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ARTÍCULO ORIGINAL13/05/2024
Generalized Resistance Deficits in inmates with hypertension: missing resources that limit health
Revista Brasileira de Enfermagem. 2024;77(2):e20230246
Resumen
ARTÍCULO ORIGINALGeneralized Resistance Deficits in inmates with hypertension: missing resources that limit health
Revista Brasileira de Enfermagem. 2024;77(2):e20230246
DOI 10.1590/0034-7167-2023-0246
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Objective:
to understand the Generalized Resistance Deficits of people deprived of liberty with hypertension in a Brazilian prison unit.
Method:
qualitative research, anchored in Salutogenesis, carried out with 38 people with hypertension from a Brazilian prison unit, from February to July 2022, with a semi-structured interview with open-ended questions, whose analysis was thematic, explaining the limitations to health in prison.
Results:
13 Generalized Resistance Deficits were reported, mostly related to the prison environment and, to a lesser extent, to the social group and the individual, respectively. Living in prison for people with hypertension implies living with a high number of Generalized Resistance Deficits, accentuating the movement towards the disease pole.
Final considerations:
knowing Generalized Resistance Deficits allows directing health promotion to support the use of available Generalized Resistance Resources and contributes to the expansion of intersectoral policies.
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ARTÍCULO DE REVISIÓN13/05/2024
Lean methodology: contributions to improving work processes in health and nursing
Revista Brasileira de Enfermagem. 2024;77(2):e20230322
Resumen
ARTÍCULO DE REVISIÓNLean methodology: contributions to improving work processes in health and nursing
Revista Brasileira de Enfermagem. 2024;77(2):e20230322
DOI 10.1590/0034-7167-2023-0322
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Objective:
to investigate the contributions of applying the Lean methodology to improve work processes in health and nursing and its impact on associated financial aspects.
Method:
an integrative review, carried out in six databases, whose sample of ten (100.0%) studies was analyzed and summarized descriptively.
Results:
the outcomes obtained were stratified into: benefits/barriers to Lean Healthcare implementation; economic aspects involving Lean Healthcare implementation; and process improvements through Lean Healthcare implementation. The majority of studies (60.0%) were carried out in university hospitals, contexts that need to continually improve the quality of services provided, generally with scarce and limited resources, which support the viability of maintaining the teaching, research and extension tripod.
Conclusion:
three (30.0%) studies highlighted the financial aspects associated with Lean methodology application. The others only mentioned the possibility of financial gains through improving processes and reducing waste.
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ARTÍCULO DE REVISIÓN13/05/2024
Indicadores de la desnutrición crónica entre niños de 0 a 24 meses en el Sudeste Asiático: Una revisión del alcance
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
Resumen
ARTÍCULO DE REVISIÓNIndicadores de la desnutrición crónica entre niños de 0 a 24 meses en el Sudeste Asiático: Una revisión del alcance
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
DOI 10.1590/0034-7167-2022-0625
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Objetivo:
Identificar indicadores de desnutrición crónica entre niños de 0 a 24 meses en el Sudeste Asiático.
Métodos:
Esta revisión de alcance se centró en artículos con diseño de estudio observacional publicados en inglés, entre los años 2012 y 2023 de cinco bases de datos internacionales. Las principales palabras clave utilizadas fueron: “stunting (Desnutrición crónica)” o “growth disorder (Desorden del crecimiento)”, y “newborn (Recién nacido)”, y “predict (Predecir)”, y “Southeast Asia (Sudeste Asiático)”.
Resultados:
De los 27 artículos seleccionados para el análisis final, se encontraron trece indicadores que influyen en la desnutrición crónica en siete países del Sudeste Asiático. Los trece indicadores incluyen el niño, la madre, el hogar, la alimentación inadequada complementaria, la lactancia materna inadecuada, la atención inadecuada, los alimentos de mala calidad, la seguridad de los alimentos y el agua, la infección, la economía política, la salud y la asistencia sanitaria, el agua, el saneamiento y el medio ambiente, y por último el factor sociocultural.
Conclusión:
Todos estos indicadores pueden provocar desnutrición crónica en niños del Sudeste Asiático. Para poder prevenirlo los prestadores de servicios de salud y otros sectores relacionados, necesitan realizar actividades de promoción y prevención de la salud de acuerdo con los indicadores encontrados en este artículo.
