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RESEARCH01-01-2017
Hospitalization of people 50 years old or older living with HIV/AIDS
Revista Brasileira de Enfermagem. 2017;70(4):845-850
Abstract
RESEARCHHospitalization of people 50 years old or older living with HIV/AIDS
Revista Brasileira de Enfermagem. 2017;70(4):845-850
DOI 10.1590/0034-7167-2017-0113
Views0See moreABSTRACT
Objective:
Identify the rate and predictive factors of the hospitalization of people living with HIV/AIDS (PLHA), aged 50 years or older.
Method:
A quantitative, cross-sectional study was conducted at two inpatient units specialized in infectious diseases in a teaching hospital. Data were gathered through individual interviews between August 2011 and February 2015. All ethical precepts were followed.
Results:
Of the 532 admitted patients, 95 were PLHA 50 years old or older; 30.5% were admitted 3 to 4 times after being diagnosed with HIV/AIDS.
Conclusion:
Rate of hospitalization was 17.8%, and being 50 to 60 years old was a protective factor against hospitalization.
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RESEARCH01-01-2017
Urinary tract infection: a cohort of older people with urinary incontinence
Revista Brasileira de Enfermagem. 2017;70(4):838-844
Abstract
RESEARCHUrinary tract infection: a cohort of older people with urinary incontinence
Revista Brasileira de Enfermagem. 2017;70(4):838-844
DOI 10.1590/0034-7167-2017-0141
Views0See moreABSTRACT
Objective:
To evaluate epidemiological aspects of urinary tract infection in older patients with urinary incontinence living in long-term care institutions in Belo Horizonte. Method: Concurrent cohort held from April 1st to October 1st, 2015. The study was conducted in two long-term care institutions in the city of Belo Horizonte, Minas Gerais, with 84 incontinent older people.
Results:
Cumulative incidence of urinary tract infection was 19% (95% CI: 7.83-23.19) and the incidence density was 3.6 cases/100 people-month of follow-up period. The variables Bacteriuria and Institution presented statistical association with the occurrence of urinary tract infection.
Conclusion:
It is observed that the incidence of urinary tract infection in the study was smaller than in other similar international and national studies, however this is an important world health problem for the older population, with impact on mortality of these individuals.
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RESEARCH01-01-2017
Geriatric care: ways and means of providing comfort
Revista Brasileira de Enfermagem. 2017;70(4):830-837
Abstract
RESEARCHGeriatric care: ways and means of providing comfort
Revista Brasileira de Enfermagem. 2017;70(4):830-837
DOI 10.1590/0034-7167-2016-0636
Views0See moreABSTRACT
Objective:
To know the ways and means of comfort perceived by the older adults hospitalized in a medical service.
Method:
Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations.
Results:
The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort.
Final considerations:
Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort.
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RESEARCH01-01-2017
Elderly who take care of elderly: a study on the Frailty Syndrome
Revista Brasileira de Enfermagem. 2017;70(4):822-829
Abstract
RESEARCHElderly who take care of elderly: a study on the Frailty Syndrome
Revista Brasileira de Enfermagem. 2017;70(4):822-829
DOI 10.1590/0034-7167-2016-0474
Views0See moreABSTRACT
Objective:
Identifying prevalence of frailty in elderly caregivers inserted in a high social vulnerability context and its correlation with sociodemographic and health aspects.
Method:
Descriptive, correlational and cross-sectional study. Forty elderly caregivers were evaluated with: questionnaire for caregiver characterization, Mini Mental State Examination, Katz Index, Lawton instrumental activities of daily living scale, Geriatric Depression Scale and the frailty phenotype proposed by Fried. Interviews were conducted at their residences and scheduled in advance. All ethical precautions were observed. Data were analyzed with the Stata statistical program version 11.0.
Results:
10% of elderly caregivers were frail. There was a significant correlation between frailty and sex, instrumental activities of daily living and cognition.
Conclusion:
Female caregivers, partially dependent individuals regarding instrumental activities of daily living and with worse cognitive state deserve a special attention from health services.
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01-01-2017
Effects of a Health Education program on cognition, mood and functional capacity
Revista Brasileira de Enfermagem. 2017;70(4):814-821
Abstract
Effects of a Health Education program on cognition, mood and functional capacity
Revista Brasileira de Enfermagem. 2017;70(4):814-821
DOI 10.1590/0034-7167-2016-0638
Views0See moreABSTRACT
Objective:
Assess the effect of a Health Education (HE) program on cognition, mood and functional capacity of participants in a University of The Third Age (U3A).
