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ARTÍCULO ORIGINAL
Care for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
08/12/2023
Resumo
ARTÍCULO ORIGINALCare for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
08/12/2023DOI 10.1590/0034-7167-2022-0767
Visualizações0Ver maisABSTRACT
Objective:
to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals’ perspective.
Methods:
this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man.
Results:
from professionals’ perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency.
Final considerations:
caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.
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ARTÍCULO ORIGINAL
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
08/12/2023
Resumo
ARTÍCULO ORIGINALPolypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
08/12/2023DOI 10.1590/0034-7167-2022-0785
Visualizações0Ver maisABSTRACT
Objective:
to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care.
Methods:
a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression.
Results:
polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications.
Conclusions:
polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.
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ARTÍCULO ORIGINAL
Systematization of perioperative nursing care in robotic surgery: instrument validation
Revista Brasileira de Enfermagem. 2023;76:e20220666
08/12/2023
Resumo
ARTÍCULO ORIGINALSystematization of perioperative nursing care in robotic surgery: instrument validation
Revista Brasileira de Enfermagem. 2023;76:e20220666
08/12/2023DOI 10.1590/0034-7167-2022-0666
Visualizações0ABSTRACT
Objective:
To develop and validate an instrument to assist in the systematization of perioperative nursing care in robotic surgery.
Methods:
Methodological study developed in four phases: content survey; textual elaboration; content validation by the group of expert judges and target audience; and elaboration of the electronic instrument layout.
Results:
Eleven expert judges and seven evaluators of the target audience participated. For validation, the Content Validity Index (CVI) was used with a 0.78 cutoff point. The instrument total CVI after evaluation was 0.90 by the expert judges and 0.88 by the target audience.
Conclusion:
The tool built was proved satisfactory for the systematization of perioperative nursing care. The instrument construction was based on the updated scientific literature and validated by the expert judges and target audience.
Palavras-chave: Nursing CarePerioperative CarePerioperative NursingRobotic Surgical ProceduresValidation StudyVer mais -
ARTÍCULO ORIGINAL
Sociodemographic factors associated with suicidal behavior at a federal public university in the Western Brazilian Amazon
Revista Brasileira de Enfermagem. 2023;76:e20230102
08/12/2023
Resumo
ARTÍCULO ORIGINALSociodemographic factors associated with suicidal behavior at a federal public university in the Western Brazilian Amazon
Revista Brasileira de Enfermagem. 2023;76:e20230102
08/12/2023DOI 10.1590/0034-7167-2023-0102
Visualizações0ABSTRACT
Objective:
to determine risk factors for suicidal behavior among students and employees of a federal public university in the Brazilian Western Amazon.
Methods:
an analytical cross-sectional study of survey and association between variables with a sample of 475 participants. Statistical analyzes were performed using the Mann-Whitney test, Pearson’s chi-square test, likelihood ratio test or Fisher’s exact test and a logistic regression model. A significance level of 5% was used (p-value< 0.05).
Results:
a higher proportion of suicidal behavior was found in younger participants, females, who had no religion or had one, but were non-practicing, who did not have children and/or had a monthly family income of less than two minimum wages. Lower proportions of suicidal behavior were identified in heterosexuals and/or married or in a stable relationship.
Conclusion:
the study suggests a relationship between sociodemographic factors and suicidal behavior in the studied academic community.
Palavras-chave: Mental HealthPublic HealthRisk FactorsSelf-Injurious BehaviorSociodemographic FactorsVer mais -
ARTÍCULO ORIGINAL
Factors associated with surgical site infection in myocardial revascularization: a retrospective longitudinal study
Revista Brasileira de Enfermagem. 2023;76:e20230108
08/12/2023
Resumo
ARTÍCULO ORIGINALFactors associated with surgical site infection in myocardial revascularization: a retrospective longitudinal study
Revista Brasileira de Enfermagem. 2023;76:e20230108
08/12/2023DOI 10.1590/0034-7167-2023-0108
Visualizações0ABSTRACT
Objectives:
to analyze the influence of sociodemographic and clinical variables, as well as the surgical checklist adherence score, on the occurrence of surgical site infection among patients undergoing myocardial revascularization.