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13/05/2024
A influência da internet nas escolhas sobre a saúde e o bem-estar dos idosos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
Resumen
A influência da internet nas escolhas sobre a saúde e o bem-estar dos idosos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
DOI 10.1590/0034-7167-2023-0321
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Objetivos:
describir el perfil de los ancianos que acceden a internet para buscar información de salud e identificar los factores que pueden influir en las decisiones de los ancianos sobre su salud a partir de la información recopilada en línea.
Métodos:
391 ancianos respondieron a un cuestionario online sobre hábitos y satisfacción con la información de salud recogida en internet. El procesamiento de datos implicó regresión logística.
Resultados:
la educación superior reduce en un 44% la probabilidad de que un anciano siga las recomendaciones de salud en los sitios web. Sin embargo, las actividades sociales y la salud autopercibida aumentan la posibilidad de seguir las recomendaciones en un 83% y un 71%, respectivamente. La creencia de que internet promueve hábitos saludables aumenta 29,2 veces la probabilidad de que un anciano siga un consejo.
Consideraciones Finales:
conocer el perfil de los ancianos que utilizan internet puede ayudar a los profesionales a formular políticas públicas y construir buenas plataformas de información sobre salud y bienestar.
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ARTÍCULO ORIGINAL13/05/2024
La influencia de internet en las decisiones sobre la salud y el bienestar de ancianos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
Resumen
ARTÍCULO ORIGINALLa influencia de internet en las decisiones sobre la salud y el bienestar de ancianos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
DOI 10.1590/0034-7167-2023-0321
Visualizações1RESUMEN
Objetivos:
describir el perfil de los ancianos que acceden a internet para buscar información de salud e identificar los factores que pueden influir en las decisiones de los ancianos sobre su salud a partir de la información recopilada en línea.
Métodos:
391 ancianos respondieron a un cuestionario online sobre hábitos y satisfacción con la información de salud recogida en internet. El procesamiento de datos implicó regresión logística.
Resultados:
la educación superior reduce en un 44% la probabilidad de que un anciano siga las recomendaciones de salud en los sitios web. Sin embargo, las actividades sociales y la salud autopercibida aumentan la posibilidad de seguir las recomendaciones en un 83% y un 71%, respectivamente. La creencia de que internet promueve hábitos saludables aumenta 29,2 veces la probabilidad de que un anciano siga un consejo.
Consideraciones Finales:
conocer el perfil de los ancianos que utilizan internet puede ayudar a los profesionales a formular políticas públicas y construir buenas plataformas de información sobre salud y bienestar.
Palavras-chave: AncianoConducta en la Búsquda de InformaciónPredicciónSalud del AncianoTomada de DecisionesVer mais -
ARTÍCULO DE REVISIÓN13/05/2024
Technologies used in the treatment of burn victims in intensive care: a scope review
Revista Brasileira de Enfermagem. 2024;77(1):e20220738
Resumen
ARTÍCULO DE REVISIÓNTechnologies used in the treatment of burn victims in intensive care: a scope review
Revista Brasileira de Enfermagem. 2024;77(1):e20220738
DOI 10.1590/0034-7167-2022-0738
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Objectives:
to analyze the technologies used by the nursing team in the treatment of skin lesions caused by burns in patients under intensive care.
Methods:
this is a scope review conducted on the LILACS, Medline, PubMed, and CINAHL databases without temporal or language restrictions.
Results:
the highlighted technologies included the use of specialized dressings, biological agents such as probiotics and cyanobacteria, as well as negative pressure therapies and enzymes such as papain and collagenase. Some technologies, such as nanocrystalline silver, demonstrated efficacy in infection control.
Final Considerations:
the study identified essential technologies in burn care, emphasizing the need for further research on “soft” technologies. The findings support the promotion of evidence-based nursing care for burn patients in intensive care and enhance knowledge about effective treatments.
