-
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.
-
RESEARCH01-01-2017
Complex educational and care (geron)technology for elderly individuals/families experiencing Alzheimer’s disease
Revista Brasileira de Enfermagem. 2017;70(4):726-732
Abstract
RESEARCHComplex educational and care (geron)technology for elderly individuals/families experiencing Alzheimer’s disease
Revista Brasileira de Enfermagem. 2017;70(4):726-732
DOI 10.1590/0034-7167-2016-0687
Views0See moreABSTRACT
Objective:
To describe the contributions of the Integrated Multidisciplinary Care Group for Caregivers of Individuals with Alzheimer’s Disease as an educational and care (geron)technology in the context of Alzheimer’s disease in elderly individuals from the perspective of family members/caregivers.
Method:
Exploratory, descriptive study with a qualitative approach conducted with 13 family members/caregivers of elderly people participating in the support group of a university institution of the state of Rio Grande do Sul, Brazil. Data collected between January and April 2016 through a semi-structured interview were submitted to discursive textual analysis.
Results:
Family members/caregivers pointed out education and care as contributions of the group; education for care and for the future; exchange, socialization, and development of knowledge through the range of knowledge existing in the Group.
Conclusion:
The Group contributes as a (geron)technology of care and education for care in which knowledge is built and applied in practice, supporting the experienced disorders and improving the quality of care provided for elderly individuals with Alzheimer’s disease.
-
RESEARCH01-01-2017
Falls in institutionalized older adults: risks, consequences and antecedents
Revista Brasileira de Enfermagem. 2017;70(4):719-725
Abstract
RESEARCHFalls in institutionalized older adults: risks, consequences and antecedents
Revista Brasileira de Enfermagem. 2017;70(4):719-725
DOI 10.1590/0034-7167-2017-0107
Views0See moreABSTRACT
Objective:
To analyze the occurrence of falls in institutionalized elderly addressing the risks, consequences and antecedents.
Method:
Cross-sectional study carried out with 45 older adults in Long-Term Care Facilities for the Older adult in João Pessoa, Brazil, in June and July 2016. A socio-demographic questionnaire and the Berg Balance Scale were applied, classifying as risk of fall scores lower than 45. Descriptive statistics and tests were conducted: independent t-test, Anova (Tukey), Chi-square, Mann Whitney. Statistically significance was p <0.05. Data were processed in SPSS version 19.0.
Results:
A total of 66.7% (30) falls occurred, 20% (9) of them in the external area, with 66.7% (30) of the participants having hypertension as a previous disease and, as consequence, the fracture was highlighted with 11.2% (5). The Berg Scale had different scores when compared to the falls suffered by the elderly and previous diseases influenced the occurrence of falls (p <0.05).
Conclusion:
It is necessary to implement public financing policies or partnerships that allow environments adaptations aiming at reducing the risks of falls.
-
RESEARCH01-01-2017
Factors associated with the functional capacity of older adults with leprosy
Revista Brasileira de Enfermagem. 2017;70(4):711-718
Abstract
RESEARCHFactors associated with the functional capacity of older adults with leprosy
Revista Brasileira de Enfermagem. 2017;70(4):711-718
DOI 10.1590/0034-7167-2017-0091
Views0See moreABSTRACT
Objective:
to investigate the association between socio-demographic and clinical factors and the functional capacity of older adults with leprosy.
Method:
cross-sectional analytical study conducted in Fortaleza, Ceará, Brazil, with 77 older adult patients with leprosy in a referral service, through interview, medical records and application of the Katz Index and the Lawton and Brody Scale.
Results:
the mean age was 68.23 years, with prevalence of men, in stable union/married, with mean monthly family income of 2.04 minimum wages, positive bacillary index, clinical dimorphic form and grade zero disability. In the Lawton and Brody scale, independence (58.5%) was predominant and associated to the variables “living arrangement” and “educational attainment”. Total independence (87.0%) was predominant in the Katz Index and statistically associated to the variable monthly family income.
Conclusion:
most of the participants were classified as independent in the instruments used. Furthermore, the instruments pointed to a greater number of associations with socio-demographic and clinical factors not related to leprosy.
-
RESEARCH01-01-2017
Effects of supportive telephone counseling in the metabolic control of elderly people with diabetes mellitus
Revista Brasileira de Enfermagem. 2017;70(4):704-710
Abstract
RESEARCHEffects of supportive telephone counseling in the metabolic control of elderly people with diabetes mellitus
Revista Brasileira de Enfermagem. 2017;70(4):704-710
DOI 10.1590/0034-7167-2017-0089
Views0See moreABSTRACT
Objective:
the purpose of this study was to evaluate the efficacy of telephone-based support for the metabolic control of elderly patients with diabetes mellitus.
