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RESEARCH
Construction of assistive technology as online course for the blind about hypertension
Revista Brasileira de Enfermagem. 2018;71(4):1970-1976
01-01-2018
Abstract
RESEARCHConstruction of assistive technology as online course for the blind about hypertension
Revista Brasileira de Enfermagem. 2018;71(4):1970-1976
01-01-2018DOI 10.1590/0034-7167-2017-0056
Views0See moreABSTRACT
Objective:
to develop affordable education course for the blind on the prevention of hypertension.
Method:
we used the Model of Development of Digital Educational Materials composed by the stages of analysis and planning; modeling; implementation; evaluation and maintenance; distribution.
Results:
we obtained fifteen pages divided into six learning units. The study followed the accessibility standards of national and international documents. Evaluation and maintenance phase occurred during preparation of the course.
Final considerations:
to elaborate a course as assistive technology for the visually-impaired is a feasible task, provides knowledge about hypertension prevention and equality of access to digital educational materials.
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RESEARCH
Cultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test for use in Brazil
Revista Brasileira de Enfermagem. 2018;71(4):1977-1984
01-01-2018
Abstract
RESEARCHCultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test for use in Brazil
Revista Brasileira de Enfermagem. 2018;71(4):1977-1984
01-01-2018DOI 10.1590/0034-7167-2017-0029
Views0ABSTRACT
Objective:
To carry out the cultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT) for use in Brazil and analyze the internal consistency of the adapted version.
Method:
This was a methodological study. The PZ-PUKT is a knowledge test consisting of 72 items, divided into: prevention, staging, and wound description. The present study was developed in two phases: (1) translation of the questionnaire from English to Brazilian Portuguese, back-translation, and assessment of equivalence between the original and back-translated version by an expert panel; (2) pre-testing with nurses.
Results:
The questionnaire showed face and content validity according to the opinions of the experts. Cronbach's alpha for the total test score was higher than 0.70. The adapted version presented satisfactory internal consistency for the studied sample.
Conclusion:
The adapted version of the instrument for Portuguese can be used in intervention studies as a tool to measure “nursing knowledge about pressure injury/ulcers” as a dependent variable.
Keywords:Evidence-based NursingKnowledge, Health Attitudes and PracticesUlcer WoundsValidation StudiesWounds and InjuriesSee more -
RESEARCH
Cardiovascular risk stratification among hypertensive patients: the influence of risk factors
Revista Brasileira de Enfermagem. 2018;71(4):1985-1991
01-01-2018
Abstract
RESEARCHCardiovascular risk stratification among hypertensive patients: the influence of risk factors
Revista Brasileira de Enfermagem. 2018;71(4):1985-1991
01-01-2018DOI 10.1590/0034-7167-2017-0528
Views0See moreABSTRACT
Objective:
to assess the cardiovascular risk in hypertensive patients and the influence of risk factors on the stratification scores.
Methods:
this is a cross-sectional study with hypertensive patients undergoing outpatient follow-up from November 2014 to February 2015. The Global Risk Score was used to assess cardiovascular risk. To assess the influence of the risk factors with the stratification of the cardiovascular risk score, the main components analysis was used.
Results:
57 patients participated in the study, and the majority (93.1%) was considered to be at high cardiovascular risk; the analysis of the main components identified five components that explain 85.2% of the total variation.
Conclusion:
the cardiovascular risk assessment demonstrated the importance of the identification of risk factors and, consequently, the need to implement actions aimed at controlling these factors, which constitutes a challenge in the adequate management of arterial hypertension.
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RESEARCH
The impact of cancer on healthy siblings
Revista Brasileira de Enfermagem. 2018;71(4):1992-1997
01-01-2018
Abstract
RESEARCHThe impact of cancer on healthy siblings
Revista Brasileira de Enfermagem. 2018;71(4):1992-1997
01-01-2018DOI 10.1590/0034-7167-2016-0449
Views0See moreABSTRACT
Objective:
The objective is to identify the variables that influence the impact of cancer on healthy siblings.
Method:
This is a quantitative, descriptive and correlational study with 83 families of children with cancer. We used the “Questionnaire to Assess the Impact of the Children's Cancer on the Family”, “Social Support Satisfaction Scale”, “Graffar Scale” and “Apgar Scale”.
Results:
The results show a relation between social support (X²=5.031, gl=1, p=0.025), expenses (t=-2.009, gl=81, p=0.048), disease impact on family structure (t=-3.210, gl=81, p=0.002) and the impact of the disease on healthy siblings.
