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ORIGINAL ARTICLE12-08-2024
Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
Revista Brasileira de Enfermagem. 2024;77(1):e20220773
Abstract
ORIGINAL ARTICLEInitial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
Revista Brasileira de Enfermagem. 2024;77(1):e20220773
DOI 10.1590/0034-7167-2022-0773
Views0See moreABSTRACT
Objective:
to analyze the initial nipple damage degree by breastfeeding practice and to associate findings with clinical manifestations of breastfeeding women.
Methods:
a retrospective, cross-sectional study with primary data and photographic images database from two randomized clinical trials. Photographic images were analyzed by two independent evaluators using the Nipple Trauma Score. For analysis, the chi-square, Mann-Whitney tests and Kappa coefficient were applied.
Results:
115 breastfeeding women and their respective 186 photographic images were analyzed. The degree of agreement of evaluators using the Nipple Trauma Score was 93.6%. The nipple pain score during breastfeeding was moderate and compromised more than 25% of the nipple surface area.
Conclusions:
assistance to breastfeeding women should prioritize nipple pain intensity instead of the nipple damage size.
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ORIGINAL ARTICLE12-08-2024
Safe practices for bed bathing in the intensive care unit: validation of a checklist
- Juliana Cristina Silva
, - Márcia Marques dos Santos Felix ,
- Rosa Helena Aparecida Gonçalves ,
- Isadora Braga Calegari ,
- Maria Beatriz Guimarães Raponi , [ … ],
- Maria Helena Barbosa
Abstract
ORIGINAL ARTICLESafe practices for bed bathing in the intensive care unit: validation of a checklist
Revista Brasileira de Enfermagem. 2024;77(1):e20230135
DOI 10.1590/0034-7167-2023-0135
- Juliana Cristina Silva ,
- Márcia Marques dos Santos Felix ,
- Rosa Helena Aparecida Gonçalves ,
- Isadora Braga Calegari ,
- Maria Beatriz Guimarães Raponi ,
- Maria Helena Barbosa
Views0See moreABSTRACT
Objective:
To validate a checklist for safe bathing in critically ill patients.
Methods:
This is a methodological and quantitative study. Researchers developed a checklist for safe bathing in critically ill patients consisting of 41 items, which were submitted to the apparent and content validation process, evaluated by eleven judges, and interobserver reliability. For reliability analysis, the instrument was applied in 54 bed bath procedures in the ICU; Kappa and CHF tests were used.
Results:
In the apparent and content validation, adjustments were made according to the judges’ suggestions. Kappa values ranged from moderate to almost perfect (0.462 to 0.962), and, in some items, there was 100% agreement; the reliability of the instrument was excellent (ICC = 0.962).
Conclusion:
The instrument proved to be dependable and easy to apply. Its use will contribute to safe bed bathing and subsidize interventions aimed at increasing the quality of care.
- Juliana Cristina Silva
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REVIEW11-29-2024
Assessment of knowledge in oncology about care for transgender people: a scoping review
- Fernanda Fachetti Xavier de Almeida ,
- Cremilson de Paula Silva ,
- Ricardo Souza Evangelista Sant’Ana ,
- Ruan Nilton Rodrigues Melo
Abstract
REVIEWAssessment of knowledge in oncology about care for transgender people: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20230532
DOI 10.1590/0034-7167-2023-0532
- Fernanda Fachetti Xavier de Almeida ,
- Cremilson de Paula Silva ,
- Ricardo Souza Evangelista Sant’Ana ,
- Ruan Nilton Rodrigues Melo
Views0See moreABSTRACT
Objective:
to identify evidence available in the literature on instruments and methodologies used to assess healthcare professionals’ knowledge about cancer care for the transgender population.
Methods:
a scoping review was conducted in seven databases, including studies that answered the question: what is the healthcare professionals’ level of knowledge about cancer care for the transgender population?
Results:
forty-one articles were selected that dealt specifically with healthcare professionals’knowledge in relation to care for the LGBTQIAPN+ population, especially the transgender population. Eighteen studies assessed patients’ perceptions of professionals’knowledge, whereas other studies used their own assessment tools, considering the global context of LGBTQIAPN+ health.