Methods:
an observational, longitudinal, retrospective study was conducted at a university hospital, involving 266 medical records of patients who underwent myocardial revascularization surgery. Instruments containing sociodemographic, clinical, and infection-related variables were used, along with the Perioperative Surgical Safety Checklist. Descriptive, bivariate, and logistic regression analyses were employed.
Results:
surgical site infection occurred in 89 (33.5%) patients. There was a statistically significant association between body temperature outside the range of 36 degrees Celsius to 36.5 degrees Celsius (p=0.01), the presence of invasive devices (p=0.05), surgical procedures with the anticipation of critical events (p<0.001), and the occurrence of infection.
Conclusions:
body temperature, the presence of invasive devices, and surgical procedures with the anticipation of critical events were significant factors contributing to an increased risk of infection.
Palavras-chave: Cardiac Surgical ProceduresIncidenceInfectionsPatient SafetySurgical Wound InfectionVer mais -
ARTÍCULO ORIGINAL
Efecto de la deambulación temprana y la terapia dhikr en el movimiento peristáltico de pacientes sometidos a colecistectomía abierta
Revista Brasileira de Enfermagem. 2023;76:e20220636
08/12/2023
Resumo
ARTÍCULO ORIGINALEfecto de la deambulación temprana y la terapia dhikr en el movimiento peristáltico de pacientes sometidos a colecistectomía abierta
Revista Brasileira de Enfermagem. 2023;76:e20220636
08/12/2023DOI 10.1590/0034-7167-2022-0636
Visualizações0RESUMEN
Objetivos:
analizar y determinar el efecto de una intervención que combinó la deambulación temprana y la terapia dhikr sobre la recuperación peristáltica intestinal de pacientes sometidos a colecistectomía abierta.
Métodos:
se utilizó un diseño preexperimental con un grupo pretest y postest. Las muestras incluyeron 15 pacientes sometidos a colecistectomía abierta y seleccionados mediante muestreo intencional. Los datos se recopilaron por medio de fichas de observación del instrumento y se analizaron mediante la prueba de Wilcoxon. La deambulación temprana utilizó el procedimiento operativo estándar en el hospital y la terapia dhikr se realizó durante 10 a 15 minutos, dos horas después de la operación.
Resultados:
la deambulación temprana asociada con la terapia dhikr afectó la recuperación peristáltica intestinal de los pacientes que se sometieron a colecistectomía abierta con anestesia general (Z =-3,442; p=0,001).
Conclusiones:
la combinación de la deambulación temprana con la terapia dhikr puede recomendarse como una intervención para mejorar el movimiento peristáltico intestinal de los pacientes después de una colecistectomía abierta con anestesia general.
Palavras-chave: Anestesia GeneralColecistectomiaDeambulación TempranaEnfermería PerioperatoriaTerapias ComplementariasVer mais -
ARTÍCULO ORIGINAL
Simulation-based training in Leprosy: development and validation of a scenario for community health workers
Revista Brasileira de Enfermagem. 2023;76:e20230114
08/12/2023
Resumo
ARTÍCULO ORIGINALSimulation-based training in Leprosy: development and validation of a scenario for community health workers
Revista Brasileira de Enfermagem. 2023;76:e20230114
08/12/2023DOI 10.1590/0034-7167-2023-0114
Visualizações0Ver maisABSTRACT
Objectives:
To build and validate a clinical simulation scenario designed to instruct community health workers (CHWs) in active leprosy case detection.
Methods:
Methodological study involving the development of a simulated clinical scenario and content validation by experts. The Content Validity Index (CVI) was used to determine the level of agreement among the judging commitee, and a descriptive analysis of their recommendations was performed.
Results:
A simulated scenario with a simulated participant was developed — a simulation characterized by low complexity, moderate physical/environmental fidelity, moderate to high psychological fidelity, and high conceptual fidelity, lasting 50 minutes and capable of training up to 10 CHWs simultaneously. The scenario was validated by 14 experts, with a CVI exceeding 80% for all components.
Conclusions:
The validated clinical simulation possesses attributes that make it highly reproducible in various national health contexts, thereby contributing to the global “Towards Zero Leprosy” strategy.
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