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RESEARCH01-01-2017
Older adults abuse in three Brazilian cities
Revista Brasileira de Enfermagem. 2017;70(4):783-791
Abstract
RESEARCHOlder adults abuse in three Brazilian cities
Revista Brasileira de Enfermagem. 2017;70(4):783-791
DOI 10.1590/0034-7167-2017-0114
Views0See moreABSTRACT
Objective:
To analyze the police reports filed by older adults who suffered abuse in order to identify the socio-demographic characteristics of victims and aggressors, type of violence, location, as well as to compare rates in three Brazilian cities in the period from 2009 to 2013.
Method:
Ecological study, in which 2,612 police reports registered in Police Stations were analyzed. An instrument was used to obtain data from the victim, the aggressor and the type of violence.
Results:
Psychological abuse predominated and most cases occurred in the older adults own home. In the cities of Ribeirão Preto and João Pessoa, the older adults presented similar rates for both gender. Regarding the standardized rates, in João Pessoa, there was a rise of this type of abuse in the two first years, and later there was a certain stability. In the city of Teresina, there was an increase, also observed in the city of Ribeirão Preto in the three first years, followed by a decrease.
Conclusion:
Older adults abuse is a cultural phenomenon difficult to be reported by them, since it occurs in the family context.
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RESEARCH01-01-2017
Validation of educational booklet for HIV/Aids prevention in older adults
Revista Brasileira de Enfermagem. 2017;70(4):775-782
Abstract
RESEARCHValidation of educational booklet for HIV/Aids prevention in older adults
Revista Brasileira de Enfermagem. 2017;70(4):775-782
DOI 10.1590/0034-7167-2017-0145
Views0See moreABSTRACT
Objective:
To describe the process of manufacturing and validation of an educational booklet for HIV/Aids prevention in older adults
Methods:
Methodological study developed in two phases – manufacturing of the booklet and validation of the educational material by judges. The manufacturing process involved a situational diagnosis with older adults, and its result indicated gaps in the knowledge with respect to HIV/Aids. The validation process was performed by nine judges, selected by convenience. It was considered an agreement index of at least 0.80, analyzed through the content validity index.
Results:
We opted for a dialogue between two older adults divided into three categories: myths and taboos; ignorance; and prevention and importance of diagnosis. The average of the items was 0.90. The suggestions made by the judges were observed and modified for the final version.
Conclusion:
The material had relevant content for the judges, in addition to being able to be used by health professionals in the education and clarification of issues on the subject.
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RESEARCH01-01-2017
Association between filial responsibility when caring for parents and the caregivers overload
Revista Brasileira de Enfermagem. 2017;70(4):767-774
Abstract
RESEARCHAssociation between filial responsibility when caring for parents and the caregivers overload
Revista Brasileira de Enfermagem. 2017;70(4):767-774
DOI 10.1590/0034-7167-2017-0133
Views0See moreABSTRACT
Objective:
To analyze the association between filial responsibility and the overload of the children when caring for their older parents.
Method:
Cross-sectional study with 100 caregiver children of older adults. Filial liability was assessed by the attitudes of the responsible child (scale of expectation and filial duty) and by care behaviors (assistance in activities of daily living, emotional and financial support, and keeping company). The overload was assessed by the Caregiver Burden Inventory. To assess the associations, the correlation coefficients of Pearson and Spearman, Kruskal-Wallis Test, and Mann-Whitney were employed. Variables that presented p-value<0.20 in the bivariate analysis were inserted in a multivariate linear regression model.
Results:
The factors associated with overload were: formal employment (p=0.002), feelings regarding family life (p<0.001), financial support (p=0.027), and assistance with Activities of Daily Living (ADLs) (p<0.001).
Conclusion:
Children who were more involved with the ADLs and provided financial support showed higher levels of overload.
