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ORIGINAL ARTICLE
Preditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
- Maria Isabel da Conceição Dias Fernandes
, - Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida , [ … ],
- Ana Luisa Brandão de Carvalho Lira
05-03-2024
Abstract
ORIGINAL ARTICLEPreditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
05-03-2024DOI 10.1590/0034-7167-2022-0816
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Marcos Venícius de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreRESUMEN
Objetivos:
evaluar los factores de riesgo del exceso de volumen de líquido en pacientes en hemodiálisis.
Métodos:
estudio retrospectivo de casos y controles. Se incluyeron 392 pacientes (196 casos y 196 controles) de dos centros de hemodiálisis. Se evaluaron datos sociodemográficos y 23 factores de riesgo de exceso de volumen de líquido mediante un formulario de recolección de datos. Los datos se analizaron mediante un modelo de regresión logística multivariado.
Resultados:
factores de riesgo conocimiento insuficiente (OR=2,06), ingesta excesiva de líquidos (OR=2,33), retirada inadecuada de líquidos durante la hemodiálisis (OR=2,62) e ingesta excesiva de sodio (OR=1,91) pueden aumentar aproximadamente dos veces la posibilidad de que se produzca un exceso de volumen de líquido en pacientes en hemodiálisis. La educación (OR=0,95) y la edad (OR=0,97) son factores protectores del volumen excesivo de líquido.
Conclusiones:
conocer estos factores de riesgo puede ayudar a las enfermeras a realizar una inferencia diagnóstica precisa y rápida del riesgo de volumen excesivo de líquidos.
- Maria Isabel da Conceição Dias Fernandes
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REVIEW
Nursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
05-03-2024
Abstract
REVIEWNursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
05-03-2024DOI 10.1590/0034-7167-2023-0264
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Views0See moreABSTRACT
Objectives:
to map nursing interventions that empower the Family caregiver of the person with lower limb amputation for is role.
Methods:
scoping review guided by Joanna Briggs Institute methodology conducted in different databases (including gray literature).
Results:
six studies published between 2009 and 2021 were included. Interventions of counselling and support for patients and family; peer support interventions performed by a certified pair; involvement of caregivers or family members in support groups; and key interventions for patient and family caregiver psychological balance. Two studies discussed the importance of caregiver and amputee training and development of coping skills. Another study recommended Interventions of informative support for caregivers regarding care for the amputee and adaptation to home.
Conclusions:
results of this review allow the identification of recommendations (guidelines) for practice and recommendations/suggestions for interventions according with identified needs of family caregivers of patients with lower limb amputation.
- Diana Fonseca Rodrigues
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ORIGINAL ARTICLE
Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
05-03-2024
Abstract
ORIGINAL ARTICLECancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
05-03-2024DOI 10.1590/0034-7167-2023-0358
Views0See moreABSTRACT
Objectives:
to psychometrically validate the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire EORTC QLQ-INFO25 instrument and identify the domains that influence patients’ perception of the information received.
Methods:
a cross-sectional methodology with cancer patients in a Brazilian philanthropic hospital institution. Sociodemographic and clinical instruments, EORTC QLQ-C30, EORTC QLQ-INFO25 and Supportive Care Needs Survey – Short Form 34 were used. Analysis occurred using Cronbach’s alpha coefficients, intraclass correlation, test-retest and exploratory factor analysis.
Results:
128 respondents participated. Cronbach’s alpha coefficient was 0.85. The test-retest obtained p-value=0.21. In the factor analysis, one item was excluded. Satisfaction with the information received was 74%, with three areas with averages below 70%. In open-ended questions, there was a greater desire for information.
Conclusions:
validity evidence was obtained with instrument reliability, consistency and stability. Respondents expressed satisfaction with the information received.
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ORIGINAL ARTICLE
Predictors of excess fluid volume in hemodialysis patients: an observational study
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida , [ … ],
- Ana Luisa Brandão de Carvalho Lira
05-03-2024
Abstract
ORIGINAL ARTICLEPredictors of excess fluid volume in hemodialysis patients: an observational study
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
05-03-2024DOI 10.1590/0034-7167-2022-0816
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Marcos Venícius de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreABSTRACT
Objectives:
to assess risk factors for excess fluid volume in hemodialysis patients.
