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Papers by Daniella Nunes

Research, Society and Development, 2020

Este trabalho teve como objetivo conhecer como ocorre o exame físico na prática hospitalar do enf... more Este trabalho teve como objetivo conhecer como ocorre o exame físico na prática hospitalar do enfermeiro. Trata-se de uma pesquisa descritiva e exploratória, de abordagem qualitativa. Foram entrevistados 18 enfermeiros da clínica médica de uma unidade hospitalar pública, localizada no estado do Tocantins, Brasil. A coleta ocorreu por meio de entrevista aberta que foi realizada no ano de 2015. Os dados foram analisados segundo os pressupostos da Análise de Conteúdo. Esse estudo foi aprovado pelo Núcleo de Educação Permanente do hospital pesquisado e pelo Comitê de Ética em Pesquisas Humanas sob o protocolo 003/2015. Resultados: Emergiram duas categorias: O momento do exame físico na prática do enfermeiro é um limite realizá-lo, pois há outras demandas no serviço e quando realiza é na admissão do cliente; e como é realizado o exame físico na prática do enfermeiro, quando ocorre, muitas vezes não é realizado de maneira completa, pois profissionais não se sentem com determinadas habilid...

Brazilian Journal of Health Review, 2020

RESUMO Objetivo: Propor uma estratégia de acolhimento a cuidadores de idosos acamados e avaliar, ... more RESUMO Objetivo: Propor uma estratégia de acolhimento a cuidadores de idosos acamados e avaliar, na perspectiva dos cuidadores, o uso de tal tecnologia. Método: Trata-se de um estudo metodológico, com abordagem qualitativa, realizado com três cuidadores familiares de idosos acamados. Para análise dos dados utilizou-se Análise de Conteúdo segundo os pressupostos de Bardin. Resultados: Entre os cuidadores, 66,7% eram do sexo feminino, 66,7% residiam no mesmo domicílio do idoso, apresentaram média de idade de 45,6 anos, 33,3% relataram tensão excessiva associada ao cuidado, como também disfunção familiar. A tecnologia de acolhimento representou para os cuidadores: aprendizagem; grupo como uma possibilidade de vínculo; momento para falar da sobrecarga; momento para relaxar; necessidade do olhar do profissional para o cuidador e necessidade de um grupo de apoio. Conclusão: Considera-se que a implementação da tecnologia de acolhimento com os cuidadores de idosos acamados trouxe benefícios aos cuidadores, tornando-se essencial a prática de ações humanizadas pela enfermagem e demais profissionais de saúde a fim de suprir as necessidades do cuidador familiar, além do idoso cuidado.

Revista Eletrônica de Enfermagem, 2019

Objetivou-se analisar a relac?a?o entre satisfac?a?o sexual e varia?veis demogra?ficas, sociais, ... more Objetivou-se analisar a relac?a?o entre satisfac?a?o sexual e varia?veis demogra?ficas, sociais, cli?nicas e qualidade de vida em idosos. Estudo transversal de base populacional parte do Estudo Sau?de, Bem-Estar e Envelhecimento, realizado no munici?pio de Sa?o Paulo em 2010, com uma amostra de 1.129 idosos. Avaliou-se a satisfac?a?o sexual pelo relato da atividade sexual e sua satisfac?a?o e a qualidade de vida pelo SF-12. Quanto a? satisfac?a?o sexual, 45,1% afirmaram estar inativos satisfeitos, 6,2% ativos insatisfeitos, 37,0% ativos satisfeitos e 11,7% inativos insatisfeitos. O componente fi?sico da qualidade de vida foi associado a? satisfac?a?o sexual e as maiores me?dias deste componente foram encontradas entre os idosos ativos satisfeitos. Concluiu-se que a pra?tica sexual e? de extrema importa?ncia para a qualidade de vida do idoso, reforc?ando a necessidade de implantar ac?o?es de educac?a?o e protec?a?o em relac?a?o a? vulnerabilidade da sexualidade dos idosos.

Archives of Gerontology and Geriatrics, 2017

The support offered seems to be as important as that received.  Social networks have been found ... more The support offered seems to be as important as that received.  Social networks have been found to have protective effects on mortality.  Reciprocity in relationships has been associated with higher levels of health.

