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Preoperative anxiety and depression: differences among patients submitted to the first cardiac surgery 术前焦虑和抑郁:首次心脏手术患者的差异
Pub Date : 2018-02-15 DOI: 10.15253/3079
Bruna Sonego Kazitani, R. Furuya, R. Dantas, C. A. M. Dessotte
Objective: to compare the preoperative symptoms of anxiety and depression among patients submitted to the first cardiac surgery. Methods: observational, analytic and cross-sectional study. A consecutive and non-probabilistic sample consisted of patients submitted to elective cardiac surgeries, without clinical decompensation on the day of the interview. To assess the anxiety and depression symptoms, the Hospital Anxiety and Depression Scale was used. The symptoms were compared by means of the Mann-Whitney test, α=5.0%. Results: the study participants were 80 patients submitted to the first surgery and 19 to reoperation. Patients in their first surgery presented a median score of six and reoperated patients a median score of four on the depression scale (p=0.107). Concerning the anxiety symptoms, patients in their first surgery presented a median score of eight, against six for the reoperated patients (p=0.171). Conclusion: the anxiety and depression scores were higher among the patients submitted to their first surgery, but no statistically significant difference was found between the groups.
目的:比较首次心脏手术患者术前焦虑和抑郁症状。方法:观察性、分析性、横断面研究。一个连续的非概率样本包括接受选择性心脏手术的患者,在访谈当天没有临床代偿。采用医院焦虑抑郁量表评估患者的焦虑抑郁症状。采用Mann-Whitney检验比较症状,α=5.0%。结果:研究对象为首次手术80例,再手术19例。第一次手术患者的抑郁量表中位数得分为6分,再手术患者的抑郁量表中位数得分为4分(p=0.107)。在焦虑症状方面,第一次手术患者的中位数得分为8分,而再次手术患者的中位数得分为6分(p=0.171)。结论:首次手术患者焦虑抑郁得分较高,但两组间差异无统计学意义。
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引用次数: 7
Patient safety culture from the perspective of the nursing team 从护理团队的角度看患者安全文化
Pub Date : 2018-02-15 DOI: 10.15253/2175-6783.2018193152
Objective: to evaluate the patient safety culture from the perspective of the nursing team. Methods: cross-sectional design, survey-type inquiry performed with 221 nursing professionals from a University Hospital. The instrument used was the Hospital Survey on Patient Safety Culture. The Kolmogorov-Smirnov test, the Spearman’s correlation coefficient and the Cronbach’s alpha coefficient were used in the analyses. Results: the patient safety culture has been moderately developed; teamwork within units corresponded to a strong area (75.5%) and the nonpunitive response to errors corresponded to an area for ​​improvement (47.0%). It was observed that the greater the impression of nonexistence of problems and adequacy of the implanted systems, the better the rating assigned to the hospital. Conclusion: patient safety culture is in the process of development; the dimension with more positive answers was teamwork within units and, the one with less positive answers was nonpunitive response to errors.
目的:从护理团队的角度评价患者安全文化。方法:采用横断面设计、问卷式调查对某大学附属医院221名护理专业人员进行调查。使用的工具是《医院患者安全文化调查》。分析采用Kolmogorov-Smirnov检验、Spearman相关系数和Cronbach α系数。结果:患者安全培养得到适度发展;单位内的团队合作对应于一个强大的领域(75.5%),对错误的非惩罚性反应对应于一个需要改进的领域(47.0%)。据观察,植入系统不存在问题和充分性的印象越深刻,对医院的评级就越高。结论:患者安全文化处于发展过程中;正面答案较多的维度是单位内部的团队合作,正面答案较少的维度是对错误的非惩罚性反应。
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引用次数: 10
Professional satisfaction of nursing workers from a service of hematology-oncology 某血液科肿瘤科护理人员职业满意度分析
Pub Date : 2018-02-15 DOI: 10.15253/2175-6783.2018193165
Bruna Xavier Morais, Cecília Mariane Pinheiro Pedro, Graziele de Lima Dalmolin, A. M. D. Silva
Objetivo: avaliar o nivel de satisfacao profissional de trabalhadores de enfermagem de um servico de hemato-oncologia. Metodos: estudo transversal, realizado com 46 trabalhadores de enfermagem de um servico de hemato-oncologia. Utilizou-se questionario com dados sociodemograficos, laborais e o instrumento Indice de Satisfacao Profissional. Para analise dos dados foi utilizada estatistica descritiva. Resultados: o nivel de satisfacao profissional encontrado foi de 11,17, considerado baixo. O componente mais importante entre os trabalhadores no que se refere a satisfacao profissional foi a interacao (2,96), seguida da autonomia (2,93), e o menos importante foi o status profissional (1,62). Conclusao: observou-se baixo indice de satisfacao profissional dos trabalhadores de enfermagem do servico de hemato-oncologia. Os componentes interacao e autonomia foram considerados os mais importantes para a satisfacao profissional.
