Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE11-15-2022

    Social determinants of health that permeate the mental suffering of children on the french-brazilian border

    Revista Brasileira de Enfermagem. 2022;75:e20200295

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health that permeate the mental suffering of children on the french-brazilian border

    Revista Brasileira de Enfermagem. 2022;75:e20200295

    DOI 10.1590/0034-7167-2020-0295

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    ABSTRACT

    Objectives:

    to understand the determinants involved in the mental suffering of schoolchildren on the French-Brazilian border.

    Methods:

    a qualitative study was conducted with children from 6 to 12 years of age from four State schools in the municipality of Oiapoque, located on the French-Brazilian border. The data were obtained through interviews, analyzed by the IRAMUTEQ software, and interpreted in the light of the Dahlgren and Whitehead’s social determinants of health model.

    Results:

    data indicate that the mental suffering experienced by children, especially characterized by anxious symptoms, such as concern of becoming fat and worries, were permeated by social situations that children went through daily, such as family abandonment, domestic violence, and bullying.

    Final Considerations:

    social determinants can be predictors of mental suffering in children, especially in environments of extreme vulnerability, such as the border, in a context of financial difficulties, domestic violence, and absence of parenting.

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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.
    Social determinants of health that permeate the mental suffering of children on the french-brazilian border
  • ORIGINAL ARTICLE11-15-2022

    Reasons assigned to suicide attempts: adolescents’ perceptions

    Revista Brasileira de Enfermagem. 2022;75:e20210163

    Abstract

    ORIGINAL ARTICLE

    Reasons assigned to suicide attempts: adolescents’ perceptions

    Revista Brasileira de Enfermagem. 2022;75:e20210163

    DOI 10.1590/0034-7167-2021-0163

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    ABSTRACT

    Objective:

    identify the reasons for attempting suicide from the perspective of adolescents.

    Methods:

    qualitative study conducted with ten adolescents who attempted suicide and were attending a Centro de Atenção Psicossocial Infanto-Juvenil located in a city in the south of Brazil. Semi-structured interviews were held in July 2020 using WhatsApp. Data were analyzed according to Minayo’s Content Thematic Analysis.

    Results:

    the adolescents’ reports listed the reasons that triggered suicide attempts, such as changes in the adolescents’ life cycle and violence, which led them to attempt suicide to solve problems.

    Final considerations:

    Data analysis revealed the reasons that triggered suicide attempts from the adolescents’ perspective and difficulties to cope with problems, probably explained by their lack of experience in dealing with frustrations and disappointments.

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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 ARTICLE11-12-2022

    Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study

    Revista Brasileira de Enfermagem. 2022;75(3):e20210162

    Abstract

    ORIGINAL ARTICLE

    Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study

    Revista Brasileira de Enfermagem. 2022;75(3):e20210162

    DOI 10.1590/0034-7167-2021-0162

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    ABSTRACT

    Objectives:

    to identify factors associated with the sexual practices and positions performed by pregnant women.

    Methods:

    a cross-sectional, quantitative study conducted with 354 pregnant women, in the interior of Ceará, Brazil, in 2016. For data collection, a form and a Pregnancy Sexuality Questionnaire were used.

    Results:

    there was a reduction in the sexual initiative of the woman, sexual disposition of the couple, sexual practices and most of the sexual positions, while the maintenance of preliminary sexual activities and initiative to perform them was verified. Sexual practices and positions decreased (p<0.0001): preliminary sexual activities, sexual disposition, lubrication, orgasm, pain or discomfort, sexual positions, sexual practices, and sexual satisfaction. Sexual practices and positions increased (p<0.0001) as a function of: education, number of deliveries, sexual life, desire and arousal, and sexual disposition of the pregnant woman, frequency of orgasm and of sexual practices (p<0.0001).

    Conclusions:

    sexual practices and positions of pregnant women were affected by domains of sexual function, sexual, reproductive, physical, and psychological aspects.

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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.
    Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study
  • 11-12-2022

    Relação entre atividade física e mudança na capacidade funcional numa coorte de idosos em São Paulo, Brasil

    Revista Brasileira de Enfermagem. 2022;75(3):e20200837

    Abstract

    Relação entre atividade física e mudança na capacidade funcional numa coorte de idosos em São Paulo, Brasil

    Revista Brasileira de Enfermagem. 2022;75(3):e20200837

    DOI 10.1590/0034-7167-2020-0837

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    RESUMEN

    Objetivos:

    evaluar la relación entre ejercicio físico de ocio y cambio de capacidad funcional entre ancianos.

    Métodos:

    analizamos datos de una cohorte de ancianos en búsqueda de determinantes de la capacidad funcional en el seguimiento. Datos de la línea de base fueron recolectados entre 2007 y 2008 – acompañamiento mediano de 3,5 años. Fue construido un modelo de regresión linear multivariado completo para evaluar la capacidad funcional al fin del seguimiento, controlando por la capacidad funcional en la línea de base, características sociodemográficas, de salud y conductas y cantidad de ejercicio físico en el período.

    Resultados:

    el modelo final mostró capacidad funcional independientemente correlacionada con la edad (p<0,001), masa corporal (p=0,013) y número de actividades cotidianas comprometidas en la línea de base (p<0,001). Capacidad funcional mejoró con el aumento del ejercicio físico, pero perdió significación estadística después de ajustes (p=0,384).

    Conclusiones:

    capacidad funcional disminuyó con el aumento de la edad, el aumento de la perdida de la capacidad funcional en la línea de base y el aumento de la masa corporal. Aunque no significativamente relacionado, el ejercicio físico en el ocio aparece como un importante factor cambiable.