Method:
Controlled clinical trial. The HE Program consisted of 10 sessions with group dynamics, including orientations on disease prevention and cognitive stimulation exercises, lasting four months. Intervention Group (IG) n=13; and Control Group (CG) n=15. All were assessed at the start and end of the study, using Addenbrook´s Cognitive Examination-Revised (ACE-R), Beck Depression and Anxiety Inventory (BDI/BAI) and Functional Independence Measure (FIM).
Results:
Significant improvements were observed for the IG when comparing the total ACE-R score (p=0.001) and memory domain (p=0.011) before and after the intervention. For the CG, improvement was found in the memory domain only (p=0.027).
Conclusion:
a HE intervention program benefits the improvement in cognitive performance, particularly the memory of adults and active elderly who participated in a U3A.
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01-01-2017
Efeitos de um programa de Educação em Saúde na cognição, humor e capacidade funcional
Revista Brasileira de Enfermagem. 2017;70(4):814-821
Abstract
Efeitos de um programa de Educação em Saúde na cognição, humor e capacidade funcional
Revista Brasileira de Enfermagem. 2017;70(4):814-821
DOI 10.1590/0034-7167-2016-0638
Views0See moreRESUMEN
Objetivo:
Evaluar los efectos de la Educación para la Salud (ES) en la cognición, humor y capacidad funcional de participantes de una Universidad Abierta de la Tercera Edad.
Método:
Se trata de un ensayo clínico controlado. El Programa de Educación para la Salud consistió en 10 sesiones con dinámicas de grupo, con orientaciones sobre prevención de enfermedades y ejercicios de estimulación cognitiva, con duración de 4 meses. Participaron 13 personas en el grupo de intervención (GI) y 15 en el grupo control (GC). Todos fueron evaluados al inicio y al término del estudio con los instrumentos Addenbrook´s Cognitive Examination-Revised (ACE-R), Inventario de Depresión y Ansiedad de Beck (BDI/BAI) y con la Medida de la Independencia Funcional (FIM).
Resultados:
se observaron mejoras significativas en el GI cuando se compararon los resultados del ACE-R (p=0,001) y el dominio de la memoria (p=0,001) antes y después de la intervención. Para el GC fue encontrada una mejora significativa solamente en el dominio de la memoria (p=0.027).
Conclusión:
Los resultados sugieren que la intervención educativa estudiada tiene efecto beneficioso en el desempeño cognitivo de los participantes de la Universidad Abierta de la Tercera Edad.
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RESEARCH01-01-2017
Social representations of older adults regarding quality of life
Revista Brasileira de Enfermagem. 2017;70(4):806-813
Abstract
RESEARCHSocial representations of older adults regarding quality of life
Revista Brasileira de Enfermagem. 2017;70(4):806-813
DOI 10.1590/0034-7167-2017-0097
Views0See moreABSTRACT
Objective:
to identify the social representations of older adults regarding quality of life, and to analyze the care practices adopted to promote it.
Method:
qualitative, exploratory, descriptive research, applying the Theory of Social Representations. Thirty older people from a Health Academy of Rio de Janeiro participated in the study. The software Alceste was used, and lexical analysis of data was performed.
Results:
social representations of quality of life are based on the social determinants of health; they evidence knowledge and practices of care by valuing physical activities. The practices promoting quality of life comprise healthy eating habits, daily physical exercise, social participation, interaction and socialization, accomplishment of leisure activities and daily tasks with independence and autonomy, and support and family contact.
Final considerations:
the elderly have a global understanding of the concept of quality of life, coordinate knowledge built in daily life and knowledge coming from the technical-professional field, which evidences the multidimensionality of the concept.
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RESEARCH01-01-2017
Nursing diagnosis in older adults with chronic kidney disease on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):800-805
Abstract
RESEARCHNursing diagnosis in older adults with chronic kidney disease on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):800-805
DOI 10.1590/0034-7167-2017-0117
Views0See moreABSTRACT
Objective:
To identify the main nursing diagnoses (NSs) in older adult patients under hemodialysis treatment.
Method:
Exploratory research using case studies in data collection performed by interview and physical examination of older adults, in the first semester of 2016. Were included twenty-eight older adults undergoing chronic hemodialysis treatment who met the selection criteria. The analysis followed two steps (RISNER, 1990): Phase I – Data analysis and synthesis; and Phase II – Establishment of nursing diagnoses using the taxonomy of NANDA-I (2015).
