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RESEARCH01-01-2018
Factors associated to the dependence of older adults with diabetes mellitus type 2
Revista Brasileira de Enfermagem. 2018;71:868-875
Abstract
RESEARCHFactors associated to the dependence of older adults with diabetes mellitus type 2
Revista Brasileira de Enfermagem. 2018;71:868-875
DOI 10.1590/0034-7167-2017-0285
Views0See moreABSTRACT
Objective:
to identify factors associated to the dependence of older adults with Diabetes Mellitus, Type 2
Method:
analytical and epidemiological study with 99 older adults. The Brazilian Multidimensional Functional Assessment Questionnaire and a questionnaire composed by socio-demographic and clinical variables were used. The independent variables were described and compared to the level of dependence obtained by the chi-square test or the Fisher test, the strength of association was estimated by Odds Ratio and multiple regression.
Results:
the level of dependence prevailed in 79.8% of the sample. Higher chances of dependence were associated to: cutting toenails; performing household chores; presenting geriatric problems; urinary incontinence; time of diagnosis of diabetes; falls in the past year; and physical inactivity.
Conclusion:
considering the positive association of diabetes mellitus to the increased chance of dependence among older adults, there is need for direction and adoption of effective measures to ensure the functionality and quality of life of older adults with diabetes mellitus in a fair and democratic way.
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RESEARCH01-01-2018
Self-perceived health and clinical-functional vulnerability of the elderly in Belo Horizonte/Minas Gerais
Revista Brasileira de Enfermagem. 2018;71:860-867
Abstract
RESEARCHSelf-perceived health and clinical-functional vulnerability of the elderly in Belo Horizonte/Minas Gerais
Revista Brasileira de Enfermagem. 2018;71:860-867
DOI 10.1590/0034-7167-2017-0135
Views0See moreABSTRACT
Objective:
To determine the self-perceived health status and clinical-functional vulnerability of the elderly attended at a Reference Center of Minas Gerais, Brazil and to evaluate the association between these variables through the Clinical-Functional Vulnerability Index (IVCF-20) instrument.
Method:
This is an epidemiological, retrospective study of 311 medical records. Statistical analyses were performed using the Stata program; the evaluations were by Pearson’s Chi-square test and Poisson regression models.
Results:
The majority of the elderly presented negative self-perceived health status(70.10%); there was statistical significance between negative self-perceived health and the variables of mood and recent hospitalization.
Conclusion:
Perceived health status influences the morbidity and mortality of the elderly. Mood disorders and recent hospitalizations directly interfere with active aging.
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RESEARCH01-01-2018
Social representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71:851-859
Abstract
RESEARCHSocial representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71:851-859
DOI 10.1590/0034-7167-2017-0258
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Objective:
To understand the symbolic elements and the hierarchical system of representations of elderly people on falls, according to Abric’s structural analysis and Neuman’s theory.
Method:
Abric structural approach developed at the home of primary care users in a city of Minas Gerais. A free evocation technique of images triggered by images was performed in 2016 with elderly individuals (≥65 years old). Data treated by dictionary of equivalent terms; processed in Evoc 2000 software converging, analytically, according to Neuman. Ethical/legal criteria were met.
Results:
195 people participated, 78.5% were women, and 45.1% were aged ≥75 years. Summarized 897 words; 155 different ones. Central nucleus containing cognates: dizziness-vertigo-labyrinthitis and slipper-shoes (behavioral and objective dimension). The word disease integrated the area of contrast. Environmental and personal stressors were identified according to Neuman.
Final considerations:
Objects and risk behaviors for falls integrated the representations, although environmental and personal stressors indicate the need for preventive interventions in the environment and in the intrapersonal dimension.
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RESEARCH01-01-2018
Elderly and caregiver demand: proposal for a care need classification
Revista Brasileira de Enfermagem. 2018;71:844-850
Abstract
RESEARCHElderly and caregiver demand: proposal for a care need classification
Revista Brasileira de Enfermagem. 2018;71:844-850
DOI 10.1590/0034-7167-2017-0123
Views0See moreABSTRACT
Objective:
To propose a care need classification for elderly people by identifying their functional demands.
Method:
Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE – Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly.
Results:
The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver).
Conclusion:
This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of care.
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RESEARCH01-01-2018
Elderly people with mental disorders: experiencing the use of psychotropic medicines
Revista Brasileira de Enfermagem. 2018;71:835-843
Abstract
RESEARCHElderly people with mental disorders: experiencing the use of psychotropic medicines
Revista Brasileira de Enfermagem. 2018;71:835-843
DOI 10.1590/0034-7167-2016-0159
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Objective:
To interpret the experience of the elderly with mental disorder in the use of psychotropic medicines.
Method:
Qualitative study in the interpretative modality, supported by the Grounded Theory. It was carried out from interviews with 16 elderly people with mental disorder and six relatives, totaling 22 participants.
