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ORIGINAL ARTICLE
Risk assessment for postoperative complications in patients undergoing cardiac surgical procedures
- Carolina Larrosa de Almeida
, - Jones Sidnei Barbosa de Oliveira ,
- Cláudia Geovana da Silva Pires ,
- Cláudia Silva Marinho
09-20-2024
Resumo
ORIGINAL ARTICLERisk assessment for postoperative complications in patients undergoing cardiac surgical procedures
Revista Brasileira de Enfermagem. 2024;77(4):e20230127
09-20-2024DOI 10.1590/0034-7167-2023-0127
- Carolina Larrosa de Almeida ,
- Jones Sidnei Barbosa de Oliveira ,
- Cláudia Geovana da Silva Pires ,
- Cláudia Silva Marinho
Visualizações0ABSTRACT
Objectives:
to evaluate the risk of postoperative complications in cardiac patients.
Methods:
an evaluative study using the Tuman Score on medical records of 70 adult patients who underwent cardiac surgery at a University Hospital. The R for Windows software was used for the analyses. Descriptive statistics and bivariate analysis were employed to verify the association between the risk score and complications. The relative risk between the Tuman Score and postoperative complications was obtained through Quasi-Poisson regression, with a 95% confidence interval.
Results:
the majority of the patients were male (58.57%), aged between 41-64 years (50%), who underwent myocardial revascularization (50%). These patients were associated with a lower risk of postoperative complications (p=0.003), (p=0.008), and (p=0.000), respectively. High-risk patients had pulmonary complications (RR=1.32, p=0.002) and neurological complications (RR=1.20, p=0.047).
Conclusions:
preoperative risk assessment promotes qualified care to reduce postoperative complications.
Palavras-chave: Cardiac Surgical ProceduresCardiovascular DiseasesCardiovascular NursingPostoperative ComplicationsRisk AssessmentVer maisVisualizações0
Resumo
ORIGINAL ARTICLERisk assessment for postoperative complications in patients undergoing cardiac surgical procedures
Revista Brasileira de Enfermagem. 2024;77(4):e20230127
09-20-2024DOI 10.1590/0034-7167-2023-0127
- Carolina Larrosa de Almeida ,
- Jones Sidnei Barbosa de Oliveira ,
- Cláudia Geovana da Silva Pires ,
- Cláudia Silva Marinho
Visualizações0ABSTRACT
Objectives:
to evaluate the risk of postoperative complications in cardiac patients.
Methods:
an evaluative study using the Tuman Score on medical records of 70 adult patients who underwent cardiac surgery at a University Hospital. The R for Windows software was used for the analyses. Descriptive statistics and bivariate analysis were employed to verify the association between the risk score and complications. The relative risk between the Tuman Score and postoperative complications was obtained through Quasi-Poisson regression, with a 95% confidence interval.
Results:
the majority of the patients were male (58.57%), aged between 41-64 years (50%), who underwent myocardial revascularization (50%). These patients were associated with a lower risk of postoperative complications (p=0.003), (p=0.008), and (p=0.000), respectively. High-risk patients had pulmonary complications (RR=1.32, p=0.002) and neurological complications (RR=1.20, p=0.047).
Conclusions:
preoperative risk assessment promotes qualified care to reduce postoperative complications.
Palavras-chave: Cardiac Surgical ProceduresCardiovascular DiseasesCardiovascular NursingPostoperative ComplicationsRisk AssessmentVer mais - Carolina Larrosa de Almeida
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ORIGINAL ARTICLE
Analysis of the concept of cardiovascular risk: contributions to nursing practice
- Nuno Damácio de Carvalho Félix ,
- Brenda Silva Cunha ,
- Maria Naiane Rolim Nascimento ,
- Douglas Vieira Braga ,
- Célida Juliana de Oliveira , [ ... ],
- Maria Miriam Lima da Nóbrega
09-23-2022
Resumo
ORIGINAL ARTICLEAnalysis of the concept of cardiovascular risk: contributions to nursing practice
Revista Brasileira de Enfermagem. 2022;75(4):e20210803
09-23-2022DOI 10.1590/0034-7167-2021-0803
- Nuno Damácio de Carvalho Félix ,
- Brenda Silva Cunha ,
- Maria Naiane Rolim Nascimento ,
- Douglas Vieira Braga ,
- Célida Juliana de Oliveira ,
- Marcos Antônio Gomes Brandão ,
- Alba Lucia Bottura Leite de Barros ,
- Maria Miriam Lima da Nóbrega
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the concept of cardiovascular risk to support nursing practice.