Methods:
a retrospective case-control study was conducted. A total of 392 patients (196 cases and 196 controls) from two hemodialysis centers were included. Sociodemographic data and 23 risk factors for excess fluid volume were assessed using a data collection form. Data were analyzed using a multivariate logistic regression model.
Results:
the insufficient knowledge (OR=2.06), excessive fluid intake (OR=2.33), inadequate fluid removal during hemodialysis (OR=2.62) and excessive sodium intake (OR=1.91) risk factors may increase the chance of occurrence of excess fluid volume in hemodialysis patients by approximately two times. Education level (OR=0.95) and age (OR=0.97) are protective factors for excessive fluid volume.
Conclusions:
knowing these risk factors may help nurses with accurate and rapid diagnostic inference of the risk of excessive fluid volume.
- Maria Isabel da Conceição Dias Fernandes
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REVIEW
Elements of fatherhood involved in the gestational period: a scoping review
- Willyane de Andrade Alvarenga ,
- Maria da Conceição Silva Castro Sousa ,
- Joice Kelly Lima de Sales ,
- Rhyquelle Rhibna Neris ,
- Francine DeMontigny , [ … ],
- Lucila Castanheira Nascimento
05-03-2024
Abstract
REVIEWElements of fatherhood involved in the gestational period: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230029
05-03-2024DOI 10.1590/0034-7167-2023-0029
- Willyane de Andrade Alvarenga ,
- Maria da Conceição Silva Castro Sousa ,
- Joice Kelly Lima de Sales ,
- Rhyquelle Rhibna Neris ,
- Francine DeMontigny ,
- Lucila Castanheira Nascimento
Views0See moreABSTRACT
Objective:
To identify in the literature and summarize the elements and characteristics of fatherhood involved during pregnancy.
Method:
Scoping review that used PRISMA-ScR guide to report this review. Searches were carried out in PubMed, CINAHL, PsycInfo, LILACS and Scopus. Google search engines and public health agency websites assisted in searches of gray literature and Rayyan in screening studies.
Results:
A total of 406 articles were identified, of which 16 made up the final sample. Five elements make up an involved fatherhood: feeling like a father, being a provider and protector, being a partner and participant in pregnancy, participating in prenatal appointments and feeling prepared to take care of a baby.
Conclusion:
Fathers want to be involved in prenatal care, but feel excluded from this process. Public policies that encourage paternal involvement and healthcare professional training to better welcome and promote paternal involvement are of paramount importance.
- Willyane de Andrade Alvarenga
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ORIGINAL ARTICLE
Josicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
- Ingredy Nayara Chiacchio Silva ,
- Gilberto Tadeu Reis da Silva ,
- Itanna Vytoria Sousa Serra ,
- Deybson Borba de Almeida ,
- Giselle Alves da Silva Teixeira , [ … ],
- Ana Lúcia Arcanjo Oliveira Cordeiro
05-03-2024
Abstract
ORIGINAL ARTICLEJosicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2024;77(1):e20230174
05-03-2024DOI 10.1590/0034-7167-2023-0174
- Ingredy Nayara Chiacchio Silva ,
- Gilberto Tadeu Reis da Silva ,
- Itanna Vytoria Sousa Serra ,
- Deybson Borba de Almeida ,
- Giselle Alves da Silva Teixeira ,
- Rosana Maria de Oliveira Silva ,
- Ana Lúcia Arcanjo Oliveira Cordeiro
Views0See moreABSTRACT
Objectives:
to analyze nurse Josicélia Dumêt Fernandes’ life story, with emphasis on her work in the psychiatry and mental health fields.
Methods:
historical, qualitative research. Semi-structured interviews and documentary research were used as data collection techniques, collected from September to October 2021. For data analysis, we opted for the content analysis method and comparison with the Foucauldian philosophical framework.
Results:
four categories emerged: Transforming herself and mental health practices; (Re)framing professional practice; Nursing practice and power relations; and The paths and implications in the psychiatry and mental health fields.
Final Considerations:
the study of the biographer demonstrates a search for transformation of herself and mental health practices, with a rupture in paradigms and reframing of her practice in psychiatry and mental health.