Results:
In the experience of the use of psychotropic medicines, the elderly with mental disorders become aware of their condition, attribute meaning and establish strategies for the correct use. On the other hand, they express their dissatisfaction with being dependent on psychotropic medicines to live without symptoms, face their side effects and do not always use them correctly.
Conclusion:
The use of psychotropic medicines is a priority in the life of the elderly and, in view of the fragilities found, it is necessary a continuous monitoring of health professionals.
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RESEARCH01-01-2018
Validity and reliability of the Brazilian version of the Caregiver Reaction Assessment
Revista Brasileira de Enfermagem. 2018;71:827-834
Abstract
RESEARCHValidity and reliability of the Brazilian version of the Caregiver Reaction Assessment
Revista Brasileira de Enfermagem. 2018;71:827-834
DOI 10.1590/0034-7167-2017-0153
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Objective:
To analyze the validity based on the internal structure and reliability of the Brazilian version of the Caregiver Reaction Assessment (CRA) applied to informal caregivers of dependent elderly.
Method:
A methodological study with 120 informal caregivers of the elderly. Validity based on the internal structure evaluated by exploratory factorial analysis, with extraction of main factorial axes, varimax orthogonal rotation and retention of factors by parallel analysis. Reliability assessed by Cronbach’s alpha.
Results:
The instrument revealed a factorial structure different from the original version: three factors were identified, equivalent to subscales, self-esteem, daily activities and family support, with explained variance of 42%. The values of the Cronbach alpha for the items belonging to each subscale were, respectively: 0.71, 0.81 and 0.83.
Conclusion:
The Brazilian version of CRA presents good evidence of validity based on internal structure and is reliable, and can be used to assess the overload of informal caregivers of dependent elderly.
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RESEARCH01-01-2018
Board games: gerotechnology in nursing care practice
Revista Brasileira de Enfermagem. 2018;71:818-826
Abstract
RESEARCHBoard games: gerotechnology in nursing care practice
Revista Brasileira de Enfermagem. 2018;71:818-826
DOI 10.1590/0034-7167-2017-0365
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Objective:
To create a board game as a form of gerotechnology to promote active and healthy aging.
Method:
This was a qualitative, convergent care study conducted with 32 older adults. Individual interviews, creativity and sensitivity techniques, group discussions, and participant observations guided by Paulo Freire’s theoretical framework of problematization were used to produce data. The participants and researchers assessed the entire production process at the end of the study, after the gerotechnology was implemented in the groups. French discourse analysis was adopted.
Results:
Patented under registration no. BR 1020160107725, the game was created as a technological product based on the discussions with older adults, considering the conceptions, knowledge and practices shared by them about aging.
Final considerations:
The gerotechnology implemented in clinical nursing practices functioned as a playful resource to exercise self-determination and independence among older adults, boosting memory, self-esteem, socialization processes, exchanging experiences and shared learning.
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RESEARCH01-01-2018
Emergency care units and dimensions of accessibility to health care for the elderly
Revista Brasileira de Enfermagem. 2018;71:811-817
Abstract
RESEARCHEmergency care units and dimensions of accessibility to health care for the elderly
Revista Brasileira de Enfermagem. 2018;71:811-817
DOI 10.1590/0034-7167-2017-0440
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Objective:
to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units.
Methodo:
a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference.
Results:
According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services.
Final considerations:
Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.
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ORIGINAL ARTICLE03-30-2020
Team-Based Learning: a randomized clinical trial in undergraduate nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180621
Abstract
ORIGINAL ARTICLETeam-Based Learning: a randomized clinical trial in undergraduate nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180621
DOI 10.1590/0034-7167-2018-0621
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Objectives:
To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning.
Methods:
Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes.
Results:
Students’ apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students.
Conclusions:
Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.
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04-14-2021
Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200961
Abstract
Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200961
DOI 10.1590/0034-7167-2020-0961
Views0See moreABSTRACT
Objective:
To estimate the prevalence and factors associated with anxiety among multiprofessional health residents during the COVID-19 pandemic.
Methods:
Cross-sectional study, conducted in July 2020 with multiprofessional health residents (n = 67) from a university hospital. We used the Beck Anxiety Inventory to assess anxiety. Analyzing data through the chi-square test, likelihood ratio, and multiple analysis using Poisson regression with robust variance.
Results:
The proportion of moderate/severe anxiety was 31.3%, which showed significant association with working in sectors involving COVID-19 and directly with suspected/confirmed cases of COVID-19. During the multiple analysis, we found prevalence of anxiety in participants who needed psychological support after entering their residence and those who used psychotropic meds.
Conclusion:
The results seem to indicate that residents had their mental health impaired during the pandemic, but the maintenance of the variables in the model also suggests that they sought help to control anxiety.