Methods:
this is an analysis to define the concept of cardiovascular risk, through the use of eight steps of Walker’s and Avant’s framework, using a literature review in indexed scientific journals.
Results:
cardiovascular risk is defined in a broad and original way as a context of health and nursing care that makes it possible to identify modifiable (cardiometabolic, behavioral, psychosocial, cultural and occupational) and non-modifiable (biological) risk factors for cardiovascular diseases that act as early and interrelated markers, of multiple and heterogeneous etiology, predisposing to cardiovascular vulnerability.
Conclusions:
with the analysis and definition of the concept of cardiovascular risk, we realized that it will be possible to base nursing practice, with implications in clinical practice for identifying and reducing risk factors for cardiovascular diseases, with nursing relevance in the care of these subjects.
Visualizações0Resumo
ORIGINAL ARTICLEAnalysis of the concept of cardiovascular risk: contributions to nursing practice
Revista Brasileira de Enfermagem. 2022;75(4):e20210803
09-23-2022DOI 10.1590/0034-7167-2021-0803
- Nuno Damácio de Carvalho Félix ,
- Brenda Silva Cunha ,
- Maria Naiane Rolim Nascimento ,
- Douglas Vieira Braga ,
- Célida Juliana de Oliveira ,
- Marcos Antônio Gomes Brandão ,
- Alba Lucia Bottura Leite de Barros ,
- Maria Miriam Lima da Nóbrega
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the concept of cardiovascular risk to support nursing practice.
Methods:
this is an analysis to define the concept of cardiovascular risk, through the use of eight steps of Walker’s and Avant’s framework, using a literature review in indexed scientific journals.
Results:
cardiovascular risk is defined in a broad and original way as a context of health and nursing care that makes it possible to identify modifiable (cardiometabolic, behavioral, psychosocial, cultural and occupational) and non-modifiable (biological) risk factors for cardiovascular diseases that act as early and interrelated markers, of multiple and heterogeneous etiology, predisposing to cardiovascular vulnerability.
Conclusions:
with the analysis and definition of the concept of cardiovascular risk, we realized that it will be possible to base nursing practice, with implications in clinical practice for identifying and reducing risk factors for cardiovascular diseases, with nursing relevance in the care of these subjects.
- Nuno Damácio de Carvalho Félix
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ORIGINAL ARTICLE
ICNP® terminology subset for the care of people with heart failure
- Maria Naiane Rolim Nascimento ,
- Emiliana Bezerra Gomes ,
- Nuno Damácio de Carvalho Félix ,
- Cristiana Brasil de Almeida Rebouças ,
- Maria Miriam Lima da Nóbrega , [ ... ],
- Célida Juliana de Oliveira
10-01-2022
Resumo
ORIGINAL ARTICLEICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
10-01-2022DOI 10.1590/0034-7167-2021-0196
- Maria Naiane Rolim Nascimento ,
- Emiliana Bezerra Gomes ,
- Nuno Damácio de Carvalho Félix ,
- Cristiana Brasil de Almeida Rebouças ,
- Maria Miriam Lima da Nóbrega ,
- Célida Juliana de Oliveira
Visualizações0ABSTRACT
Objective:
to develop an ICNP® terminology subset for the care of people with heart failure.
Methods:
this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed.
Results:
forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”.
Final considerations:
it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.
Palavras-chave: Cardiac RehabilitationCardiovascular NursingHeart FailureNursing CareStandardized Nursing TerminologyVer maisVisualizações0Resumo
ORIGINAL ARTICLEICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
10-01-2022DOI 10.1590/0034-7167-2021-0196
- Maria Naiane Rolim Nascimento ,
- Emiliana Bezerra Gomes ,
- Nuno Damácio de Carvalho Félix ,
- Cristiana Brasil de Almeida Rebouças ,
- Maria Miriam Lima da Nóbrega ,
- Célida Juliana de Oliveira
Visualizações0ABSTRACT
Objective:
to develop an ICNP® terminology subset for the care of people with heart failure.
Methods:
this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed.
Results:
forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”.
Final considerations:
it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.
