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Article: Prevalence of osteoporosis and vertebral fractures in postmenopausal women with type 2 diabetes mellitus and their relationship with duration of the disease and chronic complications

Viégas, Maíra / Costa, Christiane / Lopes, Arthur / Griz, Luiz / Medeiro, Maria Antonieta / Bandeira, Francisco

Journal of diabetes and its complications. 2011 , v. 25, no. 4

2011

Abstract: Controversial data suggest that patients with type 2 diabetes mellitus have an increased risk of fractures despite having, in some studies, higher bone mineral density. METHODS: The aim of this study was to determine the prevalence of osteoporosis and ... ...

Abstract	Controversial data suggest that patients with type 2 diabetes mellitus have an increased risk of fractures despite having, in some studies, higher bone mineral density. METHODS: The aim of this study was to determine the prevalence of osteoporosis and morphometric vertebral fractures in 148 postmenopausal diabetic women, aged 61.87±7.85 years, and their relationship with clinical and metabolic factors and chronic complications of the disease. RESULTS: The prevalence of osteoporosis was 30.4% at lumbar spine (LS) and 9.5% at femoral neck (FN). The prevalence of vertebral fractures was 23%, mostly mild and located at the thoracic spine. Patients with fractures were older (P<.001), had been in the menopause for a long period (P=.005), had lower creatinine clearance (P=.026) had and lower bone mineral density at LS (P=.01) and FN (P=.042). The frequency of fractures increased with age (P<.001), with the duration of the disease (P=.037) and with the presence of retinopathy (P=.030). In patients with fractures, the prevalence of osteoporosis increased to 40% at LS (P=.004) and to 35.7% at FN (P=.049). After logistic regression adjustment, it was observed that the likelihood of presenting vertebral fractures was significantly increased at the age of 60 years or older (P<.001) and with the presence of osteoporosis at LS (P=.006), irrespective of blood glucose control. CONCLUSION: We found a high prevalence of osteoporosis and vertebral fractures in postmenopausal women with type 2 diabetes mellitus, irrespective of blood glucose control, and these conditions were more frequent in long-standing disease and in patients with retinopathy and impaired renal function.
Keywords	blood glucose ; bone density ; chronic diseases ; complications (disease) ; creatinine ; femur ; glycemic control ; lumbar spine ; morphometry ; noninsulin-dependent diabetes mellitus ; osteoporosis ; patients ; postmenopause ; regression analysis ; renal function ; retinal diseases ; risk ; thoracic spine ; women
Language	English
Dates of publication	2011-07
Size	p. 216-221.
Publishing place	Elsevier Inc.
Document type	Article
ZDB-ID	1105840-7
ISSN	1056-8727
ISSN	1056-8727
DOI	10.1016/j.jdiacomp.2011.02.004
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Prevalence of osteoporosis and vertebral fractures in postmenopausal women with type 2 diabetes mellitus and their relationship with duration of the disease and chronic complications.

Viégas, Maíra / Costa, Christiane / Lopes, Arthur / Griz, Luiz / Medeiro, Maria Antonieta / Bandeira, Francisco

Journal of diabetes and its complications

2011 Volume 25, Issue 4, Page(s) 216–221

Abstract: Unlabelled: Controversial data suggest that patients with type 2 diabetes mellitus have an increased risk of fractures despite having, in some studies, higher bone mineral density.: Methods: The aim of this study was to determine the prevalence of ... ...

