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- Blood pressure control in elderly medicated women: benefits of a physical functional exercise programmePublication . Sales, Ângela; Cunha, MadalenaIntroduction: Physical activity is recommended for the prevention and treatment of hypertension. The approach of promoting functional physical activity in a group of hypertensive elderly women should be characterized by a holistic intervention on the person. This consists in considering the whole person in terms of their physical, psychic and social selves. Objective: To evaluate the effect of implement a functional training programme on resting blood pressure in hypertensive elderly women, submitted to exercise training over a period of 24 months. Methods: Exploratory research, with descriptive-analytical orientation to analyse the action of directed physical activity, implemented three times a week on the prognosis of arterial hypertension. This research was supported by the blood pressure data collection at rest in a sample of 60 Brazilian elderly women in the age group of 60 to 90 years, in the community of Vergel do Lago, Maceió / AL, Brazil. Results: The majority (80%) was elderly and hypertensive, having noticed that during the training period they had a systolic and diastolic blood pressure well below the normal standard for this age group. Conclusions: After the intervention of the Vivo Stadium Health Prevention Project, the elderly women showed a reduction and better control of blood pressure values. The results suggest that in inducing a specific physiological effect exerted at the muscle and cardio-circulatory level, physical training protects the state of health, indicating that it should be encouraged throughout the lifecycle. It can also be inferred that the programme implemented can be replicated as a measure of therapeutic education, assessment and audit of good health practices.
- Hansen’s disease in Brazil: Monitoring of disabilitiesPublication . Alencar, Liana; Cunha, MadalenaIntrodution: Hansen’s disease is an infecto-contagious, chronic and curable disease, caused by the Mycobacterium Leprae with a preference for the peripheral nervous system. Objectives: To determine the clinical forms and the operational classification of patients suffering from Hansen's disease; to identify the disability grade of patients diagnosed with Hansen’s disease. Methods: Cross-sectional study with a quantitative approach of a descriptive nature performed on 104 patients diagnosed with Hansen’s disease. Most were male, 63 (60.6%), with an average age of 37 years, 49% had pardo complexion and 34.6% had an elementary education level. Data was collected from the: Notifiable Diseases Information System – SINAN in 2014; Simplified Neurologic Assessment Form for assessing the Grade of Disability (Brasil, 2010, p.35), taken from the Guide for Prevention of Disabilities (Brasil, 2008, p. 112-113). Results: The operational classification of patients suffering from Hansen’s disease revealed that 47.1% were paucibacillary while 52.9% were multibacillary and that 31.7% were diagnosed with the Borderline form and 25.9% with the Tuberculoid form. The Physical Disability Grade (PDG) at the time of diagnosis was the following: Grade 0 – 73 (70.20%); Grade 1 - 17 (16.35%); and 9 patients (8.65%) had developed Grade 2 disabilities. The odds ratios significantly indicate that for women with Hansen’s disease the risk of not having physical disabilities at the time of diagnosis is about 4 times higher than it is for men (OR= 3.868; CI 95%=1.316-11.368). Conclusions: The occurrence of disabilities resulting from Hansen’s disease mostly in men is still a public health problem in Brazil. Therefore, active search for cases within the community, examining household contacts, monitoring of patients by the healthcare units, educational campaigns and research with students in schools are examples of policies which should be implemented in order to eradicate this endemic disease and reduce sequelae thereof.
- Satisfaction of deaf people with the health care system qualityPublication . Farias, Betânia; Cunha, MadalenaIntroduction: The communication barrier between deaf and hearing people harms the active participation of the deaf person in society. Objective: To evaluate the satisfaction of the deaf person with the quality of the actions and services offered in public health units. Methods: An exploratory, descriptive, cross-sectional study was carried out on a sample of 15 deaf people with severe or profound hearing loss, of both genders (10 men and 5 women), who communicate through Sign Language (Libras), aged between 20 and 38 years, who use public health services. A Satisfaction Questionnaire was used. Results: Most participants (86.7%) were very dissatisfied with the level of communication of the employees, 80% reported lack of informative and educational materials and 53.3% showed a negative level of satisfaction regarding the timeliness of scheduling appointments and delivery of test results.
