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ORIGINAL ARTICLE11-11-2022
Analysis of midwives’ situation and the need to measure their workloads
- Lorena Gómez García
, - Ana Myriam Seva Llor ,
- María Fuensanta Hellín Gil ,
- María Dolores Roldán Valcárcel ,
- Pablo Paredes Cerezo , [ … ],
- Francisco Javier Navarro Guerrero
Abstract
ORIGINAL ARTICLEAnalysis of midwives’ situation and the need to measure their workloads
Revista Brasileira de Enfermagem. 2022;75:e20210920
DOI 10.1590/0034-7167-2021-0920
- Lorena Gómez García ,
- Ana Myriam Seva Llor ,
- María Fuensanta Hellín Gil ,
- María Dolores Roldán Valcárcel ,
- Pablo Paredes Cerezo ,
- Esperanza de la Iglesia Cano ,
- Guadalupe Ruiz Merino ,
- Francisco Javier Navarro Guerrero
Views0See moreABSTRACT
Objective:
to analyze midwives’ employment situation of midwives and detect their workload measurement needs.
Methods:
a mixed methodology (quantitative and qualitative), observational, descriptive and cross-sectional study. Two phases were carried out. The first methodological phase consisted of conducting semi-structured individual interviews. The second methodological phase analyzed the Nursing Intervention Classification (NIC) interventions that midwives perform in the labor room during daily practice.
Results:
90.3% of midwives have work overload, since for 80.6% the midwife-pregnant mother ratio is not well established, since the mean execution time of a Nursing Intervention Classification (NIC) intervention is 20 minutes. For this reason, 100% of the sample considers the development of workload measurement tools to be highly useful.
Conclusions:
the need to generate an instrument that considers the diversity of Nursing Intervention Classification (NIC) interventions that develop within the labor room is ratified.
- Lorena Gómez García
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ORIGINAL ARTICLE11-10-2022
Nursing care for the Amazon population: knowledge production and human resource development
- Zilmar Augusto de Souza Filho ,
- Antonia Margareth Moita Sá ,
- Linda Karolinne Rodrigues Almeida Cunha ,
- Tainan Fabrício da Silva ,
- Rafaela Barros dos Santos , [ … ],
- Marta Lenise do Prado
Abstract
ORIGINAL ARTICLENursing care for the Amazon population: knowledge production and human resource development
Revista Brasileira de Enfermagem. 2022;75:e20201084
DOI 10.1590/0034-7167-2020-1084
- Zilmar Augusto de Souza Filho ,
- Antonia Margareth Moita Sá ,
- Linda Karolinne Rodrigues Almeida Cunha ,
- Tainan Fabrício da Silva ,
- Rafaela Barros dos Santos ,
- Flávia Regina Souza Ramos ,
- Marta Lenise do Prado
Views0See moreABSTRACT
Objectives:
to analyze knowledge production adherence from a master’s course in nursing in the Amazon to care and health demands in the region, with an emphasis on neglected tropical diseases and traditional populations in the Amazon.
Methods:
a descriptive study, with a quantitative approach and documentary basis, analyzing dissertations defended in a Graduate Program in Nursing at the Universidade do Estado do Pará in association with the Universidade Federal do Amazonas, from 2012-2019. A descriptive statistical analysis was performed.
Results:
of the 105 dissertations analyzed, 30 (28.6%) were related to neglected tropical diseases. Of these, 11 (10.5%) dealt with Chagas disease, leishmaniasis, tuberculosis, malaria, and leprosy. Traditional populations in the Amazon participated in only 11 (10.5%) studies.
Conclusions:
knowledge production in a master’s course has adherence to care and health demands in the region; however, it needs to enhance its production to strengthen its identity.
