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ORIGINAL ARTICLE
Preditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
05-03-2024
Abstract
ORIGINAL ARTICLEPreditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
05-03-2024DOI 10.1590/0034-7167-2022-0816
Views0See moreRESUMEN
Objetivos:
evaluar los factores de riesgo del exceso de volumen de líquido en pacientes en hemodiálisis.
Métodos:
estudio retrospectivo de casos y controles. Se incluyeron 392 pacientes (196 casos y 196 controles) de dos centros de hemodiálisis. Se evaluaron datos sociodemográficos y 23 factores de riesgo de exceso de volumen de líquido mediante un formulario de recolección de datos. Los datos se analizaron mediante un modelo de regresión logística multivariado.
Resultados:
factores de riesgo conocimiento insuficiente (OR=2,06), ingesta excesiva de líquidos (OR=2,33), retirada inadecuada de líquidos durante la hemodiálisis (OR=2,62) e ingesta excesiva de sodio (OR=1,91) pueden aumentar aproximadamente dos veces la posibilidad de que se produzca un exceso de volumen de líquido en pacientes en hemodiálisis. La educación (OR=0,95) y la edad (OR=0,97) son factores protectores del volumen excesivo de líquido.
Conclusiones:
conocer estos factores de riesgo puede ayudar a las enfermeras a realizar una inferencia diagnóstica precisa y rápida del riesgo de volumen excesivo de líquidos.
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REVIEW
Nursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
05-03-2024
Abstract
REVIEWNursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
05-03-2024DOI 10.1590/0034-7167-2023-0264
Views0See moreABSTRACT
Objectives:
to map nursing interventions that empower the Family caregiver of the person with lower limb amputation for is role.
Methods:
scoping review guided by Joanna Briggs Institute methodology conducted in different databases (including gray literature).
Results:
six studies published between 2009 and 2021 were included. Interventions of counselling and support for patients and family; peer support interventions performed by a certified pair; involvement of caregivers or family members in support groups; and key interventions for patient and family caregiver psychological balance. Two studies discussed the importance of caregiver and amputee training and development of coping skills. Another study recommended Interventions of informative support for caregivers regarding care for the amputee and adaptation to home.
Conclusions:
results of this review allow the identification of recommendations (guidelines) for practice and recommendations/suggestions for interventions according with identified needs of family caregivers of patients with lower limb amputation.
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ORIGINAL ARTICLE
Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
05-03-2024
Abstract
ORIGINAL ARTICLECancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
05-03-2024DOI 10.1590/0034-7167-2023-0358
Views0See moreABSTRACT
Objectives:
to psychometrically validate the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire EORTC QLQ-INFO25 instrument and identify the domains that influence patients’ perception of the information received.
Methods:
a cross-sectional methodology with cancer patients in a Brazilian philanthropic hospital institution. Sociodemographic and clinical instruments, EORTC QLQ-C30, EORTC QLQ-INFO25 and Supportive Care Needs Survey – Short Form 34 were used. Analysis occurred using Cronbach’s alpha coefficients, intraclass correlation, test-retest and exploratory factor analysis.
Results:
128 respondents participated. Cronbach’s alpha coefficient was 0.85. The test-retest obtained p-value=0.21. In the factor analysis, one item was excluded. Satisfaction with the information received was 74%, with three areas with averages below 70%. In open-ended questions, there was a greater desire for information.
Conclusions:
validity evidence was obtained with instrument reliability, consistency and stability. Respondents expressed satisfaction with the information received.
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ORIGINAL ARTICLE
Predictors of excess fluid volume in hemodialysis patients: an observational study
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
05-03-2024
Abstract
ORIGINAL ARTICLEPredictors of excess fluid volume in hemodialysis patients: an observational study
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
05-03-2024DOI 10.1590/0034-7167-2022-0816
Views0See moreABSTRACT
Objectives:
to assess risk factors for excess fluid volume in hemodialysis patients.
Methods:
a retrospective case-control study was conducted. A total of 392 patients (196 cases and 196 controls) from two hemodialysis centers were included. Sociodemographic data and 23 risk factors for excess fluid volume were assessed using a data collection form. Data were analyzed using a multivariate logistic regression model.
Results:
the insufficient knowledge (OR=2.06), excessive fluid intake (OR=2.33), inadequate fluid removal during hemodialysis (OR=2.62) and excessive sodium intake (OR=1.91) risk factors may increase the chance of occurrence of excess fluid volume in hemodialysis patients by approximately two times. Education level (OR=0.95) and age (OR=0.97) are protective factors for excessive fluid volume.
Conclusions:
knowing these risk factors may help nurses with accurate and rapid diagnostic inference of the risk of excessive fluid volume.
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REVIEW
Elements of fatherhood involved in the gestational period: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230029
05-03-2024
Abstract
REVIEWElements of fatherhood involved in the gestational period: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230029
05-03-2024DOI 10.1590/0034-7167-2023-0029
Views0See moreABSTRACT
Objective:
To identify in the literature and summarize the elements and characteristics of fatherhood involved during pregnancy.