Abstract	Unlabelled: Controversial data suggest that patients with type 2 diabetes mellitus have an increased risk of fractures despite having, in some studies, higher bone mineral density. Methods: The aim of this study was to determine the prevalence of osteoporosis and morphometric vertebral fractures in 148 postmenopausal diabetic women, aged 61.87±7.85 years, and their relationship with clinical and metabolic factors and chronic complications of the disease. Results: The prevalence of osteoporosis was 30.4% at lumbar spine (LS) and 9.5% at femoral neck (FN). The prevalence of vertebral fractures was 23%, mostly mild and located at the thoracic spine. Patients with fractures were older (P<.001), had been in the menopause for a long period (P=.005), had lower creatinine clearance (P=.026) had and lower bone mineral density at LS (P=.01) and FN (P=.042). The frequency of fractures increased with age (P<.001), with the duration of the disease (P=.037) and with the presence of retinopathy (P=.030). In patients with fractures, the prevalence of osteoporosis increased to 40% at LS (P=.004) and to 35.7% at FN (P=.049). After logistic regression adjustment, it was observed that the likelihood of presenting vertebral fractures was significantly increased at the age of 60 years or older (P<.001) and with the presence of osteoporosis at LS (P=.006), irrespective of blood glucose control. Conclusion: We found a high prevalence of osteoporosis and vertebral fractures in postmenopausal women with type 2 diabetes mellitus, irrespective of blood glucose control, and these conditions were more frequent in long-standing disease and in patients with retinopathy and impaired renal function.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Blood Glucose/analysis ; Bone Density ; Bone Diseases, Metabolic/complications ; Bone Diseases, Metabolic/epidemiology ; Brazil/epidemiology ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/therapy ; Diabetic Nephropathies/complications ; Diabetic Retinopathy/complications ; Female ; Femoral Neck Fractures/epidemiology ; Femur Neck/chemistry ; Femur Neck/injuries ; Humans ; Lumbar Vertebrae/chemistry ; Lumbar Vertebrae/injuries ; Middle Aged ; Osteoporosis, Postmenopausal/complications ; Osteoporosis, Postmenopausal/epidemiology ; Postmenopause ; Prevalence ; Severity of Illness Index ; Spinal Fractures/complications ; Spinal Fractures/epidemiology ; Thoracic Vertebrae/chemistry ; Thoracic Vertebrae/injuries
Chemical Substances	Blood Glucose
Language	English
Publishing date	2011-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1105840-7
ISSN	1873-460X ; 1056-8727
ISSN (online)	1873-460X
ISSN	1056-8727
DOI	10.1016/j.jdiacomp.2011.02.004
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Article ; Online: Prevalence of central obesity in a large sample of adolescents from public schools in Recife, Brazil.

Griz, Luiz H M / Viégas, Maíra / Barros, Mauro / Griz, Adriana L / Freese, Eduardo / Bandeira, Francisco

Arquivos brasileiros de endocrinologia e metabologia

2010 Volume 54, Issue 7, Page(s) 607–611

Abstract: Objective: To determine the prevalence and association of central obesity (CO) and hypertension and its associations with alcohol intake, smoking and physical activity in adolescents.: Subjects and methods: Cross sectional study in 1,824 students ... ...

Abstract	Objective: To determine the prevalence and association of central obesity (CO) and hypertension and its associations with alcohol intake, smoking and physical activity in adolescents. Subjects and methods: Cross sectional study in 1,824 students from 29 public schools in Recife. Results: 89.6% were normal weight, 6.7% overweight and 3.7% obese; 77.2% were normotensive, 5.9% prehypertensive and 16.9% hypertensive; CO was 10.2% when the 90th percentile was used as cutoff and 25.2% when the 75th percentile was used. There was a higher likelihood of central obesity among students aged 18 to 20 years, smoking and alcohol intake. The probability of hypertension increases if the subject is male, has a waist circumference (WC) ≥ 90, WC ≥ 75 and does not practice physical activity. Conclusions: A high prevalence of CO and hypertension was found in adolescents. CO was more frequent in students aged 18 to 20 years, smokers and with alcohol intake and hypertension was associated with male, CO and no physical activity.
MeSH term(s)	Adolescent ; Alcohol Drinking/epidemiology ; Brazil/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Hypertension/epidemiology ; Logistic Models ; Male ; Motor Activity ; Obesity, Abdominal/epidemiology ; Obesity, Abdominal/etiology ; Prevalence ; Public Sector ; Risk Factors ; Schools ; Smoking/epidemiology ; Waist Circumference ; Young Adult
Language	English
Publishing date	2010-08-01
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	603919-4
ISSN	1677-9487 ; 0004-2730
ISSN (online)	1677-9487
ISSN	0004-2730
DOI	10.1590/s0004-27302010000700004
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Article ; Online: Bariatric surgery and bone metabolism: a systematic review.