Clinical nutrition (Edinburgh, Scotland), Jan 10, 2017

There is little evidence showing that dynapenic obesity is associated with lipid and glucose meta... more There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can be associated with lipid and glucose metabolism disorders, high blood pressure, metabolic syndrome and cardiovascular diseases in older adults living in São Paulo. This cross-sectional study included 833 older adults who took part of the third wave of the Health, Well-being and Aging Study in 2010. Based on waist circumference (>88 cm women and >102 cm men) and handgrip strength (<16 kg women and <26 kg men), four groups were identified: non-dynapenic/non-abdominal obese (ND/NAO), abdominal obese alone (AOA), dynapenic alone (DA) and dynapenic/abdominal obese (D/AO). Dependent variables were blood pressure, lipid profile, fasting glucose and glycated-haemoglobin, metabolic syndrome and cardiovascular diseases. Logistic regression was us...

Clinical nutrition (Edinburgh, Scotland), Jan 10, 2017

There is little evidence showing that dynapenic obesity is associated with lipid and glucose meta... more There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can be associated with lipid and glucose metabolism disorders, high blood pressure, metabolic syndrome and cardiovascular diseases in older adults living in São Paulo. This cross-sectional study included 833 older adults who took part of the third wave of the Health, Well-being and Aging Study in 2010. Based on waist circumference (>88 cm women and >102 cm men) and handgrip strength (<16 kg women and <26 kg men), four groups were identified: non-dynapenic/non-abdominal obese (ND/NAO), abdominal obese alone (AOA), dynapenic alone (DA) and dynapenic/abdominal obese (D/AO). Dependent variables were blood pressure, lipid profile, fasting glucose and glycated-haemoglobin, metabolic syndrome and cardiovascular diseases. Logistic regression was us...

International Journal of Epidemiology, 2015

BMC Geriatrics, 2015

Background: Among community-dwelling older adults, mean values for gait speed vary substantially ... more Background: Among community-dwelling older adults, mean values for gait speed vary substantially depending not only on the population studied, but also on the methodology used. Despite the large number of studies published in developed countries, there are few population-based studies in developing countries with socioeconomic inequality and different health conditions, and this is the first study with a representative sample of population. To explore this, the association of lower gait speed with sociodemographic, anthropometric factors, mental status and physical health was incorporated participants' weight (main weight) in the analysis of population of community-dwelling older adults living in a developing country. Methods: This was a cross-sectional population based on a sample of 1112 older adults aged 60 years and over from Health, Wellbeing and Aging Study cohort 2010. Usual gait speed (s) to walk 3 meters was stratified by sex and height into quartiles. Multiple regression analysis was performed to investigate the independent effect of each factor associated with a slower usual gait speed. Results: The average walking speed of the elderly was 0.81 m/s-0.78 m/s among women and 0.86 m/s among men. In the final model, the factors associated with lower gait speed were age (OR = 3.56), literacy (OR = 3.20), difficulty in one or more IADL (OR = 2.74), presence of cardiovascular disease (OR = 2.15) and sedentarism. When we consider the 50% slower, we can add the variables handgrip strength, and the presence of COPD. Conclusions: Gait speed is a clinical marker and an important measure of functional capacity among the elderly. Our findings suggest that lower walking speed is associated with age, education, but especially with modifiable factors such as impairment of IADL, physical inactivity and cardiovascular disease. These results reinforce how important it is for the elderly to remain active and healthy.

Revista de Saúde Pública, 2015

OBJECTIVE To validate a screening instrument using self-reported assessment of frailty syndrome i... more OBJECTIVE To validate a screening instrument using self-reported assessment of frailty syndrome in older adults.METHODS This cross-sectional study used data from the Saúde, Bem-estar e Envelhecimento study conducted in Sao Paulo, SP, Southeastern Brazil. The sample consisted of 433 older adult individuals (≥ 75 years) assessed in 2009. The self-reported instrument can be applied to older adults or their proxy respondents and consists of dichotomous questions directly related to each component of the frailty phenotype, which is considered the gold standard model: unintentional weight loss, fatigue, low physical activity, decreased physical strength, and decreased walking speed. The same classification proposed in the phenotype was utilized: not frail (no component identified); pre-frail (presence of one or two components), and frail (presence of three or more components). Because this is a screening instrument, “process of frailty” was included as a category (pre-frail and frail). Cr...

