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RESEARCH01-01-2018
Factors associated to the dependence of older adults with diabetes mellitus type 2
Revista Brasileira de Enfermagem. 2018;71:868-875
Abstract
RESEARCHFactors associated to the dependence of older adults with diabetes mellitus type 2
Revista Brasileira de Enfermagem. 2018;71:868-875
DOI 10.1590/0034-7167-2017-0285
Views0See moreABSTRACT
Objective:
to identify factors associated to the dependence of older adults with Diabetes Mellitus, Type 2
Method:
analytical and epidemiological study with 99 older adults. The Brazilian Multidimensional Functional Assessment Questionnaire and a questionnaire composed by socio-demographic and clinical variables were used. The independent variables were described and compared to the level of dependence obtained by the chi-square test or the Fisher test, the strength of association was estimated by Odds Ratio and multiple regression.
Results:
the level of dependence prevailed in 79.8% of the sample. Higher chances of dependence were associated to: cutting toenails; performing household chores; presenting geriatric problems; urinary incontinence; time of diagnosis of diabetes; falls in the past year; and physical inactivity.
Conclusion:
considering the positive association of diabetes mellitus to the increased chance of dependence among older adults, there is need for direction and adoption of effective measures to ensure the functionality and quality of life of older adults with diabetes mellitus in a fair and democratic way.
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RESEARCH01-01-2018
Self-perceived health and clinical-functional vulnerability of the elderly in Belo Horizonte/Minas Gerais
Revista Brasileira de Enfermagem. 2018;71:860-867
Abstract
RESEARCHSelf-perceived health and clinical-functional vulnerability of the elderly in Belo Horizonte/Minas Gerais
Revista Brasileira de Enfermagem. 2018;71:860-867
DOI 10.1590/0034-7167-2017-0135
Views0See moreABSTRACT
Objective:
To determine the self-perceived health status and clinical-functional vulnerability of the elderly attended at a Reference Center of Minas Gerais, Brazil and to evaluate the association between these variables through the Clinical-Functional Vulnerability Index (IVCF-20) instrument.
Method:
This is an epidemiological, retrospective study of 311 medical records. Statistical analyses were performed using the Stata program; the evaluations were by Pearson’s Chi-square test and Poisson regression models.
Results:
The majority of the elderly presented negative self-perceived health status(70.10%); there was statistical significance between negative self-perceived health and the variables of mood and recent hospitalization.
Conclusion:
Perceived health status influences the morbidity and mortality of the elderly. Mood disorders and recent hospitalizations directly interfere with active aging.
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RESEARCH01-01-2018
Social representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71:851-859
Abstract
RESEARCHSocial representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71:851-859
DOI 10.1590/0034-7167-2017-0258
Views0See moreABSTRACT
Objective:
To understand the symbolic elements and the hierarchical system of representations of elderly people on falls, according to Abric’s structural analysis and Neuman’s theory.
Method:
Abric structural approach developed at the home of primary care users in a city of Minas Gerais. A free evocation technique of images triggered by images was performed in 2016 with elderly individuals (≥65 years old). Data treated by dictionary of equivalent terms; processed in Evoc 2000 software converging, analytically, according to Neuman. Ethical/legal criteria were met.
Results:
195 people participated, 78.5% were women, and 45.1% were aged ≥75 years. Summarized 897 words; 155 different ones. Central nucleus containing cognates: dizziness-vertigo-labyrinthitis and slipper-shoes (behavioral and objective dimension). The word disease integrated the area of contrast. Environmental and personal stressors were identified according to Neuman.
Final considerations:
Objects and risk behaviors for falls integrated the representations, although environmental and personal stressors indicate the need for preventive interventions in the environment and in the intrapersonal dimension.