- Zilmar Augusto de Souza Filho
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ORIGINAL ARTICLE11-10-2022
Content validation to support the monitoring of disclosure of HIV diagnosis in childhood
- Bruna Pase Zanon ,
- Cristiane Cardoso de Paula ,
- Aline Cammarano Ribeiro ,
- Stela Maris de Mello Padoin
Abstract
ORIGINAL ARTICLEContent validation to support the monitoring of disclosure of HIV diagnosis in childhood
Revista Brasileira de Enfermagem. 2022;75:e20210027
DOI 10.1590/0034-7167-2021-0027
- Bruna Pase Zanon ,
- Cristiane Cardoso de Paula ,
- Aline Cammarano Ribeiro ,
- Stela Maris de Mello Padoin
Views0See moreABSTRACT
Objectives:
to create and validate the content of a guide for monitoring the communication of the HIV diagnosis in childhood.
Methods:
methodological study, with a design guided by the Knowledge-to-Action (KTA) Framework, supported by a participatory approach. The guide’s content was structured according to the communication elements proposed by Lasswel from review studies.
Results:
the content was validated by 26 experts from nursing, medicine, psychology and pedagogy, using a Likert-type scale for relevance, clarity and precision. Data collection took place online and achieved a Content Validity Index of 0.94.
Conclusions:
the guide can contribute to the practice of professionals who care for children living with HIV, to support the family in communication and to the child’s right to know their diagnosis. For further research, it is recommended to create and validate the face of the technology in order to implement it.
- Bruna Pase Zanon
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ORIGINAL ARTICLE11-10-2022
Healthcare: action research with trans people living on the streets
Revista Brasileira de Enfermagem. 2022;75:e20210016
Abstract
ORIGINAL ARTICLEHealthcare: action research with trans people living on the streets
Revista Brasileira de Enfermagem. 2022;75:e20210016
DOI 10.1590/0034-7167-2021-0016
Views0See moreABSTRACT
Objectives:
to analyze the representations of healthcare provided to trans people living on the streets.
Methods:
ten women (three trans) and three cisgender men participated in this action research. Popular health education groups, focus groups, seminars and interviews were held, the data of which were organized in the software Nvivo®, submitted to content analysis and interpreted in the light of intersectionality theory.
Results:
healthcare was represented by the technical, relational, structural and citizenship dimensions. The relationship between gender and poverty determines the specific health needs of trans people living on the streets.
Final Considerations:
the need to expand conceptions and practices on healthcare to meet the specific health needs of trans people living on the streets was evidenced. Nursing, with competence and cultural sensitivity, can contribute to positive health outcomes and, consequently, break with the logic of exclusion, illness and poverty.
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ORIGINAL ARTICLE11-10-2022
Effect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families
- Leilane Barbosa de Sousa ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Aynoan de Sousa Amaro Alencastro ,
- Maria Jocelane Nascimento da Silva ,
- Brena Shellem Bessa de Oliveira , [ … ],
- Emanuella Silva Joventino Melo
Abstract
ORIGINAL ARTICLEEffect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families
Revista Brasileira de Enfermagem. 2022;75:e20201371
DOI 10.1590/0034-7167-2020-1371
- Leilane Barbosa de Sousa ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Aynoan de Sousa Amaro Alencastro ,
- Maria Jocelane Nascimento da Silva ,
- Brena Shellem Bessa de Oliveira ,
- Lydia Vieira Freitas dos Santos ,
- Emanuella Silva Joventino Melo
Views0See moreABSTRACT
Objectives:
to evaluate the effect of educational video on newborn care to increase the knowledge of pregnant, postpartum, and family members.
Methods:
a quasi-experimental study, with pre-intervention and post-intervention evaluation with a single group. Fifty-eight pregnant, postpartum, and family members treated in basic health units and a hospital in Ceará, Brazil, participated. The study used the McNemar and binomial tests for the analysis.
Results:
after the intervention, there was an increase in the frequency of hits, from 70.82% to 92.97%. Most of the questions presented a significant increase of hits (p < 0.05) with an emphasis on sleeping position, drying of clothes, free demand for breastfeeding, and things to avoid (such as accessories in the sleeping place and talc in diaper change).
Conclusions:
the educational video was effective to participants in acquiring knowledge on the care of newborns and can assist in health education activities carried out by nurses.