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ARTÍCULO ORIGINAL03/05/2024
What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
Revista Brasileira de Enfermagem. 2024;77(1):e20220809
Resumen
ARTÍCULO ORIGINALWhat is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
Revista Brasileira de Enfermagem. 2024;77(1):e20220809
DOI 10.1590/0034-7167-2022-0809
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Objective:
To estimate the prevalence of multimorbidity in elderly people and its association with sociodemographic characteristics, lifestyle, and anthropometry.
Methods:
This was a cross-sectional study using data from the National Health Survey, 2019. A total of 22,728 elderly individuals from all 27 Brazilian states were randomly selected. Poisson regression models with robust variance were employed, and a significance level of 5% was adopted.
Results:
The prevalence of multimorbidity was 51.6% (95% CI: 50.4-52.7), with the highest estimates observed in the South and Southeast. Multimorbidity was associated with being female (aPR = 1.33; 95% CI: 1.27-1.39), being 80 years old or older (aPR = 1.12; 95% CI: 1.05-1.19), having low education (aPR = 1.16; 95% CI: 1.07-1.25), past cigarette use (aPR = 1.16; 95% CI: 1.11-1.21), insufficient physical activity (aPR = 1.13; 95% CI: 1.06-1.21), and screen use for 3 hours or more per day (aPR = 1.13; 95% CI: 1.08-1.18).
Conclusion:
Multimorbidity affects more than half of the elderly population in Brazil and is associated with social, demographic, and behavioral factors.
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ARTÍCULO ORIGINAL03/05/2024
Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
Resumen
ARTÍCULO ORIGINALCancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
DOI 10.1590/0034-7167-2023-0358
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Objectives:
to psychometrically validate the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire EORTC QLQ-INFO25 instrument and identify the domains that influence patients’ perception of the information received.
Methods:
a cross-sectional methodology with cancer patients in a Brazilian philanthropic hospital institution. Sociodemographic and clinical instruments, EORTC QLQ-C30, EORTC QLQ-INFO25 and Supportive Care Needs Survey – Short Form 34 were used. Analysis occurred using Cronbach’s alpha coefficients, intraclass correlation, test-retest and exploratory factor analysis.
Results:
128 respondents participated. Cronbach’s alpha coefficient was 0.85. The test-retest obtained p-value=0.21. In the factor analysis, one item was excluded. Satisfaction with the information received was 74%, with three areas with averages below 70%. In open-ended questions, there was a greater desire for information.
Conclusions:
validity evidence was obtained with instrument reliability, consistency and stability. Respondents expressed satisfaction with the information received.
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ARTÍCULO ORIGINAL28/11/2023
Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
Revista Brasileira de Enfermagem. 2023;76:e20220216
Resumen
ARTÍCULO ORIGINALGeospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
Revista Brasileira de Enfermagem. 2023;76:e20220216
DOI 10.1590/0034-7167-2022-0216
Visualizações1Ver maisABSTRACT
Objective:
To analyze the spatial pattern of tuberculosis in Indigenous peoples from the State of Pará and its correlation with income transfer.
Methods:
Ecological study, with 340 cases reported in Indigenous peoples in the State of Pará, Brazil, in the period 2016-2020. The study performed a descriptive analysis and calculation of incidence rates with smoothing by the local empirical Bayesian method. The Global Moran index assessed the autocorrelation of the rates with income transfer data, p<0,05.
Results:
The Marajó and metropolitan mesoregions of Belém had the highest tuberculosis rates, and a reduced number of people benefited from income transfer (high-low correlation). The study identified high rates, and a significant number of people benefited from financial aid (high correlation high), I=0.399, p=0.027 in the Southwest.
Conclusions:
The spatial autocorrelation between tuberculosis and access to income transfer programs constitutes a relevant subsidy for the formulation of social protection policies and may impact the disease control actions in Indigenous territories, valuing the epidemiological heterogeneity identified in the mesoregions.
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ARTÍCULO ORIGINAL13/11/2023
Vulnerability to physical inactivity: evidence of content validity and response processes
Revista Brasileira de Enfermagem. 2023;76:e20220563
Resumen
ARTÍCULO ORIGINALVulnerability to physical inactivity: evidence of content validity and response processes
Revista Brasileira de Enfermagem. 2023;76:e20220563
DOI 10.1590/0034-7167-2022-0563
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Objective:
To analyze content validity evidence and response processes of a bank of items for measuring vulnerability to physical inactivity in adults.