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RESEARCH01-01-2018
Elderly and caregiver demand: proposal for a care need classification
Revista Brasileira de Enfermagem. 2018;71:844-850
Abstract
RESEARCHElderly and caregiver demand: proposal for a care need classification
Revista Brasileira de Enfermagem. 2018;71:844-850
DOI 10.1590/0034-7167-2017-0123
Views0See moreABSTRACT
Objective:
To propose a care need classification for elderly people by identifying their functional demands.
Method:
Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE – Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly.
Results:
The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver).
Conclusion:
This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of care.
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RESEARCH01-01-2018
Elderly people with mental disorders: experiencing the use of psychotropic medicines
Revista Brasileira de Enfermagem. 2018;71:835-843
Abstract
RESEARCHElderly people with mental disorders: experiencing the use of psychotropic medicines
Revista Brasileira de Enfermagem. 2018;71:835-843
DOI 10.1590/0034-7167-2016-0159
Views0See moreABSTRACT
Objective:
To interpret the experience of the elderly with mental disorder in the use of psychotropic medicines.
Method:
Qualitative study in the interpretative modality, supported by the Grounded Theory. It was carried out from interviews with 16 elderly people with mental disorder and six relatives, totaling 22 participants.
Results:
In the experience of the use of psychotropic medicines, the elderly with mental disorders become aware of their condition, attribute meaning and establish strategies for the correct use. On the other hand, they express their dissatisfaction with being dependent on psychotropic medicines to live without symptoms, face their side effects and do not always use them correctly.
Conclusion:
The use of psychotropic medicines is a priority in the life of the elderly and, in view of the fragilities found, it is necessary a continuous monitoring of health professionals.
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RESEARCH01-01-2018
Validity and reliability of the Brazilian version of the Caregiver Reaction Assessment
Revista Brasileira de Enfermagem. 2018;71:827-834
Abstract
RESEARCHValidity and reliability of the Brazilian version of the Caregiver Reaction Assessment
Revista Brasileira de Enfermagem. 2018;71:827-834
DOI 10.1590/0034-7167-2017-0153
Views0See moreABSTRACT
Objective:
To analyze the validity based on the internal structure and reliability of the Brazilian version of the Caregiver Reaction Assessment (CRA) applied to informal caregivers of dependent elderly.
Method:
A methodological study with 120 informal caregivers of the elderly. Validity based on the internal structure evaluated by exploratory factorial analysis, with extraction of main factorial axes, varimax orthogonal rotation and retention of factors by parallel analysis. Reliability assessed by Cronbach’s alpha.
Results:
The instrument revealed a factorial structure different from the original version: three factors were identified, equivalent to subscales, self-esteem, daily activities and family support, with explained variance of 42%. The values of the Cronbach alpha for the items belonging to each subscale were, respectively: 0.71, 0.81 and 0.83.
Conclusion:
The Brazilian version of CRA presents good evidence of validity based on internal structure and is reliable, and can be used to assess the overload of informal caregivers of dependent elderly.
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RESEARCH01-01-2018
Board games: gerotechnology in nursing care practice
Revista Brasileira de Enfermagem. 2018;71:818-826
Abstract
RESEARCHBoard games: gerotechnology in nursing care practice
Revista Brasileira de Enfermagem. 2018;71:818-826
DOI 10.1590/0034-7167-2017-0365
Views0See moreABSTRACT
Objective:
To create a board game as a form of gerotechnology to promote active and healthy aging.
Method:
This was a qualitative, convergent care study conducted with 32 older adults. Individual interviews, creativity and sensitivity techniques, group discussions, and participant observations guided by Paulo Freire’s theoretical framework of problematization were used to produce data. The participants and researchers assessed the entire production process at the end of the study, after the gerotechnology was implemented in the groups. French discourse analysis was adopted.
Results:
Patented under registration no. BR 1020160107725, the game was created as a technological product based on the discussions with older adults, considering the conceptions, knowledge and practices shared by them about aging.
Final considerations:
The gerotechnology implemented in clinical nursing practices functioned as a playful resource to exercise self-determination and independence among older adults, boosting memory, self-esteem, socialization processes, exchanging experiences and shared learning.