- Ingredy Nayara Chiacchio Silva
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ORIGINAL ARTICLE
What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
- Danielle Samara Tavares de Oliveira-Figueiredo ,
- Matteus Pio Gianotti Pereira Cruz Silva ,
- Paula Yhasmym de Oliveira Feitosa ,
- Bruna Cardoso Leite ,
- Fabiana Lucena Rocha , [ … ],
- Luciana Dantas Farias de Andrade
05-03-2024
Abstract
ORIGINAL ARTICLEWhat is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
Revista Brasileira de Enfermagem. 2024;77(1):e20220809
05-03-2024DOI 10.1590/0034-7167-2022-0809
- Danielle Samara Tavares de Oliveira-Figueiredo ,
- Matteus Pio Gianotti Pereira Cruz Silva ,
- Paula Yhasmym de Oliveira Feitosa ,
- Bruna Cardoso Leite ,
- Fabiana Lucena Rocha ,
- Luciana Dantas Farias de Andrade
Views0See moreABSTRACT
Objective:
To estimate the prevalence of multimorbidity in elderly people and its association with sociodemographic characteristics, lifestyle, and anthropometry.
Methods:
This was a cross-sectional study using data from the National Health Survey, 2019. A total of 22,728 elderly individuals from all 27 Brazilian states were randomly selected. Poisson regression models with robust variance were employed, and a significance level of 5% was adopted.
Results:
The prevalence of multimorbidity was 51.6% (95% CI: 50.4-52.7), with the highest estimates observed in the South and Southeast. Multimorbidity was associated with being female (aPR = 1.33; 95% CI: 1.27-1.39), being 80 years old or older (aPR = 1.12; 95% CI: 1.05-1.19), having low education (aPR = 1.16; 95% CI: 1.07-1.25), past cigarette use (aPR = 1.16; 95% CI: 1.11-1.21), insufficient physical activity (aPR = 1.13; 95% CI: 1.06-1.21), and screen use for 3 hours or more per day (aPR = 1.13; 95% CI: 1.08-1.18).
Conclusion:
Multimorbidity affects more than half of the elderly population in Brazil and is associated with social, demographic, and behavioral factors.
- Danielle Samara Tavares de Oliveira-Figueiredo
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ORIGINAL ARTICLE
Pregnancy loss in women with systemic lupus erythematosus: Grounded Theory
- Rebeca Rosa de Souza ,
- Mayckel da Silva Barreto ,
- Elen Ferraz Teston ,
- Maria Aparecida Salci ,
- Viviane Cazetta de Lima Vieira , [ … ],
- Sonia Silva Marcon
05-03-2024
Abstract
ORIGINAL ARTICLEPregnancy loss in women with systemic lupus erythematosus: Grounded Theory
Revista Brasileira de Enfermagem. 2024;77(1):e20230225
05-03-2024DOI 10.1590/0034-7167-2023-0225
- Rebeca Rosa de Souza ,
- Mayckel da Silva Barreto ,
- Elen Ferraz Teston ,
- Maria Aparecida Salci ,
- Viviane Cazetta de Lima Vieira ,
- Sonia Silva Marcon
Views0ABSTRACT
Objective:
to learn the meanings attributed to pregnancy loss by women with Lupus.
Method:
qualitative research, based on Symbolic Interactionism and Grounded Theory. Data collection took place between January and August 2022 through in-depth interviews. Data analysis went through the stages of initial and focused coding.
Results:
seventeen women participated. The central phenomenon “The climb to motherhood: falls and overcoming” was constructed, consisting of three categories: “Falling to the ground during the climb: the experience of pregnancy loss”; “Getting up and following the path: new attempts to conceive”; and “Remembering the journey: meanings attributed to pregnancy losses”.
Final considerations:
experiencing pregnancy is, analogously, like climbing a mountain, where obstacles need to be overcome to reach the summit. The experience of pregnancy loss is seen as complex, especially when there is fragility in healthcare and a lack of awareness regarding feelings of loss and grief.
Keywords:AbortionGrounded TheoryHigh-RiskPregnancySpontaneousSymbolic InteractionismSystemic Lupus ErythematosusSee more
- Rebeca Rosa de Souza
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ORIGINAL ARTICLE
Spatial analysis on tuberculosis and the network of primary health care
- Beatriz do Nascimento Leal ,
- Cristal Ribeiro Mesquita ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataide Rodrigues ,
- Lívia Félix de Oliveira , [ … ],
- Rosinelle Janayna Coelho Caldas
09-16-2019
Abstract
ORIGINAL ARTICLESpatial analysis on tuberculosis and the network of primary health care
Revista Brasileira de Enfermagem. 2019;72(5):1197-1202
09-16-2019DOI 10.1590/0034-7167-2017-0897
- Beatriz do Nascimento Leal ,
- Cristal Ribeiro Mesquita ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataide Rodrigues ,
- Lívia Félix de Oliveira ,
- Rosinelle Janayna Coelho Caldas
Views1See moreABSTRACT
Objective:
to analyze the spatial distribution of new cases of tuberculosis compared to the location of the Primary Healthcare Units that performed the compulsory notification.