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RESEARCH01-01-2017
Religiosity and spirituality as resilience strategies among long-living older adults in their daily lives
Revista Brasileira de Enfermagem. 2017;70(4):761-766
Abstract
RESEARCHReligiosity and spirituality as resilience strategies among long-living older adults in their daily lives
Revista Brasileira de Enfermagem. 2017;70(4):761-766
DOI 10.1590/0034-7167-2016-0630
Views0See moreABSTRACT
Objective:
to investigate religiosity and spirituality as a resilience strategy for the long-living older adults in their daily lives.
Method:
Qualitative research of phenomenological approach based on Martin Heidegger thoughts. Interviews were conducted with 14 older adults registered at a family health unit in the city of Jequié, BA, Brazil. The data were analyzed in the light of Being and Time.
Results:
The results revealed that God occupies a central position in their lives, and the reading of the bible, praying the rosary and prayers are resilience strategies used for coping with unfavorable situations, recovery and/or maintenance of health, personal and family protection, and, above all, the experience of a satisfactory aging.
Final considerations:
Religiosity and spirituality were presented as an important resilience strategy in the existence of older adults, showing that through them it is possible to achieve well-being and cope with health and social problems.
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RESEARCH01-01-2017
Family of older adults with mental disorder: perception of mental health professionals
Revista Brasileira de Enfermagem. 2017;70(4):753-760
Abstract
RESEARCHFamily of older adults with mental disorder: perception of mental health professionals
Revista Brasileira de Enfermagem. 2017;70(4):753-760
DOI 10.1590/0034-7167-2016-0646
Views0ABSTRACT
Objective:
to understand the perceptions of healthcare professionals of the Psychosocial Care Centers regarding the family of older adults with mental disorders.
Method:
study of a Qualitative Case conducted with 12 healthcare professionals from a Psychosocial Care Center, with a convenient and exhaustive sample. Conducting semi-structured interviews to collect data, which were analyzed with the Content Analysis technique.
Results:
the following categories stood out: “Family exhaustion and deterioration in the perception of the healthcare professional” and “The abandonment of older adults by family members and their distancing in the perception of the healthcare professional.”
Final considerations:
culpability of older adults and penalization of the family were verified by healthcare professionals. To bring awareness about the difficulties faced in the attempt to bring the family closer to the healthcare service, it is necessary to analyze the care given to the older adult and to overcome challenges in the effective construction of the bond between family, healthcare user and mental health service.
Keywords:Community PsychiatryFrail Older AdultsGeriatric PsychiatryOlder adultsProfessional-Family RelationshipSee more -
RESEARCH01-01-2017
Frailty in the elderly: prevalence and associated factors
Revista Brasileira de Enfermagem. 2017;70(4):747-752
Abstract
RESEARCHFrailty in the elderly: prevalence and associated factors
Revista Brasileira de Enfermagem. 2017;70(4):747-752
DOI 10.1590/0034-7167-2016-0633
Views0See moreABSTRACT
Objective:
to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil.
Method:
cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance.
Results:
360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months.
Conclusion:
knowledge of factors associated with frailty allows development of health actions aimed at the elderly.
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RESEARCH01-01-2017
Falls in long-term care institutions for elderly people: protocol validation
Revista Brasileira de Enfermagem. 2017;70(4):740-746
Abstract
RESEARCHFalls in long-term care institutions for elderly people: protocol validation
Revista Brasileira de Enfermagem. 2017;70(4):740-746
DOI 10.1590/0034-7167-2017-0109
Views0See moreABSTRACT
Objectives:
To validate the content of a fall management risk protocol in long-term institutions for elderly people.
Methods:
Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defined inclusion criteria.
Results:
The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=.88); manage the risk of falls throughout the institutionalization (IRA=.9); and lead the communication and formation (IRA=1), with a CVI=.91. Two rounds were performed to get a consensus superior to 80% in every item.
Conclusion:
The values obtained in the reliability test (>0.8) show that the protocol can be used to meet the intended goal. The next step is the clinic validation of the protocol with residents of long-term care institutions for elderly people.
