Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    Abstract

    ORIGINAL ARTICLE

    Respectful 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

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    ABSTRACT

    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.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Respectful care for postpartum women with sickle cell disease: a netnographic study
  • 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

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    ABSTRACT

    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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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
  • ORIGINAL ARTICLE12-16-2024

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    Abstract

    ORIGINAL ARTICLE

    Psychometric 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

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    ABSTRACT

    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.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
  • REVIEW12-16-2024

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    Abstract

    REVIEW

    Recommendations 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

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    ABSTRACT

    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.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
  • ORIGINAL ARTICLE12-16-2024

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    Abstract

    ORIGINAL ARTICLE

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    DOI 10.1590/0034-7167-2024-0102

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    ABSTRACT

    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.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-16-2024

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    Abstract

    ORIGINAL ARTICLE

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    DOI 10.1590/0034-7167-2024-0154

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    ABSTRACT

    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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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health literacy development of Primary Health Care patients: qualitative research
  • ORIGINAL ARTICLE12-16-2024

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    Abstract

    ORIGINAL ARTICLE

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    DOI 10.1590/0034-7167-2023-0183

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    ABSTRACT

    Objectives:

    to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.

    Methods:

    a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.

    Results:

    the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.

    Conclusions:

    the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Bladder ultrasound: evidence of content validity of a checklist for training nurses
  • 12-16-2024

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    Abstract

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    DOI 10.1590/0034-7167-2022-0615

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    RESUMEN

    Objetivos:

    identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.

    Métodos:

    se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.

    Resultados:

    la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.

    Conclusiones:

    los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 03-26-2021

    Professional competency for elder care: perception among professors, nursing students, and nurses

    Revista Brasileira de Enfermagem. 2021;74:e20200446

    Abstract

    Professional competency for elder care: perception among professors, nursing students, and nurses

    Revista Brasileira de Enfermagem. 2021;74:e20200446

    DOI 10.1590/0034-7167-2020-0446

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    ABSTRACT

    Objective:

    to know the perception of nurses, undergraduate students, and professors about the competencies for professional nurses in elder care.

    Methods:

    this is a qualitative analytical study developed with six professors, four nurses, and 12 nursing students. Data were collected through semi-structured interviews and analyzed using Fiorin’s Discourse technique, with support from the MAXQDA software.

    Results:

    the competencies identified included knowledge of theories and general concepts of gerontology, communication, listening, leadership, teamwork, proactivity, respect, and empathy.

    Final considerations:

    knowing the competencies contributes to understanding the aging process and qualifying nurses for elder care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE05-03-2021

    Nursing care for patient in postoperatory heart surgery in the Intensive Care Unit

    Revista Brasileira de Enfermagem. 2021;74(2):e20200163

    Abstract

    ORIGINAL ARTICLE

    Nursing care for patient in postoperatory heart surgery in the Intensive Care Unit

    Revista Brasileira de Enfermagem. 2021;74(2):e20200163

    DOI 10.1590/0034-7167-2020-0163

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    ABSTRACT

    Objective:

    To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery.

    Methods:

    Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis.

    Results:

    Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery.

    Final considerations:

    Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE10-21-2019

    Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

    Revista Brasileira de Enfermagem. 2019;72(6):1595-1601

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

    Revista Brasileira de Enfermagem. 2019;72(6):1595-1601

    DOI 10.1590/0034-7167-2018-0726

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    ABSTRACT

    Objective:

    To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs).

    Method:

    Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará.

    Results:

    212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9).

    Conclusion:

    The intermediate social determinant “type of housing” influences the vulnerability to STAs.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION10-19-2020

    Contributions of Florence Nightingale as a social entrepreneur: from modern to contemporary nursing

    Revista Brasileira de Enfermagem. 2020;73:e20200064

    Abstract

    REFLECTION

    Contributions of Florence Nightingale as a social entrepreneur: from modern to contemporary nursing

    Revista Brasileira de Enfermagem. 2020;73:e20200064

    DOI 10.1590/0034-7167-2020-0064

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    ABSTRACT

    Objective:

    To reflect on the transformations of modern and contemporary nursing as well as on Florence Nightingale’s social entrepreneurship.

    Method:

    This is a logical-reflective exhibition, with an emphasis on the theoretical assumptions of social entrepreneurship and the legacy of Florence Nightingale, from modern to contemporary nursing, based on readings of texts extracted from electronic databases, especially periodicals, books and theses.