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REVIEW12-13-2019
The use of children’s stories in nursing care for the child: an integrative review
Revista Brasileira de Enfermagem. 2019;72:333-342
Abstract
REVIEWThe use of children’s stories in nursing care for the child: an integrative review
Revista Brasileira de Enfermagem. 2019;72:333-342
DOI 10.1590/0034-7167-2018-0456
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Objective:
To identify how children’s stories can be used in child care.
Method:
Integrative literature review, conducted in databases between 2000 and 2018, in three languages. Full research articles were included that agreed with the following question: “How can children’s stories be used in child care?”.
Results:
From the analysis of 16 selected articles, three categories emerged: The use of stories in the hospital; Specialized nursing intervention; and Stories in the educational dimension.
Final considerations:
Evidence shows benefits to children, families, institutions and nursing. The use of children’s stories as a care intervention can occur in different situations and settings, values; boosts bonds, reduces anxiety in children and families, encourages children’s participation in care, and promotes health education. It is a low-cost and still incipient strategy in nursing.
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REVIEW12-13-2019
Interfaces of vulnerability dimensions in violence against children
Revista Brasileira de Enfermagem. 2019;72:343-347
Abstract
REVIEWInterfaces of vulnerability dimensions in violence against children
Revista Brasileira de Enfermagem. 2019;72:343-347
DOI 10.1590/0034-7167-2018-0463
Views0See moreABSTRACT
Objective:
present and discuss the potential use of the concept of vulnerability for the development of practices to address violence against children.
Method:
this is a theoretical study that presents the characteristics of the phenomenon of violence against children, to which the concept of vulnerability is applied.
Results:
proposal of a framework for the analysis of violence against children in the perspective of vulnerability, creating individual and collective dimensions. Violence against children, when analyzed in the perspective of this concept, broadens the understanding of this phenomenon, as it exposes aspects and conditions from outside the family that are co-responsible for the occurrence of this phenomenon.
Conclusion:
developing studies to identify the vulnerability of children to violence is essential for the development of practices to address this issue.
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ORIGINAL ARTICLE02-10-2020
Nursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
Abstract
ORIGINAL ARTICLENursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
DOI 10.1590/0034-7167-2018-0175
Views0See moreABSTRACT
Objective:
To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS).
Method:
A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis.
Results:
Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication.
Conclusion:
Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.
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REFLECTION02-05-2021
Empathic listening: welcoming strategy for nursing Professional in coping with with the coronavirus pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200721
Abstract
REFLECTIONEmpathic listening: welcoming strategy for nursing Professional in coping with with the coronavirus pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200721
DOI 10.1590/0034-7167-2020-0721
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Objective:
to reflect on empathic listening use as a welcoming strategy for nursing professionals to cope with the challenges during the pandemic caused by the new coronavirus.
Methods:
this is a reflection study based on updated data surveys and theoretical-conceptual aspects of Non-Violent Communication and empathic listening.
Results:
in the performance during the COVID-19 pandemic, nursing professionals are exposed to violence of different natures related to occupational stress, work overload, anguishes and silenced suffering, with implications for the workers’ health, who can be benefited and strengthened with empathetic listening.
Final considerations:
the health crisis has highlighted the weaknesses of the health system. Nursing acts as the largest contingent of the health workforce in coping with the pandemic. Empathetic listening is a powerful strategy in caring for and strengthening nursing professionals.
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ORIGINAL ARTICLE02-25-2022
Factors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
Abstract
ORIGINAL ARTICLEFactors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
DOI 10.1590/0034-7167-2021-0263
Views0See moreABSTRACT
Objective:
to determine the factors associated with stress, anxiety and depression, concomitantly, in nursing professionals who work in the hospital context.
Methods:
a quantitative and cross-sectional study with 353 nursing professionals from a hospital. A sociodemographic questionnaire and the Depression, Anxiety and Stress Scale-21 were used. Data were subjected to descriptive statistical analysis, difference and correlation tests.
Results:
the main factors associated with stress, anxiety and depression, concomitantly, were being female, compromised family and social support, lack of autonomy at work, hostile relationship with colleagues, lack of professional recognition and satisfaction, feeling of being overwhelmed and insecurity.
Conclusions:
demographic, physiological, social and work factors impact the levels of stress, anxiety and depression in nursing professionals. The adoption of coping strategies for modifiable factors should be considered, in order to provide better quality of life for these professionals.
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08-10-2020
Repercussions of intestinal ostomy on male sexuality: an integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190245
Abstract
Repercussions of intestinal ostomy on male sexuality: an integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190245
DOI 10.1590/0034-7167-2019-0245
Views2INTRODUCTIONThe intestinal ostomy, also known as stoma and ostomy, consists of an artificial opening, produced surgically, whose purpose is to divert the flow of effluents to the external environment. Such a condition can impact the lives of affected individuals due to transformations that affect human multi-dimensionality, including negative repercussions involving sexuality(–).In the United States of […]See more
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