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RESEARCH01-01-2018
Family health strategy: relevance to the functional capacity of older people
Revista Brasileira de Enfermagem. 2018;71:740-746
Abstract
RESEARCHFamily health strategy: relevance to the functional capacity of older people
Revista Brasileira de Enfermagem. 2018;71:740-746
DOI 10.1590/0034-7167-2017-0078
Views0See moreABSTRACT
Objective:
to identify the functional capacity of older people based on their performance on basic activities of daily living.
Method:
a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households.
Results:
of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence.
Conclusion:
most older people enrolled in a Family Health Strategy had their functional capacity preserved.
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RESEARCH01-01-2018
Assessment of ulceration risk in diabetic individuals
Revista Brasileira de Enfermagem. 2018;71:733-739
Abstract
RESEARCHAssessment of ulceration risk in diabetic individuals
Revista Brasileira de Enfermagem. 2018;71:733-739
DOI 10.1590/0034-7167-2017-0337
Views0See moreABSTRACT
Objective:
To identify the risk factors for foot ulceration through the tracing of diabetic peripheral neuropathy and peripheral arterial disease in individuals with type I and II diabetes, who were assisted in reference centers of the Federal District, Brazil.
Method:
a cross-sectional and analytical study, with the assessment of 117 individuals in outpatient clinics of the Federal District. Continuous variables were compared through Mann-Whitney test, and categorized variables, through Chi-square test for univariate analysis and Logistics regression test for multivariate analysis.
Results:
painful diabetic peripheral neuropathy was present in 37 (75.5%) of the individuals with neuropathy. Deformities and loss of protective plant sensibility were related to neuropathy (p=0.014 and p=0.001, respectively). Of the 40 (34.2%) individuals in the sample who presented peripheral arterial disease, 26 (65%) presented calcification risk.
Conclusion:
signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.
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RESEARCH01-01-2018
Aging and quality of life of elderly people in rural areas
Revista Brasileira de Enfermagem. 2018;71:724-732
Abstract
RESEARCHAging and quality of life of elderly people in rural areas
Revista Brasileira de Enfermagem. 2018;71:724-732
DOI 10.1590/0034-7167-2017-0149
Views0See moreABSTRACT
Objective:
To evaluate the quality of life and health of elderly in rural areas of Minas Gerais State’s center-west.
Method:
Cross-sectional study, in four municipalities of Minas Gerais State, by interviewing elderly people. Associations between socio-demographic and quality of life variables were tested, separated into “satisfactory”/“unsatisfactory” with values from the median of positive answers. It was used the chi-square test, Fisher’s test and regression.
Results:
182 elderly answered the questions and showed a relation with the “satisfactory” quality of life – bivariate (p < 0.05): age by 69 years (61.6%), married (61.7%), living by 54 years in rural areas (68%), with no financial support (59.5%), living with someone else (61%), non-smoker (60%), presenting good health (76.7%), satisfied with life (69.6%); regression: not having financial support, living with someone else and not smoking.
Conclusion:
Elderly people in rural areas present good quality of life/health in the cognitive aspect, access to services, goods, habits, but awareness must be constant due to their weakness.
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01-01-2018
Population aging and the Nursing commitment
Revista Brasileira de Enfermagem. 2018;71:722-723
Abstract
Population aging and the Nursing commitment
Revista Brasileira de Enfermagem. 2018;71:722-723
DOI 10.1590/0034-7167-201871Sup201
Views0Since the end of the 1970s Brazil has imposed administrative and political tools that define who are elderly. The National Policy for Senior Citizens (NPSC) states that elderly people are the ones who are 60 years old and above, according to the Law 8,842 on January 4th, 1994 and governed by the Decree 1948 on […]See more -
01-01-2018
O envelhecimento populacional e o compromisso da enfermagem
Revista Brasileira de Enfermagem. 2018;71:722-723
Abstract
O envelhecimento populacional e o compromisso da enfermagem
Revista Brasileira de Enfermagem. 2018;71:722-723
DOI 10.1590/0034-7167-201871Sup201
Views0O Brasil, desde o final da década de 90, instituiu instrumentos administrativos e políticos que definem claramente quem é idoso. A política nacional do idoso (PNI) define idoso como sendo uma pessoa com 60 anos ou mais por meio da Lei nº8. 842, de 4 de janeiro de 1994 e regulamentada pelo Decreto nº 1948 […]See more -
REFLECTION01-01-2018
Advanced practice nursing: a possibility for Primary Health Care?
