Publications by authors named "Christefany Régia Braz Costa"

6 Publications

  • Page 1 of 1

The use of biofeedback intervention in the improvement of depression levels: a randomised trial.

Acta Neuropsychiatr 2021 Jun 11;33(3):126-133. Epub 2021 Jan 11.

School of Nutrition. Federal University of Alagoas, Maceió, Alagoas, Brazil.

Objective: To evaluate the use of biofeedback intervention in the levels of depression. The main hypothesis tested if the use of biofeedback improves depression levels compared to the control group.

Methods: A randomised clinical trial. The final sample was composed of 36 participants (18 in the experimental group, receiving 6 training, once a week, with biofeedback; and 18 in the control group, who received conventional treatment in the service).Outcome measures were assessed in two stages: pre-test and post-test. The research used the following instruments: demographic survey data, Mini International Neuropsychiatric Interview 5.0.0 and Beck Depression Inventory (BDI). The factors and variables were presented in terms of descriptive and inferential statistics. Fisher's exact test (p < 0.05) was used to verify the existence of an association between the counting variables. The multinomial logistic regression model was adopted, and the Logit link function was used, as the software RStudio version 3.6.2.

Results: The factors that remained in the final model were group, sex, partner, atypical antidepressant, benzodiazepines, mood stabiliser, antiepileptic and antihistamine, according to the levels of depression based on the BDI. The group that did not receive biofeedback intervention had 16 times more chances of increasing the depression levels compared to participants in the experimental group.

Conclusion: The use of biofeedback reduces depression, thus, representing a complementary alternative for the treatment of moderate and severe depression, and dysthymia.
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http://dx.doi.org/10.1017/neu.2020.46DOI Listing
June 2021

Factors associated to chronic kidney disease in people living with HIV/AIDS.

Rev Lat Am Enfermagem 2020 15;28:e3331. Epub 2020 Jul 15.

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

Objective: to analyze the factors associated to chronic kidney disease in people living with HIV (PLHIV).

Method: a paired case-control study (4 controls for each case) carried out in a specialized care service in the Southeastern of Brazil, by analyzing PLHIV medical records. The sample consisted of 85 participants, corresponding to 17 cases and 68 controls. Pearson's chi-square test (Χ2) and Fisher's exact test, logistic regression, Odds Ratio (OR), 95% Confidence Interval (CI) and p<0.05 were used. SPSS version 25.0 and R Core Team, 2018 version 3.5.1 were used.

Results: the factors associated with chronic kidney disease identified in this study were the following: presence of Systemic Arterial Hypertension [OR=5.8, CI (95%)=1.84-18.42, p=0.001] and use of nephrotoxic anti-retrovirals in the previous therapeutic regimen [OR=3.3, CI (95%)=1.105-10.221, p=0.028]. On the other hand, age below 40 years old [OR: 0.122, CI (95%)=0.015-0.981, p=0.022] was identified as a protective factor.

Conclusion: the PLHIV under study have multi-factorial exposure associated with chronic kidney disease. However, knowing these factors helps to identify the existing risks and/or renal dysfunction, in addition to supporting the clinical decision of the health professionals who directly assist them.
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http://dx.doi.org/10.1590/1518-8345.3553.3331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365608PMC
August 2020

Evaluation of cardiovascular risk factors in people living with HIV in São Paulo, Brazil.

J Infect Dev Ctries 2020 01 31;14(1):89-96. Epub 2020 Jan 31.

Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Brazil.

Introduction: HIV infection as a chronic disease has emerged from treatment advances over the past three decades. From this perspective, the diseases associated with AIDS are not a main threat for patients who use Antiretroviral Therapy (ART). A new set of HIV associated complications have emerged resulting in comorbidities related to aging and ART exposure as cardiovascular disease (CVD). This study aimed to evaluate the cardiovascular risk factors in people living with HIV (PLWH) in Brazil.

Methodology: This was a cross-sectional study carried out at all Specialized Care Services for people living with HIV in the Southeast of Brazil. A sociodemographic and clinical questionnaire was used and cardiovascular risk assessed through the Framingham Score. Data analysis was performed by Chi-square, Fisher's exact test and logistic regression.

Results: The majority were male, over 40 years old and they showed a mean age of 44 years. Current hypertension, diabetes, altered body mass index, presence of metabolic syndrome and altered abdominal circumference were also associated with cardiovascular risk. After regression analysis, male sex, older age, smoking, diabetes, hypertension and metabolic syndrome were related as predictive factors for a higher cardiovascular risk.