Method:
ecological study conducted in Belém, Pará, with 5,294 new cases of tuberculosis notified to Sistema de Informação de Agravos de Notificação for the period from 2010 to 2014. The cases were georeferenced using the software applications ArcGis 10.2 and TerraView 4.2.2. The techniques of Kernel density and global Moran geostatistics were used.
Results:
the incidence of tuberculosis cases did not vary significantly between the years studied, however there was a variation in incidence between neighborhoods. Health units that exhibited higher number of notifications can suffer great influence of migration from nearby neighborhoods.
Conclusion:
the spatial dynamics of tuberculosis associated with health services allows to know the areas with increased risk of tuberculosis and the density of notifications of health units.
- Beatriz do Nascimento Leal
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ORIGINAL ARTICLE
Care complexity in hospitalized elderly according to cognitive performance
Revista Brasileira de Enfermagem. 2019;72:134-139
12-05-2019
Abstract
ORIGINAL ARTICLECare complexity in hospitalized elderly according to cognitive performance
Revista Brasileira de Enfermagem. 2019;72:134-139
12-05-2019DOI 10.1590/0034-7167-2018-0357
Views1See moreABSTRACT
Objective:
to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline.
Method:
quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP.
Results:
cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain.
Conclusion:
the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.
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ORIGINAL ARTICLE
Quality of life at work in a central sterile processing department
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes , [ … ],
- Nair Portela Silva Coutinho
03-09-2020
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
03-09-2020DOI 10.1590/0034-7167-2018-0792
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes ,
- Nair Portela Silva Coutinho
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life of nursing professionals who work in a central sterile processing department.
Methods:
a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.
Conclusions:
This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.
- Gliccia Morguethe Vieira Rego
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ORIGINAL ARTICLE
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
12-21-2020
Abstract
ORIGINAL ARTICLEDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
12-21-2020DOI 10.1590/0034-7167-2019-0559
Views1ABSTRACT
Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
Keywords:Educational TechnologyHealth EducationMethodological Research in NursingTechnological DevelopmentValidation StudiesSee more -
ORIGINAL ARTICLE
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion , [ … ],
- Gilselena Kerbauy
05-28-2021
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
05-28-2021DOI 10.1590/0034-7167-2020-0282
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion ,
- Gilselena Kerbauy
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
- Camila Brito Borguezam
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ORIGINAL ARTICLE
Prevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
- Luciana Regina Ferreira da Mata ,
- Cissa Azevedo ,
- Lívia Cristina de Resende Izidoro ,
- Darkiane Fernandes Ferreira ,
- Fabrícia Eduarda Baia Estevam , [ … ],
- Tânia Couto Machado Chianca
05-28-2021
Abstract
ORIGINAL ARTICLEPrevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
05-28-2021DOI 10.1590/0034-7167-2020-0692
- Luciana Regina Ferreira da Mata ,
- Cissa Azevedo ,
- Lívia Cristina de Resende Izidoro ,
- Darkiane Fernandes Ferreira ,
- Fabrícia Eduarda Baia Estevam ,
- Fabrícia Moreira Amorim Amaral ,
- Tânia Couto Machado Chianca
Views1See moreABSTRACT
Objectives:
to analyze urinary incontinence prevalence and severity in prostatectomized men assessed by three different instruments.
Methods:
a cross-sectional study was conducted with 152 men. The pad test, pad used, and International Consultation on Incontinence Questionnaire – Short Form (self-report) were considered. Data were analyzed using Spearman’s correlation, Kappa index, considering a significance level of 0.05.
Results:
urinary incontinence prevalence was 41.4%, 46.7% and 80.3% according to pad used, pad test and self-report. Positive correlations and moderate to poor agreement were found between the instruments. As for severity, most participants had mild incontinence. The largest number of cases of mild and severe incontinence was identified by self-report.
