(5) = 1/3 sand, 1/3 of crushed sugarcane and I of peanut shell and four hybrids of muskmelon (Bonus N(o). 2, Louis, Fantasy Jab and 2007 # 16). The plants were cultivated in plastic pots of 13 dm(3), which were filled with these substrates; they were arranged in plants spacing of 1,0 x 0,5 m between plants. The Fertirrigation was done by dripping, using a nutrient solution for the culture. The experimental design was a randomized blocks, in a 5 X 4 factorial design with four replications. The characteristics evaluated were: total production, average transverse and longitudinal diameter of fruit, fruit shape index; mesocarp thickness; average transverse and longitudinal diameter of the locule; index format locule; mass of fresh fruit; soluble solids, pH; titratable acidity; C vitamin; firmness of flesh; tracery of shell; and maturation index. The optimal substrate for muskmelon cultivation is a combination of 50% sand + 50% peanut shell. The hybrid Fantasy performed better compared to other hybrids.

Qualidade de frutos de cinco híbridos de melão rendilhado em função do número de frutos por planta

Este trabalho teve por objetivo avaliar a qualidade de cinco híbridos de melão rendilhado, com dois e três frutos por planta, utilizando fibra da casca de coco e fertirrigação. Para tanto, foi instalado um experimento em casa de vegetação na UNESP-FCAV, Câmpus de Jaboticabal, com delineamento experimental em blocos ao acaso, em esquema fatorial 5 x 2, com quatro repetições. Os fatores avaliados foram cinco híbridos de melão rendilhado (Maxim, Bônus nº 2, Shinju 200, Fantasy e Louis) e número de frutos por planta (2 ou 3 frutos). Os frutos foram colhidos quando atingiram o máximo do desenvolvimento. Foram avaliados: sólidos solúveis, acidez titulável, pH, vitamina C e massa média dos frutos. Para todas as características avaliadas, não houve interação entre híbridos e o número de frutos por planta. Com base nos resultados obtidos, conclui-se que o híbrido Bônus nº 2 apresentou o maior número de características qualitativas desejáveis quando cultivada sob ambiente protegido, utilizando fibra da casca de coco e fertirrigação. O número de frutos por planta não afetou as características qualitativas avaliadas, exceto o teor de sólidos solúveis e massa média dos frutos, sendo maior quando deixados dois frutos por planta.

Qualidade e maturação de tangerinas e seus híbridos em São Paulo

A ampliação da oferta de tangerinas tanto no mercado interno como no externo é limitada pela grande quantidade de sementes nos frutos das principais cultivares, danos na casca resultante de doenças e pela pequena produção nas épocas mais quentes do ano. O presente trabalho teve como objetivo caracterizar a qualidade dos frutos e a época de maturação de 46 tangerinas e híbridos em condições de campo na Estação Experimental de Citricultura de Bebedouro (EECB), Bebedouro-SP. As variedades de tangerinas e híbridos (tangores e tangelos) foram introduzidas de bancos de germoplasma da Itália, Portugal, Espanha e França, e a pesquisa desenvolveu-se durante os anos agrícolas de 2001/2002 e 2002/2003. Foram avaliadas características externas de qualidade, como altura e diâmetro dos frutos, massa dos frutos, facilidade em descascar com a mão e características internas como: número de sementes, teor de sólidos solúveis totais, acidez total titulável, rendimento em suco, ratio e rendimento em polpa. Duas cultivares apresentaram frutos de boa qualidade e época de maturação precoce, podendo ser disponibilizadas no mercado, num período de escassez deste tipo de citros, e serem alternativas à tangerina-'Cravo'. Quatro cultivares que apresentaram boa qualidade e maturação mediana poderão ser alternativas à 'Poncã'.

Qualidade nutricional e tecnológica de genótipos de feijão cultivados em diferentes safras agrícolas

O feijão é um dos alimentos mais produzidos em todo o território nacional, sendo intensa a busca por cultivares produtivas, adaptadas ao local de cultivo e com boas características culinárias. Assim, este trabalho foi desenvolvido com o objetivo de avaliar o comportamento de genótipos de feijoeiro, quanto ao teor de proteína, tempo para cozimento e capacidade de hidratação dos grãos. O experimento foi desenvolvido em três safras, correspondendo às épocas da seca 2005, das águas 2005 e da seca 2006. O delineamento experimental utilizado foi o de blocos casualizados, com 24 tratamentos, representados pelos genótipos de feijoeiro dos grupos comerciais Carioca e Preto, com quatro repetições. Os grãos de feijão produzidos na safra das águas 2005 tiveram maior tempo médio para cozimento, menor teor de proteína bruta e maior tempo para máxima hidratação. Os genótipos LP 98-20 e CNFC 9494 (Grupo comercial Carioca), como também as cultivares Graúna e IAC Una (Grupo comercial Preto) destacaram-se quanto ao menor tempo para cozimento nas três safras estudadas, enquanto Gen 96A10, CNFC 9484 (Ambos do grupo comercial Carioca) e CNFP 10138 (Grupo comercial Preto) destacaram-se em relação aos demais pela baixa porcentagem de grãos de casca dura e menor tempo para a máxima hidratação dos grãos.