Method:
a pragmatic study was conducted in two groups, called G1 (n=36) and G2 (n=27), at a health unit from the countryside of São Paulo state. Patients in G1 group received telephone support over four months, through 16 telephone contacts with educational material; for the G2 group the educational material was mailed.
Results:
significant differences were found. The G1 group showed a reduction of the parameters of fasting glucose, as well as systolic and diastolic blood pressure. In G2 group a modest reduction was noted in some parameters, with no significant difference.
Conclusion:
telephone support was effective to deliver patient education to the diabetic elderly, leading to the reduction of fasting blood glucose. This, combined with other strategies, can contribute to reduce glycated hemoglobin (NCT 01972412).
-
RESEARCH01-01-2017
Stress and optimism of elderlies who are caregivers for elderlies and live with children
Revista Brasileira de Enfermagem. 2017;70(4):697-703
Abstract
RESEARCHStress and optimism of elderlies who are caregivers for elderlies and live with children
Revista Brasileira de Enfermagem. 2017;70(4):697-703
DOI 10.1590/0034-7167-2017-0088
Views0See moreABSTRACT
Objective:
to evaluate the relation between stress and optimism of elderlies who are informal caregivers for elderlies and live with children.
Method:
cross-sectional study on 50 elderlies who provide care to elderlies, live with children, and are registered in the primary health care. The interviews occurred in the participant’s residence and we evaluated characteristics of the care-dependent elderly and of the children, sociodemographic characteristics, stress through the Perceived Stress Scale and optimism through the Pinto and Pais-Ribeiro Spirituality Scale, in the elderly caregiver. For statistical analysis we used the Spearman correlation test.
Results:
the mean level of stress was 23.9 points and of optimism was 3.3 points. Correlation analysis showed that the higher the level of optimism the significantly lower the level of perceived stress of elderlies who provided care to elderlies and lived with children.
Conclusion:
inversely proportional correlation was identified between stress and optimism.
-
RESEARCH01-01-2017
Spiritual well-being and quality of life of older adults in hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):689-696
Abstract
RESEARCHSpiritual well-being and quality of life of older adults in hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):689-696
DOI 10.1590/0034-7167-2017-0006
Views0See moreABSTRACT
Objective:
To analyze the relationship between spiritual well-being, sociodemographic, economic, religious, and health variables and the quality of life of older adults undergoing hemodialysis.
Method:
This was a cross-sectional and correlational study conducted with 169 older adults undergoing hemodialysis. The researchers conducted interviews to collect sociodemographic, economic, religious, and health data and applied the Spiritual Well-Being Scale (SWBS) and the WHO quality of life assessment (WHOQOL-BREF and WHOQOL-OLD).
Results:
Most of the older adults attained a moderate level of total spiritual well-being (SWB). In terms of QOL, the psychological domain (66.8; sd=13.9) and social relationships domain (66.8; sd=15.1) presented the highest mean scores. The WHOQOL-BREF domains were positively correlated with the SWB scale, with statistical significance among all domains and subscales except the environmental domain.
Conclusion:
The QOL of older adults was associated with the construct of SWB, either positively or negatively.
-
RESEARCH01-01-2017
Vulnerability of caregivers of the elderly with dementia: a cross-sectional descriptive study
Revista Brasileira de Enfermagem. 2017;70(4):682-688
Abstract
RESEARCHVulnerability of caregivers of the elderly with dementia: a cross-sectional descriptive study
Revista Brasileira de Enfermagem. 2017;70(4):682-688
DOI 10.1590/0034-7167-2016-0579
Views0See moreABSTRACT
Objective:
to evaluate the sociodemographic and clinical profile of the caregivers and its relation with the overburden from the care of the elderly with dementia.
Method:
a cross-sectional descriptive study; the sample was non-probabilistic, developed with caregivers of elderly people with dementia. The field of investigation was the Health Care Center of the Elderly and their Caregivers (CASIC), in the city of Niterói, Rio de Janeiro, Brazil. Data collection took place from February to June 2016, with the following instruments: a sociodemographic questionnaire and Zarit scale.
Results:
fifty percent of the caregivers presented moderate overburden; 38% presented little overburden; and 12% moderate/severe overburden. It was observed that the median of weekly care hours increases as the overburden increases. Caregivers with moderate to severe overburden, in the majority, do not share care.
