RESEARCH Archives - Revista Brasileira de Enfermagem

  • RESEARCH

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75
    01-01-2015

    Resumo

    RESEARCH

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75
    01-01-2015

    DOI 10.1590/0034-7167.2015680110p

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    Objective:

    the aim of this study was to identify factors associated with family functionality of non-institutionalized long-lived subjects, who were residents in Goiânia (GO), Brazil.

    Method:

    this was a population-based epidemiological study with cross-sectional outline. Evaluation scales of the functional and cognitive capacities were used. Family dynamics was measured using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) instrument by making home interviews with 131 long-lived individuals.

    Results:

    there was prevalence of the female gender, average of age of 83.87 years old, widowhood condition, and residence in a big family, primary schooling, and self-perception of regular health. A great amount showed independence for self-care and partial dependence for daily life instrumental activities. Family functionality prevailed with score average of 9.06 points.

    Conclusion:

    in conclusion, family functionality in long-lived subjects is associated with self-perception of poor/bad health, osteoporosis, and fall. Results allowed characterizing long-lived subjects’ family functionality with the aim of valuing and prioritizing family as a caregiver.

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    Family functionality in oldest old household residents
  • RESEARCH

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83
    01-01-2015

    Resumo

    RESEARCH

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83
    01-01-2015

    DOI 10.1590/0034-7167.2015680111p

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    Objective:

    To identify the mental disorders carriers’ perception, the smokers ones, about the decreasing number of cigarettes during psychiatric hospitalization.

    Method:

    Exploratory study with 96 hospitalized carriers of mental disorders who are smokers: G1 (34 subjects hospitalized when was allowed one cigarette by hour) and G2 (62 subjects hospitalized when it was reduced to eight cigarette by day). Semi-structured questionnaire. Thematic content analysis.

    Results:

    The G1 admitted satisfaction with the restriction – smoking during hospitalization as entitlement. The G2 resists the restriction change occurred without dialogue or support. In spite of the difficulties, some attitude changes about the cigarette were noticed such as increase of the responsibility, discovery of the ability to reduce smoking and the meaning of its role.

    Conclusion:

    Some subjects understand the smoking health policy change as punishment, while others as opportunity to think about the role of cigarette in their life.

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  • RESEARCH

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92
    01-01-2015

    Resumo

    RESEARCH

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92
    01-01-2015

    DOI 10.1590/0034-7167.2015680112p

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    Objective:

    to investigate the report of vaccination against Hepatitis B, verification of immunization and the factors associated with dosages of anti-HBs.

    Method:

    we collected blood samples from those reported that they had one or more doses of the vaccine. We evaluated the association of the dosage of anti- HBs with sociodemographic conditions, occupational and behavioral. The associations were verified by Mann Whitney and Kruskal Wallis and correlation Spermann by linear regression using SPSS® 17.0.

    Results:

    among the 761 respondents, 504 (66.1%) were vaccinated, 52.5 % received three doses, 30.4 % verified immunization. Of the 397 evaluated for the determination of anti-Hbs, 16.4% were immune.

    Conclusion:

    it was found that longer duration of work was associated with higher levels of anti-HBs, while levels of smoking were inversely associated with anti-HBs. These workers need for vaccination campaigns.

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  • RESEARCH

    Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

    Revista Brasileira de Enfermagem. 2015;68(1):93-101
    01-01-2015

    Resumo

    RESEARCH

    Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

    Revista Brasileira de Enfermagem. 2015;68(1):93-101
    01-01-2015

    DOI 10.1590/0034-7167.2015680113p

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    Objective:

    to determine the prevalence and factors associated with minor psychiatric disorders (MPD) in socio-educational agents.

    Method:

    it is a cross-sectional study with 381 socio-educational agents the Centers for Socio-Educational Services in the State of Rio Grande do Sul, Brazil. The Brazilian versions of the Scale of Demand-control-social support at work and the Self Reporting Questionnaire-20 have been applied.

    Results:

    the results showed a prevalence of suspicion MPD of 50.1%. They showed to be related to suspicion of MPD : being female (55.7%), having age up to 44 years old (58.5%), no physical activity (57.4%), do not have time for leisure (75%), make use of medication (61.4%), require medical attention (56.9%) and psychological counseling (72.7%), not being satisfied with the workplace (61.7%) and need for time off from work (65.6%).

    Conclusion:

    the study provides important data about the mental health of agents, showing the need for the involvement of managers and of the health service of worker’s health in planning actions to promote health of these workers.

