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ARTÍCULO ORIGINAL29/07/2024
Contribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
Resumen
ARTÍCULO ORIGINALContribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
DOI 10.1590/0034-7167-2023-0492
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Objectives:
to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure.
Methods:
a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers’ contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman’s correlation.
Results:
the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction.
Conclusions:
informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.
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29/07/2024
Reflections on theoretical framework use in nursing research
Revista Brasileira de Enfermagem. 2024;77(3):e20230486
Resumen
Reflections on theoretical framework use in nursing research
Revista Brasileira de Enfermagem. 2024;77(3):e20230486
DOI 10.1590/0034-7167-2024-0486
Visualizações0Ver maisABSTRACT
Objectives:
to reflect on theoretical framework use in nursing research.
Methods:
a theoretical-reflexive study, based on concepts and constructs pertinent to using nursing theories and other sciences, considering issues of epistemology or philosophy of science.
Results:
we presented what it is and why to do nursing research and what a theoretical framework is and why to use it, in addition to some considerations regarding theoretical framework use in nursing research, essential for constructing disciplinary knowledge, which enables the materialization of researchers’ work and the presentation of propositions resulting from investigations in and for nursing as a discipline and science.
Final Considerations:
based on a reflection based on epistemological conceptions, it is possible to affirm that a theoretical framework is the core of researchers’ thinking, delimiting a problem to be investigated and, based on it, outlining methodological strategies to be followed, supporting nursing action and thinking as discipline and science.
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ARTÍCULO DE REVISIÓN29/07/2024
Nursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
Resumen
ARTÍCULO DE REVISIÓNNursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
DOI 10.1590/0034-7167-2023-0471
Visualizações0Ver maisABSTRACT
Objectives:
to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.
Methods:
an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.
Results:
analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.
Final Considerations:
evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.
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ARTÍCULO ORIGINAL29/07/2024
Primary Health Care in transitional care of people with stroke
Revista Brasileira de Enfermagem. 2024;77(3):e20230468
Resumen
ARTÍCULO ORIGINALPrimary Health Care in transitional care of people with stroke
Revista Brasileira de Enfermagem. 2024;77(3):e20230468
DOI 10.1590/0034-7167-2024-0468
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Objectives:
to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge.
Methods:
single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®.
Results:
the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident.
Final Considerations:
the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.
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ARTÍCULO ORIGINAL29/07/2024
Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
Revista Brasileira de Enfermagem. 2024;77(3):e20230467
Resumen
ARTÍCULO ORIGINALCompleteness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
Revista Brasileira de Enfermagem. 2024;77(3):e20230467
DOI 10.1590/0034-7167-2023-0467
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Objectives:
to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.
Methods:
an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.
Results:
there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables “family history of cancer” (p<0.001), “alcoholism” (p<0.001), “smoking” (p<0.001), “TNM staging” (p<0.001) had a decreasing trend, while “clinical start of treatment” (p<0.001), “origin” (p=0.008) and “occupation” (p<0.001) indicated an increasing trend.
Conclusions:
most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.
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ARTÍCULO ORIGINAL29/07/2024
Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230464
Resumen
ARTÍCULO ORIGINALDisrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230464
DOI 10.1590/0034-7167-2023-0464
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Objectives:
to develop and evaluate a Middle-Range Theory for the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” in high-risk pregnancies.
Methods:
this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem’s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
Results:
the theory identified 20 elements of the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
Conclusions:
the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon “Disrupted Mother-Fetus Dyad Risk,” which aids in nurses’ diagnostic reasoning.
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ARTÍCULO ORIGINAL29/07/2024
Mental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
Resumen
ARTÍCULO ORIGINALMental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
DOI 10.1590/0034-7167-2023-0457
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Objective:
To identify the manifestations presented by parents of children and adolescents who require special health attention that can impact their mental health.
