Programa de pós-graduação em Ciências da Reabilitação
Permanent URI for this communityhttps://repositorio.ufrn.br/handle/123456789/24718
Browse
7 results
Search Results
Master Thesis Determinação do ponto de corte do ICIQ- Bladder Diary para discriminar a melhora clínica de sintomas urinários femininos: estudo de acurácia diagnóstica(Universidade Federal do Rio Grande do Norte, 2025-04-28) Silva, Ana Karla Nascimento da; Correia, Grasiela Nascimento; Micussi, Maria Thereza Albuquerque Barbosa Cabral; http://lattes.cnpq.br/8878717048564522; http://lattes.cnpq.br/8982917410944873; Magalhães, Adriana Gomes; Driusso, PatriciaIntroduction: The International Consultation on Incontinence Questionnaire – Bladder Diary (ICIQ-BD) is a widely used tool to monitor and assess lower urinary tract symptoms. However, the interpretation of its results still presents challenges, especially in identifying the clinical improvement perceived by patients. Objective: This study aimed to establish cut-off points in the ICIQ-BD that indicate perceived clinical improvement in women with urinary symptoms. Methods: This is a diagnostic accuracy study that initially included 86 women with complaints of involuntary urine loss. At the end of the follow-up, 50 participants had completed all the steps and made up the final sample. Evaluations were performed using the Urinary Incontinence Diagnostic Questionnaire (QUID), the Incontinence Severity Index (ISI), the ICIQ-BD, as well as the Global Perception of Effect Scale (EPEG) and physical examination of the pelvic floor muscles (PFM) through bidigital vaginal palpation. All participants underwent an eight-week pelvic floor muscle training program. Statistical analysis was performed using the ROC (Receiver Operating Characteristic) curve to determine the cutoff points associated with the perception of clinical improvement. The McNemar test was applied to compare differences in symptom perception before and after PFM, and the paired sample t-test was applied to compare the monitoring of STUI before and after TMAP. Results: The results demonstrated moderate discrimination for the reduction of one episode of urinary incontinence (AUC = 0.783), good discriminatory capacity for the reduction of one episode of nocturia (AUC = 0.880) and excellent discrimination for the reduction of two daytime urinations (AUC = 0.911; sensitivity = 89.3%; specificity = 88.5%). Conclusion: These reductions in urinary symptoms are sufficient to indicate perceived clinical improvement, making the ICIQ-BD an objective and sensitive tool for therapeutic monitoring.Master Thesis MDS Brasil: análise das condições de saúde e funcionalidade de mulheres(Universidade Federal do Rio Grande do Norte, 2023-06-30) Feitoza, Rauany Barrêto; Magalhães, Adriana Gomes; https://orcid.org/0000-0002-0279-5930; http://lattes.cnpq.br/5918222264099117; http://lattes.cnpq.br/1598283882962858; Correia, Grasiela Nascimento; http://lattes.cnpq.br/8878717048564522; Nascimento Júnior, Leonildo Santos doIntroduction: Women are the most frequent users of the health service. The multiplicity of functions, added to socioeconomic factors, can predispose women to more problems in their health, which can impact their functionality. General Objective:: Evaluate the health conditions and functionality of women through the Model Disability survel- MDS. Objective Article 01: Compare self-reported health (SAR) with the functionality of women, evaluated through the MDS. Objective Article 2: To compare self-reported morbidities with the level of disability in women using the MDS. Methods: Cross-sectional population-based study, based on data from a survey carried out by REDE FUSÃO using the MDS instrument. Women over 18 years of age who agreed to answer the survey were included and those women who answered “I don't know” or “does not apply” were excluded, which would make it impossible to calculate the disability classification. The sample consisted of 385 women. The variables studied were: socioeconomic data, module 4000 corresponding to functionality and module 5000 which assesses health conditions. Descriptive analyzes were performed using median and quartiles, simple and relative frequencies. To analyze the normality of the data, the Kolmogorov-Smirnov (K-S) test was used. In the comparative inferential analysis, the Kruskall Wallis test was performed with Bonferroni correction, the Mann Whitney test for pairwise comparison, the Cohen effect and the Spearman test to perform correlations. Result: Article 01: The study participants were adults (38.7%), married (38.7%), brown (44.7%) and with high school education (17.9%). When asked to assess their