Public Health Nutrition, 2012

Objective: The aim of the present study was to examine the association between nutritional status... more Objective: The aim of the present study was to examine the association between nutritional status and the incidence of disability regarding instrumental activities of daily living (IADL) among older adults. Design: The study is part of the longitudinal SABE (Saúde, Bem-Estar e Envelhecimento; Health, Wellbeing and Ageing) Study that began in 2000 (first wave) with a multistage, clustered, probabilistic sample (n 2143

Journal of Aging and Health, 2012

Objective: To examine the association between weight change and the incidence of disability in ac... more Objective: To examine the association between weight change and the incidence of disability in activities of daily living (ADL) among elderly women. Method: In 2006, 227 women aged ≥75 years and independent in ADL were selected from SABE Study (Health, Well-being, and Aging) in Sao Paulo, Brazil. The dependent variable was the report of difficulty on ≥1 ADL in 2009. Differences in weight were calculated between baseline and second interview, and converted to percentage change in relation to initial weight. A change (gain or loss) ≥5% was considered significant. A logistic regression analysis was performed including sociodemographic and health-related variables. Results: After adjusting, weight gain remained associated to disability (OR = 2.42; p = .027), whereas weigh loss lost significance (OR = 1.66; p = .384). Discussion: Weight loss is generally considered more worrisome than weight gain in elderly. However, weight loss alone was not a risk factor for disability in our study.

Revista brasileira de enfermagem, 2018

To propose a care need classification for elderly people by identifying their functional demands.... more To propose a care need classification for elderly people by identifying their functional demands. Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE - Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly. The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver). This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of...

Research, Society and Development, 2020

Este trabalho teve como objetivo conhecer como ocorre o exame físico na prática hospitalar do enf... more Este trabalho teve como objetivo conhecer como ocorre o exame físico na prática hospitalar do enfermeiro. Trata-se de uma pesquisa descritiva e exploratória, de abordagem qualitativa. Foram entrevistados 18 enfermeiros da clínica médica de uma unidade hospitalar pública, localizada no estado do Tocantins, Brasil. A coleta ocorreu por meio de entrevista aberta que foi realizada no ano de 2015. Os dados foram analisados segundo os pressupostos da Análise de Conteúdo. Esse estudo foi aprovado pelo Núcleo de Educação Permanente do hospital pesquisado e pelo Comitê de Ética em Pesquisas Humanas sob o protocolo 003/2015. Resultados: Emergiram duas categorias: O momento do exame físico na prática do enfermeiro é um limite realizá-lo, pois há outras demandas no serviço e quando realiza é na admissão do cliente; e como é realizado o exame físico na prática do enfermeiro, quando ocorre, muitas vezes não é realizado de maneira completa, pois profissionais não se sentem com determinadas habilid...

Brazilian Journal of Health Review, 2020

RESUMO Objetivo: Propor uma estratégia de acolhimento a cuidadores de idosos acamados e avaliar, ... more RESUMO Objetivo: Propor uma estratégia de acolhimento a cuidadores de idosos acamados e avaliar, na perspectiva dos cuidadores, o uso de tal tecnologia. Método: Trata-se de um estudo metodológico, com abordagem qualitativa, realizado com três cuidadores familiares de idosos acamados. Para análise dos dados utilizou-se Análise de Conteúdo segundo os pressupostos de Bardin. Resultados: Entre os cuidadores, 66,7% eram do sexo feminino, 66,7% residiam no mesmo domicílio do idoso, apresentaram média de idade de 45,6 anos, 33,3% relataram tensão excessiva associada ao cuidado, como também disfunção familiar. A tecnologia de acolhimento representou para os cuidadores: aprendizagem; grupo como uma possibilidade de vínculo; momento para falar da sobrecarga; momento para relaxar; necessidade do olhar do profissional para o cuidador e necessidade de um grupo de apoio. Conclusão: Considera-se que a implementação da tecnologia de acolhimento com os cuidadores de idosos acamados trouxe benefícios aos cuidadores, tornando-se essencial a prática de ações humanizadas pela enfermagem e demais profissionais de saúde a fim de suprir as necessidades do cuidador familiar, além do idoso cuidado.

