Browsing by Author "Alves, Isabel"
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- Avaliação das condições individuais e contextuais no peso dos recém-nascidos (filhos de mães imigrantes e portuguesas) na área metropolitana de LisboaPublication . Santana, Paula; Santos, Rita; Alves, Isabel; Couceiro, Luísa; Machado, Maria do CéuObjetivo: Avaliar a influência dos fatores biológicos, socioeconómicos e comportamentais no peso dos recém-nascidos (RN), considerando RN de mães imigrantes (MI) e mães portuguesas (MP). Método: Wilcox e Russel e modelos de regressão linear múltipla. Resultados: Observaram-se pesos mais baixos em RN do sexo feminino, idades gestacionais inferiores, mães adolescentes, não casadas ou em união de facto, escolaridade ≤ 12 anos, trabalhadoras manuais, residentes em «barracas», consumidoras de tabaco (MP), consumidoras de álcool (MI), paridade = 1, partos por cesariana (MI) ou eutócicos (MP) e não diabéticas. Conclusão: A distribuição residual de prematuridade revela maior vulnerabilidade nos RN de MI.
- The effect of exergame rehabilitation on the quality of life of cancer patients undergoing abdominal surgery: a randomized controlled trialPublication . Alves, Isabel; Moreira, Ana Paula; Sousa, Teresa; Teles, Paulo; Magalhães, Bruno Miguel; Gonçalves, Filipe; Fernandes, Carla SílviaPurpose Exergames, which combine digital games and physical exercise, have become increasingly popular for rehabilitation in the health domain. This study aimed to assess the effectiveness of exergame rehabilitation on the quality of life of cancer patients undergoing abdominal surgery. Methods This randomized controlled trial evaluated the effectiveness of exergame rehabilitation on the quality of life of cancer patients who had undergone abdominal surgery. Seventy postoperative patients were included, and data collection took place between January 2023 and May 2023. The patients were randomly assigned to either an exergame rehabilitation program (n = 35) or a traditional rehabilitation program (n = 35). The assessed outcome was the quality of life, and data collection occurred at three different time points: upon admission, 48 h postoperatively, and on the 7th day after surgery. Results Quality of life was evaluated using the WHOQOL-BREF Scale. At the third assessment, a statistically significant difference was observed between the two groups (p = 0.016), indicating that the intervention group had a higher quality of life than the control group. Conclusions The study showed a positive effect of exergames on the population under investigation. By the 7th day after surgery, the intervention group demonstrated an improvement in their quality of life compared to the control group. Clinical trial registration Center of Open Science OSF https:// osf. io/ 286zb/, registered in July, 2023
- Exergame-based rehabilitation for cancer patients undergoing abdominal surgery: Effects on pain, anxiety, depression, and fatigue - A pilot studyPublication . Alves, Isabel; Moreira, Ana Paula; Sousa, Teresa; Teles, Paulo; Fernandes, Carla Sílvia; Goncalves. Filipe; Magalhães, BrunoPurpose: This study aimed to determine the efficacy of an exergame rehabilitation program on pain, anxiety or depression, and fatigue in oncology patients undergoing abdominal surgery. Methods: The randomized controlled trial evaluated the efficacy of exergame rehabilitation on Pain, Anxiety, Depression, and Fatigue in oncology patients undergoing abdominal surgery. Patients were recruited from October 2022–March 2023 and were randomly assigned to the intervention group (postoperative traditional rehabilitation plus an exergame rehabilitation program) or control group (postoperative traditional rehabilitation). Data were collected at three different times: on admission, in the first 48 h, and on the 7th day after surgery. Primary outcomes were evaluated and monitored with different validated instruments: numeric rating scale (NRS) for pain, Hospital Anxiety and Depression Scale (HADS) to assess the level of anxiety and depression, and the Fatigue Assessment Scale (FAS) to assess physical and psychological fatigue. The length of stay and program completion were secondary outcomes. Results: A total of 128 postoperative patients were recruited. Of these, 58 patients were excluded from the study due to clinical complications related to the surgical procedure (n = 53) or healthcare staff-related reasons (n = 5). Both the control and intervention groups were the same size (n = 35). Lower pain scores were observed on the 7th postoperative day in the group subject to the “exergame rehabilitation program” (p = 0.006). No statistically significant differences were observed for anxiety and depression between the 2 groups. Regarding fatigue, statistically significant differences were observed on admission (p = 0.03), which disappeared 48 h after surgery (p = 0.143). Differences between the groups were observed again on the 7th day after surgery (p = 0.005). Conclusions: The intervention using exergames was effective in reducing the postoperative pain of the patient undergoing major abdominal surgery and in restoring the levels of fatigue before surgical intervention. However, no differences were observed for anxiety or depression. Future studies with larger samples should be carried out.