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ORIGINAL ARTICLE11-28-2023
Nursing protocol in chronic kidney disease prevention in older adults in primary care
- Fernanda Ferreira Krepker
, - Cristina Arreguy-Sena ,
- Luciene Muniz Braga ,
- Paula Krempser ,
- Jéssica de Castro Santos , [ … ],
- Herica Silva Dutra
Abstract
ORIGINAL ARTICLENursing protocol in chronic kidney disease prevention in older adults in primary care
Revista Brasileira de Enfermagem. 2023;76(1):e20220052
DOI 10.1590/0034-7167-2022-0052
- Fernanda Ferreira Krepker ,
- Cristina Arreguy-Sena ,
- Luciene Muniz Braga ,
- Paula Krempser ,
- Jéssica de Castro Santos ,
- Herica Silva Dutra
Views0See moreASBTRACT
Objectives:
to develop a protocol for Nursing Process operationalization in approaching older adults with vulnerability to chronic kidney disease in Primary Health Care, based on Neuman’s stressors.
Methods:
a methodological study, carried out in two stages: 1) synthesis of evidence using an inductive strategy (mixed method study) and 2) protocol development to support the nursing process operationalization with older adults enrolled in a Basic Health Unit, using a deductive strategy (Neuman’s stressor concepts, NANDA, NIC, and NOC taxonomies, Risner’s line of reasoning, and cross-mapping), described according to A Step-by-Step Guide to Developing Protocols.
Results:
102 older adults participated, and 17 diagnoses, 34 interventions and 26 nursing outcomes were identified.
Conclusions:
the protocol developed is a technology that makes it possible to operationalize the Nursing Process, based on Neuman’s stressors and on taxonomy, conceptual and care frameworks, guiding care and nursing records.
- Fernanda Ferreira Krepker
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ORIGINAL ARTICLE11-28-2023
The Chronic Care Model and its implications for Specialized Outpatient Care
- Francielle Renata Danielli Martins Marques ,
- Grazieli Adrieli Rodrigues Pires ,
- José Luís Guedes Dos Santos ,
- Vanessa Denardi Antoniassi Baldissera ,
- Maria Aparecida Salci
Abstract
ORIGINAL ARTICLEThe Chronic Care Model and its implications for Specialized Outpatient Care
Revista Brasileira de Enfermagem. 2023;76(1):e20210315
DOI 10.1590/0034-7167-2021-0315
- Francielle Renata Danielli Martins Marques ,
- Grazieli Adrieli Rodrigues Pires ,
- José Luís Guedes Dos Santos ,
- Vanessa Denardi Antoniassi Baldissera ,
- Maria Aparecida Salci
Views0See moreABSTRACT
Objective:
to assess the Chronic Care Model implementation in Specialized Outpatient Care and its repercussions for health care.
Methods:
qualitative evaluative research, conducted by the Chronic Care Model. We used observation techniques, document analysis and interviews with 21 health professionals from specialized care. Analysis was conducted by triangulation, with the aid of MAXQDA software for initial and focused coding. All ethical aspects were respected.
Results:
professionals recognized that the model reorganized service care and administrative practices, presenting positive repercussions for the health of people assisted. The absence of continuing education for service professionals compromised the complete model implementation.
Final considerations:
the implementation, even if partial, of the model brings contributions to service improvement. The weaknesses that are still present are compatible with professionals’ difficulty in distancing themselves from the biomedical model.
- Francielle Renata Danielli Martins Marques
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ORIGINAL ARTICLE11-28-2023
Effects of the COVID-19 pandemic on nurses’ psychological well being in an emergency room
Revista Brasileira de Enfermagem. 2023;76:e20220171
Abstract
ORIGINAL ARTICLEEffects of the COVID-19 pandemic on nurses’ psychological well being in an emergency room
Revista Brasileira de Enfermagem. 2023;76:e20220171
DOI 10.1590/0034-7167-2022-0171
Views0See moreABSTRACT
Objectives:
to assess the level of anxiety of nurses in an emergency room in view of the new Coronavirus and describe the relationship between the degrees of anxiety and their sociodemographic variables.
Methods:
quantitative descriptive-correlational study with a sample of 60 nurses. A questionnaire was used as a data collection instrument based on the Hamilton Anxiety Assessment Scale.
Results:
the nurses’ average anxiety is mild. A statistically significant relationship was found between anxiety and the variables “sex” and “children”, with women having higher levels of anxiety than men, and nurses who do not have children showing mild, moderate, or severe anxiety.
