Pub Date : 2024-04-15DOI: 10.1590/1980-220X-REEUSP-2023-0233en
Alex Coelho da Silva Duarte, Sandra Conceição Ribeiro Chícharo, Thiago Augusto Soares Monteiro da Silva, Alexandre Barbosa de Oliveira
ABSTRACT Objective: To map the ethical-legal dilemmas related to nursing practice in emergency and disaster situations. Method: A scoping review developed in accordance with the JBI method, whose information sources were accessed in databases, in addition to gray literature. The selection was made by reading the titles, abstracts and descriptors, observing eligibility criteria, including two reviewers and a third in case of discrepancies. After reading, data extraction and content analysis of 17 selected studies were carried out. Results: Thirteen ethical-legal dilemmas were mapped related to professional/functional duty towards the family, lack of personal protective equipment and unsafe conditions at work, preparation and availability for action, skills, limits imposed by victims’ religion, obligation to provide care. Conclusion: Professionals, researchers and representatives of the category need to resolve demands that involve acting in emergencies and disasters, (re)cognizing the ethical-legal dilemma, and seeking (re)legal frameworks and observance of the fundamental/ethical principles that govern the profession, in the sense to support decision-making and the development of legally safe practices.
{"title":"Ethical-legal dilemmas of nursing practice in emergencies and disasters: a scoping review","authors":"Alex Coelho da Silva Duarte, Sandra Conceição Ribeiro Chícharo, Thiago Augusto Soares Monteiro da Silva, Alexandre Barbosa de Oliveira","doi":"10.1590/1980-220X-REEUSP-2023-0233en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0233en","url":null,"abstract":"ABSTRACT Objective: To map the ethical-legal dilemmas related to nursing practice in emergency and disaster situations. Method: A scoping review developed in accordance with the JBI method, whose information sources were accessed in databases, in addition to gray literature. The selection was made by reading the titles, abstracts and descriptors, observing eligibility criteria, including two reviewers and a third in case of discrepancies. After reading, data extraction and content analysis of 17 selected studies were carried out. Results: Thirteen ethical-legal dilemmas were mapped related to professional/functional duty towards the family, lack of personal protective equipment and unsafe conditions at work, preparation and availability for action, skills, limits imposed by victims’ religion, obligation to provide care. Conclusion: Professionals, researchers and representatives of the category need to resolve demands that involve acting in emergencies and disasters, (re)cognizing the ethical-legal dilemma, and seeking (re)legal frameworks and observance of the fundamental/ethical principles that govern the profession, in the sense to support decision-making and the development of legally safe practices.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-12DOI: 10.1590/1980-220X-REEUSP-2023-0012en
Annita de Lima Mesquita, Hillary Bastos Vasconcelos Rodrigues, Uly Reis Ferreira, Maria Aparecida Ferreira Domingos, Bruno Luciano Carneiro Alves de Oliveira, A. Cardoso, Camila Biazus-Dalcin, Priscila de Souza Aquino
ABSTRACT Objective: To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceará, Brazil. Method: A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson’s chi-square test selected variables for adjusted Poisson regression. Results: The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04–1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03–1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated. Conclusion: There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care.
{"title":"Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará","authors":"Annita de Lima Mesquita, Hillary Bastos Vasconcelos Rodrigues, Uly Reis Ferreira, Maria Aparecida Ferreira Domingos, Bruno Luciano Carneiro Alves de Oliveira, A. Cardoso, Camila Biazus-Dalcin, Priscila de Souza Aquino","doi":"10.1590/1980-220X-REEUSP-2023-0012en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0012en","url":null,"abstract":"ABSTRACT Objective: To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceará, Brazil. Method: A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson’s chi-square test selected variables for adjusted Poisson regression. Results: The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04–1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03–1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated. Conclusion: There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140711406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-05DOI: 10.1590/1980-220X-REEUSP-2023-0358en
Marcia Regina Cubas, Rudval Souza da Silva, Cândida Caniçali Primo, Marcos Antônio Gomes Brandão, Nuno Damácio de Carvalho Félix, Rodrigo Jensen
ABSTRACT Objective: To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard. Method: This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed. Results: There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes. Final considerations: Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care’ health state. There is coherence in understanding the Nursing Process concept evolution.