- Satisfaction with the team, consultation and with the diabetes group in Brazilian peoplePublication . Soares, Josineide; Cunha, MadalenaIntroduction: The prevalence of type 2 diabetes is increasing worldwide. This is a chronic disease associated with serious complications, resulting in high morbidity and mortality (International Diabetes Federation, 2014). Objective: To determine the degree of satisfaction of people with type 2 diabetes in relation to the team, the consultation and the diabetes group. Methods: In the present descriptive study, the non-probability sampling consists of 30 people with type 2 diabetes, of which 37% are male and 63% are female, aged between 42 and 69 years with an average of 57.20 years attending the Health Unit and the Diabetes Group in Arapiraca, Alagoas, Brazil. The data collection instrument used was the Relationship with Team Scale; Satisfaction during Diabetes Consultation Scale; and Satisfaction with Diabetes Group Scale Cunha & Soares (2015). Results: The results indicate that 40.0% of the patients have a good relationship with the team, most of the patients (76.7%) are very satisfied with the query. However, the diabetes group satisfaction is not consensual, thus, 40.0% of patients feel dissatisfied while another 40% are very satisfied. Conclusion: The results highlight the importance of the satisfaction of diabetes patients to the team, consultations and the group, helping them to meet their needs and their experience in the situation of chronic disease, as a professional evaluation criteria and a quality indicator.
- WATER AS AN ANSWER TO WELLNESS AND WELFARE – A PUBLIC SERVICEPublication . Carvalho, Ana Branca; Bonito, ÁlvaroHealth, spa’s, hydrotherapy, tourism, welfare and economic interests become deeply intertwined components Several situations call for new social restructuring forms and styles of life, but also cover other environments and cultures capable to provide access to more time and leisure, which is reflected by behavioral changes and appellative alternative medicines. It is in these situations that the phenomena of Hydrotherapy/SPA’s and tourism, coming from times of yore, with its entire range of activities, have achieved great strength, also appearing as an answer to these well-being matters ( Leandro, E. et al, 2014). In 2014, almost half of the customers who have chosen to use the, were aged between 36 and 65 years (25,300/p) and 29% between 16 and 35 years (15,200/p). This type associated with new dilemmas, which affect individuals in nowadays societies, always in search of more welfare, when human aspirations have no boundaries, diseases assume facets that are not always easy to identify (Carvalho,A. et al). This increasing development has a great importance at social level. The Portuguese Spa demand has been growing. The impact of this kind of development in social culture. This research aims to analyse - How this impact call for new social restructuring forms and styles of life, but also cover other environments and cultures capable to provide access to more time and leisure.
- SHARING CULTURE THROUGH TOURISM - DOURO VALLEY STORYING TELLINGPublication . Carvalho, Ana Branca; Bonito, ÁlvaroNowadays one of the purposes of Portugal is identifying and exploring the art of living together. More and more sharing different cultures with storying telling is our main purpose. Culture and heritage are often the reason for travel associated to storying telling. In the north of Portugal, there is a famous river - DOURO. The Douro landscape reflects its ancient and deep connection with the culture of wine, creating a picture of Man and Nature working side by side in search of the perfect wine. As this conference aims, the culture is the entangling web of symbols, sounds, rituals, rites and practices by which we become persons and by which we can grow. Lifestyle typically reflects: an individual's attitude, a way of life, values, stories or world view. During the Roman period, particularly following the 1st century A.D., the wine culture advanced rapidly, leaving traces of stone tanks and wine cellars in various archaeological sites in the region. The Douro wines have ancient roots and they have evolved over many years into this liquid delicacy that nowadays delights our taste buds. Drinking a glass of Port Wine is like drinking a glass of history itself, the history of this region governed by wine. A Valley full of history…and stories!!
- A situação de crise em Portugal e a saúde mental dos profissionais de saúdePublication . Cabral, Lídia; Duarte, João Carvalho; Silva, Daniel; Gonçalves, Amadeu Matos; Silva, ErnestinaCONTEXTO: O impacto da crise económica faz-se sentir nas relações laborais e exerce influência na satisfação e na saúde mental dos profissionais de saúde, levando a desmotivação, angústia, ansiedade, tristeza, depressão e sentimentos de solidão. OBJETIVOS: Analisar a relação entre a situação económica e a saúde mental dos profissionais de saúde; identificar variáveis sociodemográficas e de contexto profissional que interferem na saúde mental dos profissionais de saúde. METODOLOGIA: Estudo quantitativo, transversal, descritivo e correlacional. Utilizou-se o questionário de caracterização sociodemográfica e situação económica e o Inventário de Saúde Mental. A amostra foi constituída por 116 profissionais de saúde. RESULTADOS: As mulheres estão em maioria, prevalece o grupo de idades compreendidas entre os 28 e os 34 anos, residentes em zona rural, com o ensino superior, com um vínculo à instituição de contrato a termo certo. A maioria (92,1%) admite que a crise económica os afetou por cortes salariais e instabilidade laboral e no último ano 61,5% sentiram ansiedade e 47,7% um sentimento de tristeza. A idade e a profissão interferiram na perceção da saúde mental. Foram os mais novos e os enfermeiros que apresentaram uma perceção da sua saúde mental mais baixa CONCLUSÃO: A situação económica assumiu-se como preditora de saúde mental numa relação inversa com as dimensões do Inventário de Saúde Mental, ou seja, quanto pior a situação económica, maiores os valores do inventário da saúde mental (ansiedade, depressão, perda de controlo, afetos positivos e laços emocionais).