Conclusions:
COVID-19 triggers anxiety in nurses, sometimes at pathological levels. Being female and not having children increase the anxiety experienced. Sex can be considered the determining factor for the level of anxiety experienced.
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ORIGINAL ARTICLE11-28-2023
Construction and validation of an algorithm for disinfection of ambulances transporting patients with contagious infectious diseases
Revista Brasileira de Enfermagem. 2023;76:e20220081
Abstract
ORIGINAL ARTICLEConstruction and validation of an algorithm for disinfection of ambulances transporting patients with contagious infectious diseases
Revista Brasileira de Enfermagem. 2023;76:e20220081
DOI 10.1590/0034-7167-2022-0081
Views0See moreABSTRACT
Objectives:
to develop and validate an algorithm to guide professionals in cleaning and disinfecting ambulances after transferring patients with contagious infectious diseases.
Methods:
the study was conducted between September and November 2021. The developed algorithm was validated by 104 judges, including nurses, physical therapists, and physicians who care for patients with contagious infectious diseases. It used the Delphi technique and content validity index.
Results:
in the first evaluation, the judges considered the algorithm “unsuitable” and “fully suitable”. The algorithm reviewed according to the judges’ suggestions was rated between “suitable” and “fully suitable” in the second evaluation. The overall content validity index was 0.960 and 0.998 in the first and second evaluations.
Conclusions:
the algorithm to guide the cleaning and disinfection of ambulances after transferring patients with contagious infectious diseases was developed and validated by specialists in the field, with consensus among the judges in the second evaluation.
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ORIGINAL ARTICLE11-28-2023
Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
- Ingrid Bentes Lima ,
- Laura Maria Vidal Nogueira ,
- Lidiane de Nazaré Mota Trindade ,
- Ivaneide Leal Ataide Rodrigues ,
- Suzana Rosa André , [ … ],
- Ana Inês Sousa
Abstract
ORIGINAL ARTICLEGeospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
Revista Brasileira de Enfermagem. 2023;76:e20220216
DOI 10.1590/0034-7167-2022-0216
- Ingrid Bentes Lima ,
- Laura Maria Vidal Nogueira ,
- Lidiane de Nazaré Mota Trindade ,
- Ivaneide Leal Ataide Rodrigues ,
- Suzana Rosa André ,
- Ana Inês Sousa
Views1See moreABSTRACT
Objective:
To analyze the spatial pattern of tuberculosis in Indigenous peoples from the State of Pará and its correlation with income transfer.
Methods:
Ecological study, with 340 cases reported in Indigenous peoples in the State of Pará, Brazil, in the period 2016-2020. The study performed a descriptive analysis and calculation of incidence rates with smoothing by the local empirical Bayesian method. The Global Moran index assessed the autocorrelation of the rates with income transfer data, p<0,05.
Results:
The Marajó and metropolitan mesoregions of Belém had the highest tuberculosis rates, and a reduced number of people benefited from income transfer (high-low correlation). The study identified high rates, and a significant number of people benefited from financial aid (high correlation high), I=0.399, p=0.027 in the Southwest.
Conclusions:
The spatial autocorrelation between tuberculosis and access to income transfer programs constitutes a relevant subsidy for the formulation of social protection policies and may impact the disease control actions in Indigenous territories, valuing the epidemiological heterogeneity identified in the mesoregions.
- Ingrid Bentes Lima
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ORIGINAL ARTICLE11-28-2023
Remote consultation with people with eating disorders during the COVID-19 pandemic
- Camila Biscacio Falco ,
- Maria Angélica de Almeida Peres ,
- Jose Carlos Appolinario ,
- Livia Lopes Menescal ,
- Izabella de Góes Anderson Maciel Tavares
Abstract
ORIGINAL ARTICLERemote consultation with people with eating disorders during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220197
DOI 10.1590/0034-7167-2022-0197
- Camila Biscacio Falco ,
- Maria Angélica de Almeida Peres ,
- Jose Carlos Appolinario ,
- Livia Lopes Menescal ,
- Izabella de Góes Anderson Maciel Tavares
Views0See moreABSTRACT
Objectives:
to analyze subjective experiences related to adaptation to remote care by users with eating disorders during the COVID-19 pandemic.
Methods:
a descriptive study with a qualitative approach conducted with users of an eating disorders outpatient clinic. A semi-structured remote interview was applied using the Google Meet application. The data were submitted to lexical analysis using ALCESTE software and discussed in the light of scientific evidence.