Methods:
exploratory, qualitative research, based on the concept of vulnerability, with data collection carried out through interviews with 18 parents of children and adolescents with special health care needs, hospitalized in the pediatric ward of a hospital in Paraná, between May/2017 and May/ 2018. Data analyzed by inductive thematic analysis.
Results:
parents experienced situations of vulnerability when providing care at home, with repercussions on their mental health, expressed by manifestations of lack of protection, anxiety and depression.
Final considerations:
It is important that health professionals seek to expand actions to promote care and reduce situations that generate threats, insecurities, concerns and damage to the health of parents, which can impact and further weaken care for children and adolescents who need attention especially health.
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ARTÍCULO ORIGINAL29/07/2024
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
Resumen
ARTÍCULO ORIGINALEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
DOI 10.1590/0034-7167-2023-0386
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Objectives:
to analyze the validity evidence of the internal structure of the Risk Self-Medication Questionnaire Focused on Health Literacy.
Methods:
a psychometric study with 499 adults. The internal structure was assessed with exploratory and confirmatory factor analysis to prove the adjustment. Internal consistency was measured by composite reliability and McDonald’s omega coefficient (ω).
Results:
the parameters revealed a model of 35 items distributed across four factors, explaining 56% of the total variance, with factor loadings ranging from 0.31 to 0.85 and adequate communalities. Accuracy (0.79
Conclusions:
an instrument was obtained with good evidence of structural validity for measuring self-medication.
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ARTÍCULO ORIGINAL01/06/2020
Qualidade da atenção primária e os efeitos em indicadores de monitoramento da hanseníase
Revista Brasileira de Enfermagem. 2020;73(4):e20190038
Resumen
ARTÍCULO ORIGINALQualidade da atenção primária e os efeitos em indicadores de monitoramento da hanseníase
Revista Brasileira de Enfermagem. 2020;73(4):e20190038
DOI 10.1590/0034-7167-2019-0038
Visualizações0RESUMO
Objetivos:
avaliar a qualidade da atenção primária nas ações de controle da hanseníase e correlacionar efeitos em indicadores de monitoramento.
Métodos:
estudo transversal, realizado em Belo Horizonte, de julho a setembro de 2014. Entrevistaram-se 408 profissionais por meio da aplicação de ferramenta que avalia atributos da atenção primária nas ações de controle da hanseníase e calcularam-se indicadores de monitoramento. Utilizou-se correlação de Spearman, nível de significância p < 0,05.
Resultados:
houve correlação entre escore geral e percentual de casos tratados na atenção primária e de cobertura de equipe de saúde da família. No escore derivado houve correlação com percentual de casos tratados na atenção primária e no essencial, com a proporção e taxa de diagnósticos com grau 2 de incapacidade física.
Conclusões:
a qualidade das ações de controle da hanseníase desempenhadas pelos profissionais da atenção primária impacta os indicadores de saúde, sendo necessárias estratégias condizentes com a realidade do território.
Palavras-chave: Atenção Primária à SaúdeAvaliação em SaúdeEnfermagemHanseníaseQualidade da Assistência à SaúdeVer mais -
ARTÍCULO ORIGINAL13/12/2019
Efeito do telemonitoramento de enfermagem no conhecimento de mulheres obesas: ensaio clínico
Revista Brasileira de Enfermagem. 2019;72:212-219
Resumen
ARTÍCULO ORIGINALEfeito do telemonitoramento de enfermagem no conhecimento de mulheres obesas: ensaio clínico
Revista Brasileira de Enfermagem. 2019;72:212-219
DOI 10.1590/0034-7167-2018-0500
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Objetivo:
Avaliar a efetividade do monitoramento remoto de enfermagem na melhora do conhecimento de mulheres com excesso de peso.