Conclusions:
the self-report showed higher values for prevalence of mild and severe severity levels. Through the identified differences, we propose that the objective assessment (pad used and pad test) be associated with individuals’ perception (self-report) to better estimate prevalence and severity.
- Luciana Regina Ferreira da Mata
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ORIGINAL ARTICLE
Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
07-30-2021
Abstract
ORIGINAL ARTICLECurricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
07-30-2021DOI 10.1590/0034-7167-2020-1242
Views1See moreABSTRACT
Objectives:
to discuss the curricular reforms adopted for nursing teaching in Brazil, from 1969 to 2019.
Methods:
historical, qualitative approach using the thematic oral history and document research. 13 interviews were carried out with graduation nursing professors from a federal university in the South of Brazil. The document sources were the political-pedagogical projects of the course and their associated documents. Minayo’s thematic analysis was used.
Results:
nursing curricula delineates the profile of the professional that must be formed and are reviewed in order to be adapted to social and educational changes, showing the scientific and professional potential of the nurse. Curricular reforms consider the quality of nursing formation.
Final Considerations:
the structure of the curriculum and the reforms that took place emerged according to the historical, political, epidemiological and social context demanded from the profession, to attend to the demands of society and to the work market.
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Overview of clinical trial protocols for behavioral insomnia in infants
Revista Brasileira de Enfermagem. 2021;74:e20200769
06-28-2021
Abstract
Overview of clinical trial protocols for behavioral insomnia in infants
Revista Brasileira de Enfermagem. 2021;74:e20200769
06-28-2021DOI 10.1590/0034-7167-2020-0769
Views1See moreABSTRACT
Objective:
to describe the overview of clinical trial protocols for behavioral insomnia in infants.
Methods:
an analytical study that reviewed protocols registered with the International Clinical Trials Registry Platform between August and September 2019, aiming to identify the interventions for behavioral insomnia in infants, the comparators, the main primary, secondary outcomes and their respective measurements.
Results:
eleven protocols registered between 2004 and 2018 were included. Nurses were the main coordinators of protocols (45.5%), with proposals using educational technologies, one-to-one and online follow-up consultations. The main outcome was improvement of infant and maternal sleep patterns. Secondary outcomes were anxiety, depression, and parental sexual satisfaction. To measure them, the following were used: sleep diary (54.5%), actigraphy (45.4%), and the Pittsburgh Sleep Quality Interview (36.3%) and Extended Brief Infant Sleep Questionnaire (27.2%) were used.
Conclusion:
the protocols proposed interventions for independent sleep, aiming at quality of sleep for the whole family.
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ORIGINAL ARTICLE
Nursing team knowledge on care for patients with fungating wounds
- Fernanda Mateus Queiroz Schmidt ,
- Flávia Firmino ,
- Nariman de Felício Bortucan Lenza ,
- Vera Lúcia Conceição de Gouveia Santos
02-10-2020
Abstract
ORIGINAL ARTICLENursing team knowledge on care for patients with fungating wounds
Revista Brasileira de Enfermagem. 2020;73(1):e20170738
02-10-2020DOI 10.1590/0034-7167-2017-0738
- Fernanda Mateus Queiroz Schmidt ,
- Flávia Firmino ,
- Nariman de Felício Bortucan Lenza ,
- Vera Lúcia Conceição de Gouveia Santos
Views0See moreABSTRACT
Objective:
to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors.
Method:
an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation.
Results:
37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers.
Conclusion:
there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.
- Fernanda Mateus Queiroz Schmidt
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REVIEW
Epidemiological profile of children and adolescents with COVID-19: a scoping review
- Fabiane Blanco Silva Bernardino ,
- Lidiane Cristina da Silva Alencastro ,
- Ronaldo Antonio da Silva ,
- Antonia Dinágila do Nascimento Ribeiro ,
- Geovane Roberto de Campos Castilho , [ … ],
- Maria Aparecida Munhoz Gaíva
01-29-2021
Abstract
REVIEWEpidemiological profile of children and adolescents with COVID-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74:e20200624
01-29-2021DOI 10.1590/0034-7167-2020-0624
- Fabiane Blanco Silva Bernardino ,
- Lidiane Cristina da Silva Alencastro ,
- Ronaldo Antonio da Silva ,
- Antonia Dinágila do Nascimento Ribeiro ,
- Geovane Roberto de Campos Castilho ,
- Maria Aparecida Munhoz Gaíva
Views0See moreABSTRACT
Objective:
to map the epidemiological profile of children and adolescents with COVID-19 in the world literature.