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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 ARTICLE11-12-2022

    Relationship between physical activity and functional capacity change in aged cohort in São Paulo, Brazil

    Revista Brasileira de Enfermagem. 2022;75(3):e20200837

    Abstract

    ORIGINAL ARTICLE

    Relationship between physical activity and functional capacity change in aged cohort in São Paulo, Brazil

    Revista Brasileira de Enfermagem. 2022;75(3):e20200837

    DOI 10.1590/0034-7167-2020-0837

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    ABSTRACT

    Objectives:

    to evaluate the relationship between leisure-time physical activity and functional capacity change among aged people.

    Methods:

    we analyzed data of an aged cohort looking for determinants of functional capacity at follow-up. Baseline data were collected between 2007 and 2008 – average follow-up of 3,5 years. A full multivariate linear regression model was built to evaluate functional capacity at the end of the follow-up, controlling for functional capacity at baseline, sociodemographic, health and behavioral characteristics and amount of leisure-time physical activity in the period.

    Results:

    final model showed functional capacity independently correlated with age (p<0.001), body mass (p=0.013) and the number of activities of daily living compromised at baseline (p<0.001). Functional capacity improved with increased physical activity but loss statistical significance after adjustments (p=0.384).

    Conclusions:

    functional capacity decreases with increased age, increased loss of functional capacity at baseline and increased body mass. Albeit a non-significant association, leisure-time physical activity appears as an important modifiable factor.

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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 ARTICLE11-12-2022

    Low-laser light therapy in venous ulcer healing: a randomized clinical trial

    Revista Brasileira de Enfermagem. 2022;75(3):e20210396

    Abstract

    ORIGINAL ARTICLE

    Low-laser light therapy in venous ulcer healing: a randomized clinical trial

    Revista Brasileira de Enfermagem. 2022;75(3):e20210396

    DOI 10.1590/0034-7167-2021-0396

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    ABSTRACT

    Objectives:

    to compare the effect of adjuvant low-laser light therapy versus conventional treatment alone on venous ulcer healing.

    Methods:

    this is a randomized clinical trial with 40 patients randomized equally to a control group (topical and compressive treatment) and intervention group (adjuvant low-laser light therapy). Outcomes of interest were Wound Healing: Secondary Intention and Tissue Integrity: Skin & Mucous Membranes, as described in the Classification of Nursing Outcomes/NOC.

    Results:

    groups with similar sociodemographic and clinical characteristics. Eighty-two ulcers were assessed, with an average duration of 1 to 5 years, in 1,066 nursing consultations, with a statistically significant difference in the time and number of healed ulcers (intervention group). There was a significant improvement in the nursing outcomes under study and in eight clinical indicators.

    Conclusions:

    low-laser light therapy improves and reduces tissue regeneration time, contributing to advances in wound 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.
    Low-laser light therapy in venous ulcer healing: a randomized clinical trial
  • ORIGINAL ARTICLE11-12-2022

    Construction and validation of an instrument for assessing the functionality of individuals with schistosomiasis

    Revista Brasileira de Enfermagem. 2022;75(3):e20210306

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of an instrument for assessing the functionality of individuals with schistosomiasis

    Revista Brasileira de Enfermagem. 2022;75(3):e20210306

    DOI 10.1590/0034-7167-2021-0306

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    ABSTRACT

    Objectives:

    to construct and validate an instrument for assessing the functionality of individuals with schistosomiasis.

    Methods:

    methodological study, developed in three stages: 1) construction of the instrument and its association with categories of the International Classification of Functionality, which the study used to elaborate the questions; 2) validation of content, performed by judges experts in the subject; 3) application of the instrument by the test-retest technique in the population with schistosomiasis in 14 days. The study used the correlation coefficient kappa to calculate the degree of agreement between the judges kappa.

    Results:

    in its final version, the instrument consists of 27 items, 9 of which are from the Body functions component, 6 from Body structures, 4 from Activity and participation, and 8 from Environmental factors.

    Conclusions:

    the constructed instrument has a biopsychosocial approach, considering four components of the ICF, besides presenting good validity and interobserver reliability.

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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.
    Construction and validation of an instrument for assessing the functionality of individuals with schistosomiasis
  • 11-11-2022

    Análisis de la situación de las matronas y necesidad de medir sus cargas de trabajo

    Revista Brasileira de Enfermagem. 2022;75:e20210920

    Abstract

    Análisis de la situación de las matronas y necesidad de medir sus cargas de trabajo

    Revista Brasileira de Enfermagem. 2022;75:e20210920

    DOI 10.1590/0034-7167-2021-0920esp

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    RESUMEN

    Objetivo:

    Analizar la situación laboral de las matronas y detectar sus necesidades de medición de cargas de trabajo.

    Métodos:

    Estudio de metodología mixta (cuantitativo y cualitativo), observacional, descriptivo y transversal. Se realizaron dos fases: La primera fase metodológica, consistió en la realización de entrevistas individuales semiestructuradas. Y en la segunda fase metodológica, se analizaron las intervenciones de enfermería (NIC) que las matronas efectúan en paritorio durante su jornada asistencial.

    Resultados:

    El 90,3% de las matronas presentan sobrecarga en el trabajo, pues para el 80,6% el ratio matrona- gestante no se encuentra bien establecido; pues tiempo medio de ejecución de una intervención de enfermería (NIC), es de 20 minutos. Por ello, el 100% de la muestra considera de máxima utilidad el desarrollo de herramientas de medición de cargas de trabajo.

    Conclusiones:

    Se ratifica la necesidad de generar un instrumento que considere la diversidad de intervenciones de enfermería (NIC) que desarrollan dentro del paritorio.

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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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