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RESEARCH01-01-2017
Deaths among the elderly with ICU infections
Revista Brasileira de Enfermagem. 2017;70(4):733-739
Abstract
RESEARCHDeaths among the elderly with ICU infections
Revista Brasileira de Enfermagem. 2017;70(4):733-739
DOI 10.1590/0034-7167-2016-0611
Views0See moreABSTRACT
Objective:
to evaluate the clinical outcome of elderly patients admitted to intensive care units who had nosocomial infection, correlating the findings with sociodemographic and clinical variables.
Method:
descriptive research, performed with 308 elderly patients. The collection was made from medical records and covers the years 2012 to 2015. Uni-/bivariate analyses were performed.
Results:
a statistical association was found between the clinical outcome types and the variables age, length of stay, presence of previous comorbidities, main diagnosis, respiratory and urinary tract infections, use of central venous and indwelling urinary catheters, mechanical ventilation, and tracheostomy. The survival curve showed higher mortality among the elderly from the age of 80 on.
Conclusion:
the clinical outcome of the elderly who acquire infection in the intensive care unit is influenced by sociodemographic and clinical variables that increase mortality rates.
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ORIGINAL ARTICLE07-15-2020
Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes
- Cristine Vieira do Bonfim
, - Amanda Priscila de Santana Cabral Silva ,
- Conceição Maria de Oliveira ,
- Mirella Bezerra Rodrigues Vilela ,
- Neison Cabral Ferreira Freire
Abstract
ORIGINAL ARTICLESpatial analysis of inequalities in fetal and infant mortality due to avoidable causes
Revista Brasileira de Enfermagem. 2020;73:e20190088
DOI 10.1590/0034-7167-2019-0088
- Cristine Vieira do Bonfim ,
- Amanda Priscila de Santana Cabral Silva ,
- Conceição Maria de Oliveira ,
- Mirella Bezerra Rodrigues Vilela ,
- Neison Cabral Ferreira Freire
Views0See moreABSTRACT
Objectives:
to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence.
Methods:
avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index.
Results:
out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%.
Conclusions:
in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.
- Cristine Vieira do Bonfim
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Men’s mental health in the COVID-19 pandemic: is there a mobilization of masculinities?
- Anderson Reis de Sousa ,
- Gilson Vieira Alves ,
- Aline Macêdo Queiroz ,
- Raíssa Millena Silva Florêncio ,
- Wanderson Carneiro Moreira , [ … ],
- Murilo Fernandes Rezende
Abstract
Men’s mental health in the COVID-19 pandemic: is there a mobilization of masculinities?
Revista Brasileira de Enfermagem. 2021;74:e20200915
DOI 10.1590/0034-7167-2020-0915
- Anderson Reis de Sousa ,
- Gilson Vieira Alves ,
- Aline Macêdo Queiroz ,
- Raíssa Millena Silva Florêncio ,
- Wanderson Carneiro Moreira ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Elizabeth Teixeira ,
- Murilo Fernandes Rezende
Views0See moreABSTRACT
Objective:
to understand how the COVID-19 pandemic mobilizes masculinities in relation to mental health.
Methods:
qualitative study conducted with 400 men, in a virtual environment, in all regions of Brazil. The data were analyzed by the Discourse of the Collective Subject and based on Symbolic Interactionism.
Results:
the mobilization of masculinities emerged from men towards the recognition of weaknesses and psycho-emotional vulnerabilities, with narratives that reveal the expression of feelings, pain, discomfort and psychological suffering, and showed themselves to be sensitive and engaged in performing practices, including autonomous ones, of health care mental.
Final considerations:
the pandemic mobilizes masculinities as men print meanings and senses, in their interaction and interpretation of mental health, and is a marker for the nursing clinic conduct.