Qualidade de frutos de pitaya em função da época de polinização, da fonte de pólen e da coloração da cobertura

A pitaya (Hylocereus undatus) é uma cactácea propagada vegetativamente, o que resulta em pequena ou nula variabilidade nos plantios comerciais. Devido a diversos estudos mostrarem que a espécie é auto ou parcialmente incompatível, realizou-se este trabalho com o intuito de verificar a eficiência de polinização da pitaya autofecundada e utilizando-se de pólen de H. polyrhizus e Selenicereus setaceus, além da influência da época do ano e da coloração da cobertura da tela plástica na qualidade dos frutos. O experimento foi realizado na Área de Fruticultura da Faculdade de Ciências Agrárias e Veterinárias - UNESP, Campus de Jaboticabal, num delineamento experimental inteiramente casualizado, em esquema fatorial 3 X 2 X 2 (três espécies doadoras de pólen X duas colorações de cobertura de sombrite, branca e preta, com 50% de sombreamento X duas épocas do ano), com quatro repetições para cada espécie doadora de pólen, em cada uma das coberturas. As flores foram emasculadas em duas épocas (março e abril) e polinizadas manualmente. As variáveis avaliadas foram porcentagem de pegamento dos frutos, características físicas e químicas dos frutos (comprimento e diâmetro, massas total, de polpa e de casca, % de polpa, espessura da casca, pH, teor de sólidos solúveis (ºBrix), teor de vitamina C, acidez titulável, índice de maturação - ST/AT) e dias da antese até a colheita. Não houve frutificação nas flores autopolinizadas, enquanto as polinizadas com pólen de H. polyrhizus e S. setaceus obtiveram 100% de pegamento. Pode-se concluir que há necessidade de interplantio de plantas de H. undatus (clone avaliado) com H. polyrhizus ou S. setaceus para a ocorrência de frutificação, sendo que a utilização de H. polyrhizus como doadora de pólen proporciona a obtenção de frutos com maior massa e menor acidez. As condições climáticas ocorridas durante o desenvolvimento dos frutos, nas épocas estudadas, afetaram a qualidade dos frutos.

Qualidade de melão rendilhado (Cucumis melo L.) em função do sistema de cultivo

Objetivou-se com este trabalho avaliar a qualidade de frutos de cinco cultivares de melão rendilhado (Cucumis melo L.), cultivados em casa de vegetação, em função do sistema de produção. O experimento foi instalado em casa de vegetação na UNESP-FCAV, Jaboticabal-SP, no período de novembro de 2005 à fevereiro de 2006. O experimento foi delineado em esquema fatorial 5 X 2, em blocos casualizados com quatro repetições. Os tratamentos resultaram da combinação de cinco híbridos de melão rendilhado: Maxim, Bônus 2, Shinju 200, Fantasy e Louis e dois sistemas de cultivo: no solo e em substrato de fibra da casca de coco. As características avaliadas foram: massa fresca do fruto, espessura de mesocarpo, intensidade de rendilhamento da casca, pH, sólidos solúveis totais, acidez titulável, índice de maturação (RATIO), e vitamina C. Não houve interação significativa entre os sistemas de cultivo e cultivares para nenhuma das características avaliadas. O cultivo de melão em substrato resultou em frutos com qualidade superior ao cultivo em solo. Os híbridos Louis e Fantasy foram os que apresentaram melhor desempenho qualitativo de frutos.