Método:
Ensaio clínico randomizado, com 101 mulheres, alocadas aleatoriamente no grupo controle (GC = 50) e no grupo intervenção (GI = 51). O GI recebeu intervenção educativa por telefone durante três meses e acompanhamento de rotina no serviço, e o GC, apenas acompanhamento convencional. O conhecimento foi avaliado por questionário específico. Os dados foram analisados pelo Modelo de Regressão Linear Robusto, adotando-se significância estatística de 5%.
Resultados:
Na avaliação intragrupo houve aumento de acertos com diferença estatisticamente significante apenas para o GI nos domínios: “Conceito e causas do excesso de peso”, “Complicações do excesso de peso” e “Hábitos alimentares”. Na comparação intergrupos, verificou-se para o GI aumento na média do conhecimento nos mesmos domínios (p ≤ 0,005).
Conclusão:
o telemonitoramento de enfermagem contribuiu positivamente para a melhora do conhecimento das mulheres.
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ARTÍCULO ORIGINAL02/02/2022
A influência das condutas da equipe de enfermagem na vigilância de eventos adversos pós-vacinação
Revista Brasileira de Enfermagem. 2022;75(3):e20210132
Resumen
ARTÍCULO ORIGINALA influência das condutas da equipe de enfermagem na vigilância de eventos adversos pós-vacinação
Revista Brasileira de Enfermagem. 2022;75(3):e20210132
DOI 10.1590/0034-7167-2021-0132
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Objetivos:
analisar os efeitos das condutas dos profissionais de enfermagem na vigilância de eventos adversos pós-vacinação.
Métodos:
estudo transversal, com 384 participantes que receberam vacinas. Analisadas informações de antecedentes vacinais, vacinas administradas e orientações sobre vacinação. Realizadas análises descritivas e bivariada, por meio de regressão logística simples (Odds Ratio não ajustada).
Resultados:
as orientações sobre os eventos (RP=1.8; p=0,001) e as condutas frente a sua ocorrência (RP=1.7; p=0,001) são atividades que influenciam a vigilância dos eventos adversos pós-vacinação. Mais da metade dos participantes não recebeu orientações sobre as vacinas administradas, os eventos e as condutas em caso de ocorrência. Somente 38,5% foram orientados sobre as vacinas administradas e 40,6%, sobre os eventos adversos. Na presença do evento, 29,9% relataram que procuraram os serviços para notificação.
Conclusões:
realizar triagem adequada, orientar a respeito das vacinas e dos eventos adversos são medidas preventivas essenciais para fortalecer a vigilância de eventos adversos pós-vacinação.
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ARTÍCULO ORIGINAL21/09/2020
Transition of blind women to motherhood from the perspective of Transitions Theory
Revista Brasileira de Enfermagem. 2020;73:e20190234
Resumen
ARTÍCULO ORIGINALTransition of blind women to motherhood from the perspective of Transitions Theory
Revista Brasileira de Enfermagem. 2020;73:e20190234
DOI 10.1590/0034-7167-2019-0234
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Objective:
to analyze the transition of blind women to motherhood from the perspective of Transitions Theory.
Method:
a qualitative, descriptive study, which had as participants 11 blind women. An open interview was conducted using the narrative method. Analysis occurred in the light of Transitions Theory, with approval from the Research Ethics Committee with Human Beings.
Results:
the age group was 32 to 63 years, mostly Catholic, with social security benefits. Transition to motherhood mainly evidenced the experience when becoming a mother and feelings related to this new phase of life.
Final considerations:
the women in the study adapted themselves to the maternal role, even with difficulties, developed healthy relationships with their children, overcame their disability and nurtured dreams and desires. They were aware of their role, achieving with mastery a healthy transition. It was evidenced scarcity of nursing therapies.