health, most respondents (50.9%) reported having regular health. When comparing the SAR with the level of disability, it was observed that women who rated their health as poor or very poor had worse disability scores. Article 02: Most of the interviewees were young adults or adults (42.4%), married (38.7%), black or brown (57.7%), had completed high school (38.3%) and provided family income (53.2%). When asked about the presence or absence of morbidity, 88.3% reported having at least one morbidity. Of the self-reported morbidities, the most frequent were arterial hypertension (45.2%), vision loss (33.9%) and anxiety (31.85%). When we compare the presence of morbidity and mobility, structure and function aspects of the body, activity and participation, it was possible to perceive that the greater the number of morbidities, the worse the disability of the women and that factors such as age, years of marriage or stable union, as well as formal study time also interfered in the disability of the participants.Conclusion: When compared the SAR, number of morbidity with functionality in aspects mobility, structure and function of the body and activity and participation it was found that the worse the perception of women about their health or the greater the number of morbidities, the worse the disability. Given the above, it can be concluded that little is known about the functionality of women, but this work signals a breakthrough in the quest to fill this gap.Master Thesis Comparação da funcionalidade entre mulheres adultas brasileiras com e sem disfunção sexual: um estudo transversal(Universidade Federal do Rio Grande do Norte, 2023-04-28) Figueiredo, Polianne Angella Oliveira; Sousa, Vanessa Patrícia Soares de; Fernandes, Aline Braga Galvão Silveira; https://orcid.org/0000-0002-7976-8009; http://lattes.cnpq.br/9406431536920693; http://lattes.cnpq.br/6971799707627238; http://lattes.cnpq.br/2871295254395277; Leite, Isabelle Eunice de Albuquerque Pontes Melo; Magalhães, Adriana GomesIntroduction: Human sexuality is multifactorial and depends on the integration of psychological, biological, relational and sociocultural determinants. Thus, sexual dysfunction and factors related to it can impact the functionality of women of reproductive age. Objective : To compare functionality among adult Brazilian women of reproductive age, cisgender and heterosexual with and without sexual dysfunction (SD). For the purpose of presenting the dissertation, 3 articles were constructed with the following objectives: ARTICLE 1 - to analyze the association between the self-perceived presence of SD and the results of the Female Sexual Function Index (FSFI), as well as between chronological age and sexual function of Brazilian, cisgender and heterosexual women of reproductive age. ARTICLE 2 - identify the prevalence of SD, compare functionality among Brazilian women with and without sexual dysfunction and analyze the association between changes in functionality and the presence of SD. ARTICLE 3 - Comparing functionality between women with and without sexual dysfunction and estimating the chance of occurrence of changes in functionality, considering marital status, knowledge about SD, knowledge about female sexual response and selfassessment of quality of sexual life (QSL). Methodology: Analytical cross-sectional study following the guidelines of Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). The research protocol was self-administered and online (Google Forms), consisting of the characterization form, the FSFI and the WHO Disability Assessment Schedule (WHODAS 2.0). The women who met the following inclusion criteria participated in the study: being between 18 and 49 years old; being sexually active for at least four weeks; identify themselves as cisgender and heterosexual women and have access to the internet. Statistical data storage and treatment was performed using SPSS (version 20.0, IBM). The bootstrapping technique was used to adjust the quantitative variables to the assumption of parametric distribution and the significance level adopted was p<0.05. ARTICLE 1 – 285 women participated . For data analysis, the following tests were used: Chi -square test of independence (χ 2) to analyze the association between self-perceived presence of SD and presence of dysfunction, according to FSFI. Pearson's correlation test was used to investigate the relationship between age and sexual function (FSFI). ARTICLE 2 - The final sample consisted of 285 participants, divided into Control Group (CG, without sexual dysfunction, n= 168) and Study Group (EG, with sexual dysfunction, n= 117). Student 's t t and t for independent samples