Results:
the remote appointment is a positive strategy but not a substitute for the face-to-face modality. The research cited financial savings, closer contact with professionals, and flexibility of service schedules as advantages. It pointed out the difficulty in clinical evaluation concerning weight, vital signs, and poor mastery of technology as limitations.
Final Considerations:
the study induces discussion about the systematization of remote care, which, during the COVID-19 pandemic, were responsible for providing a greater sense of support to people with eating disorders.
- Camila Biscacio Falco
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11-28-2023
Efeitos da pandemia de COVID-19 no bem-estar psicológico dos enfermeiros de um serviço de urgência
Revista Brasileira de Enfermagem. 2023;76:e20220171
Abstract
Efeitos da pandemia de COVID-19 no bem-estar psicológico dos enfermeiros de um serviço de urgência
Revista Brasileira de Enfermagem. 2023;76:e20220171
DOI 10.1590/0034-7167-2022-0171
Views0See moreRESUMEN
Objetivos:
evaluar nivel de ansiedad de enfermeros de un servicio de urgencia frente al nuevo coronavirus y describir la relación entre niveles de ansiedad y variables sociodemográficas.
Métodos:
estudio cuantitativo descriptivo-correlacional con una muestra de 60 enfermeros. Recorrido a la aplicación de una encuesta como instrumento de recolecta de datos basándose en la Escala de Evaluación de Ansiedad de Hamilton.
Resultados:
el escore mediano de ansiedad de los enfermeros es leve. Verificado que hay una relación estadísticamente significante entre la ansiedad y la variable “sexo” e “hijos”, con mujeres presentando niveles de ansiedad superiores a los hombres y los enfermeros sin hijos presentando niveles de ansiedad leve, moderada o severa.
Conclusiones:
la COVID-19 desencadena ansiedad en los enfermeros, por veces a niveles patológicos; y ser del sexo femenino y no tener hijos la aumenta. Es posible afirmar que el sexo fue el factor determinante para el nivel de ansiedad experimentado.
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ORIGINAL ARTICLE11-27-2023
Mental suffering in family daily life: a temporal journey according to Merleau-Ponty
- Patricia Anjos Lima de Carvalho ,
- Vanessa Thamyris Carvalho dos Santos ,
- Marlene Gomes Terra ,
- Márcia Aparecida Ferreira de Oliveira ,
- Ricardo Henrique Soares , [ … ],
- Edite Lago da Silva Sena
Abstract
ORIGINAL ARTICLEMental suffering in family daily life: a temporal journey according to Merleau-Ponty
Revista Brasileira de Enfermagem. 2023;76(5):e20230258
DOI 10.1590/0034-7167-2023-0258
- Patricia Anjos Lima de Carvalho ,
- Vanessa Thamyris Carvalho dos Santos ,
- Marlene Gomes Terra ,
- Márcia Aparecida Ferreira de Oliveira ,
- Ricardo Henrique Soares ,
- Edite Lago da Silva Sena
Views1See moreABSTRACT
Objectives:
to describe the family’s experience in relation to daily life with a family member experiencing mental suffering.
Methods:
a qualitative, descriptive, phenomenological study grounded in Merleau-Ponty’s ontology of experience was conducted in ten households in a city in the state of Bahia, Brazil, where 24 participants of the Intersubjectivity Wheels reside. The descriptions produced were subjected to the Ambiguity Analytics technique.
Results:
the descriptions were categorized into: absence as a creative power of the sense of “being” and “not being a family”; and exclusion and acceptance as expressions of mental suffering in the family context.
Final Considerations:
the experience of mental suffering in the family’s daily life is marked by ambiguous feelings, such as joy and sadness, disappointment and satisfaction, lack of love and love. However, experiencing these feelings can mobilize the desire to “become” a family, increase the sense of autonomy and independence, and drive the formation of new family configurations.
- Patricia Anjos Lima de Carvalho
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ORIGINAL ARTICLE10-01-2022
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study
- Caroline Ribeiro de Sousa ,
- Janaína Fonseca Victor Coutinho ,
- João Bastos Freire Neto ,
- Rachel Gabriel Bastos Barbosa ,
- Marília Braga Marques , [ … ],
- Jamylle Lucas Diniz
Abstract
ORIGINAL ARTICLEFactors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
DOI 10.1590/0034-7167-2020-0399
- Caroline Ribeiro de Sousa ,
- Janaína Fonseca Victor Coutinho ,
- João Bastos Freire Neto ,
- Rachel Gabriel Bastos Barbosa ,
- Marília Braga Marques ,
- Jamylle Lucas Diniz
Views0See moreABSTRACT
Objectives:
to assess factors associated with vulnerability and fragility in the elderly.