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ARTÍCULO ORIGINAL01/06/2020
Adolescência, gravidez e violência doméstica: condições sociais e projetos de vida
Revista Brasileira de Enfermagem. 2020;73:e20190111
Resumen
ARTÍCULO ORIGINALAdolescência, gravidez e violência doméstica: condições sociais e projetos de vida
Revista Brasileira de Enfermagem. 2020;73:e20190111
DOI 10.1590/0034-7167-2019-0111
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Objetivo:
analisar as condições sociais e os projetos de vida de adolescentes não gestantes, adolescentes gestantes e gestantes vítimas de violência doméstica.
Métodos:
trata-se de um estudo exploratório, descritivo e comparativo, de natureza quanti-qualitativa. Participaram do estudo 90 adolescentes entre 12 e 18 anos, constituindo-se em três grupos: Grupo A (30 adolescentes não grávidas e sem histórico de violência); Grupo B (30 adolescentes grávidas e sem histórico de violência); e Grupo C (30 adolescentes grávidas e com histórico de violência). Os instrumentos utilizados foram: questionário de caracterização das condições socioeconômicas, Inventário de Frases de Violência Doméstica contra Crianças e Adolescentes e entrevista estruturada.
Resultados:
adolescentes do Grupo C apresentaram escolaridade mais baixa, maior abandono escolar, menor renda familiar e projetos de vida a curto prazo.
Considerações finais:
nos projetos de vida e nas condições sociais (estado civil, escolaridade, condição de moradia e renda familiar), observou-se certa diferença entre os grupos.
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ARTÍCULO ORIGINAL07/09/2020
HIV Care Continuum from diagnosis in a Counseling and Testing Center
Revista Brasileira de Enfermagem. 2020;73(6):e20190680
Resumen
ARTÍCULO ORIGINALHIV Care Continuum from diagnosis in a Counseling and Testing Center
Revista Brasileira de Enfermagem. 2020;73(6):e20190680
DOI 10.1590/0034-7167-2019-0680
Visualizações0Ver maisABSTRACT
Objective:
To analyze the HIV care continuum from the diagnosis in an HIV/AIDS Counseling and Testing Center (CTC), and the sociodemographic, clinical, and laboratory characteristics related to gender.
Method:
Epidemiological study, conducted with data of individuals assisted at a Counseling and Testing Center, and followed in an outpatient clinic for HIV/AIDS. Pearson’s Chi-square test and binary logistic regression were used to obtain odds ratios, considering alpha value <0.05.
Results:
The prevalence of HIV among 5,229 users was 5%. The highest chance of positive results was among men, aged 14 to 33 years old, who were not in a domestic partnership. In the analysis of TCD4+ lymphocytes and viral load (VL) of 238 cases, 56.1% had a late diagnosis. We have identified gaps in the care cascade, especially linkage to the care, retention in care, and viral load suppression.
Conclusion:
The results suggest a late diagnosis for both genders, as well as difficulty in reaching the viral suppression goal.
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ARTÍCULO DE REVISIÓN22/01/2021
Actions to prevent sexual violence against adolescents: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74:e20190876
Resumen
ARTÍCULO DE REVISIÓNActions to prevent sexual violence against adolescents: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74:e20190876
DOI 10.1590/0034-7167-2019-0876
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Objective:
to identify actions to prevent adolescent sexual violence.
Method:
an integrative literature review of five databases, Medline/Pubmed, Scopus, Lilacs, Bdenf, Cinahl using the following descriptors “adolescent” “adolescence” “youth” “primary prevention” “prevention” “primary” “sexual violence”, plus the Boolean operators AND and OR, with a final sample of 24 articles; the evidence was assessed by the Grading of Recommendations Assessment, Development and Evaluation
Results:
the review identifies different structures of the study object, classified in the categories “Interventions with programs created by authors” and “Interventions with standard programs”.
Conclusion:
there are actions to prevent sexual violence against adolescents; the participants’ knowledge was assessed immediately after the intervention, but the assessment of the participants’ acquisition of habits and behavioral changes was to a lesser extent; health prevention is crucial for society’s healthy development, which demonstrates that its applicability in the environment directly favors human health.
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