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RESEARCH01-01-2018
Emergency care units and dimensions of accessibility to health care for the elderly
Revista Brasileira de Enfermagem. 2018;71:811-817
Abstract
RESEARCHEmergency care units and dimensions of accessibility to health care for the elderly
Revista Brasileira de Enfermagem. 2018;71:811-817
DOI 10.1590/0034-7167-2017-0440
Views0See moreABSTRACT
Objective:
to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units.
Methodo:
a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference.
Results:
According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services.
Final considerations:
Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.
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ORIGINAL ARTICLE05-24-2021
PEDCARE: validation of a mobile application on diabetic foot self-care
- Antonio Dean Barbosa Marques
, - Thereza Maria Magalhães Moreira ,
- Rhanna Emanuela Fontenele Lima de Carvalho ,
- Edna Maria Camelo Chaves ,
- Shérida Karanini Paz de Oliveira , [ … ],
- Jarbas Aryel Nunes da Silveira
Abstract
ORIGINAL ARTICLEPEDCARE: validation of a mobile application on diabetic foot self-care
Revista Brasileira de Enfermagem. 2021;74:e20200856
DOI 10.1590/0034-7167-2020-0856
- Antonio Dean Barbosa Marques ,
- Thereza Maria Magalhães Moreira ,
- Rhanna Emanuela Fontenele Lima de Carvalho ,
- Edna Maria Camelo Chaves ,
- Shérida Karanini Paz de Oliveira ,
- Gilvan Ferreira Felipe ,
- Jarbas Aryel Nunes da Silveira
Views0See moreABSTRACT
Objective:
to describe the process of validating a multimedia application on a mobile platform to promote foot care for people with diabetes.
Method:
a technological production and methodological type study. Content and appearance were validated by 39 judges (29 nursing judges and ten information and communication technology judges and 15 people from the target audience).
Results:
nursing judges made it possible to validate the material with a total Content Validity Index of 0.95, a non-significant binomial test for most items and Cronbach’s alpha of 0.92, information and communication technology judges with Suitability Assessment of Materials of 99.2% and the target audience with an agreement index of 98%.
Conclusion:
the application proved to be valid and reliable for use in clinical practice as an educational technology to promote foot care for people with diabetes.
- Antonio Dean Barbosa Marques
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ORIGINAL ARTICLE06-27-2019
Package of menthol measures for thirst relief: a randomized clinical study
- Viviane Moreira Serato ,
- Lígia Fahl Fonseca ,
- Marcela Maria Birolim ,
- Edilaine Giovanini Rossetto ,
- Lílian Denise Mai , [ … ],
- Aline Korki Arrabal Garcia
Abstract
ORIGINAL ARTICLEPackage of menthol measures for thirst relief: a randomized clinical study
Revista Brasileira de Enfermagem. 2019;72(3):600-608
DOI 10.1590/0034-7167-2018-0057
- Viviane Moreira Serato ,
- Lígia Fahl Fonseca ,
- Marcela Maria Birolim ,
- Edilaine Giovanini Rossetto ,
- Lílian Denise Mai ,
- Aline Korki Arrabal Garcia
Views0See moreABSTRACT
Objective:
To evaluate the effectiveness of the menthol package (lip hydration and ice popsicles) compared to a package of non-menthol measures (lip hydration and ice popsicles) as a way to relieve thirst in patients in the Anesthetic Recovery Room.
Method:
Randomized and parallel trial study, with 120 patients randomized patients in an experimental group – menthol measurements (n=59) and control group – measures without menthol (n = 61).
Results:
There was a significant (p<0.05) decrease in intensity, hydration, dryness and taste in the oral cavity between the three moments of assessment/intervention in the two groups. The difference was significant in the experimental group for thirst intensity at the second assessment/intervention point (p<0.05) after a single administration of the menthol package.
Conclusion:
There was a reduction in thirst intensity in both groups. Patients who received menthol packages showed a significant decrease in intensity after a single evaluation/intervention time. NCT: 02869139.