Method:
Methodological study, with 13 specialists and 46 representatives of the target population. The Content Validity Index (CVI) and binomial test were calculated; data obtained through validity based on response processes were collected through interviews.
Results:
Of the 105 constructed items, 16 were excluded (CVI<0.78); 89 items showed agreement <80% in the psychometric criteria, being modified. Of the 101 items that remained (CVI>0.78), 34 were changed and 4 were deleted after evaluating the evidence of response processes. In the end, 97 items remained, with a global CVI of 0.92, organized into two dimensions: Subject (CVI=0.91) and Social (CVI=0.94).
Conclusion:
The items presented adequate parameters and evidence of validity; and can subsidize the construction of instruments that consider the subject’s and social vulnerability in understanding physical inactivity.
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ARTÍCULO ORIGINAL08/12/2023
La relación entre el nivel de conocimiento y la conducta de prevención del flujo vaginal para estudiantes de enfermería
Revista Brasileira de Enfermagem. 2023;76:e20220602
Resumen
ARTÍCULO ORIGINALLa relación entre el nivel de conocimiento y la conducta de prevención del flujo vaginal para estudiantes de enfermería
Revista Brasileira de Enfermagem. 2023;76:e20220602
DOI 10.1590/0034-7167-2022-0602
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Objetivo:
la salud reproductiva de las adolescentes es muy importante. Determinar la relación entre el nivel de conocimientos y la conducta de prevención del flujo vaginal en estudiantes de enfermería.
Métodos:
estudio cuantitativo, transversal, con 155 estudiantes de primer año de una facultad privada de enfermería. Los datos se recopilaron de febrero a marzo de 2022 a través de un cuestionario electrónico.
Resultados:
los participantes con buen nivel de conocimientos correspondieron al 98,1% y los que practican buenas conductas para prevenir el flujo vaginal, el 92,3%.
Conclusión:
un buen conocimiento produce conductas de prevención adecuadas. El resultado de este estudio puede contribuir con reflexiones y referencias para un estudio más profundo de los factores que influyen en el nivel de conocimiento y comportamiento sobre la enfermedad de los genitales y los peligros del flujo vaginal patológico.
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ARTÍCULO ORIGINAL13/11/2023
Access of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
Revista Brasileira de Enfermagem. 2023;76:e20220716
Resumen
ARTÍCULO ORIGINALAccess of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
Revista Brasileira de Enfermagem. 2023;76:e20220716
DOI 10.1590/0034-7167-2022-0716
Visualizações0Ver maisABSTRACT
Objective:
to analyze Primary Health Care professionals’ perceptions about the access of people with pulmonary tuberculosis to government social support and income transfer programs.
Methods:
multicenter/qualitative study, carried out in Family Health Units in four Brazilian capitals: Belém/Pará, Campo Grande/Mato Grosso do Sul, Recife/Pernambuco and Rio de Janeiro/Rio de Janeiro. Fifty-eight professionals participated (social workers, dentists, nurses, pharmacists, physicians and nursing technicians), who provided assistance to people with pulmonary tuberculosis. Individual interviews were conducted, and the content analysis technique was used.
Results:
among the participants, 45/77.6% were women and 33/56.9% were between 25 and 40 years old. Two thematic categories were organized, demonstrating the perceptions about the possibilities of access to government programs by people with pulmonary tuberculosis in vulnerable situations and the obstacles inherent to this context.
Final considerations:
it is necessary to move forward in improving patient access to social programs.
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ARTÍCULO ORIGINAL08/12/2023
Fear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
Resumen
ARTÍCULO ORIGINALFear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
DOI 10.1590/0034-7167-2022-0755
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Objective:
to identify factors associated with fear of COVID-19 among women who experienced pregnancy or childbirth during the pandemic.
Methods:
a cross-sectional study, nested within a prospective cohort, using an online survey, from August 2021 to February 2022, based on descriptive data analysis.
Results:
of the 431 participants, 52.8% were postpartum women and 20.1% were pregnant women. With regard to fear of COVID-19, a mean score of 20.46 was obtained (moderate fear). The highest fear scores were present in women whose newborns were admitted to hospital in neonatal critical units (p=0.032), and the lowest among those covered by supplementary health (insurance) (p=0.016).