Results:
The total of NSs was 110, averaging 3.9 per patient. It was listed seven different NSs, and both the Risk of infection and the Volume of excessive liquids appeared on all patients (28; 100%), and risk of electrolyte imbalance, in 26 (96.8%) older adults, being considered as main NSs.
Conclusion:
Such results can help systematize the care of older people who are undergoing hemodialysis treatment.
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REVIEW07-10-2020
Acute Kidney Injury by SARS-CoV-2 virus in patients with COVID-19: an integrative review
- Matheus Santos Moitinho
, - Angélica Gonçalves da Silva Belasco ,
- Dulce Aparecida Barbosa ,
- Cassiane Dezoti da Fonseca
Abstract
REVIEWAcute Kidney Injury by SARS-CoV-2 virus in patients with COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200354
DOI 10.1590/0034-7167-2020-0354
- Matheus Santos Moitinho ,
- Angélica Gonçalves da Silva Belasco ,
- Dulce Aparecida Barbosa ,
- Cassiane Dezoti da Fonseca
Views0See moreABSTRACT
Objective:
to assess scientific evidence on SARS-CoV-2 Acute Kidney Injury in patients with COVID-19.
Methods:
an integrative review, with adoption of PICO strategy and classification of the level of evidence, carried out on April 10, 2020 in the PubMed database, of articles available between December 2019 and April 2020.
Results:
the sample consisted of six original, five observational and one experimental articles. Observational studies addressed the clinical findings of patients with COVID-19 and association between kidney damage, infection, and morbidity-mortality.
Conclusion:
the studies addressed the mechanism of intracellular infection of SARS-CoV-2, its cytopathic effects on kidney cells and incidence of acute kidney injury in patients infected with SARS-CoV-2. Acute kidney injury is associated with increased mortality and morbidity in these patients. This review realizes the need for new research that can mention kidney care to patients with COVID-19.
- Matheus Santos Moitinho
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ORIGINAL ARTICLE03-24-2021
Development, validation and application of clinical simulation scenarios for assessment of stomatherapy specialists
- Angélica Olivetto de Almeida ,
- Sônia Regina Pérez Evangelista Dantas ,
- Maria Angela Boccara de Paula ,
- Juliany Lino Gomes Silva ,
- Ednalda Maria Franck , [ … ],
- Ana Railka de Souza Oliveira-Kumakura
Abstract
ORIGINAL ARTICLEDevelopment, validation and application of clinical simulation scenarios for assessment of stomatherapy specialists
Revista Brasileira de Enfermagem. 2021;74(1):e20200360
DOI 10.1590/0034-7167-2020-0360
- Angélica Olivetto de Almeida ,
- Sônia Regina Pérez Evangelista Dantas ,
- Maria Angela Boccara de Paula ,
- Juliany Lino Gomes Silva ,
- Ednalda Maria Franck ,
- Ana Railka de Souza Oliveira-Kumakura
Views0See moreABSTRACT
Objectives:
to build and validate three clinical simulation scenarios and report the application with candidates for the specialist’s degree in stomatherapy.
Methods:
methodological study, building three scenarios and evaluation checklists; content validation with judges, using content validity index and Modified Kappa Coefficient; pre-test and application.
Results:
scenarios built based on nursing care for: 1. insufficiency and venous ulcer; 2. demarcation of intestinal stomia; and 3. Clean intermittent catheterization. In the content validation of the 24 items appreciated, 83%, 80%, and 92% were validated without change. In the pre-test, the objectives and checklists were adjusted. In the application, to standardize the evaluation, actors and evaluators were trained previously, and each candidate passed the three stations.
Conclusions:
scenarios built and with validated content, based on evidence and covering the three areas of stomatherapy. The pre-test allowed for adjustments in the scenarios, and the candidates achieved the expected objectives.
- Angélica Olivetto de Almeida
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ORIGINAL ARTICLE07-15-2020
Cultural adaptation of Infant Feeding Intentions Scale (IFI) for pregnant women in Brazil
- Fernanda Garcia Bezerra Góes ,
- Beatriz Cabral Ledo ,
- Andressa Silva Torres dos Santos ,
- Fernanda Maria Vieira Pereira-Ávila ,
- Aline Cerqueira Santos Santana da Silva , [ … ],
- Marialda Moreira Christoffel
Abstract
ORIGINAL ARTICLECultural adaptation of Infant Feeding Intentions Scale (IFI) for pregnant women in Brazil
Revista Brasileira de Enfermagem. 2020;73:e20190103
DOI 10.1590/0034-7167-2019-0103
- Fernanda Garcia Bezerra Góes ,
- Beatriz Cabral Ledo ,
- Andressa Silva Torres dos Santos ,
- Fernanda Maria Vieira Pereira-Ávila ,
- Aline Cerqueira Santos Santana da Silva ,
- Marialda Moreira Christoffel
Views0See moreABSTRACT
Objectives:
to translate and culturally adapt the Infant Feeding Intentions Scale for pregnant women in Brazil.