    Results:

    The logical-reflective exhibition focuses on two fundamental aspects: 1) Florence Nightingale’s legacy as a social entrepreneur; 2) The evolution of Brazilian nursing: from modernity to contemporaneity.

    Final considerations:

    Florence Nightingale’s legacy is undeniable with regard to the evolution of modern and contemporary nursing and transcends different areas of knowledge. In addition to being a precursor to modern nursing, it is distinguished by its visionary attitude, humanitarian social value and potential for transforming the paths and realities present in the Contemporary Era.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 07-26-2021

    Impact of clinical supervision on job satisfaction and emotional competence of nurses

    Revista Brasileira de Enfermagem. 2021;74(6):e20210125

    Abstract

    Impact of clinical supervision on job satisfaction and emotional competence of nurses

    Revista Brasileira de Enfermagem. 2021;74(6):e20210125

    DOI 10.1590/0034-7167-2021-0125

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    ABSTRACT

    Objective:

    To evaluate the impact of implementing the SafeCare clinical supervision model on nurses’ job satisfaction and emotional competence profile.

    Methods:

    This is a quasi-experimental study, with a sample of 28 nurses from a hospital in northern Portugal. A self-administered questionnaire was applied, used as pre and post-test, which included: sociodemographic and professional characterization; “Job Satisfaction Scale”; and “Veiga Emotional Competence Scale”. We conducted descriptive statistical analysis and the Wilcoxon Test.

    Results:

    A significant decrease in the nurses’ satisfaction with hierarchical superior was observed in the post-test. No significant differences were found in the nurses’ job satisfaction and emotional competence after the implementation of the SafeCare Model.

    Conclusion:

    The SafeCare Model needs improvement, suggesting increasing the amount of training time administered to nurses and strengthening the healthcare institution’s link to the Model.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE07-31-2020

    Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

    Revista Brasileira de Enfermagem. 2020;73:e20180996

    Abstract

    ORIGINAL ARTICLE

    Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

    Revista Brasileira de Enfermagem. 2020;73:e20180996

    DOI 10.1590/0034-7167-2018-0996

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    ABSTRACT

    Objectives:

    to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.

    Methods:

    cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte – Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio.

    Results:

    increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section.

    Final Considerations:

    the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW07-06-2020

    Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health

    Revista Brasileira de Enfermagem. 2020;73(5):e20190370

    Abstract

    REVIEW

    Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health

    Revista Brasileira de Enfermagem. 2020;73(5):e20190370

    DOI 10.1590/0034-7167-2019-0370

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    ABSTRACT

    Objectives:

    theoretical validation of the concept of low self-efficacy in health as a nursing diagnosis construct.

    Methods:

    construction of a middle-range theory for validating diagnoses, comprised of five stages: definition of the approach for building the theory; definition of the main concepts; creation of a pictorial diagram; formulation of proposals; establishment of causal relationships and evidence for clinical practice. The main concepts were identified through a literature review and the studies were taken from the LILACS, SCOPUS, CINAHL and PubMed/MEDLINE databases. The final sample was comprised of 92 articles.

    Results:

    eighteen etiological factors and 16 clinical indicators were identified; characterized as antecedents and manifestations for inferring a diagnosis of low self-efficacy in health.

    Conclusions:

    the related concepts of the new nursing diagnosis of low self-efficacy in health, to be applied in clinical nursing practice, were identified and defined.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
  • ORIGINAL ARTICLE03-09-2020

    Assessment of premature mortality for noncommunicable diseases

    Revista Brasileira de Enfermagem. 2020;73(2):e20180440

    Abstract

    ORIGINAL ARTICLE

    Assessment of premature mortality for noncommunicable diseases

    Revista Brasileira de Enfermagem. 2020;73(2):e20180440

    DOI 10.1590/0034-7167-2018-0440

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    ABSTRACT

    Objectives:

    to analyze premature mortality and Potential Years of Life Lost by noncommunicable diseases in a city in the countryside of São Paulo from 2010 to 2014.

    Methods:

    ecological study of temporal tendency, using secondary source. For analysis, the premature mortality coefficient and the Potential Years of Life Lost indicator were used.

    Results:

    males had the highest premature mortality rate due to cardiovascular disease, with 213.04 deaths per 100 thousand inhabitants, followed by neoplasms, with 188.44. In women, there was an inversion with 134.22 deaths from cancer and 110.71 deaths from cardiovascular disease. Regarding Potential Years of Life Lost, males had an average of 12.19 years lost by death and females of 13.45 years lost.

    Conclusions:

    the results reinforce the need to increase public health prevention and promotion policies to reduce premature deaths, especially among men.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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