Viégas, Maíra / Vasconcelos, Renata Simões de / Neves, Ana Paula / Diniz, Erik Trovão / Bandeira, Francisco

Arquivos brasileiros de endocrinologia e metabologia

2010 Volume 54, Issue 2, Page(s) 158–163

Abstract: Few studies have demonstrated the risk of metabolic bone disease and a reduction in bone mineral density (BMD) after bariatric surgery. A systematic review was conducted of case-control and cohort studies with the aim of evaluating the relationship ... ...

Abstract	Few studies have demonstrated the risk of metabolic bone disease and a reduction in bone mineral density (BMD) after bariatric surgery. A systematic review was conducted of case-control and cohort studies with the aim of evaluating the relationship between bariatric surgery and bone metabolism. The search was undertaken in MedLine, covering the period from January 1997 to August 2009, using the keywords: "bariatric surgery" AND "osteoporosis", "fracture", "bone diseases", "metabolic". Six studies were included, comprising four cohort and two case-control studies. Three studies evaluated bone metabolism and BMD, and the other evaluated bone metabolism only. Based on this review, bariatric surgery is associated with alterations in bone metabolism, loss of bone mass and an increased risk of fracture. However, the maximum evaluation period covered by these studies was two years after surgery, hence the need to undertake further studies of longer duration in order to achieve a more thorough understanding of this association.
MeSH term(s)	Bariatric Surgery/adverse effects ; Bone Diseases, Metabolic/etiology ; Bone Resorption/etiology ; Bone and Bones/metabolism ; Case-Control Studies ; Cohort Studies ; Fractures, Bone/etiology ; Humans ; Obesity/complications ; Obesity/surgery
Language	English
Publishing date	2010-05-19
Publishing country	Brazil
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	603919-4
ISSN	1677-9487 ; 0004-2730
ISSN (online)	1677-9487
ISSN	0004-2730
DOI	10.1590/s0004-27302010000200011
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Article ; Online: O DESAFIO DO GEORREFERENCIAMENTO DE CARTAS ANTIGAS EM ESCALA CADASTRAL EM APOIO À ESTRUTURAÇÃO DE UMA BASE DE DADOS GEOESPACIAIS - ESTUDO DE CASO PARA O MUNICÍPIO DO RIO DE JANEIRO

Carla Bernadete Madureira Cruz / Rafael Silva de Barros / João Vitor Freitas Pereira Abrantes Marques / Laiana Lopes do Nascimento / Maíra Silva Matos / Vandré Soares Viégas / Elizabeth Maria Feitosa da Rocha de Souza / Gabriel dos Santos Duarte / Raphael Corrêa de Souza Coelho / Ícaro Azevedo da Silva / Janaina Valeska Raposo Viana / Jéssica Carvalho Vianna Co / Daniel Junges Menezes / Cárita da Silva Sampaio

Revista Tamoios, Vol 17, Iss

2021 Volume 2

Abstract: Com a forte evolução tecnológica, a Cartografia apresentou significativas mudanças tanto em nível de aquisição, como em nível de produção e disponibilização de dados. Muitas destas mudanças justificam a investigação de soluções metodológicas para a ... ...

Abstract	Com a forte evolução tecnológica, a Cartografia apresentou significativas mudanças tanto em nível de aquisição, como em nível de produção e disponibilização de dados. Muitas destas mudanças justificam a investigação de soluções metodológicas para a recuperação de mapas antigos. É o caso das informações referentes às áreas de patrimônio da União, definidas de forma legal através de instruções normativas, que representam documentos oficiais. O município do Rio de Janeiro, foco deste estudo, é considerado um exemplo de complexidade máxima em termos desta cartografia, apresentando características únicas. O objetivo deste trabalho está associado à proposição de soluções que visem o resgate de uma cartografia cadastral antiga, com status de documento legal, que precisa ser recuperada para atender às funcionalidades da gestão do patrimônio da União. A pesquisa propõe ainda, uma tipologia relacionada às condições originais das folhas, de modo a orientar o método de georreferenciamento a ser adotado e contribuir para a compreensão da qualidade destes produtos. Os resultados encontrados mostram que as folhas com referências cartográficas e grade de coordenadas mantiveram acurácia equivalente às suas escalas originais. As folhas sem essas informações passaram a ter exatidões compatíveis com o especificado para escalas menores, chegando até a escala 1:5.000.
Keywords	Human ecology. Anthropogeography ; GF1-900 ; Geography (General) ; G1-922
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	Universidade do Estado do Rio de Janeiro
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Bariatric surgery and bone metabolism