Methods:
a scoping review systematized by the Joanna Briggs Institute protocol in the PubMed/MEDLINE, CINAHL, Web of Science, Scopus, Science direct and Google Scholar databases. Articles with children and/or adolescents with laboratory diagnosis of COVID-19 were used.
Results:
thirty-two articles were included in the review. Most children and adolescents were male, with contamination by family transmission. The most frequent clinical manifestations were fever, cough and diarrhea. Ten studies cited pre-existing condition/disease, and hospital length ranged from one to twenty days. Three deaths were reported and no study presented race/color, education and socioeconomic conditions.
Conclusion:
it was possible to screen the epidemiological profile with information about age group, sex, probable contamination of the disease, clinical manifestations, presence of pre-existing disease/condition, hospitalization and deaths among children and adolescents with COVID-19.
- Fabiane Blanco Silva Bernardino
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ORIGINAL ARTICLE
Why does your pain never get better? Stigma and coping mechanism in people with sickle cell disease
- Evanilda Souza de Santana Carvalho ,
- Jayanne Moreira Carneiro ,
- Aline Silva Gomes ,
- Katia Santana Freitas ,
- Coretta Melissa Jenerette
06-18-2021
Abstract
ORIGINAL ARTICLEWhy does your pain never get better? Stigma and coping mechanism in people with sickle cell disease
Revista Brasileira de Enfermagem. 2021;74(3):e20200831
06-18-2021DOI 10.1590/0034-7167-2020-0831
- Evanilda Souza de Santana Carvalho ,
- Jayanne Moreira Carneiro ,
- Aline Silva Gomes ,
- Katia Santana Freitas ,
- Coretta Melissa Jenerette
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Objectives:
to analyze the characteristics of stigma in the interactions of people with pain and sickle cell disease and the coping strategies adopted.
Methods:
qualitative study, conducted in Bahia’s reference units between January and July 2018. In-depth interviews were applied to 25 adults, followed by content analysis and interpretation in light of the Sociological Theory of Stigma.
Results:
four categories emerged from the data: Stigma in interactions with family members; Stigma in interactions with people in the general public; Stigma in interactions with health workers; and Strategies for coping with stigma.
Final Considerations:
in the participants’ interactions, stigma produced discrediting pain reports, labeling and stereotyping, blaming patients for not improving their health, discrimination, racism, inadequate pain assessment, and delay in care. Coping included silencing, covering up, aggressive behavior, exposure to risk, reading religious texts and praises, and church attendance.
- Evanilda Souza de Santana Carvalho
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ORIGINAL ARTICLE
Nurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring
- Carla Braz Evangelista ,
- Maria Emília Limeira Lopes ,
- Solange Fátima Geraldo da Costa ,
- Patrícia Serpa de Souza Batista ,
- Marcella Costa Souto Duarte , [ … ],
- Betânia da Mata Ribeiro Gomes
09-24-2022
Abstract
ORIGINAL ARTICLENurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring
Revista Brasileira de Enfermagem. 2022;75(1):e20210029
09-24-2022DOI 10.1590/0034-7167-2021-0029
- Carla Braz Evangelista ,
- Maria Emília Limeira Lopes ,
- Solange Fátima Geraldo da Costa ,
- Patrícia Serpa de Souza Batista ,
- Marcella Costa Souto Duarte ,
- Gilvânia Smith da Nóbrega Morais ,
- Jael Rubia figueiredo de Sá França ,
- Betânia da Mata Ribeiro Gomes
Views0See moreABSTRACT
Objectives:
to analyze nurses’ role in assisting patients in palliative care, with emphasis on the spiritual dimension, in the light of Theory of Human Caring.
Methods:
this is an exploratory, qualitative study, carried out in a hospital in João Pessoa, Paraíba, between August and December 2019, with 10 nurses. For data collection, semi-structured interviews were used. For analysis, we opted for content analysis.
Results:
the spiritual dimension of care is contemplated by several religious and spiritual practices. These are respected and encouraged by nurses, although there is difficulty in providing care for the spiritual dimension.
