Publications by authors named "Ana Beatriz Medeiros"

6 Publications

  • Page 1 of 1

Personality and psychopathology in Ménière's disease.

Acta Otorrinolaringol Esp (Engl Ed) 2020 Oct 12. Epub 2020 Oct 12.

Serviço de Otorrinolaringologia, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal; Nova Medical School, Universidade Nova, Lisboa, Portugal.

Introduction And Objectives: Psychological factors in vertigo patients have been extensively studied but the role of anxiety and personality traits in the clinical course of Ménière's disease (MD) is unknown. The objectives of this study are to identify and characterize psychopathology in MD and to find risk factors for an increased rate and intensity of crisis and chronic symptoms.

Materials And Methods: We performed a transversal study in all patients diagnosed with definite MD in our department during a 5-year period. Sample subjects were interviewed in 3 steps: first, an otorhinolaryngologist collected information about clinical and pharmacological background of MD; second, a psychiatrist screened for mood, anxiety and personality disorders; in a third stage, the patient completed the DHI (Dizziness Handicap Inventory), STAI-Y (State Trait Anxiety Inventory), NEO-PI-R (Neo Personality Inventory Reviewed) and VAS (Visual Analogue Scale) for vertigo and dizziness. Statistical analysis was performed to search for risk factors for multiple and intense crisis and chronic symptoms.

Results: Thirty-four patients completed all 3 phases of the study. A predominant dysfunctional personality trait was identified in 80% of patients (predominantly cluster C type), 35% were being treated with psychiatric medication and 34.4% had a considerable mood or anxiety disorder. All patients scored high (>7) in VAS during crisis. There was a statistically significant positive correlation between crisis rate and STAI, anxiety-subscale (N1) in NEO-PI-R, VAS and DHI scores (p<.044). Crises were more common in bilateral MD (p=.041). DHI scores were higher with higher STAI and N1 (p=.001). Disease duration and pure tone average were found to have a positive moderate correlation (p=.017).

Conclusions: The positive correlations between crisis rate, chronic dizziness and anxiety-related personality traits reveal a bidirectional and intimate relationship between personality, anxiety and MD, affecting these patients' quality of life. These results support the relevance of prospecting adjuvant psychological and psychiatric approaches to these patients.
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October 2020

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study.

Clin Nurs Res 2019 06 24;28(5):602-614. Epub 2018 Jan 24.

1 Federal University of Rio Grande do Norte, Natal, Brazil.

This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners.
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June 2019

Association of socioeconomic and clinical factors and tissue integrity outcome of patients with ulcers.

Rev Gaucha Enferm 2016 Mar 1;37(1):e54105. Epub 2016 Mar 1.

Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brasil.

Objective to analyze the association between socioeconomic and clinical factors and indicators of the tissue integrity outcome in nursing among patients with venous ulcers. Methods a cross-sectional study at a university hospital in Natal, RN, Brazil, from February to June 2012, with 50 individuals. To analyze the variables, we used the Spearman correlation test and the Mann-Whitney and Kruskal-Wallis tests at a level of 5%. Results there was a correlation of low intensity between age and the indicators hydration and skin peeling, and family income and necrosis. There was also an association between gender and the indicators temperature, amount of body hair and exudation. Conclusion the associated variables provide important information for the treatment of patients with venous ulcers, and can help reduce ulcer time and the consequent discomfort, limitations and costs. This information should be considered when providing care for patients with a nursing diagnosis of impaired skin integrity and/or impaired tissue integrity.
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March 2016

The adaptation problems of patients undergoing hemodialysis: socio-economic and clinical aspects.

Rev Lat Am Enfermagem 2014 Nov-Dec;22(6):966-72. Epub 2014 Dec 1.

Departamento de Enfermagem, Universidade Federal de Ceará, Fortaleza, CE, Brazil.

Objectives: to identify adaptation problems under Roy's Model in patients undergoing hemodialysis and to correlate them with the socioeconomic and clinical aspects.

Method: a transversal study, undertaken using a questionnaire. The sample was made up of 178 individuals. The Chi-squared and Mann-Whitney U tests were undertaken.

Results: the adaptation problems and the socioeconomic and clinical aspects which presented statistical associations were: Hyperkalemia and age; Edema and income; Impairment of a primary sense: touch and income; Role failure and age; Sexual dysfunction and marital status and sex; Impairment of a primary sense: vision and years of education; Intolerance to activity and years of education; Chronic pain and sex and years of education; Impaired skin integrity and age: Hypocalcemia and access; Potential for injury and age and years of education; Nutrition below the organism's requirements and age; Impairment of a primary sense: hearing and sex and kinetic evaluation of urea; Mobility in gait and/or coordination restricted, and months of hemodialysis; and, Loss of ability for self-care, and months of hemodialysis and months of illness.

Conclusion: adaptation problems in the clientele undergoing hemodialysis can be influenced by socioeconomic/clinical data. These findings contribute to the development of the profession, fostering the nurse's reflection regarding the care.
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December 2016

[Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis].

Rev Esc Enferm USP 2014 Jun;48(3):446-53

Program in Nursing, Federal University of Rio Grande do Norte, Natal, RN, Brazil.

Objective: To identify the prevalence of nursing diagnosis of fluid volume excess and their defining characteristics in hemodialysis patients and the association between them.

Method: Cross-sectional study conducted in two steps. We interviewed 100 patients between the months of December 2012 and April 2013 in a teaching hospital and one hemodialysis clinic. The inference was performed by diagnostician nurses between July and September 2013.

Results: The diagnostic studied was identified in 82% of patients. The characteristics that were statistically associated: bounding pulses, pulmonary congestion, jugular vein distention, edema, change in electrolytes, weight gain, intake greater than output and abnormal breath sounds. Among these, edema and weight gain had the highest chances for the development of this diagnostic.

Conclusion: The analyzed diagnostic is prevalent in this population and eight characteristics presented significant association.
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June 2014

[Nursing diagnoses in patients undergoing prostatectomy: identification of the significance of its components].

Rev Bras Enferm 2014 May-Jun;67(3):430-7

Programa de Pós-Graduação em Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.

Cross-sectional study conducted in a university hospital located in the Brazil's northeastern with 50 patients in the prostatectomy immediate postoperative. The study aimed to identify the defining characteristics and related/ risk factors that are associated with nursing diagnoses present in patients undergoing to prostatectomy. Nine nursing diagnoses that are statistically associated with related/ risk factors and defining characteristics were identified. We conclude that the considerable number of identified associations between nursing diagnoses and their elements shows that professionals, especially those in the urology clinic, should be prepared for the various care needs of this clientele.
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August 2016