Conclusions:
there is no tested and validated instrument that assesses the knowledge about the transgender population’s oncological health, highlighting the need to construct and validate an instrument focused on this population’s needs.
- Fernanda Fachetti Xavier de Almeida
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ORIGINAL ARTICLE11-29-2024
Sleep quality of vulnerable elderly people: associated factors
- Ariene Angelini dos Santos-Orlandi ,
- Ana Carolina Ottaviani ,
- Elén dos Santos Alves ,
- Tábatta Renata Pereira de Brito ,
- Keika Inouye
Abstract
ORIGINAL ARTICLESleep quality of vulnerable elderly people: associated factors
Revista Brasileira de Enfermagem. 2024;77:e20230283
DOI 10.1590/0034-7167-2023-0283
- Ariene Angelini dos Santos-Orlandi ,
- Ana Carolina Ottaviani ,
- Elén dos Santos Alves ,
- Tábatta Renata Pereira de Brito ,
- Keika Inouye
Views0See moreABSTRACT
Objective:
To identify factors associated with poor sleep quality in elderly dependent individuals in social vulnerability.
Method:
Cross-sectional study with 59 elderly dependent individuals assisted by Family Health Units in São Carlos/SP. The following tools were used: Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, Addenbrooke’s Cognitive Examination Revised, Fried’s Frailty Phenotype, Geriatric Depression Scale (15 items), Perceived Stress Scale, Family APGAR, Social Support Scale from the Medical Outcomes Study, and World Health Organization Quality of Life, abbreviated and “old” versions.
Results:
The majority of participants were women (52.5%), aged 60-74 years (71.1%), and had poor sleep quality (76.2%). Stress (OR=1.12; 95%CI=1.02-1.22) and polypharmacy (OR=7.39; 95%CI=1.22-44.73) increased the chances of poor sleep quality, while physical activity decreased these chances (OR=0.15; 95%CI=0.02-0.79).
Conclusion:
Stress and polypharmacy are associated with poor sleep quality in elderly dependent individuals.
- Ariene Angelini dos Santos-Orlandi
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REVIEW11-22-2024
Transition to family parenting in the face of the first child: a scoping review
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Abstract
REVIEWTransition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
DOI 10.1590/0034-7167-2023-0487
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Views1See moreABSTRACT
Objectives:
to identify and summarize the elements that characterize the family transition process in relation to the first child.
Methods:
a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.
Final Considerations:
elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.
- Maria Isabel Ventura Araújo
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11-22-2024
Social Technology in the Prevention of Adolescent Violence: documentary production
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Abstract
Social Technology in the Prevention of Adolescent Violence: documentary production
Revista Brasileira de Enfermagem. 2024;77(5):e20230298
DOI 10.1590/0034-7167-2023-0298
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Views0See moreABSTRACT
Objective:
To report the development of a technological innovation in the form of a documentary, aimed at disseminating actions for preventing violence against adolescents within the context of Primary Health Care.
Methods:
The documentary was developed through action research and interventions with adolescents in the territory of a Health Unit, conducted between 2020 and 2022, using Social Technology as both an action strategy and a conceptual reference.
Results:
The Social Technology proposal, created through workshops and seminars, resulted in a documentary focusing on violence prevention, involving 48 adolescents. The documentary’s script, collectively developed, portrays a soccer match between teams symbolizing peace and violence, with peace ultimately prevailing. The documentary is six minutes long.
Final Considerations:
The documentary has proven to be an effective Social Technology tool among adolescents, as it fosters critical thinking, is accessible, has potential for digital dissemination, and appeals to the target audience.
- Daiane de Paulo Paltanin Silva
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ORIGINAL ARTICLE11-22-2024
Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Abstract
ORIGINAL ARTICLEPrevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
Revista Brasileira de Enfermagem. 2024;77(5):e20230327
DOI 10.1590/0034-7167-2023-0327
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Views0See moreABSTRACT
Objectives:
to assess pain management during labor.
Methods:
a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.
Results:
the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).
Conclusions:
non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.