Final Considerations:
nurses have attitudes consistent with Jean Watson’s Theory and apply the Caritas Process elements during assistance to patients’ spiritual dimension in palliative care.
- Carla Braz Evangelista
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ORIGINAL ARTICLE
Mental health in primary health care: health-disease according to health professionals
- Sônia Barros ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Jussara Carvalho dos Santos ,
- Laís Mariana da Fonseca ,
- Lara Simone Messias Floriano
10-21-2019
Abstract
ORIGINAL ARTICLEMental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
10-21-2019DOI 10.1590/0034-7167-2018-0743
- Sônia Barros ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Jussara Carvalho dos Santos ,
- Laís Mariana da Fonseca ,
- Lara Simone Messias Floriano
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Objective:
to analyze perceptions of the Family Health Strategy (FHS) professional team about mental health-disorder and to identify health actions developed by the team for people with mental disorders.
Method:
a qualitative study of a Marxist theoretical framework and a dialectical method. 99 FHS middle and higher level professionals from São Paulo participated. Semi-structured interviews were conducted. Data were submitted to ALCESTE software and Thematic Content Analysis.
Results:
there were three empirical categories: Training in Mental Health; Perception of the FHS professional about mental health-disorder; and Health actions developed by the FHS team with people with mental disorders. Actions that converge and diverge from the psychosocial care model were identified.
Final considerations:
there is an effort from professionals to work according to the psychosocial care model, but it is necessary to invest in the Permanent Education in Health of these professionals to overcome barriers and foster successful territorial actions.
- Sônia Barros
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ORIGINAL ARTICLE
Factors associated with depressive symptoms in older adults in context of social vulnerability
- Letícia Souza Didoné ,
- Isabela Thaís Machado de Jesus ,
- Ariene Angelini Santos-Orlandi ,
- Sofia Cristina Iost Pavarini ,
- Fabiana de Souza Orlandi , [ … ],
- Marisa Silvana Zazzetta
06-01-2020
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in older adults in context of social vulnerability
Revista Brasileira de Enfermagem. 2020;73:e20190107
06-01-2020DOI 10.1590/0034-7167-2019-0107
- Letícia Souza Didoné ,
- Isabela Thaís Machado de Jesus ,
- Ariene Angelini Santos-Orlandi ,
- Sofia Cristina Iost Pavarini ,
- Fabiana de Souza Orlandi ,
- Letícia Pimenta Costa-Guarisco ,
- Aline Cristina Martins Gratão ,
- Karina Gramany-Say ,
- Marcia Regina Cominetti ,
- Grace Angélica de Oliveira Gomes ,
- Marisa Silvana Zazzetta
Views0See moreABSTRACT
Objective:
To identify factors associated with depressive symptoms in the elderly inserted in a context of high social vulnerability.
Methods:
A cross-sectional study was carried out with 302 elderly people enrolled in Primary Care. We used a sociodemographic questionnaire, Geriatric Depression Scale, Mini Nutritional Assessment, Shor-form-6D Quality of Life Questionnaire and Medical Outcome Study Scale. For data analysis, a logistic regression was performed considering two groups, with and without depressive symptoms.
Results:
A good perception of the quality of life (OR: 0.21) and receiving emotional support (OR: 0.98) were presented as protective factors for depression, have risks of malnutrition (OR: 4.87), belong to the female sex OR: 1.88) and living alone (OR: 2.34), indicated a predictor factor for depression.
Conclusion:
Quality of life and social support were identified as protective factors for depressive symptoms while being at risk of malnutrition, living alone, reporting pain and being female are predictors.
- Letícia Souza Didoné
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ORIGINAL ARTICLE
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
03-24-2021
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
03-24-2021DOI 10.1590/0034-7167-2020-0275
Views0See moreABSTRACT
Objectives:
to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.
Methods:
a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.
Results:
a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).
Conclusions:
hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
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ORIGINAL ARTICLE
Music in the relief of stress and distress in cancer patients
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
05-21-2021
Abstract
ORIGINAL ARTICLEMusic in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
05-21-2021DOI 10.1590/0034-7167-2019-0838
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Views0See moreABSTRACT
Objectives:
to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.
Methods:
quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.
Results:
the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.
Conclusions:
the use of music diminishes the stress and the distress of cancer patients.
- Mariana Scheidegger dos Santos
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