- Sincronização e Heterocronismo nas Organizações Autárquicas do Distrito de ViseuPublication . Azevedo, António; Figueiredo, Abel; Eira, PauloNeste estudo pretendemos analisar a valorização atribuída aos princípios da Sincronização e do Heterocronismo por parte das organizações desportivas. Para avaliar o grau de concordância das comunidades desportivas, aplicou-se o questionário de Análise Institucional de Azevedo (2014) e, para caracterizar as organizações em tipologias de quadrante, recorreu-se ao modelo de análise Mesoscópio (Figueiredo, 2006a). Participaram no estudo 154 inquiridos, pertencentes e distribuídos pelas 24 organizações desportivas autárquicas do distrito de Viseu e com diferentes cargos nas respetivas estruturas hierárquicas. Os resultados revelam diferenças significativas na valorização atribuída, quer ao polo Sincronização, quer ao Polo Heterocronismo, assim como a integração das organizações em tipologias de 1.º e 3.º quadrantes, de acordo com as respetivas preferências. Concluímos que as intenções das comunidades desportivas visam regular e fornecer estabilidade ao comportamento social e desportivo organizacional, de modo a serem aceites e reconhecidas pelos seus pares.
- Sincronização e Heterocronismo nas Organizações Desportivas Autárquicas do Distrito de ViseuPublication . Azevedo, António; Eira, Paulo; Figueiredo, AbelNeste estudo pretendemos analisar a valorização atribuída aos princípios da Sincronização e do Heterocronismo por parte das organizações desportivas. Para avaliar o grau de concordância das comunidades desportivas, aplicou-se o questionário de Análise Institucional de Azevedo (2014) e, para caracterizar as organizações em tipologias de quadrante, recorreu-se ao modelo de análise Mesoscópio (Figueiredo, 2006a). Participaram no estudo 154 inquiridos, pertencentes e distribuídos pelas 24 organizações desportivas autárquicas do distrito de Viseu e com diferentes cargos nas respetivas estruturas hierárquicas. Os resultados revelam diferenças significativas na valorização atribuída, quer ao polo Sincronização, quer ao Polo Heterocronismo, assim como a integração das organizações em tipologias de 1.º e 3.º quadrantes, de acordo com as respetivas preferências. Concluímos que as intenções das comunidades desportivas visam regular e fornecer estabilidade ao comportamento social e desportivo organizacional, de modo a serem aceites e reconhecidas pelos seus pares.
- Novos Modelos Organizacionais no setor da saúdePublication . Carvalho, Ana Branca; Nogueira, FernandaPretende-se com este trabalho, abordar a problemática associada a uma nova administração e governação de empresas pertencentes ao sector da saúde. As novas tendências organizacionais, em termos de qualidade, produtividade e rentabilidade, são essenciais para estruturação de empresas, quer públicas, quer privadas, gerando novos desafios face a novas necessidades. Administrar, mas administrar bem, significa ter qualidade na administração, levando-nos à prática de uma gestão de qualidade. A qualidade nas organizações, passa por novas funções da administração pública e privada, na ideia de liderança, na relação de confiança e, sobretudo, de trabalho em rede. Uma forma organizativa que surge como forma inovadora na área da saúde é a do franchising, não só pela sua estrutura menos hierarquizada, como uma forma inovadora na estrutura de mercado. Este tipo estrutural permite a interacção em rede e o desenvolvimento de novos mecanismos de governação. Ser competitivo em escala pode ser resultado da actividade gerada por micro sistemas organizacionais. “ Think smart start small”. A forma de aproximar os serviços ao cidadão passa por uma forma organizativa mais simplificada e mais independente em termos de hierarquias. O franchising vem criar essa interacção e operacionalização no mercado, para que se torne mais eficiente e eficaz. Desta forma surgem novas formas organizativas no sector da saúde e bem-estar, o que vai gerar novas regras comportamentais e estruturais. Todo este sistema obriga a alterações na legislação, nos recursos humanos e contratualização de serviços e produtos. Palavras chave: administração, organização, qualidade, mecanismo de administração, governação, franchising, inovação, confiança e redes.