Methods:
crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index – 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted.
Results:
251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy.
Conclusions:
it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.
- Caroline Ribeiro de Sousa
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ORIGINAL ARTICLE10-18-2022
Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians
- Luciano Marques dos Santos ,
- Taynara Bispo Conceição ,
- Cleonara Sousa Gomes e Silva ,
- Sheilla Siedler Tavares ,
- Patrícia Kuerten Rocha , [ … ],
- Ariane Ferreira Machado Avelar
Abstract
ORIGINAL ARTICLECare related to peripheral intravenous catheterism in pediatrics performed by nursing technicians
Revista Brasileira de Enfermagem. 2022;75(2):e20200611
DOI 10.1590/0034-7167-2020-0611
- Luciano Marques dos Santos ,
- Taynara Bispo Conceição ,
- Cleonara Sousa Gomes e Silva ,
- Sheilla Siedler Tavares ,
- Patrícia Kuerten Rocha ,
- Ariane Ferreira Machado Avelar
Views0See moreABSTRACT
Objectives:
to evaluate the care practice adopted by nursing technicians before, during and after peripheral intravenous catheterization performed in hospitalized children.
Methods:
cross-sectional and descriptive research, carried out in a pediatric hospital in Bahia through non-participatory observation of peripheral intravenous catheterizations performed in children by nursing technicians. Data was collected through an instrument containing care related to the moments before, during and after insertion of the catheter, calculating absolute and relative frequencies, measures of central tendency and dispersion.
Results:
there were 31 nursing technicians, who performed care mainly before intravenous catheterization. Nonconformities were identified regarding hand hygiene, use of a disposable mask, selection of the catheter insertion site, antisepsis, stabilization and catheter coverage.
Conclusions:
most of the precautions observed regarding peripheral intravenous catheterization are not in accordance with the standards of practice recommended by the national and international literature.
- Luciano Marques dos Santos
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ORIGINAL ARTICLE10-01-2022
Frailty in the elderly: screening possibilities in Primary Health Care
- Edmar Geraldo Ribeiro ,
- Isabel Yovana Quispe Mendoza ,
- Marco Túlio Gualberto Cintra ,
- Maria Aparecida Camargos Bicalho ,
- Gilberto de Lima Guimarães , [ … ],
- Edgar Nunes de Moraes
Abstract
ORIGINAL ARTICLEFrailty in the elderly: screening possibilities in Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(2):e20200973
DOI 10.1590/0034-7167-2020-0973
- Edmar Geraldo Ribeiro ,
- Isabel Yovana Quispe Mendoza ,
- Marco Túlio Gualberto Cintra ,
- Maria Aparecida Camargos Bicalho ,
- Gilberto de Lima Guimarães ,
- Edgar Nunes de Moraes
Views0See moreABSTRACT
Objectives:
to evaluate two instruments for screening frailty in the elderly in Primary Health Care.
Methods:
this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation.
Results:
the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments.
Conclusions:
when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.
- Edmar Geraldo Ribeiro
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10-01-2022
Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU
- Susian Cássia Liz Luz ,
- Marli Terezinha Stein Backes ,
- Rosiane da Rosa ,
- Eudinéia Luz Schmit ,
- Evangelia Kotzias Atherino dos Santos
Abstract
Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU
Revista Brasileira de Enfermagem. 2022;75(2):e20201121
DOI 10.1590/0034-7167-2020-1121
- Susian Cássia Liz Luz ,
- Marli Terezinha Stein Backes ,
- Rosiane da Rosa ,
- Eudinéia Luz Schmit ,
- Evangelia Kotzias Atherino dos Santos
Views0See moreABSTRACT
Objective:
To identify the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method.
Methods:
Integrative literature review with a time cut from 02/01/2015 to 06/01/2019, totaling ten articles in the final sample.
Results:
The findings were categorized into two categories: Potentialities for humanized care from the perspective of the Kangaroo Method; Barriers or difficulties to the implementation of the Kangaroo Method. Several potentialities for humanized care allied to technology and continuing education were identified, as well as several barriers to the implementation of the Kangaroo Method, such as lack of physical space, lack of professionals and team training, lack of knowledge, lack of adherence and professional demotivation.