- Viviane Moreira Serato
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ORIGINAL ARTICLE06-27-2019
Caring for the carer: quality of life and burden of female caregivers
- Michelly Guedes de Oliveira Araújo ,
- Michelinne Oliveira Machado Dutra ,
- Carla Carolina Silva Leite Freitas ,
- Tatiane Gomes Guedes ,
- Francisco Stélio de Souza , [ … ],
- Rosilene Santos Baptista
Abstract
ORIGINAL ARTICLECaring for the carer: quality of life and burden of female caregivers
Revista Brasileira de Enfermagem. 2019;72(3):728-736
DOI 10.1590/0034-7167-2018-0334
- Michelly Guedes de Oliveira Araújo ,
- Michelinne Oliveira Machado Dutra ,
- Carla Carolina Silva Leite Freitas ,
- Tatiane Gomes Guedes ,
- Francisco Stélio de Souza ,
- Rosilene Santos Baptista
Views0See moreABSTRACT
Objective:
To assess the quality of life and the burden of female caregivers.
Method:
Descriptive, cross-sectional, quantitative study carried out with 224 informal caregivers from March to July 2016. Three instruments were used: a characterization form for the caregiver, the WHOQOL-Bref questionnaire and the Zarit Burden Interview. The following tests were used: Cronbach’s Alpha, Kolmogorov-Smirnov, Kruskal-Wallis, Spearman and Mann-Whitney.
Results:
The mean age of caregivers was 51.8 years with a standard deviation of 13.7. They were predominantly married, had a low income and low level of education, were first-degree relatives, had been providing care for one to five years and presented some pathology. The associations of quality of life that presented statistical significance were: income, marital status, number of people living with the caregiver and time of care.
Conclusion:
The burden was negatively correlated with QOL, that is, the greater the burden, the more impaired will be the life of these caregivers.
- Michelly Guedes de Oliveira Araújo
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REVIEW03-24-2021
Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
- Juliana da Silva Garcia Nascimento ,
- Tainá Vilhar Siqueira ,
- Jordana Luiza Gouvêa de Oliveira ,
- Mateus Goulart Alves ,
- Daniela da Silva Garcia Regino , [ … ],
- Maria Celia Barcellos Dalri
Abstract
REVIEWDevelopment of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135
DOI 10.1590/0034-7167-2020-0135
- Juliana da Silva Garcia Nascimento ,
- Tainá Vilhar Siqueira ,
- Jordana Luiza Gouvêa de Oliveira ,
- Mateus Goulart Alves ,
- Daniela da Silva Garcia Regino ,
- Maria Celia Barcellos Dalri
Views0See moreABSTRACT
Objectives:
to investigate the scientific evidence on the use of Bloom’s taxonomy for developing competence in nursing professionals and students in clinical simulation.
Methods:
integrative review of the National Library of Medicine (NLM), National Institutes of Health (NIH), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), Web of Science and SCOPUS databases, using the Rayyan application.
Results:
a total of 871 studies were identified; four composed the sample. The development of clinical competence occurred through the coordination of knowledge, skills, and attitudes. To develop the cognitive domain, the objectives of knowledge and comprehension of the Bloom’s taxonomy were mobilized. The psychomotor domain required development of the skills demanded by the proposed clinical care. The affective domain was developed through will and motivation to learn.
Conclusions:
it is possible to develop clinical competence in nursing by adopting Bloom’s taxonomy in each phase of clinical simulation.