摘要 目的：思考在 ISO 18.104:2023 标准中体现护理实践要素的贡献。方法：这是一项带有标准分析的理论研究。对术语系统中表示护理实践的分类结构进行了描述，并对版本各部分中确定的贡献进行了分析。结果：创新之处在于纳入了护士敏感的结果、护理行动、护理诊断解释作为护理服务需求和护理复杂性的指标、通过思维导图表示概念以及建议在护理行动中使用限制模型。它描述了护理过程由护理诊断、护理行动和护士敏感结果构成。最后的考虑：将护理诊断作为一项指标将为知识的产生和决策带来益处。虽然护理结果并不是护理行动的唯一反应，但护理诊断的可修改属性会产生有关临床实践、护理行动效果和护理对象健康状况的知识。对护理流程概念演变的理解具有连贯性。
{"title":"Contributions of representing the elements of nursing practice in the ISO 18.104:2023 standard: a theoretical study","authors":"Marcia Regina Cubas, Rudval Souza da Silva, Cândida Caniçali Primo, Marcos Antônio Gomes Brandão, Nuno Damácio de Carvalho Félix, Rodrigo Jensen","doi":"10.1590/1980-220X-REEUSP-2023-0358en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0358en","url":null,"abstract":"ABSTRACT Objective: To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard. Method: This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed. Results: There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes. Final considerations: Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care’ health state. There is coherence in understanding the Nursing Process concept evolution.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"11 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-05DOI: 10.1590/1980-220X-REEUSP-2023-0343en
Erika Silva de Sá, Aline Batista Maurício, Larissa Giardini Bruni, Larissa Gabrielle Dias Vieira, Vinícius Batista Santos, Agueda Maria Ruiz Zimmer Cavalcante, Alba Lúcia Bottura Leite de Barros, Viviane Martins da Silva
ABSTRACT Objective: To analyze the evidence of content validity of the Nursing Outcomes “Mechanical Ventilation Response: Adult” and “Mechanical Ventilation Weaning Response: Adult”, for patients with severe COVID-19. Method: Methodological study developed in two stages: literature review to construct the definitions of the indicators and analysis of the evidence of content validity of the nursing outcomes by a focus group. Results: All the conceptual and operational definitions developed for the 56 indicators were considered clear and precise. However, 17 indicators were excluded because they were deemed not to be relevant. The definitions of the magnitudes for 17 indicators of the Nursing Outcome “Mechanical Ventilation Response: Adult” and 22 indicators “Mechanical Ventilation Weaning Response: Adult” were thus constructed. Conclusion: The development of definitions and validation by experts makes the use of these outcomes and their indicators more understandable and precise, favoring their use in clinical practice and providing greater detail in assessment and recording.
{"title":"Content analysis of NOC outcomes related to mechanical ventilation in people with COVID-19","authors":"Erika Silva de Sá, Aline Batista Maurício, Larissa Giardini Bruni, Larissa Gabrielle Dias Vieira, Vinícius Batista Santos, Agueda Maria Ruiz Zimmer Cavalcante, Alba Lúcia Bottura Leite de Barros, Viviane Martins da Silva","doi":"10.1590/1980-220X-REEUSP-2023-0343en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0343en","url":null,"abstract":"ABSTRACT Objective: To analyze the evidence of content validity of the Nursing Outcomes “Mechanical Ventilation Response: Adult” and “Mechanical Ventilation Weaning Response: Adult”, for patients with severe COVID-19. Method: Methodological study developed in two stages: literature review to construct the definitions of the indicators and analysis of the evidence of content validity of the nursing outcomes by a focus group. Results: All the conceptual and operational definitions developed for the 56 indicators were considered clear and precise. However, 17 indicators were excluded because they were deemed not to be relevant. The definitions of the magnitudes for 17 indicators of the Nursing Outcome “Mechanical Ventilation Response: Adult” and 22 indicators “Mechanical Ventilation Weaning Response: Adult” were thus constructed. Conclusion: The development of definitions and validation by experts makes the use of these outcomes and their indicators more understandable and precise, favoring their use in clinical practice and providing greater detail in assessment and recording.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"38 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-04DOI: 10.1590/1980-220X-REEUSP-2023-0104en
Chenbing Xiao, Huiling Xia, Qianqian Xing, Wang Dan, Guilan Xie, Yang Ling, Lingling Xie, Weiwei Qian
ABSTRACT Objective: To evaluate the effect of ginger with P6 acupressure in preventing and treating chemotherapy-induced nausea and vomiting (CINV) in cancer patients. Method: A total of 172 participants were randomly divided into the control, ginger, acupressure, and joint groups, who were hospitalized in the Affiliated Hospital of Xuzhou Medical University from February and September 2022. The baseline characteristics, nausea, vomiting, and retching, benefit finding, functional living index-emesis, treatment satisfaction, and adverse reaction, were used in data collection. Results: No significant difference was found in benefit finding and adverse reactions among the four groups (P > 0.05). Ginger significantly improved delayed CINV and function living index-nausea (P < 0.05) but had no significant effect on acute CINV, retching, and delayed vomiting, functional living index-emesis, and treatment satisfaction (P>0.05). Acute nausea and retching, delayed nausea, vomiting, and retching, functional living index-emesis, and treatment satisfaction were effectively improved in the acupressure and joint groups (P < 0.05). Conclusion: Ginger with P6 acupressure may contribute to improving CINV in patients undergoing chemotherapy.