Final considerations:
There are still few studies that address the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method, and most of those included in this review were conducted in Brazil and present a qualitative approach.
- Susian Cássia Liz Luz
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10-18-2022
Clinical progression of COVID-19 coinfection in people living with the human immunodeficiency virus: scoping review
- Diego Schaurich ,
- Oclaris Lopes Munhoz ,
- Angelo Ramos Junior ,
- Angelica Dalmolin ,
- Gabriela Oliveira , [ … ],
- Luiza Cremonese
Abstract
Clinical progression of COVID-19 coinfection in people living with the human immunodeficiency virus: scoping review
Revista Brasileira de Enfermagem. 2022;75(2):e20201380
DOI 10.1590/0034-7167-2020-1380
- Diego Schaurich ,
- Oclaris Lopes Munhoz ,
- Angelo Ramos Junior ,
- Angelica Dalmolin ,
- Gabriela Oliveira ,
- Luiza Cremonese
Views0See moreABSTRACT
Objectives:
to map the production of scientific knowledge on the clinical progression of COVID-19 coinfection in people living with the human immunodeficiency virus (HIV).
Methods:
scoping review, with search strategies in MEDLINE, Scopus, Embase, Web of Science, and LILACS. Dual independent data extraction and analysis of the material with similarity compilation and narrative synthesis.
Results:
sample consisted of 35 articles. Fever, cough, and dyspnea were the most prevalent signs/symptoms. Recurrent complications involved desaturation/worsening of oxygen desaturation and pneumonia. No standard pharmacological treatment was identified, and the main interventions involved the provision of supplemental oxygen and mechanical ventilation. The studies recommended preventive, care, and pharmacological practices.
Conclusions:
the clinical manifestations, complications, and treatments/assistance care for people coinfected with SARS CoV-2/HIV are similar to those of the general population. Coinfection, overall, does not infer a worse prognosis.
- Diego Schaurich
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ORIGINAL ARTICLE10-25-2022
Relationship between power and knowledge in choosing a cesarean section: women’s perspectives
- Ana Paula de Lima Escobal ,
- Ana Paula Müller de Andrade ,
- Greice Carvalho de Matos ,
- Patricia Haertel Giusti ,
- Susana Cecagno , [ … ],
- Lisie Alende Prates
Abstract
ORIGINAL ARTICLERelationship between power and knowledge in choosing a cesarean section: women’s perspectives
Revista Brasileira de Enfermagem. 2022;75(2):e20201389
DOI 10.1590/0034-7167-2020-1389
- Ana Paula de Lima Escobal ,
- Ana Paula Müller de Andrade ,
- Greice Carvalho de Matos ,
- Patricia Haertel Giusti ,
- Susana Cecagno ,
- Lisie Alende Prates
Views0See moreABSTRACT
Objectives:
to analyze the reasons and motives that initiates the decision to choose a cesarean section, by describing the plots, power relationships, struggles, and systems of truths regarding this method of childbirth.
Methods:
a qualitative study, inserted into a poststructuralist perspective, and conducted in a city in southern Rio Grande do Sul state. The settings were a teaching hospital and home residences. Thirteen postpartum women who had a cesarean section participated. The analysis consisted of questions based on the information produced and articulated with Foucauldian theories.
Results:
two categories were developed: “I wanted a vaginal delivery, but it was a cesarean section”, and, “Are you sure you want a vaginal delivery: paths and detours in the choice of cesarean section”.
Final Considerations:
the study allowed us to identify problems in the choice for a cesarean section, which is associated with the circulation of “truths” that occur via discourses on society.
- Ana Paula de Lima Escobal
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ORIGINAL ARTICLE10-25-2022
Prevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
- Rayanne Rodrigues dos Santos ,
- Maria Estela Diniz Machado ,
- Ana Leticia Monteiro Gomes ,
- Rosane Cordeiro Burla de Aguiar ,
- Marialda Moreira Christoffel
Abstract
ORIGINAL ARTICLEPrevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
Revista Brasileira de Enfermagem. 2022;75(2):e20210006
DOI 10.1590/0034-7167-2021-0006
- Rayanne Rodrigues dos Santos ,
- Maria Estela Diniz Machado ,
- Ana Leticia Monteiro Gomes ,
- Rosane Cordeiro Burla de Aguiar ,
- Marialda Moreira Christoffel
Views0See moreABSTRACT
Objective:
To analyze caregivers’ knowledge about prevention of domestic accidents in early childhood and its association with education level.