- Juan Ignacio Calcagno
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ORIGINAL ARTICLE11-22-2024
Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Abstract
ORIGINAL ARTICLEPerceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20240005
DOI 10.1590/0034-7167-2024-0005
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Views0ABSTRACT
Objectives:
to analyze the experiences of people with acquired physical disabilities regarding accessibility and social conditions; to identify nurse-led rehabilitation interventions for accessibility and social conditions; to determine nursing-sensitive indicators to improve accessibility and social conditions.
Methods:
a descriptive-exploratory qualitative study employed semi-structured interviews with people with acquired physical disabilities through purposive snowball sampling to address all objectives. Data analysis followed Bardin’s content analysis principles. Furthermore, objectives 2 and 3 were achieved through a reflective theoretical approach.
Results:
the 27 participants reported accessibility challenges, impacting activities of living and social conditions. This influences rehabilitation nursing, leading to three intervention fields: Assess the ability to perform activities of living and influencing factors; Develop and implement training to perform activities of living; Promote mobility, accessibility, and social participation.
Final Considerations:
based on participants experiences, we identified nurse-led rehabilitation interventions to promote accessibility and social conditions.
Keywords:Architectural AccessibilityPeople with DisabilitiesRehabilitation NursingSocial ConditionsSustainable Development GoalsSee more
- Rute Salomé da Silva Pereira
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ORIGINAL ARTICLE01-14-2022
Hospital structure elements demarcating (in)visibilities of institutional violence against children
- Ana Carla Petersen de Oliveira Santos ,
- Climene Laura de Camargo ,
- Mara Ambrosina de Oliveira Vargas
Abstract
ORIGINAL ARTICLEHospital structure elements demarcating (in)visibilities of institutional violence against children
Revista Brasileira de Enfermagem. 2022;75:e20200785
DOI 10.1590/0034-7167-2020-0785
- Ana Carla Petersen de Oliveira Santos ,
- Climene Laura de Camargo ,
- Mara Ambrosina de Oliveira Vargas
Views0See moreABSTRACT
Objectives:
to analyze the hospital structure elements that demarcate (in)visibilities of institutional violence in hospitalized children.
Methods:
this is a descriptive-exploratory qualitative study that used approaches with Foucault’s thinking. Ten companions and 39 healthcare professionals from a university hospital in Salvador, Bahia participated. Data collection took place from November 2018 to June 2019 through semi-structured interviews. The discourse analysis method was used. The study was approved by the Institutional Review Board.
Results:
institutional violence was understood in the violations and invisibilities of the structure of health services through the problems: in infrastructure (physical structure, lack of human and material resources, scrapping of equipment); administrative and management; pilgrimage.
Final Considerations:
it is necessary to realize the invisibilities of the infrastructure to act in confronting institutional violence to hospitalized children.
- Ana Carla Petersen de Oliveira Santos
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ORIGINAL ARTICLE09-16-2019
Knowledge of sex workers about HIV/AIDS and its influence on sexual practices
- Anna Cláudia Freire de Araújo Patrício ,
- Valéria Peixoto Bezerra ,
- Jordana Almeida Nogueira ,
- Maria Adelaide Silva Paredes Moreira ,
- Brígido Vizeu Camargo , [ … ],
- Jiovana de Souza Santos
Abstract
ORIGINAL ARTICLEKnowledge of sex workers about HIV/AIDS and its influence on sexual practices
Revista Brasileira de Enfermagem. 2019;72(5):1311-1317
DOI 10.1590/0034-7167-2018-0590
- Anna Cláudia Freire de Araújo Patrício ,
- Valéria Peixoto Bezerra ,
- Jordana Almeida Nogueira ,
- Maria Adelaide Silva Paredes Moreira ,
- Brígido Vizeu Camargo ,
- Jiovana de Souza Santos
Views0See moreABSTRACT
Objective:
assess the knowledge of sex workers about HIV/AIDS and its influence on sexual practices.
Method:
Ninety women participated in the study. The Scientific Knowledge Test about HIV/AIDS and sexual practices was used. The Wald test was applied to verify the relationship between knowledge and sexual practices with statistical significance of p<0.05.