Palavras-chave: Cardiac RehabilitationCardiovascular NursingHeart FailureNursing CareStandardized Nursing TerminologyVer mais - Maria Naiane Rolim Nascimento
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REVIEW
Interventions related to cardiovascular complications in people hospitalized by covid-19: a scoping review
- José Hiago Feitosa de Matos ,
- Emiliana Bezerra Gomes ,
- Natália Pinheiro Fabricio Formiga ,
- Maria Naiane Rolim Nascimento ,
- Gabriela de Sousa Lima , [ ... ],
- Thereza Maria Magalhães Moreira
02-05-2021
Resumo
REVIEWInterventions related to cardiovascular complications in people hospitalized by covid-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200568
02-05-2021DOI 10.1590/0034-7167-2020-0568
- José Hiago Feitosa de Matos ,
- Emiliana Bezerra Gomes ,
- Natália Pinheiro Fabricio Formiga ,
- Maria Naiane Rolim Nascimento ,
- Gabriela de Sousa Lima ,
- Thereza Maria Magalhães Moreira
Visualizações0ABSTRACT
Objective:
To describe the scientific evidence of complications and the need for cardiovascular interventions in people hospitalized by Covid-19.
Method:
a scoping review carried out according to The Joanna Briggs Institute recommendations, in the MEDLINE, CINAHL, SCOPUS and Web of Science databases.
Results:
A total of 11 published studies from December of 2019 to April of 2020, presenting low levels of evidence were selected. The evidence described the myocardial injury as the most common cardiac complication reported in Covid-19, reported in approximately 8% to 12% of all severe individuals, with indications for oxygen therapy interventions, thrombotic disorders prevention and treatment, hemodynamic monitoring and assessment tests of cardiac function’s performance, along with biochemical markers of myocardial injury, yet not addressing nursing interventions.
Conclusion:
Cardiovascular complications and interventions have not shown consensus on the found evidence, requiring causal analysis by explanatory studies that support multi-professional clinical protocols in health.
Palavras-chave: Cardiovascular DiseasesCardiovascular NursingCoronavirus InfectionsHospital Care ServicesReviewVer maisVisualizações0Resumo
REVIEWInterventions related to cardiovascular complications in people hospitalized by covid-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200568
02-05-2021DOI 10.1590/0034-7167-2020-0568
- José Hiago Feitosa de Matos ,
- Emiliana Bezerra Gomes ,
- Natália Pinheiro Fabricio Formiga ,
- Maria Naiane Rolim Nascimento ,
- Gabriela de Sousa Lima ,
- Thereza Maria Magalhães Moreira
Visualizações0ABSTRACT
Objective:
To describe the scientific evidence of complications and the need for cardiovascular interventions in people hospitalized by Covid-19.
Method:
a scoping review carried out according to The Joanna Briggs Institute recommendations, in the MEDLINE, CINAHL, SCOPUS and Web of Science databases.
Results:
A total of 11 published studies from December of 2019 to April of 2020, presenting low levels of evidence were selected. The evidence described the myocardial injury as the most common cardiac complication reported in Covid-19, reported in approximately 8% to 12% of all severe individuals, with indications for oxygen therapy interventions, thrombotic disorders prevention and treatment, hemodynamic monitoring and assessment tests of cardiac function’s performance, along with biochemical markers of myocardial injury, yet not addressing nursing interventions.
Conclusion:
Cardiovascular complications and interventions have not shown consensus on the found evidence, requiring causal analysis by explanatory studies that support multi-professional clinical protocols in health.
Palavras-chave: Cardiovascular DiseasesCardiovascular NursingCoronavirus InfectionsHospital Care ServicesReviewVer mais
- José Hiago Feitosa de Matos
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ORIGINAL ARTICLE
Prevalence of smoking in nursing professionals of a cardiovascular hospital
Revista Brasileira de Enfermagem. 2019;72(suppl 1):173-180
02-01-2019
Resumo
ORIGINAL ARTICLEPrevalence of smoking in nursing professionals of a cardiovascular hospital
Revista Brasileira de Enfermagem. 2019;72(suppl 1):173-180
02-01-2019DOI 10.1590/0034-7167-2018-0145
Visualizações0Ver maisABSTRACT
Objective:
to identify the prevalence of smoking in nursing professionals and to determine the relationship of the habit with clinical and socio-demographic characteristics.
Method:
nursing professionals of a cardiovascular hospital answered a questionnaire on smoking and dependence degree, socio-demographic characteristics, personal and family background, smoking characteristics, motivational stages, depression, perceived and occupational stress. The relationship between the explanatory variables and smoking was investigated.
Results:
among 656 participants, 77.6% were non smokers, 12.2% former smokers, and 10.2% smokers. Most were female, with complete high school, Catholic, married, household income between three and five minimum wages, position as nursing assistant, had double shifts, and were responsible for family income. The nicotine dependence of smokers ranged from low to moderate.