Methods:
This is a cross-sectional study conducted in a Primary Care Unit in Niterói with caregivers (convenience sample) of children under 6 years old. To classify the knowledge, we adopted the Positivity Index; to verify the association between the variable “schooling” and knowledge, the chi square test was used; statistically significant results: p < 0.05.
Results:
A total of 256 caregivers participated; 93.5% showed adequate knowledge. In the individual items, the knowledge (100%) about prevention of accidents with sharp toys, firearms, intoxication by products stood out; and less frequently (64.5%), the knowledge of the information contained in the Child’s Health Booklet. There was no statistically significant association (p = 0.237) between education and knowledge. Conclusion: The caregivers presented knowledge about the prevention of domestic accidents, and this was not associated with the level of education.
- Rayanne Rodrigues dos Santos
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ORIGINAL ARTICLE10-18-2022
Adherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
- Mariana de Morais Fortunato Miranda ,
- Dayanne Rakelly de Oliveira ,
- Glauberto da Silva Quirino ,
- Célida Juliana de Oliveira ,
- Maria Lúcia Duarte Pereira , [ … ],
- Edilma Gomes Rocha Cavalcante
Abstract
ORIGINAL ARTICLEAdherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20210019
DOI 10.1590/0034-7167-2021-0019
- Mariana de Morais Fortunato Miranda ,
- Dayanne Rakelly de Oliveira ,
- Glauberto da Silva Quirino ,
- Célida Juliana de Oliveira ,
- Maria Lúcia Duarte Pereira ,
- Edilma Gomes Rocha Cavalcante
Views0See moreABSTRACT
Objective:
To verify the association between adherence to antiretroviral treatment by adults with HIV/AIDS and sociodemographic factors, social and clinical support.
Methods:
Cross-sectional study, with a quantitative approach. Participation of 230 patients. Questionnaires of sociodemographic characterization, social and clinical support, and assessment of adherence to antiretroviral treatment were used. Descriptive and inferential statistics were performed.
Results:
Adherence was classified as good/adequate. An association with sex, income, employment, and level of education was noted. In social support: having access to health services; communication with health professionals; health education; having support to allow venting/talking about issues; information on HIV/AIDS; and company for leisure. In the clinical profile: non-interruption of the drug treatment due to absence from the service or due to changes in the medical prescription.
Conclusion:
Adherence was classified as good/adequate and especially associated with social support factors, which should be enhanced in clinical practice.
- Mariana de Morais Fortunato Miranda
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ORIGINAL ARTICLE09-29-2022
Relationship between family functionality and the quality of life of the elderly
- Edison Vitório de Souza Júnior ,
- Eduarda Raquel Viana ,
- Diego Pires Cruz ,
- Cristiane dos Santos Silva ,
- Randson Souza Rosa , [ … ],
- Namie Okino Sawada
Abstract
ORIGINAL ARTICLERelationship between family functionality and the quality of life of the elderly
Revista Brasileira de Enfermagem. 2022;75(2):e20210106
DOI 10.1590/0034-7167-2021-0106
- Edison Vitório de Souza Júnior ,
- Eduarda Raquel Viana ,
- Diego Pires Cruz ,
- Cristiane dos Santos Silva ,
- Randson Souza Rosa ,
- Lais Reis Siqueira ,
- Namie Okino Sawada
Views0See moreABSTRACT
Objective:
To analyze the correlation between family functionality and the quality of life of the elderly.
Method:
Sectional and correlational study conducted with 692 Brazilian elderly between July and October 2020. The elderly filled three instruments: biosociodemographic, family APGAR and WHOQOL-Old. The tests Kruskal-Wallis, Pearson correlation, and linear regression analyzed the data. The study considered a 95% confidence interval (p < 0.05) for all analyses.
Results:
The elderly with mild and severe family dysfunction presented worse quality of life when compared to the elderly with a functional family. All facets of quality of life correlated positively with family functionality.
Conclusion:
Family functionality is positively correlated with the quality of life of the elderly, therefore requiring the inclusion of the family in health care plans to identify potential family stressors early and plan interventions to solve the problems raised.