Methods:
methodological study that included stages of translation, synthesis, face and content validation, back translation and semantic assessment. In the face and content and semantic validation stages, we used the Content Validity Index for individual items and for the overall scale for clarity and representativeness.
Results:
nine (100.0%) experts participated in face and content validation, and the average index obtained was 85.0% for representativeness. In the semantic assessment, performed with 31 (100.0%) pregnant women, the tool was considered clear, obtaining an average index of 91.0%.
Conclusions:
the Brazilian version of the scale was considered representative and clear. After assessing psychometric properties, the scale is expected to be valid and reliable to assess maternal intention to breastfeed exclusively until the infant’s six months of life in different Brazilian settings.
- Fernanda Garcia Bezerra Góes
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ORIGINAL ARTICLE03-30-2020
Parental care for infants with feeding tube: psychosocial repercussions
- Fábio Luiz Banhara ,
- Francely Tineli Farinha ,
- Gesiane Cristina Bom ,
- Ana Paula Ribeiro Razera ,
- Maria de Lourdes Merighi Tabaquim , [ … ],
- Armando dos Santos Trettene
Abstract
ORIGINAL ARTICLEParental care for infants with feeding tube: psychosocial repercussions
Revista Brasileira de Enfermagem. 2020;73(2):e20180360
DOI 10.1590/0034-7167-2018-0360
- Fábio Luiz Banhara ,
- Francely Tineli Farinha ,
- Gesiane Cristina Bom ,
- Ana Paula Ribeiro Razera ,
- Maria de Lourdes Merighi Tabaquim ,
- Armando dos Santos Trettene
Views0See moreABSTRACT
Objectives:
to understand the psychosocial repercussions experienced by caregiving parents, resulting from care for the child with dysphagic cleft lip and palate.
Methods:
qualitative study, developed in a tertiary hospital in September 2016. The sample defined by theoretical saturation consisted of seven mothers. Data collection was performed by unstructured interview, being audio-recorded and fully transcribed. Symbolic Interactionism was used as theoretical framework, and Thematic Content Analysis as methodological framework.
Results:
the following themes emerged: diagnosisimpact and coping; coping with overload and stress; interaction between caregivers as an acceptance and coping strategy; impact on family and social life of caregivers; and curiosity coping, and family and community prejudice.
Final considerations:
despite the physical and emotional overload, the mother figure plays the main and determining role in care, reflecting the complexity of care.
- Fábio Luiz Banhara
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ORIGINAL ARTICLE03-30-2020
Stomized children care practices: narratives of relatives
- Manuela Costa Melo ,
- Bárbara Natália Ferreira Vilas-Boas ,
- Brenda Limeira Martins ,
- Allan Willis Albernáz Vasconcellos ,
- Ivone Kamada
Abstract
ORIGINAL ARTICLEStomized children care practices: narratives of relatives
Revista Brasileira de Enfermagem. 2020;73(2):e20180370
DOI 10.1590/0034-7167-2018-0370
- Manuela Costa Melo ,
- Bárbara Natália Ferreira Vilas-Boas ,
- Brenda Limeira Martins ,
- Allan Willis Albernáz Vasconcellos ,
- Ivone Kamada
Views0See moreABSTRACT
Objectives:
to understand the practices adopted by relatives regarding ostomized children care.
Methods:
qualitative approach, conducted with 11 relatives of ostomized children. Methodological framework was used as narrative technique; NVivo® software for data categorization and information analysis; content analysis technique.
Results:
participants revealed unpreparedness in dealing with children, lack of knowledge about handling materials and equipment inherent to ostomy and challenges faced in the daily life of children in school. They are unanimous in telling they feel encouraged and strengthened by receiving support from nurses in child care. They suggested the development of strategies to guide ostomized children care, such as educational material use.
Conclusions:
to understand family members’ experience made it possible to support training and qualification of nursing professionals, and to establish priorities in care. Evidence found may contribute to reflections that aid health promotion and prevention of complications in ostomized children care.