Conclusion:
the study has shown low prevalence of smoking in nursing professionals. Education level, religion, marital status, job position, responsibility for family income, history of depression and alcoholism, chest "wheezing" and other symptoms were significantly associated with being a smoker or former smoker.
Visualizações0Resumo
ORIGINAL ARTICLEPrevalence of smoking in nursing professionals of a cardiovascular hospital
Revista Brasileira de Enfermagem. 2019;72(suppl 1):173-180
02-01-2019DOI 10.1590/0034-7167-2018-0145
Visualizações0Ver maisABSTRACT
Objective:
to identify the prevalence of smoking in nursing professionals and to determine the relationship of the habit with clinical and socio-demographic characteristics.
Method:
nursing professionals of a cardiovascular hospital answered a questionnaire on smoking and dependence degree, socio-demographic characteristics, personal and family background, smoking characteristics, motivational stages, depression, perceived and occupational stress. The relationship between the explanatory variables and smoking was investigated.
Results:
among 656 participants, 77.6% were non smokers, 12.2% former smokers, and 10.2% smokers. Most were female, with complete high school, Catholic, married, household income between three and five minimum wages, position as nursing assistant, had double shifts, and were responsible for family income. The nicotine dependence of smokers ranged from low to moderate.
Conclusion:
the study has shown low prevalence of smoking in nursing professionals. Education level, religion, marital status, job position, responsibility for family income, history of depression and alcoholism, chest "wheezing" and other symptoms were significantly associated with being a smoker or former smoker.
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RESEARCH
Comparison of tools for assessing fatigue in patients with heart failure
Revista Brasileira de Enfermagem. 2018;71(5):2404-2410
01-01-2018
Resumo
RESEARCHComparison of tools for assessing fatigue in patients with heart failure
Revista Brasileira de Enfermagem. 2018;71(5):2404-2410
01-01-2018DOI 10.1590/0034-7167-2017-0083
Visualizações0Ver maisABSTRACT
Objective:
To compare the distributions of measurements of the Dutch Fatigue Scale (DUFS), Dutch Exertion Fatigue Scale (DEFS), and Fatigue Pictogram tools, according to the New York Heart Association (NYHA) Functional Classification and left ventricular ejection fraction (LVEF).
Method:
Methodological, cross-sectional study with 118 patients with heart failure. Variance analysis, Pearson's correlation, and Fisher's exact tests were carried out, with a significance level of 0.05.
Results:
There was an increase in the DUFS and DEFS means with worsening of the NYHA-FC (p<0.001, for both tools). Correlations among the LVEF resulted in positive and weak magnitude for the DEFS (r=0.18; p=0.05) and for the DUFS (r=0.16; p=0.08). Just the item A on the Fatigue Pictogram had an association with the NYHA-FC (p<0.001) and the LVEF (p=0.03).
Conclusion:
Three tools detected worsening in fatigue levels according to the illness severity assessed by the NYHA-FC.
Visualizações0Resumo
RESEARCHComparison of tools for assessing fatigue in patients with heart failure
Revista Brasileira de Enfermagem. 2018;71(5):2404-2410
01-01-2018DOI 10.1590/0034-7167-2017-0083
Visualizações0Ver maisABSTRACT
Objective:
To compare the distributions of measurements of the Dutch Fatigue Scale (DUFS), Dutch Exertion Fatigue Scale (DEFS), and Fatigue Pictogram tools, according to the New York Heart Association (NYHA) Functional Classification and left ventricular ejection fraction (LVEF).
Method:
Methodological, cross-sectional study with 118 patients with heart failure. Variance analysis, Pearson's correlation, and Fisher's exact tests were carried out, with a significance level of 0.05.
Results:
There was an increase in the DUFS and DEFS means with worsening of the NYHA-FC (p<0.001, for both tools). Correlations among the LVEF resulted in positive and weak magnitude for the DEFS (r=0.18; p=0.05) and for the DUFS (r=0.16; p=0.08). Just the item A on the Fatigue Pictogram had an association with the NYHA-FC (p<0.001) and the LVEF (p=0.03).
Conclusion:
Three tools detected worsening in fatigue levels according to the illness severity assessed by the NYHA-FC.
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RESEARCH
Nursing diagnoses from ICNP® for people with metabolic syndrome
Revista Brasileira de Enfermagem. 2018;71(suppl 1):467-474
01-01-2018
Resumo
RESEARCHNursing diagnoses from ICNP® for people with metabolic syndrome
Revista Brasileira de Enfermagem. 2018;71(suppl 1):467-474
01-01-2018DOI 10.1590/0034-7167-2017-0125
Visualizações0Ver maisABSTRACT
Objective:
To construct nursing diagnosis statements based on the International Classification for Nursing Practice (ICNP®) for people with metabolic syndrome, settled on the theoretical framework of Basic Human Needs.