摘要目的:评价某血液肿瘤服务护理人员的专业满意度。方法:对血液肿瘤科46名护理人员进行横断面研究。我们使用了一份包含社会人口学数据、劳动和专业满意度指数工具的问卷。数据分析采用描述性统计。结果:专业满意度为11.17,认为较低。就工作满意度而言,员工中最重要的组成部分是互动(2.96),其次是自主(2.93),最不重要的是职业地位(1.62)。结论:血液肿瘤护理人员的专业满意度较低。互动和自主被认为是职业满意度最重要的组成部分。
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引用次数: 7
Within the urgent and emergency settings: the suicidal ideation of nurses 在紧急和紧急情况下:护士的自杀意念
Pub Date : 2018-02-15 DOI: 10.15253/3382
Francisco Arnoldo Nunes de Miranda, Felismina Mendes
It is an invitation to reflect about the evidence, the effectiveness of interventions and expectations surrounding health professionals within the hospital context, mainly nurses, regarding the urgent and emergency settings. The text does not specifically deal with a single theme, but a complex, subliminal and undocumented issue that is not said in the everyday work of nursing professionals. It draws attention to the topic of mental health, particularly the suicidal ideation, which is taken as the most significant risk factor resulting from depression and work environment.
它邀请人们反思证据、干预措施的有效性以及围绕医院内卫生专业人员(主要是护士)在紧急和紧急情况下的期望。文本并没有具体处理一个单一的主题,而是一个复杂的,潜意识的和未记录的问题,没有在护理专业人员的日常工作中说。它引起人们对心理健康的关注,特别是自杀意念,这被认为是抑郁症和工作环境导致的最重要的风险因素。
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引用次数: 0
Factors associated with the use of alcohol and drugs by pregnant women 与孕妇使用酒精和药物有关的因素
Pub Date : 2018-02-15 DOI: 10.15253/3116
Priscilla Nunes Porto, Silier Andrade Cardoso Borges, Anne Jacob de Souza Araújo, Jeane Freitas de Oliveira, M. Almeida, MA Pereira
Objective: to verify the association between sociodemographic conditions and the involvement of pregnant women with drugs. Methods: a cross-sectional study was carried out with 268 pregnant women in a public maternity hospital, through an interview. For the bivariate analysis Fisher’s Exact Test and odds ratio with 95% confidence interval were used. Results: statistically significant associations were observed between the use of psychoactive substances by pregnant women and schooling (p=0.017), race (p=0.020) and housing condition (p=0.014). Conclusion: it was evidenced that different factors contribute to the occurrence of vulnerability to health among pregnant women, mainly resulting from the integration of individual and social aspects.
