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ORIGINAL ARTICLE12-16-2024
Construction and validation of an educational game on biosafety in the central sterile supply department
- Tatiana Nemoto Piccoli Moraes
, - Fernanda Moura D’Almeida Miranda ,
- Rafaela Danta de Sousa ,
- Luciana Schleder Gonçalves ,
- Maria de Fatima Mantovani , [ … ],
- Jenira Priscila dos Anjos
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
DOI 10.1590/0034-7167-2023-0478
- Tatiana Nemoto Piccoli Moraes ,
- Fernanda Moura D’Almeida Miranda ,
- Rafaela Danta de Sousa ,
- Luciana Schleder Gonçalves ,
- Maria de Fatima Mantovani ,
- Jenira Priscila dos Anjos
Views0See moreABSTRACT
Objectives:
to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.
Methods:
the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.
Results:
the study resulted in the construction of a board game named by the authors as “My Health First.”
Conclusions:
the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.
- Tatiana Nemoto Piccoli Moraes
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ORIGINAL ARTICLE12-16-2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Abstract
ORIGINAL ARTICLEHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
Views0See moreABSTRACT
Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ORIGINAL ARTICLE12-16-2024
Analysis of omission of antimicrobial doses in Intensive Care Units
- Isabelle Ribeiro Machado ,
- Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella , [ … ],
- Lucas Rodrigo Garcia de Mello
Abstract
ORIGINAL ARTICLEAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
- Isabelle Ribeiro Machado ,
- Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella ,
- Lucas Rodrigo Garcia de Mello
Views0See moreABSTRACT
Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
- Isabelle Ribeiro Machado
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REVIEW12-16-2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques , [ … ],
- Maria do Carmo Fernandez Lourenço Haddad
Abstract
REVIEWRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques ,
- Maria do Carmo Fernandez Lourenço Haddad
Views1See moreABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
- Evelin Daiane Gabriel Pinhatti
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ORIGINAL ARTICLE12-16-2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Abstract
ORIGINAL ARTICLEPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Views0See moreABSTRACT
Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
- Frederico Marques Andrade
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12-16-2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Abstract
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
Views0See moreABSTRACT
Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ORIGINAL ARTICLE12-16-2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva , [ … ],
- Evanilda Souza de Santana Carvalho
Abstract
ORIGINAL ARTICLERespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva ,
- Evanilda Souza de Santana Carvalho
Views1See moreABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
- Zannety Conceição Silva do Nascimento Souza
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REVIEW12-16-2024
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte , [ … ],
- Fernanda Penido Matozinhos
Abstract
REVIEWStrategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
DOI 10.1590/0034-7167-2023-0343
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte ,
- Fernanda Penido Matozinhos
Views1See moreABSTRACT
Objectives:
to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.
Methods:
systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.
Results:
initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.
Conclusions:
we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
- Janaina Fonseca Almeida Souza
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ORIGINAL ARTICLE12-13-2019
The meaning of the care of hospitalized children: experiences of nursing professionals
Revista Brasileira de Enfermagem. 2019;72:251-258
Abstract
ORIGINAL ARTICLEThe meaning of the care of hospitalized children: experiences of nursing professionals
Revista Brasileira de Enfermagem. 2019;72:251-258
DOI 10.1590/0034-7167-2018-0597
Views0See moreABSTRACT
Objective:
to understand the meaning of the care of hospitalized children for the nursing professionals of a pediatric unit.
Method:
phenomenological study, based on the existential phenomenology of Martin Heidegger. Ten nursing professionals were interviewed with the guiding question: “What is the care of hospitalized children for you? Tell me, in detail, your experience with taking care of hospitalized children.”
Results:
the meaning of the care of hospitalized children materializes between the profession and the various ways of preoccupation. By engaging in/worrying about the ways of being of everyday life, the professionals tend to improperness when trying to mediate and level all possibilities of being. However, when they extrapolate reassurance and do not get caught up in themselves, they achieve empathy, respect, and indulgence.
Final Considerations:
it is necessary to reassess the teaching and practice of care, so that authentic care is offered to children and their families in the context of hospitalization.
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ORIGINAL ARTICLE08-19-2019
Nurses- puerperal mothers interaction: searching for cultural care
- Emília Coutinho ,
- Sónia Amaral ,
- Maria Vitória Barros de Castro Parreira ,
- Cláudia Balula Chaves ,
- Odete Amaral , [ … ],
- Paula Nelas
Abstract
ORIGINAL ARTICLENurses- puerperal mothers interaction: searching for cultural care
Revista Brasileira de Enfermagem. 2019;72(4):910-917
DOI 10.1590/0034-7167-2018-0216
- Emília Coutinho ,
- Sónia Amaral ,
- Maria Vitória Barros de Castro Parreira ,
- Cláudia Balula Chaves ,
- Odete Amaral ,
- Paula Nelas
Views0See moreABSTRACT
Objective:
To identify the importance of the cultural care dimension in the nurse-puerperal mother interaction.