Method:
Descriptive study developed in four stages: 1) Identification and validation of terms relevant to care with health priority; 2) Cross-mapping of the terms identified with ICNP® terms; 3) Construction of the nursing diagnosis statements; and 4) Cross-mapping of constructed statements with the ones in ICNP®.
Results:
Regarding terms extracted, 370 were validated based on the consensus (100%) among specialists, subsidizing the elaboration of 52 nursing diagnosis statements from ICNP® version 2015, distributed among the Basic Human Needs proposed by theoretical framework.
Conclusion:
It was possible to construct nursing diagnoses for people with metabolic syndrome based on the terms extracted from the literature, with a predominance of the need for “Health education and learning”.
Visualizações0Resumo
RESEARCHNursing diagnoses from ICNP® for people with metabolic syndrome
Revista Brasileira de Enfermagem. 2018;71(suppl 1):467-474
01-01-2018DOI 10.1590/0034-7167-2017-0125
Visualizações0Ver maisABSTRACT
Objective:
To construct nursing diagnosis statements based on the International Classification for Nursing Practice (ICNP®) for people with metabolic syndrome, settled on the theoretical framework of Basic Human Needs.
Method:
Descriptive study developed in four stages: 1) Identification and validation of terms relevant to care with health priority; 2) Cross-mapping of the terms identified with ICNP® terms; 3) Construction of the nursing diagnosis statements; and 4) Cross-mapping of constructed statements with the ones in ICNP®.
Results:
Regarding terms extracted, 370 were validated based on the consensus (100%) among specialists, subsidizing the elaboration of 52 nursing diagnosis statements from ICNP® version 2015, distributed among the Basic Human Needs proposed by theoretical framework.
Conclusion:
It was possible to construct nursing diagnoses for people with metabolic syndrome based on the terms extracted from the literature, with a predominance of the need for “Health education and learning”.
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PESQUISA
Multi-professional intervention in adults with arterial hypertension: a randomized clinical trial
Revista Brasileira de Enfermagem. 2016;69(6):1067-1073
01-01-2016
Resumo
PESQUISAMulti-professional intervention in adults with arterial hypertension: a randomized clinical trial
Revista Brasileira de Enfermagem. 2016;69(6):1067-1073
01-01-2016DOI 10.1590/0034-7167-2016-0320
Visualizações0Ver maisABSTRACT
Objective:
assess the influence of an intervention, comprised of counseling related to health and aerobic physical training for lowering pressure values, in anthropometric indicators and in the adjustment of biochemical parameters in individuals with hypertension.
Method:
intervention study of the randomized clinical trial variety, with 42 individuals. The intervention-group followed the protocol of health counseling, nutrition and physical activity.
Results:
two intervention groups were considered: intervention-group (a) and intervention-group (b). Intervention-group (a) showed significant decrease in measurements of systolic and diastolic arterial pressure, of high-density lipoprotein parameters, hip circumference values and waist-hip ratio. Intervention-group (b) presented significant decrease in systolic arterial pressure values.
Conclusion:
it was found that the health intervention in conjunction with physical activities were effective in decreasing and/or controlling values for pressure, biochemical and anthropometric indicators.
Visualizações0Resumo
PESQUISAMulti-professional intervention in adults with arterial hypertension: a randomized clinical trial
Revista Brasileira de Enfermagem. 2016;69(6):1067-1073
01-01-2016DOI 10.1590/0034-7167-2016-0320
Visualizações0Ver maisABSTRACT
Objective:
assess the influence of an intervention, comprised of counseling related to health and aerobic physical training for lowering pressure values, in anthropometric indicators and in the adjustment of biochemical parameters in individuals with hypertension.
Method:
intervention study of the randomized clinical trial variety, with 42 individuals. The intervention-group followed the protocol of health counseling, nutrition and physical activity.
Results:
two intervention groups were considered: intervention-group (a) and intervention-group (b). Intervention-group (a) showed significant decrease in measurements of systolic and diastolic arterial pressure, of high-density lipoprotein parameters, hip circumference values and waist-hip ratio. Intervention-group (b) presented significant decrease in systolic arterial pressure values.
Conclusion:
it was found that the health intervention in conjunction with physical activities were effective in decreasing and/or controlling values for pressure, biochemical and anthropometric indicators.
Cardiovascular Nursing Archives - Revista Brasileira de Enfermagem
