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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
Views0See moreABSTRACT
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
Views0See moreABSTRACT
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
Views0See moreABSTRACT
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
Views0See moreABSTRACT
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
Views0See moreABSTRACT
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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REVIEW07-06-2020
Patient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
Abstract
REVIEWPatient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
DOI 10.1590/0034-7167-2019-0209
Views1See moreABSTRACT
Objectives:
to identify the patient safety challenges described by health professionals in Primary Health Care.
Methods:
a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included.
Results:
the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety.
Conclusions:
patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.
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07-16-2021
Sleep quality and its association with menopausal and climacteric symptoms
- Mariana Alvina dos Santos
, - Aline Nascimento Vilerá ,
- Anneliese Domingues Wysocki ,
- Flávia Helena Pereira ,
- Deíse Moura de Oliveira , [ … ],
- Vinícius Batista Santos
Abstract
Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
DOI 10.1590/0034-7167-2020-1150
- Mariana Alvina dos Santos ,
- Aline Nascimento Vilerá ,
- Anneliese Domingues Wysocki ,
- Flávia Helena Pereira ,
- Deíse Moura de Oliveira ,
- Vinícius Batista Santos
Views0See moreABSTRACT
Objective:
to assess sleep quality in menopausal women and its association with symptoms related to this period.
Method:
this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant.
Results:
261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale.
Conclusion:
women with worse sleep quality revealed greater severity of symptoms related to menopause.
- Mariana Alvina dos Santos
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ORIGINAL ARTICLE08-10-2020
Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
Abstract
ORIGINAL ARTICLEEliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
DOI 10.1590/0034-7167-2018-0950
Views0See moreABSTRACT
Objectives:
to analyze theoretical conceptions of Eliot Freidson’s Sociology of Professions scoped on health and nursing professions.
Methods:
Eight nurses were interviewed, all involved in the development of the professional Council on the timeframe from 1975 to 1986. Documental resources were Laws, Ordinances, Resolutions, Reports, Meeting Minutes and Public Deeds. Information was organized as from literature and Eliot Freidson’s conceptions, and thematic content analysis was carried out.
Results:
the concepts authored by Eliot Freidson allowed for the development of a concept chart that portrays the nursing profession and that may be expanded for the other occupations in the health field, in consonance with professional organization in the country.
Final Considerations:
Eliot Freidson’s framework, in interpretation for nursing, consolidates the profession with relative autonomy, expertise by Nursing Care Systematization and credentialism by professional normalizations.
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REVIEW01-20-2021
Psychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
Abstract
REVIEWPsychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
DOI 10.1590/0034-7167-2020-0198
Views0See moreABSTRACT
Objective:
to identify, in international scientific production, the main psychosocial factors in nursing work, found through the Copenhagen Psychosocial Questionnaire (COPSOQ) application.
Methods:
a systematic review study of psychosocial factors at work among nursing professionals, who used COPSOQ in the assessment of work environments.
Results:
fifteen articles were identified, which highlighted as main psychosocial dimensions of nursing work demands, work organization, social relationships and leadership, work-home interface, workplace health and well-being and offensive behaviors.
Conclusion:
the high demands for cognitive, emotional work and work pace were identified in the nursing routine. Management support had a positive impact. Physical and psychological violence and shift work interfere in family life, aggravating the fatigue of these professionals. Interventions for reducing work stress presuppose the identification of psychosocial factors involved in nursing work.
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ORIGINAL ARTICLE12-05-2019
Factors associated with frailty syndrome in the rural elderly
- Patrícia Mirapalheta Pereira de Llano ,
- Celmira Lange ,
- Carlos Alberto da Cruz Sequeira ,
- Vanda Maria da Rosa Jardim ,
- Denise Somavila Przylynski Castro , [ … ],
- Fernanda Santos
Abstract
ORIGINAL ARTICLEFactors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
DOI 10.1590/0034-7167-2017-0079
- Patrícia Mirapalheta Pereira de Llano ,
- Celmira Lange ,
- Carlos Alberto da Cruz Sequeira ,
- Vanda Maria da Rosa Jardim ,
- Denise Somavila Przylynski Castro ,
- Fernanda Santos
Views0See moreABSTRACT
Objective:
determine the prevalence and factors associated with frailty syndrome (FS) in the elderly in the rural population of Pelotas.