Revista Eletrônica de Enfermagem, 2019

Objetivou-se analisar a relac?a?o entre satisfac?a?o sexual e varia?veis demogra?ficas, sociais, ... more Objetivou-se analisar a relac?a?o entre satisfac?a?o sexual e varia?veis demogra?ficas, sociais, cli?nicas e qualidade de vida em idosos. Estudo transversal de base populacional parte do Estudo Sau?de, Bem-Estar e Envelhecimento, realizado no munici?pio de Sa?o Paulo em 2010, com uma amostra de 1.129 idosos. Avaliou-se a satisfac?a?o sexual pelo relato da atividade sexual e sua satisfac?a?o e a qualidade de vida pelo SF-12. Quanto a? satisfac?a?o sexual, 45,1% afirmaram estar inativos satisfeitos, 6,2% ativos insatisfeitos, 37,0% ativos satisfeitos e 11,7% inativos insatisfeitos. O componente fi?sico da qualidade de vida foi associado a? satisfac?a?o sexual e as maiores me?dias deste componente foram encontradas entre os idosos ativos satisfeitos. Concluiu-se que a pra?tica sexual e? de extrema importa?ncia para a qualidade de vida do idoso, reforc?ando a necessidade de implantar ac?o?es de educac?a?o e protec?a?o em relac?a?o a? vulnerabilidade da sexualidade dos idosos.

Archives of Gerontology and Geriatrics, 2017

The support offered seems to be as important as that received.  Social networks have been found ... more The support offered seems to be as important as that received.  Social networks have been found to have protective effects on mortality.  Reciprocity in relationships has been associated with higher levels of health.

Clinical nutrition (Edinburgh, Scotland), Jan 10, 2017

There is little evidence showing that dynapenic obesity is associated with lipid and glucose meta... more There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can be associated with lipid and glucose metabolism disorders, high blood pressure, metabolic syndrome and cardiovascular diseases in older adults living in São Paulo. This cross-sectional study included 833 older adults who took part of the third wave of the Health, Well-being and Aging Study in 2010. Based on waist circumference (>88 cm women and >102 cm men) and handgrip strength (<16 kg women and <26 kg men), four groups were identified: non-dynapenic/non-abdominal obese (ND/NAO), abdominal obese alone (AOA), dynapenic alone (DA) and dynapenic/abdominal obese (D/AO). Dependent variables were blood pressure, lipid profile, fasting glucose and glycated-haemoglobin, metabolic syndrome and cardiovascular diseases. Logistic regression was us...

Clinical nutrition (Edinburgh, Scotland), Jan 10, 2017

There is little evidence showing that dynapenic obesity is associated with lipid and glucose meta... more There is little evidence showing that dynapenic obesity is associated with lipid and glucose metabolism disorders, high blood pressure, chronic disease and metabolic syndrome. Our aim was to analyze whether dynapenic abdominal obesity can be associated with lipid and glucose metabolism disorders, high blood pressure, metabolic syndrome and cardiovascular diseases in older adults living in São Paulo. This cross-sectional study included 833 older adults who took part of the third wave of the Health, Well-being and Aging Study in 2010. Based on waist circumference (>88 cm women and >102 cm men) and handgrip strength (<16 kg women and <26 kg men), four groups were identified: non-dynapenic/non-abdominal obese (ND/NAO), abdominal obese alone (AOA), dynapenic alone (DA) and dynapenic/abdominal obese (D/AO). Dependent variables were blood pressure, lipid profile, fasting glucose and glycated-haemoglobin, metabolic syndrome and cardiovascular diseases. Logistic regression was us...