- Edison Vitório de Souza Júnior
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ORIGINAL ARTICLE12-13-2019
Prenatal follow-up of high-risk pregnancy in the public service
- Fabiana Fontana Medeiros ,
- Izabel Dayana de Lemos Santos ,
- Rosângela Aparecida Pimenta Ferrari ,
- Deise Serafim ,
- Sandra Mara Maciel , [ … ],
- Alexandrina Aparecida Maciel Cardelli
Abstract
ORIGINAL ARTICLEPrenatal follow-up of high-risk pregnancy in the public service
Revista Brasileira de Enfermagem. 2019;72:204-211
DOI 10.1590/0034-7167-2018-0425
- Fabiana Fontana Medeiros ,
- Izabel Dayana de Lemos Santos ,
- Rosângela Aparecida Pimenta Ferrari ,
- Deise Serafim ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli
Views0See moreABSTRACT
Objective:
to analyze the prenatal follow-up of high-risk pregnancy in the public service.
Method:
an analytical cross-sectional study carried out in a public maternity hospital in the South of Brazil, during the hospitalization of 319 postpartum women using a semi-structured tool for transcription of the prenatal card records and interview. The data were analyzed using the Chi-Square test (p≤0.05).
Results:
the adequacy of prenatal care was high (74%); 22.6% intermediate; 3.4% inefficient. Prenatal care had high coverage (100%), early onset (81.5%) and six or more visits (92.4%), but (77.4%) did not receive information about gestational disease and examinations (69.3%). There was statistical significance between the quality of prenatal care and the place of prenatal care (p=0.005).
Conclusion:
the need to implement a specific protocol for high-risk gestation and continuous education to the teams was evidenced.
- Fabiana Fontana Medeiros
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06-01-2020
Mental Health: Focusing On Health Professionals
Revista Brasileira de Enfermagem. 2020;73:e73supl01
Abstract
Mental Health: Focusing On Health Professionals
Revista Brasileira de Enfermagem. 2020;73:e73supl01
DOI 10.1590/0034-7167.202073supl01
Views0Mental health is an inseparable part of our health, and health-related themes have been calling the attention of population, institutions, and managers, especially in our current setting with the COVID-19 pandemic. The daily life of care practice of health professionals is full of concern, uncertainty, tension, and anguish. They have been susceptible to psychological distress […]See more -
01-22-2021
HIV infection in pregnant women and its challenges for the prenatal care
- Lidiane de Nazaré Mota Trindade ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataide Rodrigues ,
- Angela Maria Rodrigues Ferreira ,
- Gracileide Maia Corrêa , [ … ],
- Natasha Cristina Oliveira Andrade
Abstract
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
DOI 10.1590/0034-7167-2019-0784
- Lidiane de Nazaré Mota Trindade ,
- Laura Maria Vidal Nogueira ,
- Ivaneide Leal Ataide Rodrigues ,
- Angela Maria Rodrigues Ferreira ,
- Gracileide Maia Corrêa ,
- Natasha Cristina Oliveira Andrade
Views0See moreABSTRACT
Objective:
To analyze the epidemiological profile of HIV infections in pregnant women.
Methods:
Analytical study with a quantitative approach.
Results:
The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7).
Conclusion:
The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.
- Lidiane de Nazaré Mota Trindade
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03-15-2021
Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial
- Francisca Marta de Lima Costa Souza ,
- Wenysson Noleto dos Santos ,
- Rebecca Stefany da Costa Santos ,
- Vera Lucia Morais da Silva ,
- Rogéria Moreira de Abrantes , [ … ],
- Richardson Augusto Rosendo da Silva
Abstract
Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial
Revista Brasileira de Enfermagem. 2021;74:e20190599
DOI 10.1590/0034-7167-2019-0599
- Francisca Marta de Lima Costa Souza ,
- Wenysson Noleto dos Santos ,
- Rebecca Stefany da Costa Santos ,
- Vera Lucia Morais da Silva ,
- Rogéria Moreira de Abrantes ,
- Veronica Feitosa Ribeiro Soares ,
- Richardson Augusto Rosendo da Silva
Views0See moreABSTRACT
Objective:
to evaluate the effectiveness of a mobile application for cell phones in the adherence of pregnant women to prenatal consultations.
Method:
a randomized controlled clinical trial, simple-blind with two parallel groups, conducted from January to December 2018. Data collection was carried out through a structured interview at the end of the third trimester of pregnancy. For analysis, Chi-Square and Mann-Whitney tests were used. The sample consisted of 88 pregnant women from 2 Family Health Strategies in Northeast Brazil. Participants were randomized into two groups: intervention (IG), who used the application, and control (CG), who attended prenatal consultations.