- Leilane Barbosa de Sousa
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ORIGINAL ARTICLE11-10-2022
Home care for children with gastrostomy
- Ana Paula Lopes Pinheiro Ribeiro ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Ana Beatriz Azevedo Queiroz ,
- Fernanda Garcia Bezerra Góes ,
- Liliane Faria da Silva , [ … ],
- Tania Vignuda de Souza
Abstract
ORIGINAL ARTICLEHome care for children with gastrostomy
Revista Brasileira de Enfermagem. 2022;75:e20200699
DOI 10.1590/0034-7167-2020-0699
- Ana Paula Lopes Pinheiro Ribeiro ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Ana Beatriz Azevedo Queiroz ,
- Fernanda Garcia Bezerra Góes ,
- Liliane Faria da Silva ,
- Tania Vignuda de Souza
Views0See moreABSTRACT
Objectives:
to describe home care practices performed by family members for maintaining the life of children with gastrostomy.
Methods:
qualitative research using the Sensitive Creative method, with the Criatividade e Sensibilidade Corpo Saber [Corpo Saber Creativity and Sensitivity] dynamics. The participation included ten family caregivers of children with gastrostomy. The outpatient clinic of a federal hospital in Rio de Janeiro was the setting. Lexical analysis was used through the IRaMuTeQ® software.
Results:
Theme 1, entitled “The care for maintaining life performed by family members of children with gastrostomy at home”, was analyzed, comprising three classes: “The gastrostomy tube home care routine”; “The care with the gastrostomy/stoma”; and “Food and medication home care routine of children with gastrostomy”.
Final Considerations:
family caregivers used strategies to maintain the device and acquired new knowledge in this field, and in nursing competence, regarding stoma care, food administration, medication, and syringes.
- Ana Paula Lopes Pinheiro Ribeiro
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ORIGINAL ARTICLE11-10-2022
Religious/spiritual coping in informal caregivers of children with cleft lip and/or dysphagic palate
- Francely Tineli Farinha ,
- Gesiane Cristina Bom ,
- Maila Meryellen Ferreira Garcia Manso ,
- Priscila Capelato Prado ,
- Claudia Regina Matiole , [ … ],
- Armando dos Santos Trettene
Abstract
ORIGINAL ARTICLEReligious/spiritual coping in informal caregivers of children with cleft lip and/or dysphagic palate
Revista Brasileira de Enfermagem. 2022;75:e20201300
DOI 10.1590/0034-7167-2020-1300
- Francely Tineli Farinha ,
- Gesiane Cristina Bom ,
- Maila Meryellen Ferreira Garcia Manso ,
- Priscila Capelato Prado ,
- Claudia Regina Matiole ,
- Armando dos Santos Trettene
Views0See moreABSTRACT
Objectives:
to identify the use of religious/spiritual coping in informal caregivers of children with cleft lip and/or palate, dysphagic, powered exclusively by probe.
Methods:
descriptive and cross-sectional study, including 30 informal caregivers. For data collection, a Sociodemographic Questionnaire and the Brief Religious/Spiritual Coping Scale were used. For statistical analysis, ANOVA, Student’s t and Spearman’s correlation tests were used, with a significance level of 5%.
Results:
the use of religious/spiritual coping was high among participants (mean=3.71), with a predominance of positive (mean=3.30) compared to negative (mean=1.88). It was evident that the greater the reported importance of religiosity/spirituality in the participants’ lives, the greater the positive coping (p=0.001).
Conclusions:
informal caregivers used positive religious/spiritual coping as a way of coping with care demands related to the child’s health condition. These findings point to the importance of including spirituality/religiosity as health indicators.
- Francely Tineli Farinha
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ERRATUM11-08-2022
ERRATUM
Revista Brasileira de Enfermagem. 2022;75(1):e2022n1e02
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2022;75(1):e2022n1e02
DOI 10.1590/0034-7167.20227501e02
Views0Article “Hemodialysis in the context of COVID-19: care, nursing protagonism and quality”, with number of DOI: https://doi.org/10.1590/0034-7167-2020-1077, published in the journal Revista Brasileira de Enfermagem, 75(Suppl 1): e20201077, on the front page:Figures 4 and 5 are in reverse order.[…]See more
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RESEARCH01-01-2018
Self-care of men with priapism and sickle cell disease
Revista Brasileira de Enfermagem. 2018;71(5):2418-2424
Abstract
RESEARCHSelf-care of men with priapism and sickle cell disease
Revista Brasileira de Enfermagem. 2018;71(5):2418-2424
DOI 10.1590/0034-7167-2017-0464
Views0See moreABSTRACT
Objective:
To identify self-care demands of men with sickle cell disease and priapism and describe self-care measures in light of Orem’s Self-Care Theory.