Revista Brasileira de Enfermagem. 2018;71:716-721
Abstract
REFLECTIONAdvanced practice nursing: a possibility for Primary Health Care?
Revista Brasileira de Enfermagem. 2018;71:716-721
DOI 10.1590/0034-7167-2017-0672
Views0See moreABSTRACT
Objective:
Reflect on the role of advanced practice nursing (APN) in the context of Brazilian primary health care.
Method:
analysis of the main scientific productions and of the discussion on the implementation of APN.
Results:
there are favorable areas for the work of APN in primary health care, especially in the family health strategy. Professional master’s degree and nurse residency programs constitute powerful training spaces. As a challenge, standardized definition of the roles of advanced practice nurses and of minimum training for work are necessary.
Final considerations:
researches that contribute to understanding the perspectives, facilitators, and barriers for APN are necessary, as well as determining the population’s health needs and expectations concerning the role of these professionals.
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REFLECTION01-01-2018
Nursing in Collective Health: reinterpretation of objective reality by the praxis action
Revista Brasileira de Enfermagem. 2018;71:710-715
Abstract
REFLECTIONNursing in Collective Health: reinterpretation of objective reality by the praxis action
Revista Brasileira de Enfermagem. 2018;71:710-715
DOI 10.1590/0034-7167-2017-0677
Views0See moreABSTRACT
Objective:
To discuss the phase of reinterpretation of objective reality of the Theory of Praxis Intervention of Nursing in Collective Health (Tipesc), in search of the praxis that it promotes.
Method:
Analysis of interventions in projects that are based on Tipesc and its results, since the 1990s.
Results:
Developed and implemented projects show that praxis is the way to achieve the aimed changes.
Conclusion:
We concluded that Tipesc is currently the explanatory and interventional theory, since it is grounded on its theoretical bases, which arise from philosophical bases of dialectical and historical materialism.
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REFLECTION01-01-2018
The complexity of the work of nurses in Primary Health Care
Revista Brasileira de Enfermagem. 2018;71:704-709
Abstract
REFLECTIONThe complexity of the work of nurses in Primary Health Care
Revista Brasileira de Enfermagem. 2018;71:704-709
DOI 10.1590/0034-7167-2017-0471
Views0See moreABSTRACT
Objective:
to promote thinking on the work of nurses in Primary Health Care (PHC) and the necessary aspects for the (re)construction of this professional practice, reinforcing its role in the care of individuals, families and communities.
Method:
to apply the questions raised in the process of organizing a book, the literature and the PHS work experience of the authors.
Results:
Conflicts, dilemmas and relevant aspects of the practice of nurses in PHC are presented, contributing to critical thinking about the context of work and the need to articulate the category in the construction of its workspace.
Final considerations:
the practice of nurses in PHC is broad and a process of qualification field, whether performing in clinical, educational or managerial activities, and nurses need to be familiar with these contents in their daily work, seeking to articulate their class entities for the development of this specialty.
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REVIEW10-19-2020
Effectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190815
Abstract
REVIEWEffectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190815
DOI 10.1590/0034-7167-2019-0815
Views0See moreABSTRACT
Objective:
to analyze the effectiveness of skin protectors and Calendula officinalis for prevention and treatment of radiodermatitis.
Method:
an integrative review conducted at CINAHL, Cochrane Library, Embase, MEDLINE/PubMed, IBECS, LILACS, and Web of Science. The final sample consisted of five studies, four clinical studies and one preclinical. Critical appreciation and narrative synthesis of the findings were carried out.
Results:
the Cavilon™ skin protector was more effective than Sorbolene (cream with 10% glycerin) and less effective than Mometasone Furoate cream. Calendula officinalis was more effective than Trolamine and essential fatty acids and less effective than Ching Wan Hung® for prevention and treatment of radiodermatitis.