Method:
Scoping review that used PRISMA-ScR guide to report this review. Searches were carried out in PubMed, CINAHL, PsycInfo, LILACS and Scopus. Google search engines and public health agency websites assisted in searches of gray literature and Rayyan in screening studies.
Results:
A total of 406 articles were identified, of which 16 made up the final sample. Five elements make up an involved fatherhood: feeling like a father, being a provider and protector, being a partner and participant in pregnancy, participating in prenatal appointments and feeling prepared to take care of a baby.
Conclusion:
Fathers want to be involved in prenatal care, but feel excluded from this process. Public policies that encourage paternal involvement and healthcare professional training to better welcome and promote paternal involvement are of paramount importance.
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ORIGINAL ARTICLE
Josicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2024;77(1):e20230174
05-03-2024
Abstract
ORIGINAL ARTICLEJosicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2024;77(1):e20230174
05-03-2024DOI 10.1590/0034-7167-2023-0174
Views0See moreABSTRACT
Objectives:
to analyze nurse Josicélia Dumêt Fernandes’ life story, with emphasis on her work in the psychiatry and mental health fields.
Methods:
historical, qualitative research. Semi-structured interviews and documentary research were used as data collection techniques, collected from September to October 2021. For data analysis, we opted for the content analysis method and comparison with the Foucauldian philosophical framework.
Results:
four categories emerged: Transforming herself and mental health practices; (Re)framing professional practice; Nursing practice and power relations; and The paths and implications in the psychiatry and mental health fields.
Final Considerations:
the study of the biographer demonstrates a search for transformation of herself and mental health practices, with a rupture in paradigms and reframing of her practice in psychiatry and mental health.
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ORIGINAL ARTICLE
What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
Revista Brasileira de Enfermagem. 2024;77(1):e20220809
05-03-2024
Abstract
ORIGINAL ARTICLEWhat is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
Revista Brasileira de Enfermagem. 2024;77(1):e20220809
05-03-2024DOI 10.1590/0034-7167-2022-0809
Views0See moreABSTRACT
Objective:
To estimate the prevalence of multimorbidity in elderly people and its association with sociodemographic characteristics, lifestyle, and anthropometry.
Methods:
This was a cross-sectional study using data from the National Health Survey, 2019. A total of 22,728 elderly individuals from all 27 Brazilian states were randomly selected. Poisson regression models with robust variance were employed, and a significance level of 5% was adopted.
Results:
The prevalence of multimorbidity was 51.6% (95% CI: 50.4-52.7), with the highest estimates observed in the South and Southeast. Multimorbidity was associated with being female (aPR = 1.33; 95% CI: 1.27-1.39), being 80 years old or older (aPR = 1.12; 95% CI: 1.05-1.19), having low education (aPR = 1.16; 95% CI: 1.07-1.25), past cigarette use (aPR = 1.16; 95% CI: 1.11-1.21), insufficient physical activity (aPR = 1.13; 95% CI: 1.06-1.21), and screen use for 3 hours or more per day (aPR = 1.13; 95% CI: 1.08-1.18).
Conclusion:
Multimorbidity affects more than half of the elderly population in Brazil and is associated with social, demographic, and behavioral factors.
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ORIGINAL ARTICLE
Pregnancy loss in women with systemic lupus erythematosus: Grounded Theory
Revista Brasileira de Enfermagem. 2024;77(1):e20230225
05-03-2024
Abstract
ORIGINAL ARTICLEPregnancy loss in women with systemic lupus erythematosus: Grounded Theory
Revista Brasileira de Enfermagem. 2024;77(1):e20230225
05-03-2024DOI 10.1590/0034-7167-2023-0225
Views0ABSTRACT
Objective:
to learn the meanings attributed to pregnancy loss by women with Lupus.
Method:
qualitative research, based on Symbolic Interactionism and Grounded Theory. Data collection took place between January and August 2022 through in-depth interviews. Data analysis went through the stages of initial and focused coding.
Results:
seventeen women participated. The central phenomenon “The climb to motherhood: falls and overcoming” was constructed, consisting of three categories: “Falling to the ground during the climb: the experience of pregnancy loss”; “Getting up and following the path: new attempts to conceive”; and “Remembering the journey: meanings attributed to pregnancy losses”.
Final considerations:
experiencing pregnancy is, analogously, like climbing a mountain, where obstacles need to be overcome to reach the summit. The experience of pregnancy loss is seen as complex, especially when there is fragility in healthcare and a lack of awareness regarding feelings of loss and grief.
Keywords:AbortionGrounded TheoryHigh-RiskPregnancySpontaneousSymbolic InteractionismSystemic Lupus ErythematosusSee more
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REVIEW
Patient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
07-06-2020
Abstract
REVIEWPatient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
07-06-2020DOI 10.1590/0034-7167-2019-0209
Views0See moreABSTRACT
Objectives:
to identify the patient safety challenges described by health professionals in Primary Health Care.