with Welch correction and Chi -square test (χ 2 ) were used. ARTICLE 3 – The sample consisted of 308 women divided into a Control Group (GC, without SD, n= 186) and a Study Group (EG, with SD, n= 122). For data analysis, Student 's T test was used for independent samples with Welch correction and binary logistic regression, with the Enter method. Results: ARTICLE 1 (n=285) - Women with an average age of 29.57±7.11 years participated in this research. A moderate association (Cramer's V = 0.59) was obtained between the self-perceived presence of SD and the diagnosis generated by the application of the FSFI (χ 2 (2) = 91.50; p<0.001). There was a weak, negative and statistically significant correlation between age and the desire domain of the FSFI (r= -0.12; p=0.03; r 2 =1.44. ARTICLE 2 (n=285) - Regarding the prevalence and types of disorders, the most recurrent were: hypoactive desire (27%), changes in arousal (22.8%), dysorgasmia (21.1%) and dyspareunia (18 .6%). It was observed that women with SD have a greater impact on functionality when compared to those without dysfunction (p=0.001; 95%CI [7.50 to 14.77]). There are significant differences in all domains of WHODAS 2.0, with emphasis on “interpersonal relationships”, “cognition” and “participation”. ARTICLE 3 (n= 308) – it was observed that women with SD had higher WHODAS scores when compared to those without sexual dysfunction (p= 0.001; [95% CI: 7.02 to 14.04]). Interpersonal relationships, cognition and participation stood out for the effect measures. The prediction for change in functionality was significant (X 2 (4)= 28.25; p<0.001), predicting 62.2% of cases and that the self-assessment factor of QOL had an impact on functionality regardless of marital status and knowledge about DS and, on female sexual response. Conclusion : ARTICLE 1 - Women who self-perceived the presence of sexual dysfunction are 68% more likely to actually have SD when evaluated by the FSFI. It was observed that, with advancing age, there is a decrease in sexual function, with regard to the desire phase. ARTICLE 2 - When compared to women without SD, those with dysfunction have a greater impact on general functionality, with emphasis on interpersonal relationships, cognition and participation. We found a weak association between changes in general functionality (and by domain) and the presence of sexual dysfunction. However, it was observed that women with SD are 43% to 78% more likely to have alterations in functionality compared to those without dysfunction. ARTICLE 3 - Women with SD have a greater change in overall functionality and by domain when compared to those without sexual dysfunction, with emphasis on interpersonal relationships, cognition and participation. The predictive model for functionality change had an accuracy rate of 62.2%. Women with a good self-assessment of QOL are 27% less likely to have changes in functionality compared to those with a poor self-assessment of their sexual life, regardless of marital status, knowledge about sexual dysfunction and female sexual response.Master Thesis Desenvolvimento e validação de aplicativo em saúde no período puerperal(Universidade Federal do Rio Grande do Norte, 2022-02-15) Medeiros, Máyra Cármem Silva de; Magalhães, Adriana Gomes; http://lattes.cnpq.br/5918222264099117; http://lattes.cnpq.br/0440778152854232; Costa, Karla Veruska Marques Cavalcante da; Sousa, Vanessa Patricia Soares de; http://lattes.cnpq.br/6971799707627238Introduction: In the intense period after childbirth, the intense changes and space of women that occur in time in a short period. Easy-to-access and care information is relevant for them to be attended to. Mhealth refers to the field of developing applications for mobile platforms in the service of health. Objective: To develop an application with information about the period of certainty in public health. Method: This is a methodological study with 40 participants, of which 10 are professionals in the obstetrics area, 1 in the technology area and 2 are postpartum women. The application was developed with React Native technology. Health users evaluated the content of the application, the result of which was the Content Validity Index, the personal data of the technology answered the participants validated for the appearance of the software and the puerperal women answered the System Usability Scale (SUS), evaluating the application of the application. Results: Content validation was excellent (0.97). Regarding the appearance of the app, there are 0, there are 0, positive responses, with 88 being favorable for approval. A9 usability was classified using the SUS scale where5 can be used (). Responses to the SUS of good evaluation, confidence as in the evaluation by the alpha value of evaluation of the SUS, and the application presented excellent responses, with an average score of 951. The so-called “Towards a Conclusion”, was developed and presented as a valid mobile application to promote self-care.Master Thesis Influência dos fatores obstétricos e sociodemográficos na funcionalidade e incapacidade em gestantes(Universidade Federal do Rio Grande do Norte, 2021-12-13) Silva, Vanessa Karoline da; Magalhães, Adriana Gomes; Sousa, Vanessa Patrícia Soares de; 05632230490; http://lattes.cnpq.br/6971799707627238; http://lattes.cnpq.br/5918222264099117; http://lattes.cnpq.br/2109314929841816; Correia, Grasiela Nascimento; http://lattes.cnpq.br/8878717048564522; Costa, Karla Veruska Marques Cavalcante daPregnancy is a period where the woman undergoes several changes that affect her life, which can cause her discomfort and pain. The International Classification of Functioning, Disability and Health (ICF) focuses on individuals and their needs, seeing the impact of the health condition on the person's functionality and daily life. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a questionnaire developed by the WHO and linked to the ICF that assesses functionality and disability. Objective article 1: To evaluate the relationship between sociodemographic factors and lifestyle factors and their impact on the functionality of pregnant women in the city of Santa Cruz/RN, evaluated using WHODAS 2.0. Objective article 2: To verify whether obstetric factors are related to the functionality and disability of pregnant women in northeastern Brazil, assessed using the WHODAS 2.0. Quantitative cross-sectional study, carried out between August/2018 and April/2020, where the sample of article 1 consisted of 124 pregnant women from Santa Cruz/RN who had data collected at the Basic Health Units, at the Faculty of Health Sciences of Trairi (FACISA /UFRN); and that of article 2 by 140 pregnant women in northeastern Brazil, with data also collected through Google Meet. Pregnant women with a single fetus participated who understood the questions; those who refused to answer any questions, had interrupted interviews or had difficulty understanding were excluded. An evaluation form was used to obtain sociodemographic data, life habits and obstetrics. Functioning and disability were measured using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), consisting of 36 items and six domains of daily activities: cognition, mobility, self-care, interpersonal relationships, life activities and participation. The power of the sample was 83.42% for article 1 and 100% for article 2. A significance of 5% (p<0.05) was adopted for both articles. Article 1: with regard to sociodemographic factors, a decrease in functionality was observed in the self-care domains (in relation to physical exercise, p=0.035), domestic activities (about paid work, p=0.022), school/work activities (about the number of years of schooling, p=0.03; and the skin color of the woman, p=0.047), and in the participation domain (education, p=0.03; paid work, p=0.009; and being alcoholics, p=0.041). Article 2: regarding obstetric factors, we obtained a decrease in the functionality of pregnant women in the self-care domains in relation to gestational age (p=0.007); interpersonal relationships with number of pregnancies (p=0.014) and number of deliveries (p=0.025); and in the school/work activities domain in relation to the number of pregnancies (p=0.047) and number of abortions (p=0.007). We verified that there is a decrease in the functionality of pregnant women evaluated with the WHODAS 2.0 in relation to the practice of physical exercise, paid work, their skin color, schooling, alcohol consumption, in addition to gestational age, number of pregnancies, number of deliveries and of abortions.Master Thesis Associação entre dor crônica e funcionalidade em mulheres adultas: um estudo transversal com o World Health Organization Disability Assessment Schedule? WHODAS 2.0(Universidade Federal do Rio Grande do Norte, 2020-12-15) Gonçalves, Caroline Gomes; Dantas, Diego de Sousa; http://lattes.cnpq.br/3974066542571962; http://lattes.cnpq.br/9271209419134286; Andrade, Palloma Rodrigues de; http://lattes.cnpq.br/8914792713967663; Câmara, Saionara Maria Aires da; http://lattes.cnpq.br/9021377225085393INTRODUCTION: Chronic pain is defined as persistent or relapsing, sensory and emotional pain for more than 3 months and can be classified as a disease if the individual's functionality is compromised. Women are more likely to experience pain due to biopsychosocial factors. The