Conclusion:
data confirm the potential of Calendula officinalis for prevention and treatment of radiodermatitis and point to promising results regarding skin protector use; however, there is a need for further testing as to the effectiveness of such products.
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ORIGINAL ARTICLE05-18-2020
Expert assessment of the “Neonatal Pain Assessment Program” online course
Revista Brasileira de Enfermagem. 2020;73(4):e20180392
Abstract
ORIGINAL ARTICLEExpert assessment of the “Neonatal Pain Assessment Program” online course
Revista Brasileira de Enfermagem. 2020;73(4):e20180392
DOI 10.1590/0034-7167-2018-0392
Views0See moreABSTRACT
Objectives:
to assess layout quality, visual identity and content of the “Neonatal Pain Assessment Program” (Programa de Avaliação da Dor Neonatal) online course.
Methods:
a descriptive exploratory study. The course was assessed by 24 experts in pain, neonatology and education. A form containing 20 questions on technical, interface and educational aspects was used. For each item, the score ranged from 0 to 1. Mean scores above 0.7 were considered indicative of high quality of the items. Descriptive statistics were used for data analysis.
Results:
navigation, clarity, ease of localization, content relevance, contextualization, content correction, multiple windows, ease of use, ease of return, ergonomics, esthetics, special brands, audiovisual resources, information and portability were assessed. All aspects obtained a mean ≥ 0.70 and no changes were required.
Conclusions:
the Neonatal Pain Assessment Program is considered as quality educational technology and promising strategy for health education.
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01-22-2021
Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives
Revista Brasileira de Enfermagem. 2021;74:e20190743
Abstract
Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives
Revista Brasileira de Enfermagem. 2021;74:e20190743
DOI 10.1590/0034-7167-2019-0743
Views1See moreABSTRACT
Objective:
to understand humanization practices in the parturitive course from the point of view of purperae and nurse-midwives.
Methods:
an exploratory, descriptive, qualitative research carried out in a maternity hospital in Bahia State. Semi-structured interviews were carried out, with a structured script applied to 11 mothers and 5 nurse-midwives from March to June 2019. Analysis followed Bardin’s content structure.
Results:
this study unveiled the importance of using soft care technologies, respect for female role, active participation and women’s autonomy as a positive impact on the parturition process.
Final considerations:
nurse-midwives are qualified professionals to assist women in labor and birth. They can favor the implantation and implementation of care with humanization practices, respect for women’s choices and incentive to the normal way of delivery with an expanded view of individual and multidisciplinary needs.
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REVIEW12-05-2019
Health promotion of frail elderly individuals and at risk of frailty
Revista Brasileira de Enfermagem. 2019;72:319-327
Abstract
REVIEWHealth promotion of frail elderly individuals and at risk of frailty
Revista Brasileira de Enfermagem. 2019;72:319-327
DOI 10.1590/0034-7167-2018-0575
Views0See moreABSTRACT
Objective:
To identify interventions for the health promotion of frail elderly individuals and those at risk of frailty.
Method:
Integrative review of the literature performed in the following databases: LILACS, CINAHL, MEDLINE, Web of Science, COCHRANE and Scopus, using the
Descriptors:
“frail elderly”, “aging”, “health services for the aged” and “health promotion” combined with Boolean operators “AND” and “OR”.
Results:
Randomized controlled clinical trials (RCTs) classified as level of evidence II represented 82.6% of studies. Interventions were analyzed according to the following categories: Interventions for the elderly at risk of frailty and Interventions for the frail elderly.
Conclusion:
The following interventions were identified: educational multiprofessional group meetings, physical training, home visit/home care program, nutrition assessment and supplementation, health maintenance programs and cognitive training; models/programs of management and monitoring, use of assistive technology devices and hospitalization program for geriatric rehabilitation.
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ORIGINAL ARTICLE09-16-2019
Analysis of compliance to antiretroviral treatment among patients with HIV/AIDS
Revista Brasileira de Enfermagem. 2019;72(5):1295-1303
Abstract
ORIGINAL ARTICLEAnalysis of compliance to antiretroviral treatment among patients with HIV/AIDS
Revista Brasileira de Enfermagem. 2019;72(5):1295-1303
DOI 10.1590/0034-7167-2018-0115
Views1See moreABSTRACT
Objective:
To analyze the compliance to antiretroviral therapy among HIV/AIDS patients.