Conclusions: The results demonstrate that combination of the prevention of modifiable risk factors with considerable changes in lifestyle are determining factors for success in the therapeutic of PLWH. High levels of motivation are essential for behavioral changes, and nurses are ideally position to provide safe care with nonpharmacological strategies for CVD risk reduction.
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http://dx.doi.org/10.3855/jidc.11326DOI Listing
January 2020

Association between sociodemographic and behavioral factors with metabolic syndrome in people living with HIV.

Rev Gaucha Enferm 2019 Jun 10;40:e20180379. Epub 2019 Jun 10.

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

Objective: To analyze the association between sociodemographic and behavioral factors with the metabolic syndrome in people living with HIV.

Methods: A cross-sectional study was carried out in specialized outpatient clinics in Ribeirão Preto - SP city, between October 2014 and October 2016. The criteria of the National Cholesterol Education Program Adult Treatment Panel III and the International Diabetes Federation were used for the evaluation of metabolic syndrome. Individual interviews were conducted and the Chi-square and Fisher's exact test was used.

Results: 340 patients were evaluated, 28.5% (n=97) with metabolic syndrome by the National Cholesterol Education Program Adult Treatment Panel III criterion, and 39.4% (n=134) by the International Diabetes Federation. There was an association between MS and the variables gender (ATP: p<0.001, p=0.002), age (ATP: p<0.001, IDF: p<0.001), schooling (ATP: p=0.003, IDF: p=0.003), marital status (ATP: p=0.003, IDF: p=0.022), work status (ATP: p=0.003; IDF: p=0.024), smoking (ATP: p=0.037, IDF: p=0.033) and leisure activities (ATP: p=0.010, IDF: p=0.006).

Conclusions: There are significant associations between the metabolic syndrome, sociodemographic and behavioral factors in people living with HIV.
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http://dx.doi.org/10.1590/1983-1447.2019.20180379DOI Listing
June 2019

Adherence to antiretroviral therapy by people living with HIV/AIDS in a municipality of São Paulo.

Rev Gaucha Enferm 2017 Apr 20;38(1):e63158. Epub 2017 Apr 20.

Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto, Programa de Pós-Graduação Enfermagem Fundamental. Ribeirão Preto, São Paulo, Brasil.

Objective: To assess adherence to antiretroviral drugs by people living with HIV/AIDS and identify its association with sociodemographic and clinical variables.

Methods: Cross-sectional analytical study using a sociodemographic instrument and CEAT-HIV, with data collected in the period from 2014-2015.

Results: A 75.0% was identified as having a good/proper adhesion. It was found that individuals between ages 40 and 59 (p = 0.029) and with morethan eight years of formal education (p = 0.043) had a higher level of compliance, as well as those diagnosed with HIV/AIDS for more than 10 years (p = 0.002), CD4 count >350 cells/mm3 (p<0,001) and an undetectable viral load (p=0,025).

Conclusion: In this study, a good adhesion between the subjects was identified and it was observed that individuals of older age, higher level of education, delayed diagnosis, high CD4 cell counts and undetectable viral load were associated with higher treatment adherence.
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http://dx.doi.org/10.1590/1983-1447.2017.01.63158DOI Listing
April 2017

Quality of life of patients who undergone myocardial revascularization surgery.

Rev Bras Enferm 2017 Apr;70(2):257-264

Postgraduate Program in Nursing, School of Nurning Nossa Senhora das Graças, Universidade de Pernambuco, Recife, Pernambuco, Brazil.

Objective: to evaluate the quality of life of patients who underwent revascularization surgery.

Method: a descriptive, cross sectional study, with quantitative approach carried out with 75 patients. The questionnaire WHOQOL-Bref was used to evaluate the quality of life (QOL).

Results: patients' QOL evaluation presented a moderate result, with need of improvement of all domains. Low income patients had the worst evaluation of QOL in the domain environment (p=0,021), and the ones from Recife/metropolitan area, in the domain social relationship (p=0,021). Smoker (p=0,047), diabetic (p=0,002) and alcohol consumption (p=0,035) patients presented the worst evaluation of the physical domain. Renal patients presented the worst evaluation of QOL in the physical (P=0,037), psychological (p=0,008), social relationship (p=0,006) domains and total score (p=0,009).

Conclusion: the improvement of QOL depends on the individual's process of behavioral change and the participation of health professionals is essential to formulate strategies to approach these patients, especially concerning health education.
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http://dx.doi.org/10.1590/0034-7167-2016-0201DOI Listing
April 2017
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