Conclusion:
among pregnant and postpartum women, high fear of COVID-19 translated into the possibility of having newborns admitted to hospital in a critical unit. The importance of supporting actions to support pregnant/postpartum women’s mental health in relation to COVID-19 or other threats that may influence the neonatal outcome stands out.
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ARTÍCULO ORIGINAL21/11/2023
Coping strategies for chronically ill children and adolescents facing the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230045
Resumen
ARTÍCULO ORIGINALCoping strategies for chronically ill children and adolescents facing the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230045
DOI 10.1590/0034-7167-2023-0045
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Objective:
to understand the experiences and coping strategies of children and adolescents with chronic illnesses during the COVID-19 pandemic.
Methods:
a descriptive study, with a qualitative approach, carried out with six children and adolescents at the reception of an outpatient clinic of a pediatric hospital in the state of Ceará. Data collection took place from April to September 2021, using story-drawing, analyzed in light of Coutinho’s criteria.
Results:
two thematic categories emerged: Situations experienced by children and adolescents in times of COVID-19; Coping strategies for children and adolescents in their chronic illness process during the COVID-19 pandemic.
Final considerations:
understanding the experiences and coping strategies of children and adolescents with chronic illness demonstrated the expression of creative imagination, incorporated by subjective components, which brings to light an approximation with the reality perceived and interpreted in a context of the COVID-19 pandemic.
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ARTÍCULO ORIGINAL08/12/2023
Simulation-based training in Leprosy: development and validation of a scenario for community health workers
Revista Brasileira de Enfermagem. 2023;76:e20230114
Resumen
ARTÍCULO ORIGINALSimulation-based training in Leprosy: development and validation of a scenario for community health workers
Revista Brasileira de Enfermagem. 2023;76:e20230114
DOI 10.1590/0034-7167-2023-0114
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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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ARTÍCULO ORIGINAL08/12/2023
Knowledge and practices about health among Quilombola men: contributions to health care
Revista Brasileira de Enfermagem. 2023;76:e20230138
Resumen
ARTÍCULO ORIGINALKnowledge and practices about health among Quilombola men: contributions to health care
Revista Brasileira de Enfermagem. 2023;76:e20230138
DOI 10.1590/0034-7167-2023-0138
Visualizações1Ver maisABSTRACT
Objective:
to analyze health knowledge and practices among Quilombola men.
Methods:
a qualitative, descriptive study, carried out with 40 men from two Quilombola communities in Santa Izabel do Pará, state of Pará, Brazil. Individual interviews were carried out using a semi-structured script. Text corpus was subjected to analysis with Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires 0.6, alpha 3, through Descending Hierarchical Classification.
Results:
among participants, eight (20.00%) were aged 55 to 59 years. 382 text segments were identified, with 299 (78.27%) being used, generating five lexical classes, which made up two subcorpora. The classes were organized into four thematic axes, covering knowledge about health and practices to prevent and solve health problems.
Final considerations:
men highlighted popular/traditional wisdom permeated by biomedical knowledge, translating their understanding of how to act to remain or become healthy.
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ARTÍCULO ORIGINAL06/03/2023
The pandemic changes daily life and ways of living: technosociality and user/families experiences
Revista Brasileira de Enfermagem. 2023;76:e20220177
Resumen
ARTÍCULO ORIGINALThe pandemic changes daily life and ways of living: technosociality and user/families experiences
Revista Brasileira de Enfermagem. 2023;76:e20220177
DOI 10.1590/0034-7167-2022-0177
Visualizações0Ver maisABSTRACT
Objectives:
understand the changes imposed by the COVID-19 pandemic in the daily lives of users of Primary Health Care and their families and its impact on self-care and health promotion.
Methods:
this is a holistic-qualitative multiple case study, based on the Comprehensive Sociology of Everyday Life, in which 61 users participated.
Results:
experiencing a new daily life in COVID-19 pandemic times, users express their feelings, adaptation to new habits and ways of living. Health technologies and virtual social networks stand out in helping with everyday tasks, in communicating with loved ones and health professionals, and in validating dubious information. Faith and spirituality arise in the face of uncertainty and suffering.