Method:
99 HIV-positive volunteers undergoing treatment responded to a semi-structured sociodemographic interview and to a questionnaire that assessed compliance to antiretroviral treatment.
Results:
In the sample analyzed, 52.5% of the volunteers presented good/adequate treatment compliance, while 33.3% presented low/insufficient compliance. There was no significant difference between men and women in the questionnaire score, nor between groups with different levels of education.
Conclusion:
The main items of the questionnaire that contributed to good/adequate compliance were: positive impact of treatment on health and quality of life, few side effects after initiation of therapy, and positive self-evaluation of participants regarding their compliance to antiretroviral therapy. The main barriers detected for compliance to antiretroviral therapy were the lack of knowledge about current medications and the lack of information on antiretroviral therapy drugs.
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03-15-2021
Advanced Practice Nursing in Latin America and the Caribbean: seeking its implementation
Revista Brasileira de Enfermagem. 2021;74:e74suppl601
Abstract
Advanced Practice Nursing in Latin America and the Caribbean: seeking its implementation
Revista Brasileira de Enfermagem. 2021;74:e74suppl601
DOI 10.1590/0034-7167.202174suppl601
Views1Healthcare organizations are increasingly complex and specialized, seeking to optimize their quality and safety standards, and be able to meet the growing needs of their users. To face this reality, health professionals need to adapt to respond in time to the demands of the health context. In turn, the World Health Organization (WHO), through the […]See more -
ORIGINAL ARTICLE12-05-2019
Evaluation of delirium in aged patients assisted at emergency hospital service
Revista Brasileira de Enfermagem. 2019;72:153-160
Abstract
ORIGINAL ARTICLEEvaluation of delirium in aged patients assisted at emergency hospital service
Revista Brasileira de Enfermagem. 2019;72:153-160
DOI 10.1590/0034-7167-2018-0386
Views0See moreABSTRACT
Objective:
identify the occurrence of delirium in aged patients assisted in emergency services and verify its relationship with sociodemographic and clinical variables.
Method:
cross-sectional, prospective study with a quantitative approach. Two hundred aged hospitalized patients participated. The Confusion Assessment Method was used for data collection. For statistical analysis, chi-square tests, likelihood ratio and Fisher’s test were used, with a significance level of 5%.
Results:
male gender and mean age of 71.8 years were predominant. In the first 24 hours of hospitalization, 56 (28%) aged individuals presented delirium. An association of the disease with lack of physical activity, presence of a caregiver, hypertension, dyslipidemia and cerebrovascular diseases was identified.
Conclusion:
Delirium was associated with no physical activity, the need of a caregiver, and the presence of comorbidities. The importance of conducting other studies that may lead to early identification of the condition to prevent its complications is emphasized.
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ORIGINAL ARTICLE04-22-2020
Men’s health care: construction and validation of a tool for nursing consultation
Revista Brasileira de Enfermagem. 2020;73(3):e20190013
Abstract
ORIGINAL ARTICLEMen’s health care: construction and validation of a tool for nursing consultation
Revista Brasileira de Enfermagem. 2020;73(3):e20190013
DOI 10.1590/0034-7167-2019-0013
Views0See moreABSTRACT
Objectives:
to elaborate and validate a data collection tool for nursing consultation with men in the context of Primary Health Care.
Method:
a methodological study developed in four stages. The first one consisted in tool elaboration, using databases and the Dorothea Orem’s theoretical model. In the second and third stages, content validation and tool appearance by 23 nurse judges took place. The Concordance Index was used for assessment. In the fourth stage, a pilot test was carried out with 20 men using Primary Health Care.
Results:
of the 145 indicators prepared, organized and submitted to validation process, items with the Concordance Index <0.80 were excluded. The final tool consisted of 156 items. An overall 0.88 Concordance Index calculation was obtained.
Conclusions:
the final tool presented content validity for data collection with men in Primary Health Care.
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