Method:
This is a descriptive exploratory study with qualitative approach conducted with nine men with a history of sickle cell disease and priapism. Data were analyzed using Orem’s Self-Care Theory.
Results:
Some demands were identified: from universal self-care – difficulty in social interaction and solitude, changes in self-image, self-esteem and sexual activity; from development – the experience with priapism and little knowledge about the pathophysiology of the disease; regarding health deviations – pain crises.
Conclusion:
Orem’s theory allowed to identify self-care demands, which are essential for the nursing care provided for men with priapism. Nursing has an essential role in the measures for the different demands presented.
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ORIGINAL ARTICLE10-09-2023
Compliance with central venous catheter infection prevention practices after intervention with simulation
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha , [ … ],
- Bruna Figueiredo Manzo
Abstract
ORIGINAL ARTICLECompliance with central venous catheter infection prevention practices after intervention with simulation
Revista Brasileira de Enfermagem. 2023;76(4):e20220574
DOI 10.1590/0034-7167-2022-0574
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha ,
- Delma Aurélia da Silva Simão ,
- Bruna Figueiredo Manzo
Views0See moreABSTRACT
Objectives:
to assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit.
Methods:
a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted.
Results:
after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique.
Conclusions:
the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.
- Thayane Gusmão Pires de Oliveira
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EXPERIENCE REPORT10-09-2023
Focus group in the development of concepts for a Nursing model: experience report
Revista Brasileira de Enfermagem. 2023;76(4):e20220689
Abstract
EXPERIENCE REPORTFocus group in the development of concepts for a Nursing model: experience report
Revista Brasileira de Enfermagem. 2023;76(4):e20220689
DOI 10.1590/0034-7167-2022-0689
Views0See moreABSTRACT
Objective:
To communicate the experience of developing concepts for the construction of a care model through focus groups.
Methods:
An experience report on the development of concepts through remote focus groups with members of a research group from a public university in southern Brazil.
Results:
Focus groups were developed in which homogeneity and heterogeneity criteria were observed among participants. In addition to the concepts of the nursing metaparadigm, the concepts of care and family-centered care were developed, relevant to the nursing care model in question.
Final considerations:
Despite the challenges of conducting remote focus groups, they were suitable for the collective construction of concepts for a nursing care model, allowing the interaction of participants from different locations.
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ORIGINAL ARTICLE10-09-2023
Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life
Revista Brasileira de Enfermagem. 2023;76(4):e20220780
Abstract
ORIGINAL ARTICLEIndependent and combined effects of lifestyle behaviors on adolescent health-related quality of life
Revista Brasileira de Enfermagem. 2023;76(4):e20220780
DOI 10.1590/0034-7167-2022-0780
Views0See moreABSTRACT
Objective:
To investigate the independent and combined effects of lifestyle behaviors, including physical activity, sedentary behavior, sleep duration and food intake, in the health-related quality of life (HRQoL) of Brazilian adolescents.
Methods:
Cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire was applied with structured questions to collect lifestyle behaviors data. Perception of the HRQoL was identified using the Kidscreen-27. The study used covariance analysis and linear regression models for statistical analysis.
Results:
Adolescents who reported ≤ 2 hours/day of screen-based sedentary behavior and sleep duration equivalent to 8-10 hours/night presented significantly higher HRQoL. Adolescents who reported joint adherence ≥ 3 healthy lifestyle behaviors demonstrated approximately two [OR=2.12] to three times [OR=3.04] more chance of presenting higher perceptions of HRQoL.
Conclusion:
Although healthy lifestyle behaviors had a positive independent effect on HRQoL, joint adherence to healthy behaviors enhances the cumulative effect.