目的:验证社会人口学条件与孕妇吸毒之间的关系。方法:采用横断面调查方法,对某公立妇产医院268名孕妇进行访谈。双变量分析采用Fisher精确检验和95%置信区间的比值比。结果:孕妇使用精神活性物质与学校教育(p=0.017)、种族(p=0.020)和住房条件(p=0.014)有统计学意义的相关。结论:孕妇健康脆弱性的发生有多种因素的影响,主要是个体和社会因素综合作用的结果。
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引用次数: 7
Association between maternal and neonatal factors and Apgar in usual risk neonates 产妇和新生儿因素与正常危险新生儿Apgar之间的关系
Pub Date : 2018-01-03 DOI: 10.15253/3179
J. Saraiva, Sibylle Emilie Vogt, Jéssica da Silva Rocha, E. D. Duarte, Delma Aurélia da Silva Simão
Objective: to verify the association between maternal and neonatal factors and the Apgar score <7 at five minutes of life. Methods: cross-sectional study with 134 newborns. For the analysis of the data collected through an instrument developed by the researchers, we used the description of the absolute and relative frequencies and applied the Chi-square or Fisher’s exact tests. Results: of the total number of newborns, 63.0% had primigravida mother, 56.0% were male, 79.0% had been born from normal delivery, 65.0% had required oxygen and 45.0% had been resuscitated in the delivery room. Among women, 71.0% had made use of oxytocin. Conclusion: use of oxytocin, oxygen and resuscitation in the delivery room showed a significant association with Apgar <7 at five minutes of life. Birth weight, rupture membrane time, meconium clearance, type of delivery, and parity were not related to the low Apgar score.
目的:验证母婴因素与生命5分钟时Apgar评分<7的相关性。方法:对134例新生儿进行横断面研究。为了分析通过研究人员开发的仪器收集的数据,我们使用了绝对频率和相对频率的描述,并应用了卡方或费雪精确检验。结果:初产妇占新生儿总数的63.0%,男婴占56.0%,正常分娩占79.0%,需吸氧占65.0%,产房复苏占45.0%。在女性中,71.0%曾使用过催产素。结论:产房使用催产素、吸氧及复苏与新生儿5分钟时Apgar <7有显著相关性。出生体重、破膜时间、胎便清除率、分娩类型和胎次与低Apgar评分无关。
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引用次数: 3
Effectiveness of metronidazole in the treatment of tumor wound odors 甲硝唑治疗肿瘤创面异味的疗效观察
Pub Date : 2018-01-03 DOI: 10.15253/3245
A. M. Barreto, A. Marques, V. Cestari, Rochelle da Costa Cavalcante, T. Moreira
Objetivo: analisar as evidencias da efetividade do Metronidazol no tratamento de odores em feridas tumorais. Metodos: revisao integrativa realizada nas bases de saude e no portal PubMed. Os estudos foram avaliados pela Escala de Jadad (ensaios clinicos randomizados), Downs e Black (quase experimentais) e o Strengthening the Reporting of Observational studies in Epidemiology (observacionais). Amostra de dez estudos e considerou-se como ponto de corte artigos que atingiram 50,0% dos criterios. Resultados: o Metronidazol se mostrou efetivo em 95,6% dos casos e a preparacao em gel a 0,75% foi a mais utilizada nos estudos. Conclusao: as evidencias apontam o metronidazol como seguro e eficaz no controle de odores em feridas tumorais, porem nao ha consenso sobre as formas de apresentacao e vias de administracao mais efetivas. A maioria dos estudos associa o surgimento de mau odor com o crescimento de bacterias anaerobias no tecido tumoral.
摘要目的:分析甲硝唑治疗肿瘤创面气味疗效的证据。方法:在健康数据库和PubMed门户网站上进行综合综述。采用Jadad量表(随机临床试验)、Downs和Black量表(准实验)和加强流行病学观察性研究报告(观察性)对研究进行评估。样本10项研究,并被认为是达到50.0%标准的截止点文章。结果:甲硝唑在95.6%的病例中有效,0.75%的凝胶制剂是研究中使用最多的。结论:有证据表明甲硝唑对肿瘤创面气味控制安全有效,但对最有效的剂型和给药途径尚未达成共识。大多数研究将难闻气味的出现与肿瘤组织中厌氧菌的生长联系起来。
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引用次数: 0
Current challenges in nursing education: the professor’s perspective 当前护理教育面临的挑战:教授的观点
Pub Date : 2018-01-03 DOI: 10.15253/3160
Cássia Regina Fernandes Biffe Peres, M. J. Marin, S. Tonhom, Maria de Lourdes da Silva Ferreira Marques
Objective: understanding the perspective of professors of nursing courses on the challenges faced in the process of curricular reconstruction. Methods: a qualitative research with 21 nursing professors from six Higher Education Institutions. The data analysis was carried out using the hermetic and dialectic technique. Results: there are difficulties in curricular reorganization in relation to teacher training according to the new social requirements and a lack of integration of the different knowledge areas. There are also aggravating factors such as knowledge gaps in high school students, the distance between education and the working world, and a lack of interest in becoming a nurse. Conclusion: according to the professors’ perceptions there is positive movement toward curricular organization, despite the outstanding challenges involved in nurses’ training/education such as the lack of teacher training for dealing with innovative proposals, the distance between the working world and the training process, little social valorization of the profession, and the low quality of primary and secondary education in Brazil.
