Browsing by Author "Flores, Fabiana"
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Item Estratégias de enfrentamento, barreiras e facilitadores apontados por fisioterapeutas brasileiros diante a pandemia da covid-19(2022) Dos Santos, Mariana; Sacomor, Cinara; Araya, Paulina; Francisco, Sandroval; Flores, FabianaObjetivo: Compreender quais foram as estratégias de enfrentamento adotadas pelos fisioterapeutas brasileiros diante da pandemia em dois períodos (2020 e 2021), e analisar as barreiras e facilitadores apontadas por eles. Método: Trata-se de um estudo observacional quantitativo em dois cortes (transversal e longitudinal), realizado por um questionário online, onde 304 fisioterapeutas participaram da pesquisa. Os instrumentos aplicados foram, uma ficha sociodemográfica e laboral e o questionário Brief COPE. Para a estatísticas foram as seguintes análises: frequência, média, mediana, intervalo interquartil e desvio-padrão; teste de U Mann Whitney; teste Kruskal-Wallis; teste de correlação de Spearman; e teste de Wilcoxon. As barreiras e facilitadores foram organizadas em forma de nuvem de palavras (Word Cloud Art Creator). Resultados: As estratégias de enfrentamento mais utilizadas eram aceitação, planejamento e enfrentamento ativo nos dois períodos de análise. A maioria dos participantes apontou que o medo de contaminar seus familiares ou amigos foi a principal barreira, e o apoio familiar foi o principal facilitador. Conclusão: Os resultados demonstram que a família serviu como um facilitador para o enfrentamento, mas também como uma barreira devido à preocupação com a possível contaminação de familiares. As estratégias de enfrentamento utilizadas pelos fisioterapeutas foram consideradas satisfatórias e adaptativas.Item Quality of Life of Chilean Breast Cancer Survivors: Multicentric Study(2023) Lorca, Luz; Sacomori, Cinara; Vera, Sandra; Hinrichsen, Alicia; López, Karen; Vega, Marcela; Contalba, Patricia; Flores, FabianaIntroduction: As breast cancer survivorship rates increase, so does the necessity to improve survivors’ health-related quality of life (HRQoL). Objective: To analyze HRQoL among Chilean breast cancer survivors, in general and considering geographic location. In addition, to correlate HRQoL with age, education level and body mass index (BMI). Method: Cross-sectional observational study which included 125 female breast cancer survivors from three public hospitals in three Chilean Macroregions: Central, North Central, and South. The EORTC Questionnaires, QLQ-C30 and QLQ-BR23, and sociodemographic and clinical records were applied. Results: The mean age was 56.1 (±11.9) years with a HRQoL summary score of 67.6 (21.9). HRQoL was reduced mainly in emotional functioning, pain, and insomnia. Fatigue, dyspnea, appetite loss, constipation, financial difficulties, breast and arm symptoms were also reported. The women from the South Macroregion Hospital presented the worst HRQoL scores for most of the domains [general health, functioning (physical, emotional, cognitive and social), fatigue, and nausea], fatigue, and nausea], p<0.001. The summary score of HRQoL was correlated to age (Spearman´s rho=0.202, p=0.033), BMI (rho=-0.341, p<0.001), and education level (rho=0.310, p=0.001). Conclusion: Women from three Macroregions showed differences in HRQoL. The latter correlated to age, BMI, and education level. Considering the high presence of symptoms, it is necessary to improve survivorship care plans, providing access to rehabilitation in the continuum of care.Item The effectiveness of different electrical nerve stimulation protocols for treating adults with non-neurogenic overactive bladder: a systematic review and meta-analysis(2022) Zomkowski, Kamilla; Kammers, Ingridy; Hugen, Bruna; Géssica, Moreira; Sonza, Anelise; Sacomori, Cinara; Flores, FabianaIntroduction and hypothesis: Electrical nerve stimulation is a widely used treatment for overactive bladder but there is no consensus regarding the best placement of electrodes or protocols. We hypothesised that some non-implanted neurostimulation protocols would be more effective compared to others for treating urinary symptoms and improving quality of life among adults diagnosed with non-neurogenic overactive bladder. Methods: A systematic review and meta-analyses of randomized clinical trials were performed in five electronic databases: PubMed/MEDLINE, Lilacs, CINAHL, Web of Science, and PEDro. The main outcome was urinary symptoms-frequency, nocturia, and urgency-and the secondary outcome quality of life. Some protocol characteristics were extracted, e.g., frequency, pulse width, intensity, intervention time, and electrode placement.