{"title":"Effect of ginger and P6 acupressure on chemotherapy-induced nausea and vomiting: a randomized controlled study","authors":"Chenbing Xiao, Huiling Xia, Qianqian Xing, Wang Dan, Guilan Xie, Yang Ling, Lingling Xie, Weiwei Qian","doi":"10.1590/1980-220X-REEUSP-2023-0104en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0104en","url":null,"abstract":"ABSTRACT Objective: To evaluate the effect of ginger with P6 acupressure in preventing and treating chemotherapy-induced nausea and vomiting (CINV) in cancer patients. Method: A total of 172 participants were randomly divided into the control, ginger, acupressure, and joint groups, who were hospitalized in the Affiliated Hospital of Xuzhou Medical University from February and September 2022. The baseline characteristics, nausea, vomiting, and retching, benefit finding, functional living index-emesis, treatment satisfaction, and adverse reaction, were used in data collection. Results: No significant difference was found in benefit finding and adverse reactions among the four groups (P > 0.05). Ginger significantly improved delayed CINV and function living index-nausea (P < 0.05) but had no significant effect on acute CINV, retching, and delayed vomiting, functional living index-emesis, and treatment satisfaction (P>0.05). Acute nausea and retching, delayed nausea, vomiting, and retching, functional living index-emesis, and treatment satisfaction were effectively improved in the acupressure and joint groups (P < 0.05). Conclusion: Ginger with P6 acupressure may contribute to improving CINV in patients undergoing chemotherapy.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"31 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-23DOI: 10.1590/1980-220X-REEUSP-2022-0454eren
{"title":"ERRATUM: Fugulin scale for classifying pediatric patients in a respiratory inpatient unit: experience report","authors":"","doi":"10.1590/1980-220X-REEUSP-2022-0454eren","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2022-0454eren","url":null,"abstract":"","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"1 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-23DOI: 10.1590/1980-220X-REEUSP-2023-0288en
Rudval Souza Silva, Larissa Coelho Barbosa, M. A. G. Brandão, Raércia dos Santos Carneiro, Nuno Damácio de Carvalho Félix, Manuela Bastos Alves
ABSTRACT Objectives: To analyze and assess Lee Geropaliative Caring Model according to Fawcett’s criteria. Method: A theoretical-reflective study about the Geropaliative Caring Model. The analysis resulted in a detailed review of the scope, context and content of a situation-specific theory, in order to determine aspects related to nursing practice and research, and assessment addressed the concrete concepts developed in theory, their significance, internal consistency, parsimony, testability and empirical and pragmatic adequacy in nursing as a discipline. Results: Based on the analysis, a situation-specific theory was used based on the science of care and aimed at caring for older adults undergoing palliation and their families, structured into four fields, namely: (1) aligning care; (2) keeping safe; (3) comforting body/mind/spirit; and (4) facilitating transitions. Final considerations: The analyzed and assessed theory leads to a structure that includes well-defined, delimited and interrelated concepts, based on the science of care as a grand theory that allowed Geropaliative Care Model derivation.