Results:
the score of 61.7% of correct answers in all three dimensions stands out; 72.2% have sexual intercourse without a condom in exchange for a large amount of money; 53.3% have sex during the menstrual period; 62.2% have sexual intercourse with drug users; 75.6% have sex with clients showing lesions on the penis or anus. The B coefficient (-0.19) showed that the higher the knowledge about HIV/AIDS, the lower the practice of risky sexual behaviors.
Conclusion:
the influence of knowledge about HIV/AIDS on sexual practices was not statistically significant, but the sexual practices and insufficient knowledge about prevention, physiological and behavioral attributes were observed.
- Anna Cláudia Freire de Araújo Patrício
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REVIEW10-18-2022
Decision making by health professionals during COVID-19: an integrative review
- Camila Oliveira Valente ,
- Fernanda Rios da Silva ,
- Fernanda Carneiro Mussi ,
- Maria Ribeiro Lacerda ,
- Kátia Santana Freitas , [ … ],
- Darci de Oliveira Santa Rosa
Abstract
REVIEWDecision making by health professionals during COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210067
DOI 10.1590/0034-7167-2021-0067
- Camila Oliveira Valente ,
- Fernanda Rios da Silva ,
- Fernanda Carneiro Mussi ,
- Maria Ribeiro Lacerda ,
- Kátia Santana Freitas ,
- Darci de Oliveira Santa Rosa
Views1See moreABSTRACT
Objective:
To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic.
Methods:
Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated.
Results:
During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria.
Final considerations:
Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.
- Camila Oliveira Valente
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05-21-2021
Term database for nursing practice in the context of coronavirus (COVID-19) infections
- Márcia Cristina de Figueiredo Santos ,
- Ana Márcia Nóbrega Dantas ,
- Rafaela de Melo Araújo Moura ,
- Patrícia Josefa Fernandes Beserra ,
- Maria Miriam Lima da Nóbrega
Abstract
Term database for nursing practice in the context of coronavirus (COVID-19) infections
Revista Brasileira de Enfermagem. 2021;74:e20200703
DOI 10.1590/0034-7167-2020-0703
- Márcia Cristina de Figueiredo Santos ,
- Ana Márcia Nóbrega Dantas ,
- Rafaela de Melo Araújo Moura ,
- Patrícia Josefa Fernandes Beserra ,
- Maria Miriam Lima da Nóbrega
Views0See moreABSTRACT
Objective:
to build a term database relevant to nursing practice in the context of COVID-19 infections.
Methods:
this is a methodological, documentary study, carried out from March to June 2020 at ICNP®/ Universidade Federal da Paraíba center, considered a reference for research and dissemination of ICNP® in Brazil. The findings were collected in databases and analyzed using the PorOnto tool, the consensus technique and the mapping of terms with ICNP®, version 2019/2020.
Results:
1,134 relevant terms were identified in literature. When submitted to the mapping technique with the terms of ICNP® Seven Axis Model, it resulted in 531 constant terms and 603 nonconstant terms in this classification.
Final considerations:
It is proven that nursing practice terms, even in a specific context, are present in the literature and are representative in ICNP®, which will enable the future development of a terminological subset in the context of coronavirus infections.
- Márcia Cristina de Figueiredo Santos
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ORIGINAL ARTICLE08-10-2020
Knowledge, applicability and importance attributed by nursing undergraduates to communicative strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190411
Abstract
ORIGINAL ARTICLEKnowledge, applicability and importance attributed by nursing undergraduates to communicative strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190411
DOI 10.1590/0034-7167-2019-0411
Views0See moreABSTRACT
Objectives:
To evaluate the knowledge, applicability and importance that nursing students attribute to therapeutic communicative strategies.
Methods:
This is a quantitative study (survey) with nursing undergraduates from a public institution. The online questionnaire by the SurveyMonkey tool, comprising the informed consent form and six questions, had its relevance, clarity and operability assessed by experts.
Results:
Of the 104 graduates, 50 participated in the study; the most well-known and applied strategy was Therapeutic Communication, followed by Ask-Tell-Ask, NURSE and Tell Me More; the least were PACIENTE and SPIKES. Most use the strategies they know best; all were considered important by at least 82% of the students.
