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RESEARCH01-01-2017
Deaths among the elderly with ICU infections
Revista Brasileira de Enfermagem. 2017;70(4):733-739
Abstract
RESEARCHDeaths among the elderly with ICU infections
Revista Brasileira de Enfermagem. 2017;70(4):733-739
DOI 10.1590/0034-7167-2016-0611
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Objective:
to evaluate the clinical outcome of elderly patients admitted to intensive care units who had nosocomial infection, correlating the findings with sociodemographic and clinical variables.
Method:
descriptive research, performed with 308 elderly patients. The collection was made from medical records and covers the years 2012 to 2015. Uni-/bivariate analyses were performed.
Results:
a statistical association was found between the clinical outcome types and the variables age, length of stay, presence of previous comorbidities, main diagnosis, respiratory and urinary tract infections, use of central venous and indwelling urinary catheters, mechanical ventilation, and tracheostomy. The survival curve showed higher mortality among the elderly from the age of 80 on.
Conclusion:
the clinical outcome of the elderly who acquire infection in the intensive care unit is influenced by sociodemographic and clinical variables that increase mortality rates.
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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.
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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.
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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
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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.
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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
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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).
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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
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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.
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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.
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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
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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.
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ORIGINAL ARTICLE10-21-2019
Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents
- Maria Isabelly Fernandes da Costa
, - Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa , [ … ],
- Izaildo Tavares Luna
Abstract
ORIGINAL ARTICLESocial 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
- Maria Isabelly Fernandes da Costa ,
- Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa ,
- Izaildo Tavares Luna
Views1See moreABSTRACT
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.
- Maria Isabelly Fernandes da Costa
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ORIGINAL ARTICLE07-10-2020
Formation of protagonist adolescents to prevent bullying in school contexts
- Waldemar Brandão Neto ,
- Catharina Ohany da Silva ,
- Renata Ribeiro Torres do Amorim ,
- Jael Maria de Aquino ,
- Antonio José de Almeida Filho , [ … ],
- Estela Maria Leite Meirelles Monteiro
Abstract
ORIGINAL ARTICLEFormation of protagonist adolescents to prevent bullying in school contexts
Revista Brasileira de Enfermagem. 2020;73:e20190418
DOI 10.1590/0034-7167-2019-0418
- Waldemar Brandão Neto ,
- Catharina Ohany da Silva ,
- Renata Ribeiro Torres do Amorim ,
- Jael Maria de Aquino ,
- Antonio José de Almeida Filho ,
- Betânia da Mata Ribeiro Gomes ,
- Estela Maria Leite Meirelles Monteiro
Views0See moreABSTRACT
Objective:
to develop a participative strategy of health education in the formative process of protagonist adolescents aimed at preventing school bullying.
Method:
qualitative interventive-participatory research, based on the Community-Based Participatory Research and in the Culture Circles of Paulo Freire. The sample was intentional, with the participation of 12 adolescents who were considered leaders. For data production at the moment of educational intervention, observation techniques were employed with note-taking in a field diary, plus photographic and video records.
Results:
the pedagogical intervention model raised the opportunity for the adolescents’ active participation, aiming at the development of skills that create pro-social behaviors, empathetic and assertive relations, which are able to face bullying and transform the school environment.
Final considerations:
the use of participative methodologies, in the youth protagonism perspective, has the potential to support educational practices of school nurses in collaboration and leadership of antibullying programs.
- Waldemar Brandão Neto
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REVIEW09-29-2022
Palliative care in Primary Health Care: an integrative literature review
Revista Brasileira de Enfermagem. 2022;75(1):e20201335
Abstract
REVIEWPalliative care in Primary Health Care: an integrative literature review
Revista Brasileira de Enfermagem. 2022;75(1):e20201335
DOI 10.1590/0034-7167-2020-1335
Views0See moreABSTRACT
Objectives:
to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care.
Methods:
an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame.
Results:
22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization of health services and on the importance of educational interventions on the subject.
Final Considerations:
evidence found relating palliative care in Primary Health Care points to the possibility of this care; health teams work closely with the family and their home, but the need to expand this theme is still perceived.
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ORIGINAL ARTICLE12-13-2019
Preconception health behaviors among women with planned pregnancies
Revista Brasileira de Enfermagem. 2019;72:17-24
Abstract
ORIGINAL ARTICLEPreconception health behaviors among women with planned pregnancies
Revista Brasileira de Enfermagem. 2019;72:17-24
DOI 10.1590/0034-7167-2017-0620
Views0See moreABSTRACT
Objective:
To identify determinants of preconception preparation among women with planned pregnancies.
Method:
A cross-sectional study with a probabilistic sample of 264 women between 18 and 49 years of age who had or were undergoing planned pregnancies, and were users of two School Health Centers in the city of São Paulo. Analysis was conducted through univariate and multiple logistic regression of three variable blocks: 1) social and demographic characteristics; 2) sexual and reproductive characteristics; 3) preexisting health conditions.
Results:
Women with higher education, belonging to economic groups A and B, and older women with infertility were more likely to perform preconception training.
Conclusion:
Preconception care has a strong social determination, as women with more favorable social profiles are more likely to perform it. Experience with infertility is also instrumental in the likelihood of preconception care.