Results:
pregnant women who used the application (IG) attended a greater number of consultations when compared to participants in the CG, identifying a statistical difference between the groups (p<0.05).
Conclusion:
the application showed to be an effective health technology to improve adherence to prenatal care. Brazilian Registry of Clinical Trials: RBR-74SNST.
- Francisca Marta de Lima Costa Souza
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ORIGINAL ARTICLE12-05-2019
Construction and validation of a sleep hygiene booklet for the elderly
- Khelyane Mesquita de Carvalho ,
- Maria do Livramento Fortes Figueiredo ,
- Nelson Miguel Galindo Neto ,
- Guilherme Guarino de Moura Sá
Abstract
ORIGINAL ARTICLEConstruction and validation of a sleep hygiene booklet for the elderly
Revista Brasileira de Enfermagem. 2019;72:214-220
DOI 10.1590/0034-7167-2018-0603
- Khelyane Mesquita de Carvalho ,
- Maria do Livramento Fortes Figueiredo ,
- Nelson Miguel Galindo Neto ,
- Guilherme Guarino de Moura Sá
Views0See moreABSTRACT
Objective:
to construct and validate an educational booklet for the elderly, with guidelines on sleep hygiene.
Method:
a methodological research with booklet construction; validation by 22 judges and evaluation by 22 elderly people. The content was extracted from the guidelines of the Brazilian Sleep Association and the elderly health manual of the Human Rights Office. The item with Content Validity Index (CVI) greater than 0.8 or whose concordance ratio verified with the Binomial Test was valid and statistically equal to or greater than 80%.
Results:
the booklet presented 14 guidelines for the elderly about sleep hygiene distributed over 25 pages. All items were evaluated as relevant. The CVI had an average of 0.95 by the judges and 0.95 by the elderly.
Conclusion:
the booklet was constructed and validated as to its content and appearance. It can be used by health professionals in the various services with the elderly.
- Khelyane Mesquita de Carvalho
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REFLECTION09-07-2020
Patient-and Family-Centered Care and Patient Safety: reflections upon emerging proximity
Revista Brasileira de Enfermagem. 2020;73(6):e20190672
Abstract
REFLECTIONPatient-and Family-Centered Care and Patient Safety: reflections upon emerging proximity
Revista Brasileira de Enfermagem. 2020;73(6):e20190672
DOI 10.1590/0034-7167-2019-0672
Views0See moreABSTRACT
Objective:
To present reflections upon conceptual and pragmatic relationships between the Patient-and Family-Centered Care and patient safety.
Method:
A discussion about constructs related to the Patient-and Family-Centered Care and patient safety, which shows their interface with pragmatic issues of clinical nursing practice.
Results:
Considering patients and families as partners and agents promoting safe care is mandatory for the safety culture.
Final considerations:
Decreasing errors and adverse health care events can be accomplished by understanding manners to incorporate the principles of Patient-and Family-Centered Care into issues related to patient safety.
-
ORIGINAL ARTICLE06-24-2020
Serious Game e-Baby Família: an educational technology for premature infant care
- Marcela Mobiglia D’Agostini ,
- Natália Del Angelo Aredes ,
- Suzanne Hetzel Campbell ,
- Luciana Mara Monti Fonseca
Abstract
ORIGINAL ARTICLESerious Game e-Baby Família: an educational technology for premature infant care
Revista Brasileira de Enfermagem. 2020;73(4):e20190116
DOI 10.1590/0034-7167-2019-0116
- Marcela Mobiglia D’Agostini ,
- Natália Del Angelo Aredes ,
- Suzanne Hetzel Campbell ,
- Luciana Mara Monti Fonseca
Views0See moreABSTRACT
Objectives:
to develop and assess the serious game e-Baby Família with parents of premature infants.
Methods:
a methodological study regarding the development of the serious game, with participatory design in scope definition, starting from parents’ learning needs about premature infant care. A qualitative approach was performed in the assessment stage with parents, with content analysis of the speech of the eight participants.
Results:
the following categories emerged: Realistic appearance of the virtual setting and game content and Gameplay implications for the use of e-Baby Família. The game was satisfactorily assessed regarding content, appearance and dynamics use, motivating participants to learn.
Final Considerations:
in the context of prematurity as a public health problem in Brazil and the need to strengthen family health education for care, the serious game was assessed as motivating and appropriate for health learning.
- Marcela Mobiglia D’Agostini
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