Conclusions:
The partial knowledge and application of these strategies by the students contributes to reflect on the complexity of their teaching-learning process.
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REVIEW08-26-2022
Health literacy of adolescents in the COVID-19 pandemic: an integrative review
- Rafaela Aparecida Prata ,
- Tamara Barros Bicudo ,
- Juliana Bastoni da Silva ,
- Marla Andréia Garcia de Avila
Abstract
REVIEWHealth literacy of adolescents in the COVID-19 pandemic: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210956
DOI 10.1590/0034-7167-2021-0956
- Rafaela Aparecida Prata ,
- Tamara Barros Bicudo ,
- Juliana Bastoni da Silva ,
- Marla Andréia Garcia de Avila
Views0See moreABSTRACT
Objective:
to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic.
Method:
an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included.
Results:
of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic.
Final considerations:
the literature has indicated that HL can interfere with adolescents’ decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.
- Rafaela Aparecida Prata
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ORIGINAL ARTICLE10-19-2020
Relationships between substance use, anxiety, depression and stress by public university workers
- Dilce Rejane Peres do Carmo ,
- Daiana Foggiato de Siqueira ,
- Amanda de Lemos Mello ,
- Etiane de Oliveira Freitas ,
- Marlene Gomes Terra , [ … ],
- Sandra Cristina Pillon
Abstract
ORIGINAL ARTICLERelationships between substance use, anxiety, depression and stress by public university workers
Revista Brasileira de Enfermagem. 2020;73:e20190839
DOI 10.1590/0034-7167-2019-0839
- Dilce Rejane Peres do Carmo ,
- Daiana Foggiato de Siqueira ,
- Amanda de Lemos Mello ,
- Etiane de Oliveira Freitas ,
- Marlene Gomes Terra ,
- Ariane Naidon Cattani ,
- Sandra Cristina Pillon
Views1See moreABSTRACT
Objective:
To evaluate the relationship between psychoactive substance use, anxiety, depression and stress by workers at a Brazilian public university.
Methods:
This is a cross-sectional study with a quantitative approach, carried out with 345 workers from a public higher education institution, located in a city in the interior of the state of Rio Grande do Sul, Brazil.
Results:
Professionals with an average age of 38.9 years, 187 (54.2%) were women, 163 (47.2%) were single, 186 (53.9%) professed the Catholic religion, 223 (64.8%) had graduate school education. Of the workers, 122 (35.4%) considered their work to be stressful. The use of alcohol in the binge pattern (monthly) and heavy episodic drinking (weekly) were higher among workers with higher levels of anxiety, depression and stress.
Conclusion:
The use of alcohol in its different forms, stress, depression and anxiety show particularities that must be evaluated and recognized among the worker’s health problems.
- Dilce Rejane Peres do Carmo
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ORIGINAL ARTICLE10-21-2019
Time series of hospitalizations of adolescents due to mental and behavioral disorders
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes , [ … ],
- Ieda Harumi Higarashi
Abstract
ORIGINAL ARTICLETime series of hospitalizations of adolescents due to mental and behavioral disorders
Revista Brasileira de Enfermagem. 2019;72(6):1662-1670
DOI 10.1590/0034-7167-2018-0800
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes ,
- Ieda Harumi Higarashi
Views0See moreABSTRACT
Objective:
to analyze the trend of hospitalizations of adolescents due to mental and behavioral disorders in Paraná, from 1998 to 2015.
Method:
ecological study of time series. Data were analyzed by means of segmented linear regression modeling for time series, estimated for each of the four health macro-regions.
Results:
the East macro-region showed a greater trend to increase hospitalizations from January 1998 to November 2003 (β1=0.006, p<0.001). In other macro-regions, there were similar trends with a sudden increase in February 2010, but with a further gradual decrease until December 2015. In the quadrennium 2012-2015, 38.06% of the hospitalizations lasted 29 or more days, and in the Northwest macro-region, hospitalizations lasted for up to seven days. The main cause of hospitalization was the use of alcohol and other drugs.
Conclusion:
there is a need to strengthen health actions to prevent drug use and improvements in the care network.
- Ellen Vanuza Martins Bertelli
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