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ORIGINAL ARTICLE
The (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy
Revista Brasileira de Enfermagem. 2024;77(2):e20230363
06-14-2024
Resumo
ORIGINAL ARTICLEThe (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy
Revista Brasileira de Enfermagem. 2024;77(2):e20230363
06-14-2024DOI 10.1590/0034-7167-2023-0363
Visualizações0Ver maisABSTRACT
Objective:
To analyze the social representations of fibromyalgia based on its symptoms and their influences on diagnosis and therapy.
Methods:
Qualitative research with the application of the Theory of Social Representations and snowball sampling method. Semi-structured interviews were conducted with 30 adults diagnosed with fibromyalgia in the city of Rio de Janeiro, Brazil, between April 2020 and January 2021. Statistical and lexicographical analysis was performed using Alceste software.
Results:
Pain, as a subjective phenomenon, complicates its legitimacy, diagnosis, and therapy, enhancing suffering. Insufficient information generates judgments, stereotypes, and prejudices.
Final Considerations:
Stigmas, prejudices, the variety and invisibility of symptoms make it difficult to objectify the disease within the Cartesian-biomedical frameworks, generating diagnostic pilgrimage, mistakes, and challenges in treatment. Such representations hinder relationships and the management of the disease. Deconstructing them is a way to better care for those with fibromyalgia. Raising awareness and spreading qualified information are important allies.
Visualizações0
Resumo
ORIGINAL ARTICLEThe (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy
Revista Brasileira de Enfermagem. 2024;77(2):e20230363
06-14-2024DOI 10.1590/0034-7167-2023-0363
Visualizações0Ver maisABSTRACT
Objective:
To analyze the social representations of fibromyalgia based on its symptoms and their influences on diagnosis and therapy.
Methods:
Qualitative research with the application of the Theory of Social Representations and snowball sampling method. Semi-structured interviews were conducted with 30 adults diagnosed with fibromyalgia in the city of Rio de Janeiro, Brazil, between April 2020 and January 2021. Statistical and lexicographical analysis was performed using Alceste software.
Results:
Pain, as a subjective phenomenon, complicates its legitimacy, diagnosis, and therapy, enhancing suffering. Insufficient information generates judgments, stereotypes, and prejudices.
Final Considerations:
Stigmas, prejudices, the variety and invisibility of symptoms make it difficult to objectify the disease within the Cartesian-biomedical frameworks, generating diagnostic pilgrimage, mistakes, and challenges in treatment. Such representations hinder relationships and the management of the disease. Deconstructing them is a way to better care for those with fibromyalgia. Raising awareness and spreading qualified information are important allies.
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ORIGINAL ARTICLE
Coping with the health condition from the perspective of people with HIV who abandoned treatment
- Juliete Bispo dos Santos Mandu
, - Elen Ferraz Teston ,
- Gleice Kelli Santana de Andrade ,
- Sonia Silva Marcon
10-17-2022
Resumo
ORIGINAL ARTICLECoping with the health condition from the perspective of people with HIV who abandoned treatment
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210958
10-17-2022DOI 10.1590/0034-7167-2021-0958
- Juliete Bispo dos Santos Mandu ,
- Elen Ferraz Teston ,
- Gleice Kelli Santana de Andrade ,
- Sonia Silva Marcon
Visualizações0ABSTRACT
Objectives:
to understand how people living with HIV who have abandoned treatment face their health condition.
Methods:
a qualitative study, based on the Chronic Care Model theoretical precepts. Data were collected between April and August 2021, through interviews with 24 people registered in a specialized service in the Brazilian Midwest.
Results:
coping with the health condition included good and bad moments and is influenced by individual behaviors and the way in which the network was organized. Treatment abandonment was motivated by the absence of signs and symptoms, the way care is provided and medication side effects.
Final Considerations:
care actions focusing on behavior change and maintenance become necessary in order to favor continuity of treatment. Furthermore, the gaps identified in the way health services are organized are subject to intervention.