Final Considerations:
it is imperative to pay close attention to the changes in daily life caused by the COVID-19 pandemic, in order to offer care directed to the singular and collective needs.
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ARTÍCULO ORIGINAL03/02/2023
Quality of life and satisfaction of students with auriculotherapy in the covid-19 pandemic: a quasi-experimental study
Revista Brasileira de Enfermagem. 2023;76:e20220522
Resumen
ARTÍCULO ORIGINALQuality of life and satisfaction of students with auriculotherapy in the covid-19 pandemic: a quasi-experimental study
Revista Brasileira de Enfermagem. 2023;76:e20220522
DOI 10.1590/0034-7167-2022-0522
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Objectives:
to evaluate the quality of life before and after the application of auriculotherapy and the satisfaction of university students with the treatment during the covid-19 pandemic.
Methods:
quasi-experimental study conducted with 44 students in a University Health Center. The intervention consisted of ten sessions of auriculotherapy focusing on emotional changes with quality of life assessment before and after treatment. The study also investigated the satisfaction concerning the intervention.
Results:
predominated among the students: women, from health courses, in use of psychotropic drugs and complaining of emotional changes. There was a statistically significant increase in all domains of quality of life, and students were satisfied with the treatment.
Conclusions:
auriculotherapy improved the quality of life of university students during the covid-19 pandemic, and the level of satisfaction with the treatment was high.
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ARTÍCULO ORIGINAL08/12/2023
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
Resumen
ARTÍCULO ORIGINALPolypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
DOI 10.1590/0034-7167-2022-0785
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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 DE REVISIÓN05/10/2020
Self-efficacy of health professionals in hand hygiene practice: is it possible to measure?
Revista Brasileira de Enfermagem. 2020;73:e20190873
Resumen
ARTÍCULO DE REVISIÓNSelf-efficacy of health professionals in hand hygiene practice: is it possible to measure?
Revista Brasileira de Enfermagem. 2020;73:e20190873
DOI 10.1590/0034-7167-2019-0873
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Objective:
To identify in the literature the tools used to measure self-efficacy of health professionals in hand hygiene.
Methods:
Integrative literature review carried out by consulting the databases PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Europe PubMed Central, and Science Direct using the descriptors Self Efficacy, Hand Hygiene, and Health Personnel.
Results:
Six articles, all of which with observational design, were selected. It was possible to infer that four studies used validated instruments to measure self-efficacy of health professionals in the conformity with the recommendations for hand hygiene. The other studies used questionnaires that were not validated.
Final considerations:
Despite the extensive literature on hand hygiene, there is a lack of scientific evidence regarding the use of validated instruments to measure self-efficacy of health professionals in the procedure. The use of properly validated psychometric instruments is useful to guarantee the quality of results in studies.
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ARTÍCULO ORIGINAL05/02/2021
Pessoas em situação de rua: aspectos sobre a saúde e experiências com serviços sanitários
Revista Brasileira de Enfermagem. 2021;74(1):e20190200
Resumen
ARTÍCULO ORIGINALPessoas em situação de rua: aspectos sobre a saúde e experiências com serviços sanitários
Revista Brasileira de Enfermagem. 2021;74(1):e20190200
DOI 10.1590/0034-7167-2019-0200
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Objetivos:
analisar o entendimento das pessoas em situação de rua, que vivem em município do interior paulista, sobre o que é saúde e sobre suas experiências em serviços sanitários.
Métodos:
estudo qualitativo exploratório desenvolvido com entrevistas com pessoas em situação de rua e diário de campo. Os dados foram organizados por temas e os achados foram confrontados com referencial da saúde coletiva.
Resultados:
os temas explorados foram: “O ter saúde para a população em situação de rua”, “A busca por serviços de saúde” e “Ser atendido em serviços de saúde sob a ótica de pessoas em situação de rua”. Neles apresentamos a compreensão da saúde dos entrevistados e experiências vivenciadas em serviços. Nesse caminho, delineamos aspectos que demarcam fragilidades da rede, perpassadas por preconceitos e discriminação.