Maíra Viégas / Renata Simões de Vasconcelos / Ana Paula Neves / Erik Trovão Diniz / Francisco Bandeira

Arquivos brasileiros de Endocrinologia e Metabologia, Vol 54, Iss 2, Pp 158-

a systematic review Cirurgia bariátrica e metabolismo ósseo: uma revisão sistemática

2010 Volume 163

Abstract	Few studies have demonstrated the risk of metabolic bone disease and a reduction in bone mineral density (BMD) after bariatric surgery. A systematic review was conducted of case-control and cohort studies with the aim of evaluating the relationship between bariatric surgery and bone metabolism. The search was undertaken in MedLine, covering the period from January 1997 to August 2009, using the keywords: "bariatric surgery" AND "osteoporosis", "fracture", "bone diseases", "metabolic". Six studies were included, comprising four cohort and two case-control studies. Three studies evaluated bone metabolism and BMD, and the other evaluated bone metabolism only. Based on this review, bariatric surgery is associated with alterations in bone metabolism, loss of bone mass and an increased risk of fracture. However, the maximum evaluation period covered by these studies was two years after surgery, hence the need to undertake further studies of longer duration in order to achieve a more thorough understanding of this association. Alguns estudos têm demonstrado aumento do risco de doença osteometabólica e redução de densidade mineral óssea (DMO) após a cirurgia bariátrica. Realizou-se uma revisão sistemática de estudos de caso-controle e coorte com o objetivo de avaliar a relação entre cirurgia bariátrica e o metabolismo ósseo. A procura foi realizada na MedLine de janeiro 1997 a agosto 2009, utilizando os descritores: "bariatric surgery" e "osteoporosis", "fracture", "bone diseases", "metabolic". Foram incluídos seis estudos, sendo quatro coortes e dois casos-controle. Três desses estudos avaliaram metabolismo ósseo e DMO e os demais avaliaram apenas o metabolismo ósseo. Com base nesta revisão, a cirurgia bariátrica está associada com alterações no metabolismo ósseo, perda de massa óssea e aumento no risco de fraturas. Entretanto, os estudos tiveram acompanhamento máximo de dois anos após a cirurgia, havendo necessidade de estudos de maior seguimento para melhor conhecimento dessa associação.
Keywords	Osteoporose ; fratura ; cirurgia bariátrica ; doenças ósseas ; Osteoporosis ; fracture ; bariatric surgery ; bone diseases ; Diseases of the endocrine glands. Clinical endocrinology ; RC648-665 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	Portuguese
Publishing date	2010-03-01T00:00:00Z
Publisher	Sociedade Brasileira de Endocrinologia e Metabologia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Latin american sociology's contribution to sociological imagination

José Vicente Tavares-dos-Santos / Maíra Baumgarten / Beatriz Viégas-Faria

Sociologias, Vol 1, Iss se (2006)

analysis, criticism, and social commitment

2006

Abstract: This paper tackles the role played by sociology in the analysis of the transformation processes in the Latin American societies, in following the construction process of both State and Nation, and in questioning the social issues in Latin America. Six ... ...

Abstract	This paper tackles the role played by sociology in the analysis of the transformation processes in the Latin American societies, in following the construction process of both State and Nation, and in questioning the social issues in Latin America. Six periods of sociology in Latin America and in the Caribbean Islands are analyzed: (i) sociology's intellectual inheritance; (ii) the authoritative-teaching sociology; (iii) the "scientific sociology" period and the configuration of the "critical sociology"; (iv) the institutional crisis, consolidation of the "critical sociology", and the diversification of sociology; (v) the sociology of authoritarianism, of democracy, and of exclusion; and (vi) the institutional consolidation and the worldization of sociology in Latin America (from the year 2000 on). It can be said that the distinctive features of the sociological knowledge in the continent have been: internationalism, hybridism, critical approach to the processes and conflicts in the Latin American societies, and social commitment on the part of the sociologist.
Keywords	asociación ; sociología ; internacional ; institucionalización ; enseñanza ; investigación ; Sociology (General) ; HM401-1281 ; Social Sciences ; H
Subject code	300
Language	English
Publishing date	2006-01-01T00:00:00Z
Publisher	Universidade Federal do Rio Grande do Sul
Document type	Article ; Online
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Article ; Online: Factors associated with secondary hyperparathyroidism in premenopausal women undergoing Roux-en-Y gastric bypass for the treatment of obesity.