Methods:
a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included.
Results:
the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety.
Conclusions:
patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.
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Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
07-16-2021
Abstract
Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
07-16-2021DOI 10.1590/0034-7167-2020-1150
Views0See moreABSTRACT
Objective:
to assess sleep quality in menopausal women and its association with symptoms related to this period.
Method:
this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant.
Results:
261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale.
Conclusion:
women with worse sleep quality revealed greater severity of symptoms related to menopause.
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ORIGINAL ARTICLE
Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
08-10-2020
Abstract
ORIGINAL ARTICLEEliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
08-10-2020DOI 10.1590/0034-7167-2018-0950
Views0See moreABSTRACT
Objectives:
to analyze theoretical conceptions of Eliot Freidson’s Sociology of Professions scoped on health and nursing professions.
Methods:
Eight nurses were interviewed, all involved in the development of the professional Council on the timeframe from 1975 to 1986. Documental resources were Laws, Ordinances, Resolutions, Reports, Meeting Minutes and Public Deeds. Information was organized as from literature and Eliot Freidson’s conceptions, and thematic content analysis was carried out.
Results:
the concepts authored by Eliot Freidson allowed for the development of a concept chart that portrays the nursing profession and that may be expanded for the other occupations in the health field, in consonance with professional organization in the country.
Final Considerations:
Eliot Freidson’s framework, in interpretation for nursing, consolidates the profession with relative autonomy, expertise by Nursing Care Systematization and credentialism by professional normalizations.
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REVIEW
Psychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
01-20-2021
Abstract
REVIEWPsychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
01-20-2021DOI 10.1590/0034-7167-2020-0198
Views0See moreABSTRACT
Objective:
to identify, in international scientific production, the main psychosocial factors in nursing work, found through the Copenhagen Psychosocial Questionnaire (COPSOQ) application.
Methods:
a systematic review study of psychosocial factors at work among nursing professionals, who used COPSOQ in the assessment of work environments.
Results:
fifteen articles were identified, which highlighted as main psychosocial dimensions of nursing work demands, work organization, social relationships and leadership, work-home interface, workplace health and well-being and offensive behaviors.
Conclusion:
the high demands for cognitive, emotional work and work pace were identified in the nursing routine. Management support had a positive impact. Physical and psychological violence and shift work interfere in family life, aggravating the fatigue of these professionals. Interventions for reducing work stress presuppose the identification of psychosocial factors involved in nursing work.
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ORIGINAL ARTICLE
Factors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
12-05-2019
Abstract
ORIGINAL ARTICLEFactors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
12-05-2019DOI 10.1590/0034-7167-2017-0079
Views0See moreABSTRACT
Objective:
determine the prevalence and factors associated with frailty syndrome (FS) in the elderly in the rural population of Pelotas.
Method:
Quantitative, analytical, transversal study conducted with 820 elderly subjects registered in the Family Health Strategy (FHS) in the rural area in the municipality of Pelotas, from July to October 2014.
Results:
among those evaluated, 43.41% showed FS. These factors were consolidated as associated with the condition: low income (PR: 1.54, p ≤ 0.001), low educ. level (PR: 1.45, p ≤ 0.001), nutritional status (obesity) (PR:1.89, p ≤ 0.001), physical inactivity (PR:1.93, p = 0.003), cognitive deficit (PR:2.07, p = 0.005), and poor self-perceived health (PR: 8.21, p ≤ 0.001).
Conclusion:
the findings may contribute effectively to the establishment of prevention and screening measures for frailty among the elderly by health professionals, especially nurses, aiming to prevent the occurrence of the syndrome and adverse and undesirable outcomes.
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ORIGINAL ARTICLE
Association between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
07-06-2020
Abstract
ORIGINAL ARTICLEAssociation between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
07-06-2020DOI 10.1590/0034-7167-2019-0430
Views0See moreABSTRACT
Objectives:
to verify the association between knowledge and adherence to foot self-care practices performed by patients with diabetes mellitus type 2.
Methods:
cross-sectional, descriptive study carried out with 197 patients in basic health units located in the Northeast region of Brazil. For data collection, we used a semi-structured questionnaire that addressed issues inherent to knowledge and Diabetes Self-Care Activities.
Results:
we observed that patients with moderate knowledge about self-care practices were more likely to perform foot self-examination, dry the interdigital spaces, moisturize their feet with creams and oils, observe the presence of mycosis and ingrown toenail when compared to patients with insufficient knowledge.
Conclusions:
the patients’ level of knowledge was closely related to the self-care activities carried out, which reinforces the importance of nurses working on training those on essential health care.
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ORIGINAL ARTICLE
Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
03-07-2022
Abstract
ORIGINAL ARTICLECritically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
03-07-2022DOI 10.1590/0034-7167-2021-0119
Views0See moreABSTRACT
Objective:
To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables.
Methods:
Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group.
Results:
Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found.
Conclusion:
Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.
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