Considerações Finais:
essa população tem concepções sobre a saúde e necessidades que precisam ser consideradas singularmente para facilitar acesso e cuidado.
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16/10/2020
La inaceptable tragedia de las muertes maternas asociadas al COVID-19: (re)politización de la salud y los derechos de las mujeres y la posición de la enfermería brasileña
Revista Brasileira de Enfermagem. 2020;73:e73supl04
Resumen
La inaceptable tragedia de las muertes maternas asociadas al COVID-19: (re)politización de la salud y los derechos de las mujeres y la posición de la enfermería brasileña
Revista Brasileira de Enfermagem. 2020;73:e73supl04
DOI 10.1590/0034-7167.202073supl04
Visualizações0En 2020, designado como el “Año Internacional de los Profesionales de la Enfermería y la Matronería”, la estrategia Nursing Now () justifica aún más la reexistencia de la enfermería, con estrategias innovadoras y transformadoras, acciones para enfrentar nuevos desafíos que imponer, especialmente, desde el contexto de la pandemia COVID-19.En Brasil, los trabajadores de enfermería, a […]Ver mais -
ARTÍCULO ORIGINAL10/08/2020
Equipe interconsultora em cuidados paliativos: alívio de sintomas nas primeiras 48 horas de hospitalização
Revista Brasileira de Enfermagem. 2020;73(6):e20190391
Resumen
ARTÍCULO ORIGINALEquipe interconsultora em cuidados paliativos: alívio de sintomas nas primeiras 48 horas de hospitalização
Revista Brasileira de Enfermagem. 2020;73(6):e20190391
DOI 10.1590/0034-7167-2019-0391
Visualizações1RESUMO
Objetivo:
Comparar o alívio de sintomas obtido por equipe interconsultora em cuidados paliativos (ICP) ao obtido por equipe de cuidado tradicional (CT), em doentes com câncer avançado nas primeiras 48 horas de hospitalização.
Método:
Alocados nos Grupos ICP e Grupo CT, 290 pacientes foram avaliados pela Escala de Sintomas de Edmonton (ESAS) nas primeiras 48 horas da hospitalização. O desfecho principal foi a redução mínima de 2 pontos na intensidade de sintomas.
Resultados:
Em 48 horas, o Grupo ICP teve redução de 2 pontos nas médias das diferenças (p < 0,001) da dor, náusea, dispneia e depressão; e o Grupo CT, na náusea e prejuízo do sono (p < 0,001). Regressão Logística Múltipla mostrou para o Grupo ICP maior chance de alívio da dor (RC 2,34; CI 1,01-5,43; p = 0,049).
Conclusão:
Houve superioridade do Grupo ICP para alívio da dor, dispneia e depressão. Estudos que ampliem a compreensão sobre modalidades de equipe são necessários.
Palavras-chave: Avaliação de SintomasCuidados a Doentes TerminaisCuidados PaliativosEfetividade de TratamentoManejo da DorVer mais -
ARTÍCULO ORIGINAL18/07/2022
Cultural adaptation and content validity evidence of the Nutritional Literacy Scale Brazilian version
Revista Brasileira de Enfermagem. 2022;75(6):e20210657
Resumen
ARTÍCULO ORIGINALCultural adaptation and content validity evidence of the Nutritional Literacy Scale Brazilian version
Revista Brasileira de Enfermagem. 2022;75(6):e20210657
DOI 10.1590/0034-7167-2021-0657
Visualizações0Ver maisABSTRACT
Objective:
To investigate the evidence of content validity and reliability of the Brazilian version of the Nutritional Literacy Scale (NLS) after the cultural adaptation process.
Methods:
Psychometric study of 1,197 users of the National Health Service (Brazilian SUS). The NLS was culturally adapted to Brazilian Portuguese and six items of the original scale were modified to improve its understanding, giving rise to the Brazilian version of the scale named NLS-BR. The analysis of evidence of content validity of the NLS-BR was performed using the Item Response Theory (IRT).
Results:
The final version of the NLS-BR had 23 items and proved to be adequate to assess nutritional literacy in adults assisted by the Brazilian SUS.
Final considerations:
The NLS-BR proved to be of adequate understanding and demonstrated evidence of content validity and reliability for users of the Brazilian SUS.
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