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  • RESEARCH

    Patients with disorders of consciousness: vital, facial and muscular responses to music or messages

    Revista Brasileira de Enfermagem. 2015;68(1):102-110
    01-01-2015

    Resumo

    RESEARCH

    Patients with disorders of consciousness: vital, facial and muscular responses to music or messages

    Revista Brasileira de Enfermagem. 2015;68(1):102-110
    01-01-2015

    DOI 10.1590/0034-7167.2015680114p

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    Purposes:

    to compare vital signs, facial expression and basal electroneurographic signs with measures during stimuli music, message or “silence” in coma patients, vegetative status or sedated; and relating the score of Glasgow Results Scale with the intervention realized.

    Method:

    a Monoblind Transversal Controlled Clinical Trial to researcher. The distribution, among the three groups, was randomized (experiment with music, experiment with message or control). Two assessments (sessions) were performed with interval of 40 minutes on the same day.

    Results:

    most of the 76 patients were male, between 18 to 36 years old and hospitalized due to trauma. Statistically signifi cant changes were found in the variables referred to temperature, facial expression, electroneurography and Glasgow Results Scale; more frequent alterations in second session, in coma and vegetative patients, in frontal muscles and in experiment group.

    Conclusions:

    the facial expression and the electroneurography seem to be more trustworthy variables than vital signs to evaluate consciousness.

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  • RESEARCH

    Adherence to foot self-care in diabetes mellitus patients

    Revista Brasileira de Enfermagem. 2015;68(1):111-116
    01-01-2015

    Resumo

    RESEARCH

    Adherence to foot self-care in diabetes mellitus patients

    Revista Brasileira de Enfermagem. 2015;68(1):111-116
    01-01-2015

    DOI 10.1590/0034-7167.2015680115p

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    Objective:

    to analyze the self-care of patients with type 2 diabetes mellitus in the Family Health Strategy in Teresina-PI.

    Method:

    search cross selected by simple random sampling, 331 people with diabetes mellitus. Data collection took place from August to December 2012 with the use of Self-Care Activities Questionnaire with Diabetes and structured instrument for recording information socioeconomic and guidance received by the professional nurse.

    Results:

    the data revealed that patients have poor adherence to blood glucose monitoring, the physical exercise and foot care, but with good adherence to the medication. Only 38.7% of the sample examined the feet of fi ve to seven days a week. Statistically signifi cant association between self-care activities with their feet and orientations of nurses (p < 0,05).

    Conclusion:

    that there is need to raise awareness with regard to the development of skills for self-care.

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    Adherence to foot self-care in diabetes mellitus patients
  • RESEARCH

    Chinese auriculotherapy to improve quality of life of nursing team

    Revista Brasileira de Enfermagem. 2015;68(1):117-123
    01-01-2015

    Resumo

    RESEARCH

    Chinese auriculotherapy to improve quality of life of nursing team

    Revista Brasileira de Enfermagem. 2015;68(1):117-123
    01-01-2015

    DOI 10.1590/0034-7167.2015680116p

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    Objective:

    to evaluated the effi cacy of auriculotherapy for improving quality of life and reducing stress in nursing staff.

    Method:

    single-blind radomizad clinical trail envolving 175 subjects randomized in: Control (G1), Protocol Group (G2) and without Protocol Group (G3). They were evaluated by the Stress Symptoms List and SF36v2 at baseline, after 12 sessions and follow up (30 days), between January and July 2012.

    Results:

    both intervention groups reduced stress (p <0.05) with greater effect for G3 (d = 1.15). G3 was also higher for improving life quality especially the physical domain (p = 0.05).

    Conclusion:

    individualized auriculotherapy (G3) had greater effect compared to the protocol auriculotherapy (G2) for reducing stress and improving life quality.

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    Chinese auriculotherapy to improve quality of life of nursing team
  • RESEARCH

    Critical incidents in nursing academics: discovering a new identity

    Revista Brasileira de Enfermagem. 2015;68(2):219-227
    01-01-2015

    Resumo

    RESEARCH

    Critical incidents in nursing academics: discovering a new identity

    Revista Brasileira de Enfermagem. 2015;68(2):219-227
    01-01-2015

    DOI 10.1590/0034-7167.2015680206i

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    ABSTRACT

    Objective:

    a qualitative study that followed the principles of the grounded theory in order to analyze the professional identity of nursing academics through the analysis of the most disturbing critical incidents.

    Method:

    semi-structured interviews were conducted with seven nurses who worked as professors and researchers in a private university in Barcelona.

    Results:

    the resulting empirical material was organized into two categories: characterization of critical incidents and responsiveness to the incident.

    Conclusion:

    the professional identity of nurses regarding the academic area is still under construction and inexperience is the major obstacle in the management of critical incidents in the teaching career.

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