Method:
Quantitative, analytical, transversal study conducted with 820 elderly subjects registered in the Family Health Strategy (FHS) in the rural area in the municipality of Pelotas, from July to October 2014.
Results:
among those evaluated, 43.41% showed FS. These factors were consolidated as associated with the condition: low income (PR: 1.54, p ≤ 0.001), low educ. level (PR: 1.45, p ≤ 0.001), nutritional status (obesity) (PR:1.89, p ≤ 0.001), physical inactivity (PR:1.93, p = 0.003), cognitive deficit (PR:2.07, p = 0.005), and poor self-perceived health (PR: 8.21, p ≤ 0.001).
Conclusion:
the findings may contribute effectively to the establishment of prevention and screening measures for frailty among the elderly by health professionals, especially nurses, aiming to prevent the occurrence of the syndrome and adverse and undesirable outcomes.
- Patrícia Mirapalheta Pereira de Llano
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ORIGINAL ARTICLE07-06-2020
Association between knowledge and adherence to foot self-care practices performed by diabetics
- Ilaíse Brilhante Batista ,
- Lívia Maia Pascoal ,
- Paula Vitória Costa Gontijo ,
- Paula dos Santos Brito ,
- Maysa Alves de Sousa , [ … ],
- Maksandra Silva Sousa
Abstract
ORIGINAL ARTICLEAssociation between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
DOI 10.1590/0034-7167-2019-0430
- Ilaíse Brilhante Batista ,
- Lívia Maia Pascoal ,
- Paula Vitória Costa Gontijo ,
- Paula dos Santos Brito ,
- Maysa Alves de Sousa ,
- Marcelino Santos Neto ,
- Maksandra Silva Sousa
Views0See moreABSTRACT
Objectives:
to verify the association between knowledge and adherence to foot self-care practices performed by patients with diabetes mellitus type 2.
Methods:
cross-sectional, descriptive study carried out with 197 patients in basic health units located in the Northeast region of Brazil. For data collection, we used a semi-structured questionnaire that addressed issues inherent to knowledge and Diabetes Self-Care Activities.
Results:
we observed that patients with moderate knowledge about self-care practices were more likely to perform foot self-examination, dry the interdigital spaces, moisturize their feet with creams and oils, observe the presence of mycosis and ingrown toenail when compared to patients with insufficient knowledge.
Conclusions:
the patients’ level of knowledge was closely related to the self-care activities carried out, which reinforces the importance of nurses working on training those on essential health care.
- Ilaíse Brilhante Batista
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ORIGINAL ARTICLE06-01-2020
Factors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
Abstract
ORIGINAL ARTICLEFactors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
DOI 10.1590/0034-7167-2018-0913
Views0See moreABSTRACT
Objective:
To analyze the factors associated with occupational stress among nursing workers in health services of medium complexity.
Methods:
Epidemiological, cross-sectional, exploratory study. A randomly selected sample of 126 nursing professionals from medium complexity services in three cities in the state of Bahia (Santo Antônio de Jesus, Feira de Santana and Itabuna) was investigated. Data were collected in 2011 and 2012. The demand-control model proposed by Karasek was used to assess occupational stress. Simultaneous analysis of occupational stressors was performed using Poisson regression with robust variance.
Results:
The prevalence of occupational stress among nursing professionals was 77%. Occupational stress was associated with the professional category of nursing technician (p=0.01).
Conclusion:
The data indicates a concerning situation of exposure to occupational stressors, which requires coping strategies in order to protect the health of the worker.
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ORIGINAL ARTICLE03-07-2022
Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
- Marina Raffin Buffon ,
- Isis Marques Severo ,
- Ruy de Almeida Barcellos ,
- Karina de Oliveira Azzolin ,
- Amália de Fátima Lucena
Abstract
ORIGINAL ARTICLECritically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
DOI 10.1590/0034-7167-2021-0119
- Marina Raffin Buffon ,
- Isis Marques Severo ,
- Ruy de Almeida Barcellos ,
- Karina de Oliveira Azzolin ,
- Amália de Fátima Lucena
Views0See moreABSTRACT
Objective:
To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables.
Methods:
Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group.
Results:
Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found.
Conclusion:
Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.
- Marina Raffin Buffon
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