Vasconcelos, Renata Simões de / Viégas, Maíra / Marques, Thyciara Fontenele / Diniz, Erik Trovão / Lucena, Cynthia Salgado / Câmara Neto, José Bezerra / Bandeira, Francisco

Arquivos brasileiros de endocrinologia e metabologia

2010 Volume 54, Issue 2, Page(s) 233–238

Abstract: Objective: To evaluate bone metabolism, bone density (BMD) and vertebral fractures in morbidly obese individuals.: Subjects and methods: Case series of 29 premenopausal obese patients, 15 of whom had been submitted to bariatric surgery. Serum calcium, ...

Abstract	Objective: To evaluate bone metabolism, bone density (BMD) and vertebral fractures in morbidly obese individuals. Subjects and methods: Case series of 29 premenopausal obese patients, 15 of whom had been submitted to bariatric surgery. Serum calcium, albumin, PTH and 25-hydroxy vitamin D (25OHD) were measured as well as bone densitometry of the lumbar spine and proximal femur, and lateral spine x-rays. Results: High parathyroid hormone (PTH) levels were recorded in 46.6% of the surgical patients and in 21.4% of the non-surgical patients (p = 0.245); 26.7% of the former and 28.6% of the latter revealed levels 25OHD < 30 ng/mL (p = 1.000). Calcium intake was higher in the surgical group (p = 0.004) along with lower serum calcium concentrations (p = 0.019). There were no significant differences in bone mineral density (BMD) or in the prevalence of vertebral fractures between groups. Conclusion: In premenopausal women undergoing Roux-en-Y gastric bypass there is important intestinal calcium mal absorption which seems to be the main factor causing secondary hyperparathyroidism.
MeSH term(s)	Adolescent ; Adult ; Biomarkers/blood ; Bone Density/physiology ; Bone Diseases, Metabolic/etiology ; Bone Remodeling/physiology ; Bone and Bones/metabolism ; Calcium/blood ; Calcium, Dietary/administration & dosage ; Female ; Gastric Bypass ; Humans ; Hyperparathyroidism, Secondary/etiology ; Obesity/surgery ; Parathyroid Hormone/blood ; Premenopause/blood ; Spinal Fractures ; Young Adult
Chemical Substances	Biomarkers ; Calcium, Dietary ; Parathyroid Hormone ; Calcium (SY7Q814VUP)
Language	English
Publishing date	2010-05-19
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	603919-4
ISSN	1677-9487 ; 0004-2730
ISSN (online)	1677-9487
ISSN	0004-2730
DOI	10.1590/s0004-27302010000200021
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Article ; Online: Prevalence of central obesity in a large sample of adolescents from public schools in Recife, Brazil Prevalência de obesidade central em grande amostra de adolescentes de escolas públicas em Recife, Brasil

Luiz H. M. Griz / Maíra Viégas / Mauro Barros / Adriana L. Griz / Eduardo Freese / Francisco Bandeira

Arquivos brasileiros de Endocrinologia e Metabologia, Vol 54, Iss 7, Pp 607-

2010 Volume 611

Abstract: OBJECTIVE: To determine the prevalence and association of central obesity (CO) and hypertension and its associations with alcohol intake, smoking and physical activity in adolescents. SUBJECTS AND METHODS: Cross sectional study in 1,824 students from 29 ... ...