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ORIGINAL ARTICLE12-04-2023
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro , [ … ],
- Roselia Arminda Rosales-Flores
Abstract
ORIGINAL ARTICLEWorking conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
DOI 10.1590/0034-7167-2022-0679
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro ,
- Roselia Arminda Rosales-Flores
Views0See moreABSTRACT
Objective:
To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.
Methods:
Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.
Results:
among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).
Conclusions:
The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.
- Ana Paula Nogueira de Magalhães
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ORIGINAL ARTICLE05-29-2023
Quality of life from women’s perspective in the exercise of sex work: a study of social representations
- Pablo Luiz Santos Couto ,
- Maria Luisa Pereira Neves ,
- Luiz Carlos Moraes França ,
- Antônio Marcos Tosoli Gomes ,
- Samantha Souza da Costa Pereira , [ … ],
- Sérgio Correia Marques
Abstract
ORIGINAL ARTICLEQuality of life from women’s perspective in the exercise of sex work: a study of social representations
Revista Brasileira de Enfermagem. 2023;76:e20220169
DOI 10.1590/0034-7167-2022-0169
- Pablo Luiz Santos Couto ,
- Maria Luisa Pereira Neves ,
- Luiz Carlos Moraes França ,
- Antônio Marcos Tosoli Gomes ,
- Samantha Souza da Costa Pereira ,
- Alba Benemérita Alves Vilela ,
- Dejeane de Oliveira Silva ,
- Sérgio Correia Marques
Views1See moreABSTRACT
Objectives:
to analyze the social representations elaborated by sex workers from Alto Sertão Produtivo Baiano about quality of life.
Methods:
a qualitative study, based on the Social Representation Theory, carried out in the region of Alto Sertão Produtivo Baiano, with 30 sex workers. Individual in-depth interview was carried out, with speeches organized in a corpus and treated in IRAMUTEQ, enabling lexical analysis for Descending Hierarchical Classification.
Results:
four thematic classes emerged, in which social representations of quality of life pervade: money earned to supply needs; association with healthy living and obtaining health (physical and mental); balance of emotions (although there are some negative sensations such as fear and anxiety); and faith in a deity.
Final Considerations:
the social representations elaborated by sex workers about quality of life are anchored in concepts, subjective and practical, punctuated by the World Health Organization.
- Pablo Luiz Santos Couto
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ORIGINAL ARTICLE12-08-2023
Care for older adults with disabilities in Long Term Care Facility
- Isadora Queiroz Correa Garchet Furtado ,
- Isabela Silva Cancio Velloso ,
- Carolina Salles Galdino ,
- Alexandre de Pádua Carrieri
Abstract
ORIGINAL ARTICLECare for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
DOI 10.1590/0034-7167-2022-0767
- Isadora Queiroz Correa Garchet Furtado ,
- Isabela Silva Cancio Velloso ,
- Carolina Salles Galdino ,
- Alexandre de Pádua Carrieri
Views0See moreABSTRACT
Objective:
to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals’ perspective.
Methods:
this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man.
Results:
from professionals’ perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency.
Final considerations:
caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.
- Isadora Queiroz Correa Garchet Furtado
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ORIGINAL ARTICLE12-08-2023
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
- Carine Teles Sangaleti ,
- Maicon Henrique Lentsck ,
- Dannyele Cristina da Silva ,
- Andrielli Machado ,
- Maria Regiane Trincaus , [ … ],
- Fernanda Marciano Consolim Colombo
Abstract
ORIGINAL ARTICLEPolypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
DOI 10.1590/0034-7167-2022-0785
- Carine Teles Sangaleti ,
- Maicon Henrique Lentsck ,
- Dannyele Cristina da Silva ,
- Andrielli Machado ,
- Maria Regiane Trincaus ,
- Maria Cristina Umpierrez Vieira ,
- Bruno Bordin Pelazza ,
- Fernanda Marciano Consolim Colombo
Views0See moreABSTRACT
Objective:
to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care.
Methods:
a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression.
Results:
polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications.
Conclusions:
polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.
- Carine Teles Sangaleti
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