Autoestima e qualidade de vida de pessoas com úlcera venosa atendidas na atenção primária

Venous ulcers (VU) is a chronic injury of the lower extremities and because of its high incidence and recurrence implies long and complex treatments, damaging the quality of life (QOL) and self-esteem (SE) of the people. This study aimed to analyze the association between self-esteem with the quality of life of people with venous ulcers treated in primary care. Cross sectional analytical study with a quantitative approach conducted with 44 people met with VU at 13 primary care units 2 and Mixed units in Natal/RN. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte (UFRN), CAAE: 07556312.0.0000.5537. Held data collection from February to April 2014 and used three instruments: a structured form covering sociodemographic, health care and clinical variables, the Rosenberg Self-Esteem Scale and the SF-36. The collected data were entered into a database and processed on computerized software for descriptive and inferential analyzes. The results showed a predominance of people with UV females (65,9%), with more than 60 years (59,1%), married or in a stable relationship (52,3%), low education (86,4%) without occupation (68,2%) and less than one minimum wage income (81,8%). Regarding assistance characteristics was observed that most patients performed the dressing with appropriate material (72,7%), professional or trained caregiver (61,4%) did not use compression therapy (81,8%), treating the injury for more than 6 months (77,3%), lack of guidelines for the use of compression therapy, elevation of legs, and regular exercise (77,3%) and consulting the angiologist last year (52,3% ). Regarding clinical features of the lesion was found that most of the recurrent lesions are (77,3%), over one year of current lesion (52,3%) medium to large lesions (54,8%), without signs of infection (61,3%) and pain (79,5%). The mean SE of respondents was 9,3 (± 5,1). The relations between the SE and the sociodemographic variables, health care and clinics showed that individuals without a partner (a) (p = 0,01), who did not wear compression therapy (p = 0,04), with more 6 months of treatment (p = 0,01) and larger lesions (p = 0,01) had a lower SE. The mean domain and the dimensions of the SF-36 were lower emphasizing the functional capacity 36.5 (± 27,6) and the physical aspects of 15.3 (± 30,6). There were significant correlations between AE people with VU and the domains and dimensions of the SF-36: physical functioning (r = -0,432), general health (r = -0,415), vitality (r = -0,573), aspects social (r = -0,517), mental health (r = -0,612) and mental health dimensions (r = -0,612) and physical health (r = -0,473). Based on these results it is concluded by rejecting the null hypothesis and accept the alternative proposed in the study in which it was found that there is a negative correlation between the SE and the QOL of people with venous ulcers

Análise da adesão ao tratamento e da qualidade de vida de pessoas com úlcera venosa

The therapeutic adherence is still a big problem among people with venous ulcers (VU) because the treatment is long, expensive and demand changes in lifestyle. In this context, this study aims to examine treatment adherence and quality of life (QOL) of people with VU assisted at primary health care. This is an analytical, cross-sectional study with a quantitative approach to treatment and data analysis. The study had the scenario 13 Family Health Units and 02 Units Mixed of Natal. The target population consisted of 44 persons with UV indicated by the teams of the Family Health Strategy between February and April 2014. Three instruments were used: an instrument to characterize the sociodemographic, health and care aspects, the Multidimensional Scale of Adherence Therapy composed of the dimensions: healthy lifestyle, compressive therapy and neurovascular monitoring and the Charing Cross Venous Ulcer Questionnaire (CCVUQ) that evaluates QOL in persons with VU composed by the domains: Total Score, Social Interaction, Domestic Activities, Aesthetics and Emotional State. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte, CAAE: 07556312.0.0000.5537. The data concerning the sociodemographic characteristics showed that there was a predominance of females (65.9%), age range as of 60 years (59.1%) and income of up to 1 minimum wage (81.8%). With the characterization of health, it was evident that most people reported chronic diseases (63.6%), sleep more than 6 hours (81.8%), present pain (81.8%), denying alcoholism (86 4%) and smoking (77.3%) and showed a number greater than or equal to 1 (77.3%) recurrences. Concerning the therapeutic adherence was found that in the dimension compressive therapy there poor adherence. No associations between the domains of adherence and sociodemographic and health variables were found. Was observed, however, better adherence among individuals without pain and with higher schooling. When analyzed the averages of the dimensions of therapeutic adherence with the care characteristics there was statistical significance between: adherence to compression therapy and guidance for use of compressive therapy (p = 0.002) and guidance for regular exercise (p = 0.026). Considering the mean of total score of CCVUQ (mean 51.47, SD 18.33) it is observed that the overall QOL of respondents has approximate value of the median of the scale (50). The mean of the domain Social Interaction (mean 44.23, SD 21.38) and Domestic Activities (mean 45.70, SD 23.21) were those who reported better QOL. There were weak correlations but significant between adherence to healthy lifestyle and Domains Total Score (p = 0.012), social interaction (p-value = 0.048), Aesthetics (p-value = 0.025) and Emotional State (0.017) of CCVUQ. From the data analysis it is concluded that among people with UV, there poor adherence to compressive therapy. Furthermore, we found no statistically significant association between treatment adherence and sociodemographic and health characteristics. It is added that there was a correlation between the healthy lifestyle dimension and domains CCVUQ