Conclusion:
it is clear that the overburden of care places the caregiver in conditions of biological and psychological vulnerability.
-
ORIGINAL ARTICLE03-24-2021
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Views1See moreABSTRACT
Objectives:
to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.
Methods:
a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.
Results:
a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).
Conclusions:
hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
-
ORIGINAL ARTICLE03-24-2021
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
- Maria de Nazaré de Souza Ribeiro
, - Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra , [ … ],
- Luiz dos Santos
Abstract
ORIGINAL ARTICLEFeelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
DOI 10.1590/0034-7167-2020-0392
- Maria de Nazaré de Souza Ribeiro ,
- Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra ,
- Luiz dos Santos
Views1See moreABSTRACT
Objectives:
to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process.
Methods:
qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis.
Results:
the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity.
Conclusions:
the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.
- Maria de Nazaré de Souza Ribeiro
-
ORIGINAL ARTICLE06-11-2021
Work at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
Abstract
ORIGINAL ARTICLEWork at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
DOI 10.1590/0034-7167-2019-0803
Views0See moreABSTRACT
Objectives:
to assess the risks of pathogenic suffering related to the experience of nursing workers in the operating room of a university hospital.
Methods:
cross-sectional, quantitative study, carried out from 11/2017 to 01/2018 in a university hospital in the South of Brazil. The sample was composed by 159 nursing workers of the units of a surgical center, that answered to the Scale of Evaluation of Pathogenic Suffering at Work. Data was submitted to statistical analysis.
Results:
the workers present low risk of pathogenic suffering related to the experiences at work, being the results of its factors: Uselessness (1.47±0.761) – low risk; Indignity (2.372±1.035) – medium risk; and Disqualification (1.74±0.903) – low risk.
Conclusions:
the evaluation of Pathogenic Suffering at Work Scale was positive, predominating low risk for pathogenic suffering of surgical center workers related to professional experiences, because they feel useful, valued and are not indignant about their work, feelings that reflect on the quality of care provided.
-
ORIGINAL ARTICLE05-21-2021
Music in the relief of stress and distress in cancer patients
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Abstract
ORIGINAL ARTICLEMusic in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
DOI 10.1590/0034-7167-2019-0838
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Views0See moreABSTRACT
Objectives:
to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.
Methods:
quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.
Results:
the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.
Conclusions:
the use of music diminishes the stress and the distress of cancer patients.
- Mariana Scheidegger dos Santos
-
ORIGINAL ARTICLE05-21-2021
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso , [ … ],
- Armando dos Santos Trettene
Abstract
ORIGINAL ARTICLEOrthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
DOI 10.1590/0034-7167-2020-0089
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso ,
- Armando dos Santos Trettene
Views1See moreABSTRACT
Objectives:
to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.
Methods:
cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.
Results:
48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).
Conclusions:
the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.
- Tatiane Henrique
-
ORIGINAL ARTICLE05-28-2021
The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
Abstract
ORIGINAL ARTICLEThe work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
DOI 10.1590/0034-7167-2020-0116
Views0See moreABSTRACT
Objective:
To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.
Methods:
This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.
Results:
168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.
Final considerations:
Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.
-
ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion , [ … ],
- Gilselena Kerbauy
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion ,
- Gilselena Kerbauy
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
- Camila Brito Borguezam
-
ORIGINAL ARTICLE06-16-2021
The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
Abstract
ORIGINAL ARTICLEThe meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
DOI 10.1590/0034-7167-2020-0364
Views0See moreABSTRACT
Objectives:
to know the meaning of contemporary nursing from the experience of intensive care nurses.
Methods:
qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential.
Results:
the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills – besides the scientific ones, such as empathy, creativity, spirituality and compassion.
Final Considerations:
the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.
Search
Search in:
Nuvem de Tags
Adolescente (85) Atenção Primária à Saúde (239) COVID-19 (91) Criança (91) Cuidados de Enfermagem (269) Educação em Enfermagem (151) Educação em Saúde (139) Enfermagem (930) Enfermagem Pediátrica (86) Estudantes de Enfermagem (77) Estudos de Validação (131) Família (87) Idoso (208) Promoção da Saúde (99) Qualidade de Vida (104) Saúde do Trabalhador (86) Saúde Mental (145) Saúde Pública (82) Segurança do Paciente (150) Tecnologia Educacional (100)