Palavras-chave: Acquired Immunodeficiency SyndromeChronic CareContinuity of Patient CareHIVTherapeuticsVer maisVisualizações0Resumo
ORIGINAL ARTICLECoping with the health condition from the perspective of people with HIV who abandoned treatment
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210958
10-17-2022DOI 10.1590/0034-7167-2021-0958
- Juliete Bispo dos Santos Mandu ,
- Elen Ferraz Teston ,
- Gleice Kelli Santana de Andrade ,
- Sonia Silva Marcon
Visualizações0ABSTRACT
Objectives:
to understand how people living with HIV who have abandoned treatment face their health condition.
Methods:
a qualitative study, based on the Chronic Care Model theoretical precepts. Data were collected between April and August 2021, through interviews with 24 people registered in a specialized service in the Brazilian Midwest.
Results:
coping with the health condition included good and bad moments and is influenced by individual behaviors and the way in which the network was organized. Treatment abandonment was motivated by the absence of signs and symptoms, the way care is provided and medication side effects.
Final Considerations:
care actions focusing on behavior change and maintenance become necessary in order to favor continuity of treatment. Furthermore, the gaps identified in the way health services are organized are subject to intervention.
Palavras-chave: Acquired Immunodeficiency SyndromeChronic CareContinuity of Patient CareHIVTherapeuticsVer mais - Juliete Bispo dos Santos Mandu
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REVIEW
Factors associated with inadequate treatment of syphilis during pregnancy: an integrative review
- Paula Marília Afonso Torres ,
- Amanda Ribeiro de Paula Reis ,
- Andressa Silva Torres dos Santos ,
- Nádia Bruna da Silva Negrinho ,
- Mayra Gonçalves Menegueti , [ ... ],
- Elucir Gir
09-09-2022
Resumo
REVIEWFactors associated with inadequate treatment of syphilis during pregnancy: an integrative review
Revista Brasileira de Enfermagem. 2022;75(6):e20210965
09-09-2022DOI 10.1590/0034-7167-2021-0965
- Paula Marília Afonso Torres ,
- Amanda Ribeiro de Paula Reis ,
- Andressa Silva Torres dos Santos ,
- Nádia Bruna da Silva Negrinho ,
- Mayra Gonçalves Menegueti ,
- Elucir Gir
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the evidence available in literature on factors associated with inadequate treatment of syphilis in pregnant women.
Methods:
an integrative review, carried out in the LILACS, CINAHL, Web of Science, Scopus, PubMed and EMBASE databases, with controlled descriptors therapeutic and prenatal syphilis.
Results:
nine publications composed the interpretative analysis, in which low education, income and maternal age, temporary lack of medication and HIV infection were associated with inadequate treatment of syphilis during pregnancy, in addition to delay or absence of prenatal care and receiving the 1st dose of penicillin, lack of tests or treatment less than 30 days before childbirth, and partners’ low compliance with treatment.
Final Considerations:
among the main factors associated with inadequate treatment, clinical and sociodemographic aspects stand out, as well as failures in drug dispensing, prescription and monitoring of treatment of pregnant women and their partners by the health system.
Visualizações0Resumo
REVIEWFactors associated with inadequate treatment of syphilis during pregnancy: an integrative review
Revista Brasileira de Enfermagem. 2022;75(6):e20210965
09-09-2022DOI 10.1590/0034-7167-2021-0965
- Paula Marília Afonso Torres ,
- Amanda Ribeiro de Paula Reis ,
- Andressa Silva Torres dos Santos ,
- Nádia Bruna da Silva Negrinho ,
- Mayra Gonçalves Menegueti ,
- Elucir Gir
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the evidence available in literature on factors associated with inadequate treatment of syphilis in pregnant women.
Methods:
an integrative review, carried out in the LILACS, CINAHL, Web of Science, Scopus, PubMed and EMBASE databases, with controlled descriptors therapeutic and prenatal syphilis.
Results:
nine publications composed the interpretative analysis, in which low education, income and maternal age, temporary lack of medication and HIV infection were associated with inadequate treatment of syphilis during pregnancy, in addition to delay or absence of prenatal care and receiving the 1st dose of penicillin, lack of tests or treatment less than 30 days before childbirth, and partners’ low compliance with treatment.