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ORIGINAL ARTICLE08-19-2019
Evaluation of nurse’s performance in telemedicine
- Claudinalle Farias Queiroz de Souza ,
- Dulcineide Gonçalo de Oliveira ,
- Alef Diogo da Silva Santana ,
- Letícia Moura Mulatinho ,
- Mirian Domingos Cardoso , [ … ],
- Jael Maria de Aquino
Abstract
ORIGINAL ARTICLEEvaluation of nurse’s performance in telemedicine
Revista Brasileira de Enfermagem. 2019;72(4):933-939
DOI 10.1590/0034-7167-2018-0313
- Claudinalle Farias Queiroz de Souza ,
- Dulcineide Gonçalo de Oliveira ,
- Alef Diogo da Silva Santana ,
- Letícia Moura Mulatinho ,
- Mirian Domingos Cardoso ,
- Emanuela Batista Ferreira e Pereira ,
- Jael Maria de Aquino
Views0See moreABSTRACT
Objective:
Describe the nurse’s role in the Telemedicine Program in Cardiology implanted in Pernambuco, Brazil.
Methods:
Qualitative study, with a target audience of nurses, performed between July and December 2016 at the Emergency Care Units. Data were collected through an online instrument, consisting of open and closed questions, performed with 19 professionals. The data were analyzed through the discourse of the collective subject by QuantiQualisoftware.
Results:
The sample consisted of 19 nurses, mostly female (80%), with a mean age of 30 years old. Two central ideas were constructed: nurses’ knowledge about the Telemedicine Program in Cardiology; and actions developed by nurses. Also, a flow of the program’s assistance was built.
Final considerations:
The nurse in Telecardiology performs functions of assistance and continuing education of monitoring and training for patients.
- Claudinalle Farias Queiroz de Souza
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ORIGINAL ARTICLE04-03-2020
Transformational leadership: journal club for emergency and intensive care nurse managers
- Maria Valéria Pereira ,
- Wilza Carla Spiri ,
- Regina Stella Spagnuolo ,
- Carmen Maria Casquel Monti Juliani
Abstract
ORIGINAL ARTICLETransformational leadership: journal club for emergency and intensive care nurse managers
Revista Brasileira de Enfermagem. 2020;73(3):e20180504
DOI 10.1590/0034-7167-2018-0504
- Maria Valéria Pereira ,
- Wilza Carla Spiri ,
- Regina Stella Spagnuolo ,
- Carmen Maria Casquel Monti Juliani
Views0See moreABSTRACT
Objectives:
to understand the meaning of transformational leadership and develop an educational intervention addressing this theme.
Methods:
content analysis and action research for the collective construction of an educational intervention addressing management practices and their association with transformational leadership. The setting was the emergency and intensive care network, and nine nurse managers participated in the research. Data was collected from recorded and individualized interviews, and by using the journal club strategy.
Results:
the unveiled themes were: factors related to the team, to the leadership processes and to the leader. Difficulties in decision-making and planning processes were revealed; the leader needs to work in teams, which in turn should be appropriately sized. The journal club and planning model used provided the praxis of this work.
Final Considerations:
reflection and training for the development of transformational leadership were fundamental to solidify the decision-making processes involved in the managers’ practice.
- Maria Valéria Pereira
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09-16-2019
Clinical and epidemiological features of tuberculosis in children and adolescents
- George Jó Bezerra Sousa ,
- Julio Cesar de Oliveira Silva ,
- Talita Vaz de Queiroz ,
- Lia Guedes Bravo ,
- Gizelly Castelo Branco Brito , [ … ],
- Luciana Kelly Ximenes dos Santos
Abstract
Clinical and epidemiological features of tuberculosis in children and adolescents
Revista Brasileira de Enfermagem. 2019;72(5):1271-1278
DOI 10.1590/0034-7167-2018-0172
- George Jó Bezerra Sousa ,
- Julio Cesar de Oliveira Silva ,
- Talita Vaz de Queiroz ,
- Lia Guedes Bravo ,
- Gizelly Castelo Branco Brito ,
- Aline de Souza Pereira ,
- Maria Lúcia Duarte Pereira ,
- Luciana Kelly Ximenes dos Santos
Views0See moreABSTRACT
Objective:
To analyze the clinical and epidemiological features of tuberculosis in children and adolescents in an infectious diseases reference hospital.
Method:
A documental and retrospective study was carried out with 88 medical files in an infectious diseases reference hospital in the state of Ceará. Data were analyzed by univariate, bivariate and multivariate approaches.
Results:
It was found that, depending on the tuberculosis type, its manifestations may vary. The logistic regression model considered only pulmonary tuberculosis due to a number of observations and included female sex (95% CI: 1.4-16.3), weight loss (95% CI: 1.8-26.3), bacilloscopic screening (95% CI: 1.5-16.6) and sputum collected (95% CI: 1.4-19.4) as possible predictors.
Conclusions:
Children and adolescents present different manifestations of the disease depending on the tuberculosis type that affects them. Knowing the most common features of each condition could enhance early diagnosis and, consequently, result in adequate treatment and care.
- George Jó Bezerra Sousa
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ORIGINAL ARTICLE08-30-2021
Family functionality and burden of family caregivers of users with mental disorders
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva , [ … ],
- Ana Márcia Tenório Souza Cavalcanti
Abstract
ORIGINAL ARTICLEFamily functionality and burden of family caregivers of users with mental disorders
Revista Brasileira de Enfermagem. 2021;74(5):e20201061
DOI 10.1590/0034-7167-2020-1061
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva ,
- Ana Márcia Tenório Souza Cavalcanti
Views0See moreABSTRACT
Objective:
to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders.
Methods:
cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted.
Results:
women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden.
Conclusions:
nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.
- Jaciquely José da Costa Andrade
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