International Journal of Epidemiology, 2015

BMC Geriatrics, 2015

Background: Among community-dwelling older adults, mean values for gait speed vary substantially ... more Background: Among community-dwelling older adults, mean values for gait speed vary substantially depending not only on the population studied, but also on the methodology used. Despite the large number of studies published in developed countries, there are few population-based studies in developing countries with socioeconomic inequality and different health conditions, and this is the first study with a representative sample of population. To explore this, the association of lower gait speed with sociodemographic, anthropometric factors, mental status and physical health was incorporated participants' weight (main weight) in the analysis of population of community-dwelling older adults living in a developing country. Methods: This was a cross-sectional population based on a sample of 1112 older adults aged 60 years and over from Health, Wellbeing and Aging Study cohort 2010. Usual gait speed (s) to walk 3 meters was stratified by sex and height into quartiles. Multiple regression analysis was performed to investigate the independent effect of each factor associated with a slower usual gait speed. Results: The average walking speed of the elderly was 0.81 m/s-0.78 m/s among women and 0.86 m/s among men. In the final model, the factors associated with lower gait speed were age (OR = 3.56), literacy (OR = 3.20), difficulty in one or more IADL (OR = 2.74), presence of cardiovascular disease (OR = 2.15) and sedentarism. When we consider the 50% slower, we can add the variables handgrip strength, and the presence of COPD. Conclusions: Gait speed is a clinical marker and an important measure of functional capacity among the elderly. Our findings suggest that lower walking speed is associated with age, education, but especially with modifiable factors such as impairment of IADL, physical inactivity and cardiovascular disease. These results reinforce how important it is for the elderly to remain active and healthy.

Revista de Saúde Pública, 2015

OBJECTIVE To validate a screening instrument using self-reported assessment of frailty syndrome i... more OBJECTIVE To validate a screening instrument using self-reported assessment of frailty syndrome in older adults.METHODS This cross-sectional study used data from the Saúde, Bem-estar e Envelhecimento study conducted in Sao Paulo, SP, Southeastern Brazil. The sample consisted of 433 older adult individuals (≥ 75 years) assessed in 2009. The self-reported instrument can be applied to older adults or their proxy respondents and consists of dichotomous questions directly related to each component of the frailty phenotype, which is considered the gold standard model: unintentional weight loss, fatigue, low physical activity, decreased physical strength, and decreased walking speed. The same classification proposed in the phenotype was utilized: not frail (no component identified); pre-frail (presence of one or two components), and frail (presence of three or more components). Because this is a screening instrument, “process of frailty” was included as a category (pre-frail and frail). Cr...

Public Health Nutrition, 2012

Objective: The aim of the present study was to examine the association between nutritional status... more Objective: The aim of the present study was to examine the association between nutritional status and the incidence of disability regarding instrumental activities of daily living (IADL) among older adults. Design: The study is part of the longitudinal SABE (Saúde, Bem-Estar e Envelhecimento; Health, Wellbeing and Ageing) Study that began in 2000 (first wave) with a multistage, clustered, probabilistic sample (n 2143

Journal of Aging and Health, 2012

Objective: To examine the association between weight change and the incidence of disability in ac... more Objective: To examine the association between weight change and the incidence of disability in activities of daily living (ADL) among elderly women. Method: In 2006, 227 women aged ≥75 years and independent in ADL were selected from SABE Study (Health, Well-being, and Aging) in Sao Paulo, Brazil. The dependent variable was the report of difficulty on ≥1 ADL in 2009. Differences in weight were calculated between baseline and second interview, and converted to percentage change in relation to initial weight. A change (gain or loss) ≥5% was considered significant. A logistic regression analysis was performed including sociodemographic and health-related variables. Results: After adjusting, weight gain remained associated to disability (OR = 2.42; p = .027), whereas weigh loss lost significance (OR = 1.66; p = .384). Discussion: Weight loss is generally considered more worrisome than weight gain in elderly. However, weight loss alone was not a risk factor for disability in our study.

Revista brasileira de enfermagem, 2018

To propose a care need classification for elderly people by identifying their functional demands.... more To propose a care need classification for elderly people by identifying their functional demands. Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE - Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly. The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver). This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of...