Abstract	OBJECTIVE: To determine the prevalence and association of central obesity (CO) and hypertension and its associations with alcohol intake, smoking and physical activity in adolescents. SUBJECTS AND METHODS: Cross sectional study in 1,824 students from 29 public schools in Recife. RESULTS: 89.6% were normal weight, 6.7% overweight and 3.7% obese; 77.2% were normotensive, 5.9% prehypertensive and 16.9% hypertensive; CO was 10.2% when the 90th percentile was used as cutoff and 25.2% when the 75th percentile was used. There was a higher likelihood of central obesity among students aged 18 to 20 years, smoking and alcohol intake. The probability of hypertension increases if the subject is male, has a waist circumference (WC) > 90, WC > 75 and does not practice physical activity. CONCLUSIONS: A high prevalence of CO and hypertension was found in adolescents. CO was more frequent in students aged 18 to 20 years, smokers and with alcohol intake and hypertension was associated with male, CO and no physical activity. OBJETIVO: Determinar a prevalência e a associação de obesidade central (CO) e hipertensão e suas associações com consumo de álcool, fumo e atividade física em adolescentes. SUJEITOS E MÉTODOS: Estudo de corte transversal em 1.824 estudantes de 29 escolas públicas em Recife. RESULTADOS: 89,6% com peso normal, 6,7% sobrepeso e 3,7% obesidade; 77,2% normotensos, 5,9% pré-hipertensos e 16,9% hipertensos; 10,2% de CO quando utilizado percentil 90 como ponto de corte e de 25,2% quando utilizado percentil 75. Houve maior probabilidade de CO entre os estudantes com 18 a 20 anos, fumantes e consumo de álcool. A probabilidade de hipertensão aumenta nos homens, com WC (waist circumference) > 90, WC > 75 e sem atividade física. CONCLUSÕES: Elevada prevalência de CO e hipertensão foi encontrada em adolescentes. CO foi mais frequente nos estudantes com 18 a 20 anos, fumantes, e consumo de álcool e hipertensão foram associados com sexo masculino, CO e ausência de atividade física.
Keywords	Obesidade Central ; Saúde dos Adolescentes ; Álcool ; Pressão Arterial ; Atividade Física ; Fumo ; Central Obesity ; Adolescent Health ; Alcohol ; Blood Pressure ; Physical Activity ; Smoking ; Diseases of the endocrine glands. Clinical endocrinology ; RC648-665 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	Portuguese
Publishing date	2010-10-01T00:00:00Z
Publisher	Sociedade Brasileira de Endocrinologia e Metabologia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: El cuidado en la fase terminal

Daniela Habekost Cardoso / Aline da Costa Viegas / Bianca Pozza dos Santos / Rosani Manfrin Muniz / Eda Schwartz / Maira Buss Thofehrn

Avances en Enfermería, Vol 31, Iss 2, Pp 83-

dificultades de un equipo multidisciplinario en la atención hospitalaria

2013 Volume 91

Abstract: El presente estudio tuvo como objetivo conocer las dificultades de un equipo multidisciplinario en la asistencia a pacientes en fase terminal en una unidad de hospitalización. Se trata de una investigación cualitativa, descriptiva y exploratoria. Los ... ...

Abstract	El presente estudio tuvo como objetivo conocer las dificultades de un equipo multidisciplinario en la asistencia a pacientes en fase terminal en una unidad de hospitalización. Se trata de una investigación cualitativa, descriptiva y exploratoria. Los sujetos de estudio fueron seis profesionales de la salud: una enfermera, un nutricionista, un psicólogo, un trabajador social, un fisioterapeuta y un médico, que formaban parte del equipo multidisciplinario de una unidad clínica en un hospital universitario del sur de Brasil. Los datos fueron recolectados por medio de entrevistas semiestructuradas con preguntas abiertas. A partir del análisis de los datos surgieron tres unidades temáticas: dificultades de los profesionales frente al término de la vida; la relación del equipo multidisciplinario con la familia en el contexto de una enfermedad terminal y las limitaciones del trabajo del equipo multidisciplinario frente al final de la vida. De esta forma, se considera que al experimentar el cuidado a pacientes terminales los profesionales de la salud encuentran dificultades, sobre todo en relación a la aceptación de la muerte, así como conflictos con los familiares, con los miembros del equipo de trabajo, lo que genera sufrimiento, destacándose así, la necesidad de que haya un espacio formal para los trabajadores de la salud para reflexión y discusión sobre la muerte y el morir.
Keywords	enfermo terminal ; cuidados paliativos ; grupo de atención al paciente ; Nursing ; RT1-120 ; Medicine ; R
Language	Spanish
Publishing date	2013-07-01T00:00:00Z
Publisher	Universidad Nacional de Colombia
Document type	Article ; Online
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In stock of ZB MED Cologne/Königswinter

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Inter-library loan at ZB MED

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Inter-library loan at ZB MED