ABSTRACT Objectives：根据 Fawcett 的标准对 Lee Geropaliative Caring Model 进行分析和评估。方法： 对老年关爱模式进行理论反思研究：对老年关爱模式进行理论反思研究。分析的结果是对特定情况理论的范围、背景和内容进行详细审查，以确定与护理实践和研究相关的方面，并评估理论中提出的具体概念、其意义、内部一致性、解析性、可检验性以及在护理学科中的实证性和实用性。结果：在分析的基础上，以护理科学为基础，针对正在接受姑息治疗的老年人及其家属的护理问题，采用了针对具体情况的理论，分为四个领域，即：(1) 协调护理；(2) 保持安全；(3) 抚慰身体/心灵/精神；(4) 促进过渡。最后的考虑：经过分析和评估的理论得出了一个结构，其中包括定义明确、界限清晰和相互关联的概念，其基础是作为一种宏大理论的护理科学，它使得老年姑息关怀模式得以衍生。
{"title":"Geropalliative Caring Model analysis and assessment according to Fawcett’s criteria","authors":"Rudval Souza Silva, Larissa Coelho Barbosa, M. A. G. Brandão, Raércia dos Santos Carneiro, Nuno Damácio de Carvalho Félix, Manuela Bastos Alves","doi":"10.1590/1980-220X-REEUSP-2023-0288en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0288en","url":null,"abstract":"ABSTRACT Objectives: To analyze and assess Lee Geropaliative Caring Model according to Fawcett’s criteria. Method: A theoretical-reflective study about the Geropaliative Caring Model. The analysis resulted in a detailed review of the scope, context and content of a situation-specific theory, in order to determine aspects related to nursing practice and research, and assessment addressed the concrete concepts developed in theory, their significance, internal consistency, parsimony, testability and empirical and pragmatic adequacy in nursing as a discipline. Results: Based on the analysis, a situation-specific theory was used based on the science of care and aimed at caring for older adults undergoing palliation and their families, structured into four fields, namely: (1) aligning care; (2) keeping safe; (3) comforting body/mind/spirit; and (4) facilitating transitions. Final considerations: The analyzed and assessed theory leads to a structure that includes well-defined, delimited and interrelated concepts, based on the science of care as a grand theory that allowed Geropaliative Care Model derivation.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"2 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/1980-220x-reeusp-2022-0475pt
Ana Laura de Souza e Silva, Ana Carolina Ottaviani, Fabiana de Souza Orlandi, Keika Inouye, Marisa Silvana Zazzetta, Sofia Cristina Iost Pavarini, Ariene Angelini dos Santos-Orlandi
RESUMO Objetivo: Comparar o apoio social percebido por pessoas idosas em contexto de vulnerabilidade social segundo a funcionalidade familiar. Método: Estudo transversal de abordagem quantitativa, realizado em São Carlos-SP, com 123 idosos inseridos em contexto de alta vulnerabilidade social. A amostra foi dividida em dois grupos: boa funcionalidade familiar e disfunção familiar moderada/severa. Foram coletados dados de caracterização sociodemográfica, funcionalidade familiar (APGAR de Família) e apoio social (Escala de Apoio Social do Medical Outcomes Study). Foram utilizados os testes estatísticos Mann-Whitney, Qui-quadrado e Exato de Fisher. Resultados: Houve diferença estatisticamente significante entre apoio social e funcionalidade familiar (p < 0,05). O grupo com boa funcionalidade familiar obteve maiores escores medianos de apoio social: afetivo 100,00; material 95,00; informação 90,00; emocional 90,00; interação social positiva 85,00; quando comparado ao grupo com disfunção familiar moderada/severa: afetivo 86,67; material 87,50; informação 70,00; emocional 65,00; interação social positiva 65,00. Conclusão: Pessoas idosas que vivem em famílias disfuncionais têm menos apoio social percebido quando comparadas àquelas que vivem em famílias com boa funcionalidade familiar.
{"title":"Apoio social percebido por pessoas idosas em vulnerabilidade social segundo a funcionalidade familiar: um estudo transversal","authors":"Ana Laura de Souza e Silva, Ana Carolina Ottaviani, Fabiana de Souza Orlandi, Keika Inouye, Marisa Silvana Zazzetta, Sofia Cristina Iost Pavarini, Ariene Angelini dos Santos-Orlandi","doi":"10.1590/1980-220x-reeusp-2022-0475pt","DOIUrl":"https://doi.org/10.1590/1980-220x-reeusp-2022-0475pt","url":null,"abstract":"RESUMO Objetivo: Comparar o apoio social percebido por pessoas idosas em contexto de vulnerabilidade social segundo a funcionalidade familiar. Método: Estudo transversal de abordagem quantitativa, realizado em São Carlos-SP, com 123 idosos inseridos em contexto de alta vulnerabilidade social. A amostra foi dividida em dois grupos: boa funcionalidade familiar e disfunção familiar moderada/severa. Foram coletados