Conclusion:
Social support plays an important role in these families, especially in the impact of the disease on healthy siblings. Nurses should identify the support systems that families have available, as well as their family functionality and the implications for healthy siblings.
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RESEARCH
Perception of cancer patients in palliative care about quality of life
Revista Brasileira de Enfermagem. 2018;71(4):1998-2004
01-01-2018
Abstract
RESEARCHPerception of cancer patients in palliative care about quality of life
Revista Brasileira de Enfermagem. 2018;71(4):1998-2004
01-01-2018DOI 10.1590/0034-7167-2017-0360
Views0See moreABSTRACT
Objective:
To understand the perception of cancer patients in palliative care about quality of life and identify propositions for its improvement.
Method:
This is a quantitative research carried out with 96 patients in palliative care, admitted in a public hospital from March 2015 to February 2015. The interviews were transcribed and analyzed by the methodology Discourse of the Collective Subject.
Results:
Quality of life was tied to meanings of health, well-being, happiness and spirituality; however, family and financial problems also had an impact on the perception of the construct. Interventions aimed at the relief of suffering, possibility of return to work and resolution of problems had suggestions for improvement.
Conclusion:
The results indicate that the concept of quality of life is subjective, tied to personal values and influenced by the repercussions of the health-disease process. In addition, they can guide actions based on interdisciplinary assistance aimed at the real needs of these patients.
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RESEARCH
The process of dying/death: intervening conditions to the nursing care management
Revista Brasileira de Enfermagem. 2018;71(4):2005-2013
01-01-2018
Abstract
RESEARCHThe process of dying/death: intervening conditions to the nursing care management
Revista Brasileira de Enfermagem. 2018;71(4):2005-2013
01-01-2018DOI 10.1590/0034-7167-2017-0173
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Objective:
To exhibit the factors that influence the Nursing care management in the face of death and the process of dying/death of hospitalized adults in the medical-surgical units for hospitalization.
Method:
The Grounded Theory was applied with the theorical support of the Complex Thinking Theory. Data have been collected through semi-structured interviews from May, 2015 to January, 2016 with three sample groups totaling 41 participants: nurses, assistant nurses and members of multidisciplinary group. Data analysis followed the steps of open coding, axial coding and selective coding.
Results:
The category “Pointing out the interfaces of care management to patients in process of death/dying and their families” and its respective subcategories show the complex interactions established by the nurse due to the Nursing care management.
Final considerations:
Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.
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RESEARCH
Nursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
01-01-2018
Abstract
RESEARCHNursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
01-01-2018DOI 10.1590/0034-7167-2017-0225
Views0ABSTRACT
Objective:
to identify Nursing Diagnoses of 5th stage chronic kidney disease patients undergoing hemodialysis.
Method:
cross-sectional, descriptive and quantitative study carried out with 151 patients undergoing hemodialysis in a clinic specialized in nephrology from the Northwest of the Paraná State. Nursing Diagnoses were determined through Nanda-I in which had the percentage greater than 50%. The analysis used was the simple statistics.
Results:
17 Nursing Diagnoses were identified, emphasizing the risks present in 100% of patients: risks for electrolyte imbalance; ineffective kidney perfusion; infection: vascular injuries, adverse response to the iodine-based contrast-enhanced and impaired urinary elimination.
Conclusion:
the main diagnoses listed reflect the more frequent risks that patients undergoing hemodialysis are exposed to. Being aware of these risks allows the nursing planning with early interventions, in order to prevent complications related to the disease and to promote best life conditions.
Keywords:Chronic Kidney DiseaseKidney DialysisNursing DiagnosisNursing ProcessesRenal Replacement TherapySee more -
RESEARCH
Classification tree to screen for the nursing diagnosis Ineffective airway clearance
Revista Brasileira de Enfermagem. 2018;71(5):2353-2358
01-01-2018
Abstract
RESEARCHClassification tree to screen for the nursing diagnosis Ineffective airway clearance
Revista Brasileira de Enfermagem. 2018;71(5):2353-2358
01-01-2018DOI 10.1590/0034-7167-2017-0085
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Objective:
to identify the defining characteristics of Ineffective airway clearance with better predictive power using classification trees.
Method:
the predictive power of the defining characteristics of Ineffective airway clearance was evaluated based on classification trees generated from the data of 249 children with acute respiratory infection.
Results:
Ineffective cough and adventitious breath sounds were identified as the main defining characteristics when screening for Ineffective airway clearance in accordance with trees based on three different computational algorithms.
Conclusion:
Ineffective coughing and adventitious breath sounds had better predictive capacity for Ineffective airway clearance in the sample.