- Juliana da Silva Garcia Nascimento
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ORIGINAL ARTICLE12-04-2020
Pressure injury related to the use of personal protective equipment in COVID-19 pandemic
- Manuela de Mendonça Figueirêdo Coelho ,
- Viviane Mamede Vasconcelos Cavalcante ,
- Juliano Teixeira Moraes ,
- Luciana Catunda Gomes de Menezes ,
- Sarah Vieira Figueirêdo , [ … ],
- Solange Gurgel Alexandre
Abstract
ORIGINAL ARTICLEPressure injury related to the use of personal protective equipment in COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200670
DOI 10.1590/0034-7167-2020-0670
- Manuela de Mendonça Figueirêdo Coelho ,
- Viviane Mamede Vasconcelos Cavalcante ,
- Juliano Teixeira Moraes ,
- Luciana Catunda Gomes de Menezes ,
- Sarah Vieira Figueirêdo ,
- Mírian Ferreira Coelho Castelo Branco ,
- Solange Gurgel Alexandre
Views0See moreABSTRACT
Objective:
To describe the prevalence and factors associated with pressure injuries related to the use of personal protective equipment during the COVID-19 pandemic.
Methods:
Cross-sectional study conducted using an instrument made available in social networks with 1,106 health professionals. The data were analyzed using descriptive statistics and compared, considering pvalue < 0.05.
Results:
There was a prevalence of 69.4% for pressure injuries related to the use of personal protective equipment, with an average of 2.4 injuries per professional. The significant factors were: under 35 years of age, working and wearing personal protective equipment for more than six hours a day, in hospital units, and without the use of inputs for protection.
Conclusion:
Pressure injuries related to the use of medical devices showed a high prevalence in this population. The recognition of the damage in these professionals makes it possible to advance in prevention strategies.
- Manuela de Mendonça Figueirêdo Coelho
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03-27-2020
Coronavirus 2020
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
Abstract
Coronavirus 2020
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
DOI 10.1590/0034-7167-2020730201
Views0Emerging and reemerging infectious diseases are constant challenges for public health worldwide. Recent cases of pneumonia of unknown cause in Wuhan, China, have led to the discovery of a new type of Coronavirus (2019-nCoV), which are enveloped RNA viruses, commonly found in humans, other mammals and birds, capable of causing respiratory, enteric, hepatic, and neurological […]See more -
ORIGINAL ARTICLE12-13-2019
Accessibility of children with special health needs to the health care network
- Eliane Tatsch Neves ,
- Aline Cristiane Cavicchioli Okido ,
- Fernanda Luisa Buboltz ,
- Raíssa Passos dos Santos ,
- Regina Aparecida Garcia de Lima
Abstract
ORIGINAL ARTICLEAccessibility of children with special health needs to the health care network
Revista Brasileira de Enfermagem. 2019;72:65-71
DOI 10.1590/0034-7167-2017-0899
- Eliane Tatsch Neves ,
- Aline Cristiane Cavicchioli Okido ,
- Fernanda Luisa Buboltz ,
- Raíssa Passos dos Santos ,
- Regina Aparecida Garcia de Lima
Views0See moreABSTRACT
Objective:
To know how children with special health needs access the health care network.
Method:
This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis.
Results:
Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care.
Conclusion:
The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.
- Eliane Tatsch Neves
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ORIGINAL ARTICLE07-13-2020
Incontinence-associated dermatitis in elderly patients: prevalence and risk factors
- Mariana Ferreira ,
- Luciana Abbade ,
- Silvia Cristina Mangini Bocchi ,
- Hélio Amante Miot ,
- Paulo Villas Boas , [ … ],
- Heloísa Quatrini Carvalho Passos Guimaraes
Abstract
ORIGINAL ARTICLEIncontinence-associated dermatitis in elderly patients: prevalence and risk factors
Revista Brasileira de Enfermagem. 2020;73:e20180475
DOI 10.1590/0034-7167-2018-0475
- Mariana Ferreira ,
- Luciana Abbade ,
- Silvia Cristina Mangini Bocchi ,
- Hélio Amante Miot ,
- Paulo Villas Boas ,
- Heloísa Quatrini Carvalho Passos Guimaraes
Views0See moreABSTRACT
Objective:
To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly.
Method:
Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05.
Results:
138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]).
Conclusion:
The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.
- Mariana Ferreira
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