- Anderson Reis de Sousa
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ORIGINAL ARTICLE03-24-2021
Health promotion actions in the School Health Program in Ceará: nursing contributions
- Adna de Araújo Silva ,
- Fabiane do Amaral Gubert ,
- Valter Cordeiro Barbosa Filho ,
- Roberto Wagner Júnior Freire de Freitas ,
- Anya Pimentel Gomes Fernandes Vieira-Meyer , [ … ],
- Lidiane Nogueira Rebouças
Abstract
ORIGINAL ARTICLEHealth promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
DOI 10.1590/0034-7167-2019-0769
- Adna de Araújo Silva ,
- Fabiane do Amaral Gubert ,
- Valter Cordeiro Barbosa Filho ,
- Roberto Wagner Júnior Freire de Freitas ,
- Anya Pimentel Gomes Fernandes Vieira-Meyer ,
- Maria Talyta Mota Pinheiro ,
- Lidiane Nogueira Rebouças
Views0See moreABSTRACT
Objectives:
to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program.
Methods:
a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools.
Results:
the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools.
Conclusions:
health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.
- Adna de Araújo Silva
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REVIEW03-19-2021
Influence of burnout syndrome on the quality of life of nursing professionals: quantitative study
- Emelly Kerolayne do Amaral Ribeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo-Monteiro ,
- Bárbara Maria Lopes da Silva Brandão ,
- Jéssyka Chaves da Silva , [ … ],
- Rafaella Queiroga Souto
Abstract
REVIEWInfluence of burnout syndrome on the quality of life of nursing professionals: quantitative study
Revista Brasileira de Enfermagem. 2021;74:e20200298
DOI 10.1590/0034-7167-2020-0298
- Emelly Kerolayne do Amaral Ribeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo-Monteiro ,
- Bárbara Maria Lopes da Silva Brandão ,
- Jéssyka Chaves da Silva ,
- Rafaella Queiroga Souto
Views0See moreABSTRACT
Objective:
To estimate the prevalence and factors associated with the burnout syndrome and quality of life among nursing professionals.
Methods:
Cross-sectional, analytical study, developed with 83 professionals in emergency care units in the city of Campina Grande-PB. A questionnaire was used to characterize the sample, the Maslach Burnout Inventory scale and the SF-36. Data was analyzed using descriptive and inferential statistics.
Results:
Most professionals showed low professional effectiveness (78.3; n=65), average depersonalization (53.0%; n=44) and average emotional exhaustion (55.4%; n=46). There was a statistical difference between the scores of the syndrome and the pain (p=0.03), vitality (p=0.04) and social aspect (p=0.03); significant correlation between the syndrome and vitality (p<0.001), mental health (p=0.01) and general quality of life (p=0.04).
Conclusion:
The burnout syndrome has an influence on the outcome of quality of life of nursing professionals, being more prevalent among professionals with older age, high income and among nurses.
- Emelly Kerolayne do Amaral Ribeiro
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ORIGINAL ARTICLE05-03-2021
Medical device-related pressure injury prevention in critically ill patients: nursing care
- Sabrina Guterres da Silva Galetto ,
- Eliane Regina Pereira do Nascimento ,
- Patrícia Madalena Vieira Hermida ,
- Josefine Busanello ,
- Luciana Bihain Hagemann de Malfussi , [ … ],
- Daniele Delacanal Lazzari
Abstract
ORIGINAL ARTICLEMedical device-related pressure injury prevention in critically ill patients: nursing care
Revista Brasileira de Enfermagem. 2021;74(2):e20200062
DOI 10.1590/0034-7167-2020-0062
- Sabrina Guterres da Silva Galetto ,
- Eliane Regina Pereira do Nascimento ,
- Patrícia Madalena Vieira Hermida ,
- Josefine Busanello ,
- Luciana Bihain Hagemann de Malfussi ,
- Daniele Delacanal Lazzari
Views0See moreABSTRACT
Objectives:
to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients.
Methods:
this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used.
Results:
six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible.
Final Considerations:
nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.