Method:
Qualitative study based on content analysis. To collect data, 36 semi structured interviews were applied (21 nurses and 15 women who had recently given birth). The participants’ free and informed consent was ensured and all ethical requirements were respected. Data analysis was supported by NVivo 10 software.
Results:
The following categories were considered the most relevant: (i) nurses’ attitudes that puerperal mothers consider crucial in health care provision; (ii) nurses’ cultural competence; (iii) language resources used by nurses in their interaction with people from other cultures; (iv) the limitations that were observed during nurses-new mothers interactions.
Conclusion:
Evidence shows that, generally speaking, nurses claim to provide personalized health care assistance. However data revealed that the kind of interaction observed between nurses and women who had just given birth has not always been the most effective and that the former often show they lacked the appropriate cultural competence to deal with the latter’s expectations and needs.
- Emília Coutinho
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ORIGINAL ARTICLE07-06-2020
Educational actions: an action research with Family Health Strategy professionals and users
- Carlos Frank Viga Ramos ,
- Maria Susana Barboza da Silva ,
- Anderson da Silva Rosa ,
- Carmen Lúcia Albuquerque de Santana ,
- Luiza Hiromi Tanaka
Abstract
ORIGINAL ARTICLEEducational actions: an action research with Family Health Strategy professionals and users
Revista Brasileira de Enfermagem. 2020;73(5):e20180969
DOI 10.1590/0034-7167-2018-0969
- Carlos Frank Viga Ramos ,
- Maria Susana Barboza da Silva ,
- Anderson da Silva Rosa ,
- Carmen Lúcia Albuquerque de Santana ,
- Luiza Hiromi Tanaka
Views0See moreABSTRACT
Objectives:
to identify the factors that influence educational actions, and building with professionals and users proposed educational strategies that encourage popular participation.
Methods:
an action research, in which individual interviews, participant observation and Focus Group were conducted. Sixteen professionals and ten users from 2 Family Health Strategy from Rio Branco, Acre, Brazil participated. The results were organized by using the Thematic Analysis technique.
Results:
the thematic units emerged: Health education as a strategy that encourages changes in the lives of Family Health Strategyusers; Critical reflection on diagnosis of the causes that interfere in educational actions in the Family Health Strategy and proposition of new strategies; Potentialities that encourage the development of educational practices at Family Heath Units; Proposals for improving educational practices focused on soft health education technology in the dialogue dimension.
Conclusions:
the analysis showed a lack of community ties and traditional educational strategies. In the action phase, the actors agreed to participatory changes.
- Carlos Frank Viga Ramos
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ORIGINAL ARTICLE08-14-2020
Social attributes of the male that incite the violence by intimate partner
- Andrey Ferreira da Silva ,
- Nadirlene Pereira Gomes ,
- Álvaro Pereira ,
- Júlia Renata Fernandes de Magalhães ,
- Fernanda Matheus Estrela , [ … ],
- Jordana Brock Carneiro
Abstract
ORIGINAL ARTICLESocial attributes of the male that incite the violence by intimate partner
Revista Brasileira de Enfermagem. 2020;73(6):e20190470
DOI 10.1590/0034-7167-2019-0470
- Andrey Ferreira da Silva ,
- Nadirlene Pereira Gomes ,
- Álvaro Pereira ,
- Júlia Renata Fernandes de Magalhães ,
- Fernanda Matheus Estrela ,
- Anderson Reis de Sousa ,
- Jordana Brock Carneiro
Views0INTRODUCTIONMasculinity can be understood as a set of symbols that structures the ideal identity model for being a man, represented by attributes, functions, values and culturally determined and expected behaviors for people of the male gender. Such attributes have been part of the social construction of male identity since childhood, outlining expected and socially legitimate […]See more - Andrey Ferreira da Silva
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ORIGINAL ARTICLE06-17-2020
Nursing process for a patient with needle phobia: a case study
- Angelo Braga Mendonça ,
- Eliane Ramos Pereira ,
- Carinne Magnago ,
- Rose Mary Costa Rosa Andrade Silva ,
- Adriana de Oliveira Martins
Abstract
ORIGINAL ARTICLENursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
DOI 10.1590/0034-7167-2019-0095
- Angelo Braga Mendonça ,
- Eliane Ramos Pereira ,
- Carinne Magnago ,
- Rose Mary Costa Rosa Andrade Silva ,
- Adriana de Oliveira Martins
Views0See moreABSTRACT
Objectives:
to report a clinical case of needle phobia which culminated in cardiac arrest and describe the outcome of a care plan based on fear and anxiety diagnoses, using the Roy adaptation model as the framework.
Methods:
case study conducted in a chemotherapy outpatient unit in Rio de Janeiro. Care was guided by the nursing process and the use of instruments to assess the venous network, anxiety and fear.