Final Considerations:
among the main factors associated with inadequate treatment, clinical and sociodemographic aspects stand out, as well as failures in drug dispensing, prescription and monitoring of treatment of pregnant women and their partners by the health system.
- Paula Marília Afonso Torres
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REVIEW
Products and technologies for treating patients with evidence-based pressure ulcers
- Tatiana Neves Figueira ,
- Marli Terezinha Stein Backes ,
- Neide da Silva Knihs ,
- Isabel Cristina Alves Maliska ,
- Lúcia Nazareth Amante , [ ... ],
- Maria Lígia dos Reis Bellaguarda
08-30-2021
Resumo
REVIEWProducts and technologies for treating patients with evidence-based pressure ulcers
Revista Brasileira de Enfermagem. 2021;74(5):e20180686
08-30-2021DOI 10.1590/0034-7167-2018-0686
- Tatiana Neves Figueira ,
- Marli Terezinha Stein Backes ,
- Neide da Silva Knihs ,
- Isabel Cristina Alves Maliska ,
- Lúcia Nazareth Amante ,
- Maria Lígia dos Reis Bellaguarda
Visualizações0Ver maisABSTRACT
Objective:
to identify products/technologies for treating patients with pressure ulcers with an evidence level 1.
Method:
this is an integrative literature review. A survey of studies was carried out using the United States National Library of Medicine Portal, Scientific Electronic Library Online, Virtual Health Library, National Library of Medicine(®), The Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean in Health Sciences, Nursing Database.
Results:
sixteen articles were selected with level of evidence 1. The findings were categorized into five categories: Topical therapy to promote healing; Alternative therapy to promote healing; Topical therapy to promote debridement; Topical therapy to minimize lesion contamination; Topical therapy to reduce lesion size.
Final considerations:
the 17 products/technologies identified favor/fast healing, debridement, minimize contamination and reduce lesion size to accelerate healing.
Visualizações0Resumo
REVIEWProducts and technologies for treating patients with evidence-based pressure ulcers
Revista Brasileira de Enfermagem. 2021;74(5):e20180686
08-30-2021DOI 10.1590/0034-7167-2018-0686
- Tatiana Neves Figueira ,
- Marli Terezinha Stein Backes ,
- Neide da Silva Knihs ,
- Isabel Cristina Alves Maliska ,
- Lúcia Nazareth Amante ,
- Maria Lígia dos Reis Bellaguarda
Visualizações0Ver maisABSTRACT
Objective:
to identify products/technologies for treating patients with pressure ulcers with an evidence level 1.
Method:
this is an integrative literature review. A survey of studies was carried out using the United States National Library of Medicine Portal, Scientific Electronic Library Online, Virtual Health Library, National Library of Medicine(®), The Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean in Health Sciences, Nursing Database.
Results:
sixteen articles were selected with level of evidence 1. The findings were categorized into five categories: Topical therapy to promote healing; Alternative therapy to promote healing; Topical therapy to promote debridement; Topical therapy to minimize lesion contamination; Topical therapy to reduce lesion size.
Final considerations:
the 17 products/technologies identified favor/fast healing, debridement, minimize contamination and reduce lesion size to accelerate healing.
- Tatiana Neves Figueira
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ORIGINAL ARTICLE
Tuberculosis: evaluation of the time between identification of symptoms and beginning of treatment
- Lívia Félix de Oliveira ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataíde Rodrigues ,
- Pedro Fredemir Palha
09-07-2020
Resumo
ORIGINAL ARTICLETuberculosis: evaluation of the time between identification of symptoms and beginning of treatment
Revista Brasileira de Enfermagem. 2020;73(6):e20180902
09-07-2020DOI 10.1590/0034-7167-2018-0902
- Lívia Félix de Oliveira ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataíde Rodrigues ,
- Pedro Fredemir Palha
Visualizações0Ver maisABSTRACT
Objective:
To analyze the time elapsed between the identification of respiratory symptoms and the beginning of tuberculosis treatment, considering the sputum smear microscopy and the RMT.