- Sabrina Guterres da Silva Galetto
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ORIGINAL ARTICLE10-01-2022
Factors associated with presenteeism in nursing workers
- Bruno da Silva Santos ,
- Fernanda Ludmilla Rossi Rocha ,
- Juliano Bortolini ,
- Fábio de Souza Terra ,
- Marília Duarte Valim
Abstract
ORIGINAL ARTICLEFactors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
DOI 10.1590/0034-7167-2020-1290
- Bruno da Silva Santos ,
- Fernanda Ludmilla Rossi Rocha ,
- Juliano Bortolini ,
- Fábio de Souza Terra ,
- Marília Duarte Valim
Views0See moreABSTRACT
Objective:
to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms.
Methods:
this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%.
Results:
presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace – Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8.
Conclusions:
the study confirms a high rate of presenteeism among nursing workers.
- Bruno da Silva Santos
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EXPERIENCE REPORT06-07-2019
Humanitude in the humanization of elderly care: experience reports in a health service
- Rosa Cândida Carvalho Pereira de Melo ,
- Paulo Jorge Costa ,
- Liliana Vanessa Lúcio Henriques ,
- Luiza Hiromi Tanaka ,
- Paulo Joaquim Pina Queirós , [ … ],
- João Pärtel Araújo
Abstract
EXPERIENCE REPORTHumanitude in the humanization of elderly care: experience reports in a health service
Revista Brasileira de Enfermagem. 2019;72(3):825-829
DOI 10.1590/0034-7167-2017-0363
- Rosa Cândida Carvalho Pereira de Melo ,
- Paulo Jorge Costa ,
- Liliana Vanessa Lúcio Henriques ,
- Luiza Hiromi Tanaka ,
- Paulo Joaquim Pina Queirós ,
- João Pärtel Araújo
Views0ABSTRACT
Objective:
To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly.
Methodology:
This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations.
Results:
The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care.
Conclusion:
The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.
Keywords:Evidence-based NursingHumanization of CareNeurocognitive DisordersNurse-Patient RelationsOrganizational InnovationPatient-Centered CareSee more - Rosa Cândida Carvalho Pereira de Melo
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ORIGINAL ARTICLE08-19-2019
Factors related to impaired comfort in chronic kidney disease patients on hemodialysis
- Geórgia Alcântara Alencar Melo ,
- Letícia Lima Aguiar ,
- Renan Alves Silva ,
- Glauberto da Silva Quirino ,
- Ana Karina Bezerra Pinheiro , [ … ],
- Joselany Áfio Caetano
Abstract
ORIGINAL ARTICLEFactors related to impaired comfort in chronic kidney disease patients on hemodialysis
Revista Brasileira de Enfermagem. 2019;72(4):889-895
DOI 10.1590/0034-7167-2018-0120
- Geórgia Alcântara Alencar Melo ,
- Letícia Lima Aguiar ,
- Renan Alves Silva ,
- Glauberto da Silva Quirino ,
- Ana Karina Bezerra Pinheiro ,
- Joselany Áfio Caetano
Views0See moreABSTRACT
Objective:
to analyze the factors related to the impaired comfort of chronic kidney diseases (CKD) patients on hemodialysis.
Method:
this is a cross-sectional study with 80 patients undergoing hemodialysis in a renal replacement therapy unit through interviews using two instruments, one for clinical and sociodemographic characteristics and the General Comfort Questionnaire, during the hemodialysis session. Mann-Whitney tests and the logistic regression model were used for data analysis.
Results:
the study found that being younger (p=0.045); being married (p=0.05); and absence of impaired physical mobility (p=0.007) were contributing factors for greater comfort in CKD patients on hemodialysis. Thus, when establishing the odds ratio, it was possible to observe that being 55 years of age or older, being single and having impaired physical mobility represents a 45.7% chance of developing this diagnosis.
Conclusions:
sociodemographic and clinical variables contribute to the study outcome, demanding attention during the planning of nursing interventions.
- Geórgia Alcântara Alencar Melo
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