Results:
the Roy adaptation model enabled proposing nursing interventions that allowed the study subject to adapt to the external and internal stimuli triggered by vasovagal syndrome. The instruments indicated the choice of an adequate semi-implanted venous access device and led to improved levels of anxiety and fear.
Final Considerations:
after carrying out the nursing activities, anxiety was reduced, and the patient achieved greater control over fear.
- Angelo Braga Mendonça
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ORIGINAL ARTICLE11-11-2020
The hospital designed by hospitalized children and adolescents
- Larissa Karoline Dias da Silva Cassemiro ,
- Aline Cristiane Cavicchioli Okido ,
- Maria Cândida de Carvalho Furtado ,
- Regina Aparecida Garcia de Lima
Abstract
ORIGINAL ARTICLEThe hospital designed by hospitalized children and adolescents
Revista Brasileira de Enfermagem. 2020;73:e20190399
DOI 10.1590/0034-7167-2019-0399
- Larissa Karoline Dias da Silva Cassemiro ,
- Aline Cristiane Cavicchioli Okido ,
- Maria Cândida de Carvalho Furtado ,
- Regina Aparecida Garcia de Lima
Views0See moreABSTRACT
Objective:
to identify, through the contributions of hospitalized children and adolescents, the characteristics they consider necessary for a hospital that promotes well-being and development.
Method:
descriptive and exploratory study, with qualitative data analysis, carried out with a total of 30 hospitalized children and adolescents. Data were collected through semi-structured interviews, mediated by drawing, and analyzed by inductive thematic analysis, supported by the theoretical framework of the humanization of health care and the Florence Nightingale’s Environmental Theory.
Results:
the designed hospital takes up the principles of Florence Nightingale’s Environmental Theory, as well as one of the guidelines of the National Humanization Policy, the environment, from two perspectives: elements and material resources from the physical environment; elements of comfort and well-being environment.
Final considerations:
hospitals such as the projected institution corroborate what is recommended in public policies, as they qualify health care.
- Larissa Karoline Dias da Silva Cassemiro
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REFLECTION12-04-2020
Coronavirus pandemic in light of nursing theories
- Isabella Joyce Silva de Almeida ,
- Poliana da Silva Lúcio ,
- Marismar Fernandes do Nascimento ,
- Alexsandro Silva Coura
Abstract
REFLECTIONCoronavirus pandemic in light of nursing theories
Revista Brasileira de Enfermagem. 2020;73:e20200538
DOI 10.1590/0034-7167-2020-0538
- Isabella Joyce Silva de Almeida ,
- Poliana da Silva Lúcio ,
- Marismar Fernandes do Nascimento ,
- Alexsandro Silva Coura
Views0See moreABSTRACT
Objective:
to reflect on the interface between the Coronavirus pandemic and nursing theories.
Method:
theoretical-reflective assay, anchored in the theoretical constructs of Dorothea Orem, Florence Nightingale and Callista Roy.
Results:
in the interface with Orem, the professional, based on the nursing systems, offers health education for the virus prevention, the conduct of home isolation and in high complexity assistance when there is worsening of COVID19; with Nightingale, it is revealed the importance of environmental sanitation, ventilation, personal and domestic cleaning and the surrounding areas; with Roy, focal stimuli are perceived such as the symptoms of COVID19, contextual stimuli related to comorbidities, and residual stimuli, concerning to work stress due to high viral transmission and lack of protective equipment.
Final Considerations:
nurses can use the theoretical framework of nursing theories as tools to guide their care in this pandemic situation.
- Isabella Joyce Silva de Almeida
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ORIGINAL ARTICLE08-05-2020
Maternal nutritional status in diabetes mellitus and neonatal characteristics at birth
Revista Brasileira de Enfermagem. 2020;73:e20181000
Abstract
ORIGINAL ARTICLEMaternal nutritional status in diabetes mellitus and neonatal characteristics at birth
Revista Brasileira de Enfermagem. 2020;73:e20181000
DOI 10.1590/0034-7167-2018-1000
Views0See moreABSTRACT
Objectives:
to analyze the nutritional status of women with diagnosis of Diabetes mellitus in pregnancy and the newborns’ characteristics in relation to health conditions at birth.
Methods:
transversal study with data from 394 electronic medical charts (197 newborn and 197 mothers), between 2017 and 2018. Descriptive and analytical statistics.
Results:
there was prevalence of women with Gestational Diabetes (78.2%), followed by Type II Diabetes (13.7%) and Type I Diabetes (8.1%), and of term births (85.3%) and cesarean deliveries (54.8%). Type I Diabetes was associated to earlier gestational age at birth (p>0.001) and obesity during pregnancy was associated to higher birth weight of newborns (p=0.024). Clinical complications occurred in 37.6% of newborns. Among complications, Type I Diabetes was associated with respiratory disorder (p=0.005), and prematurity was associated with mother’s overweight/obesity (p=0.010).
Conclusions:
we strongly advise about the need of metabolic and nutritional control during gestations that course with Diabetes mellitus, due occurrence of negative consequences to the newborn´s health at birth.
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