Method:
Descriptive, retrospective epidemiological study, carried out in two Health Units, which were the only units that performed diagnosis by sputum smear microscopy and Rapid Molecular Test in the city. Data on respiratory symptoms with a positive result for tuberculosis were used. Analysis of data distribution and variance was performed, with a significance level of 5%.
Results:
The longest time interval found was “result/beginning of treatment”, for both tests, with a median of 3 days. It was found that the patient takes longer to receive the result when performing the Rapid Molecular Test.
Conclusion:
Patients who had the Rapid Molecular Test waited longer for results when compared to sputum smear microscopy, leading to a reflection on the need for further studies on the operation of health services.
Visualizações0Resumo
ORIGINAL ARTICLETuberculosis: evaluation of the time between identification of symptoms and beginning of treatment
Revista Brasileira de Enfermagem. 2020;73(6):e20180902
09-07-2020DOI 10.1590/0034-7167-2018-0902
- Lívia Félix de Oliveira ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataíde Rodrigues ,
- Pedro Fredemir Palha
Visualizações0Ver maisABSTRACT
Objective:
To analyze the time elapsed between the identification of respiratory symptoms and the beginning of tuberculosis treatment, considering the sputum smear microscopy and the RMT.
Method:
Descriptive, retrospective epidemiological study, carried out in two Health Units, which were the only units that performed diagnosis by sputum smear microscopy and Rapid Molecular Test in the city. Data on respiratory symptoms with a positive result for tuberculosis were used. Analysis of data distribution and variance was performed, with a significance level of 5%.
Results:
The longest time interval found was “result/beginning of treatment”, for both tests, with a median of 3 days. It was found that the patient takes longer to receive the result when performing the Rapid Molecular Test.
Conclusion:
Patients who had the Rapid Molecular Test waited longer for results when compared to sputum smear microscopy, leading to a reflection on the need for further studies on the operation of health services.
- Lívia Félix de Oliveira
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ORIGINAL ARTICLE
The intersection between being a nurse and being a therapist in Mental Health
Revista Brasileira de Enfermagem. 2020;73(1):e20180134
02-10-2020
Resumo
ORIGINAL ARTICLEThe intersection between being a nurse and being a therapist in Mental Health
Revista Brasileira de Enfermagem. 2020;73(1):e20180134
02-10-2020DOI 10.1590/0034-7167-2018-0134
Visualizações0Ver maisABSTRACT
Objective:
to discuss the intersection between being a nurse/being a therapist in the mental health field.
Method:
exploratory, qualitative study based on a self-report interview conducted with ten nurses from a psychiatric hospital in Rio de Janeiro between June and July 2017. Data were analyzed in the light of Travelbee’s theory.
Results:
Nurses consider themselves therapists because of actions performed in mental health care practice, despite the theoretical fragmentation of interpersonal relationships identified in the distance from the promotion of self-knowledge, which is an essential element in the psychotherapeutic process.
Final considerations:
the strong relationship between being and doing in nursing stands out and favors the development of satisfactory therapeutic relationships with the hospitalized person.
Visualizações0Resumo
ORIGINAL ARTICLEThe intersection between being a nurse and being a therapist in Mental Health
Revista Brasileira de Enfermagem. 2020;73(1):e20180134
02-10-2020DOI 10.1590/0034-7167-2018-0134
Visualizações0Ver maisABSTRACT
Objective:
to discuss the intersection between being a nurse/being a therapist in the mental health field.
Method:
exploratory, qualitative study based on a self-report interview conducted with ten nurses from a psychiatric hospital in Rio de Janeiro between June and July 2017. Data were analyzed in the light of Travelbee’s theory.
Results:
Nurses consider themselves therapists because of actions performed in mental health care practice, despite the theoretical fragmentation of interpersonal relationships identified in the distance from the promotion of self-knowledge, which is an essential element in the psychotherapeutic process.
Final considerations:
the strong relationship between being and doing in nursing stands out and favors the development of satisfactory therapeutic relationships with the hospitalized person.
Therapeutics Archives - Revista Brasileira de Enfermagem