- Manuela Costa Melo
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ORIGINAL ARTICLE06-16-2021
Family interview for organ and tissue donation: good practice assumptions
- Neide da Silva Knhis ,
- Sabrina Regina Martins ,
- Aline Lima Pestana Magalhães ,
- Saulo Fábio Ramos ,
- Camila Telemberg Sell , [ … ],
- Laura Calvacanti de Farias Brehmer
Abstract
ORIGINAL ARTICLEFamily interview for organ and tissue donation: good practice assumptions
Revista Brasileira de Enfermagem. 2021;74(2):e20190206
DOI 10.1590/0034-7167-2019-0206
- Neide da Silva Knhis ,
- Sabrina Regina Martins ,
- Aline Lima Pestana Magalhães ,
- Saulo Fábio Ramos ,
- Camila Telemberg Sell ,
- Clarice Koerich ,
- Laura Calvacanti de Farias Brehmer
Views0See moreABSTRACT
Objectives:
to identify information that can support creating good practice assumptions to develop family interview for organ and tissue donation.
Methods:
this scoping study, conducted in two Brazilian hospitals in the southern, between April and December 2017, included integrative review and consultation with 15 families who experienced interview for organ donation. For data analysis, thematic content analysis was used.
Results:
three categories emerged: communication of death, which shows the need to know the history of hospitalization of patients; emotional support, the team must have mastery of the stages of mourning; information about donation, professionals need to know the stages of the donation process and respect families’ time.
Final Considerations:
good practice assumptions point to the need for team training, respect for family time and the use of simple language.
- Neide da Silva Knhis
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ORIGINAL ARTICLE12-13-2019
Perception of women with breast cancer undergoing chemotherapy: a comprehensive analysis
- Marlise Barros de Medeiros ,
- Rose Mary Costa Rosa Andrade Silva ,
- Eliane Ramos Pereira ,
- Sérgio Henrique da Silva Melo ,
- Fabiana Lopes Joaquim , [ … ],
- Ticiane Roberta Pinto Goés
Abstract
ORIGINAL ARTICLEPerception of women with breast cancer undergoing chemotherapy: a comprehensive analysis
Revista Brasileira de Enfermagem. 2019;72:103-110
DOI 10.1590/0034-7167-2018-0165
- Marlise Barros de Medeiros ,
- Rose Mary Costa Rosa Andrade Silva ,
- Eliane Ramos Pereira ,
- Sérgio Henrique da Silva Melo ,
- Fabiana Lopes Joaquim ,
- Bianca Marques dos Santos ,
- Ticiane Roberta Pinto Goés
Views0See moreABSTRACT
Objective:
To comprehensively analyze the perception of women with breast cancer on the experience of undergoing chemotherapy.
Method:
This was a qualitative, descriptive, phenomenological study, supported by the Merleau-Ponty philosophy. It was conducted in a chemotherapy outpatient clinic with 20 participants who completed a phenomenological interview.
Results:
The phenomenological data analysis demonstrated that the perception of women about the experience of chemotherapy is about change, not only of the physical body, but of their identity, and that it considers existential aspects. Three categories emerged from the experience of alopecia, fatigue, and spirituality, respectively: the body itself, the current and habitual body, and transcendence.
Final considerations:
Bodily changes, and the existential implications perceived by the women in this study, analyzed from the Merleau-Ponty perspective, makes it possible to consider body concept, and provides support for humanized care based on singularity and the socio-cultural context.
- Marlise Barros de Medeiros
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REVIEW07-14-2021
Symptom management theory applied to nursing care: scoping review
Revista Brasileira de Enfermagem. 2021;74(3):e20201004
Abstract
REVIEWSymptom management theory applied to nursing care: scoping review
Revista Brasileira de Enfermagem. 2021;74(3):e20201004
DOI 10.1590/0034-7167-2020-1004
Views0See moreABSTRACT
Objectives:
to identify publications about the applicability of the Symptom Management Theory in nursing care to pediatric, adolescent, adult and elderly patients.
Methods:
scoping review following the steps: definition of the objective, research question and inclusion criteria; search, selection and analysis of publications; synthesis of results. The search occurred in the VHL, SciELO, CAPES and PubMed Journals Portal bases, contemplating publications between 1994 and July 2020.
Results:
out of 3,286 studies, ten were selected, published between 2008 and 2019. They described the relationships between the participants and the domains (person, environment, health and disease), components (symptom experience, management strategies, results) and presented strategies for symptom management.
Conclusions:
the Symptom Management Theory was considered applicable to the participants of the studies and to nursing care. It was concluded that understanding the interaction of these elements is essential to plan actions aimed at controlling symptoms effectively.
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