literature does not clarify which aspects of functionality are most affected by pain. Thus, the objective of this study was to assess the association between chronic pain and the functionality of adult women. METHODS: A cross-sectional study was carried out with women of reproductive age from 19 to 49 years. To characterize the sample, a sociodemographic questionnaire was prepared, which contained data such as age, occupation, self-perceived health, income, and the presence of comorbidities. Chronic pain was assessed using the visual analog scale and body diagram. Functionality through the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), whose score ranges from 0 to 100, where 0 means complete or no disability and 100 complete or no disability. Data were analyzed using inferential statistics and considered statistically significant when p <0.05. RESULTS: The prevalence of chronic pain in adult women was 53.3%. The place with the highest prevalence of chronic pain was the lumbar spine (17.9%) and the one with the lowest prevalence was the hip (4.1%). Women with chronic pain had higher scores in the general WHODAS 2.0 score (p = 0.010) and, in the domains mobility (p = 0.001), domestic activities (p = 0.027) and participation (p = 0.004). The average intensity of chronic pain per patient was 6.62 ± 2.26. This painful intensity is associated with difficulties only in the mobility domain, with greater difficulty for women with severe and severe pain, when compared to patients with mild pain. CONCLUSION: Women with chronic pain presented a greater limitation in functioning than women without chronic pain. The most affected domains were mobility, domestic activities and participation.Master Thesis Dismenorreia e funcionalidade em mulheres adultas do nordeste brasileiro(Universidade Federal do Rio Grande do Norte, 2020-07-08) Santos, Luana Brito dos; Dantas, Diego de Sousa; ; ; Correia, Grasiela Nascimento; ; Ferreira, Caroline Wanderley Souto;Introduction: Dysmenorrhea is defined as colic pain in the hypogastrium that occurs during menstruation. In the literature, there are no studies that assess the functioning or disability associated with dysmenorrhea in any age group. In addition, studies that address dysmenorrhea are restricted to adolescents or young adult women. Objective: This dissertation involves two studies that aimed to separately assess the prevalence of dysmenorrhea and associated factors; and the association between dysmenorrhea and disability in adult women. Methodology: Cross-sectional studies with adult women aged between 19 and 49 years involving sociodemographic, gynecological and obstetric aspects were investigated. Dysmenorrhea was measured through self-report; the Numerical Pain Scale measured the intensity of pain; the World Health Disability Assessment Schedule 2.0 (WHODAS 2.0) assessed disability; the International Physical Activity Questionnaire (IPAQ), short version, evaluated the level of physical activity. The statistical analysis involved descriptive and inferential analysis. In the inferential analysis, logistic regression test, median difference tests and effect size measures were used. The level of statistical significance established was p <0.05. Results: The study that assessed the prevalence of dysmenorrhea and associated factors found a prevalence of 56% of dysmenorrhea, 50% in young adult women, 55% in adult women and 61% for middle-aged women. Cesarean delivery was associated with greater chances of dysmenorrhea (PR = 2.33; 95% CI = 1.11 - 4.90; p = 0.03) when considering the entire sample, and women aged 25 to 39 years old, insufficiently active, had higher chances of dysmenorrhea (PR = 5.24; 95% CI 1.08 - 27.31; p = 0.04). In the study that analyzed the association between dysmenorrhea and disability, the pain profile of dysmenorrhea lasted on average three days or more (66%) with average pain intensity, in the period of crisis of 6.1 ± 2.6, on the numerical scale of ache. Severe pain complaints were associated with greater difficulties in the domains of mobility (p = 0.003; η2 = 0.12), participation (p = 0.03; η2 = 0.06) and total WHODAS score (p = 0.01; η2 = 0.09), with size of moderate effect for all variables. Conclusion: The present study found a high prevalence of dysmenorrhea among adult women, where cesarean section and insufficient physical activity were factors that were associated with a higher risk of dysmenorrhea. Dysmenorrhea was also associated with impaired functioning, in which women with severe pain intensity have greater disability in the domains of mobility and participation, when compared to women who presented mild or moderate pain.