dados de caracterização sociodemográfica, funcionalidade familiar (APGAR de Família) e apoio social (Escala de Apoio Social do Medical Outcomes Study). Foram utilizados os testes estatísticos Mann-Whitney, Qui-quadrado e Exato de Fisher. Resultados: Houve diferença estatisticamente significante entre apoio social e funcionalidade familiar (p < 0,05). O grupo com boa funcionalidade familiar obteve maiores escores medianos de apoio social: afetivo 100,00; material 95,00; informação 90,00; emocional 90,00; interação social positiva 85,00; quando comparado ao grupo com disfunção familiar moderada/severa: afetivo 86,67; material 87,50; informação 70,00; emocional 65,00; interação social positiva 65,00. Conclusão: Pessoas idosas que vivem em famílias disfuncionais têm menos apoio social percebido quando comparadas àquelas que vivem em famílias com boa funcionalidade familiar.","PeriodicalId":21253,"journal":{"name":"Revista Da Escola De Enfermagem Da Usp","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/1980-220x-reeusp-2023-0029pt
Jonas Sâmi Albuquerque de Oliveira, Marcelo Maurício da Silva, Mariana Mendes, Denise Elvira Pires de Pires
RESUMO Trata-se de estudo reflexivo com o objetivo de analisar as possibilidades de acesso ao emprego por refugiados no território brasileiro, frente às condições sociojurídicas do Brasil, compreendendo as relações entre trabalho e saúde. Os refugiados vivenciam a penalização de acesso ao emprego com maior impacto em sua vida, pois ao manterem-se afastados do trabalho, são colocados à margem da sociedade. Somam-se a isto as dificuldades de acesso a moradias adequadas, aos serviços de saúde, educação, alimentação saudável, dentre outros, com implicações profundas no modo de viver em um país distinto do seu e de sua cultura. O trabalho adquire relevância na discussão sobre o acesso à saúde, bens e serviços necessários para viver com dignidade e suas repercussões na relação trabalho-saúde-doença, sendo necessárias ações colaborativas em nível global para garantir que o emprego esteja disponível para refugiados. Neste sentido, a presente reflexão articula duas ideias básicas: reconhecimento da importância do trabalho na vida social e nas condições de vida; e que a determinação do processo saúde-doença ultrapassa o biológico e as escolhas individuais, tendo uma historicidade e caráter social e cultural.
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Pub Date : 2023-01-01DOI: 10.1590/1980-220x-reeusp-2023-0107pt
Fernanda Cristina Gialaim Purcino dos Reis, Amanda Gomes de Menêses, Simone Roque Mazoni, Renata Cristina de Campos Pereira Silveira, Paula Elaine Diniz dos Reis, Christiane Inocêncio Vasques
RESUMO Objetivo: Mapear as intervenções tópicas utilizadas para a prevenção da síndrome mão-pé em pacientes com câncer em terapia antineoplásica. Método: Trata-se de uma revisão de escopo reportada de acordo com as recomendações do PRISMA-ScR (extensão para revisão de escopo) e o Manual do Instituto Joanna Briggs. As buscas foram realizadas nas bases eletrônicas CINAHL, Cochrane CENTRAL, EMBASE, LILACS, LIVIVO, PubMed, Scopus, Web of Science; e literatura cinzenta (Google Scholar, Pro-Quest). Resultados: As buscas resultaram em 12.016 referências e a amostra final foi composta por 45 estudos. Um total de 42 intervenções tópicas foram identificadas, dentre elas: cremes hidratantes, corticosteroides, ácidos, mapisal, silimarina e henna. Entretanto, a ureia foi a intervenção mais citada (62%). Quanto às apresentações das intervenções, estas variaram entre cremes, pomadas, géis, hidrocoloides, decocções, adesivos, pós, óleos e sabões. Conclusão: Os resultados possibilitaram uma recensão das intervenções tópicas, com destaque ao uso da ureia e cremes hidratantes. Todavia, grande parte das intervenções identificadas nesta revisão necessitam ser avaliadas, em estudos futuros, para melhor compreensão dos seus benefícios.
摘要目的:绘制抗癌治疗中用于预防手足综合征的局部干预措施。方法:这是根据PRISMA-ScR(范围审查扩展)和Joanna Briggs研究所手册的建议报告的范围审查。检索电子数据库CINAHL, Cochrane CENTRAL, EMBASE, LILACS, LIVIVO, PubMed, Scopus, Web of Science;和灰色文学(谷歌Scholar, Pro-Quest)。结果:搜索结果为12016篇参考文献，最终样本为45项研究。共确定了42种外用干预措施，包括:保湿霜、皮质类固醇、酸、mapisal、水飞蓟素和指甲花。然而，尿素是被引用最多的干预措施(62%)。关于干预措施的介绍，有乳霜、软膏、凝胶、水胶体、煎剂、粘合剂、粉末、油和肥皂。结论:结果允许对局部干预进行综述，重点是尿素和保湿霜的使用。然而，本综述中确定的许多干预措施需要在未来的研究中进行评估，以更好地了解它们的好处。
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