目的:了解护理课程教授对课程重构过程中所面临挑战的看法。方法:对来自6所高等院校的21名护理学教授进行定性研究。数据分析采用密闭和辩证法技术进行。结果:根据新的社会要求,教师培训课程重组存在困难,不同知识领域缺乏整合。高中生的知识差距、教育和工作之间的距离、对成为护士缺乏兴趣等因素也在加剧。结论:根据教授们的看法,尽管护士培训/教育面临着突出的挑战,如缺乏处理创新建议的教师培训,工作世界与培训过程之间的距离,职业的社会价值不高,以及巴西中小学教育的低质量,但课程组织仍在积极发展。
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引用次数: 9
Assessment of maternal self-efficacy in breastfeeding in the immediate puerperium 产妇在产褥期母乳喂养中的自我效能评估
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600016
Bárbara Brandão Lopes, A. Lopes, D. G. Soares, Hilana Dayana Dodou, Régia Christina Moura Barbosa Castro, M. O. B. Oriá
Objective: to evaluate the maternal self-efficacy in breastfeeding in the immediate puerperium. Methods: this is a cross-sectional study involving 132 puerperae. A form with sociodemographic and obstetrical data and the Breastfeeding Self-Efficacy Scale - Short Form was applied in the rooming-in maternity ward. Results: the majority of the interviewed women presented high self-efficacy (90.9%) and presented medium (9.1%) self-efficacy in breastfeeding. There was no association between Breastfeeding Self-Efficacy Scale-Short Form scores and sociodemographic and obstetric variables. Conclusion: women presented high self-efficacy in breastfeeding, which points to a favorable expectation towards breastfeeding, and nurse professional are required to provide more effective assistance in breastfeeding support.
目的:评价产妇临产期母乳喂养的自我效能感。方法:这是一项涉及132例产妇的横断面研究。采用社会人口学和产科数据表格和母乳喂养自我效能量表-简表对分房产科病房进行调查。结果:受访女性母乳喂养自我效能感以高(90.9%)和中(9.1%)为主。母乳喂养自我效能量表-简表得分与社会人口统计学和产科变量之间没有关联。结论:女性对母乳喂养的自我效能感较高,表明对母乳喂养有良好的期望,需要护理专业人员在母乳喂养支持方面提供更有效的帮助。
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引用次数: 4
Nursing diagnoses in hospitalized children 住院儿童的护理诊断
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600008
Thayane Alves Moura César Lopes, Maria de Fátima Vasques Monteiro, Joseph Dimas de Oliveira, Dayanne Rakelly de Oliveira, Ana Karina Bezerro Pinheiro, S. S. Damasceno
Objetivo: descrever a frequencia dos diagnosticos de enfermagem em criancas hospitalizadas. Metodos: estudo transversal, realizado em uma unidade hospitalar infantil, a partir de 738 prontuarios. A analise dos dados baseou-se na estatistica descritiva. Resultados: identificou-se frequencia de 2.100 diagnosticos de enfermagem distribuidos em 15 conceitos de diagnosticos, seis dominios e 12 classes, conforme a Taxonomia II da NANDA-I. Os mais prevalentes foram: padrao respiratorio ineficaz (18,7%), hipertermia (15,2%), padrao de sono prejudicado (11,1%), nutricao desequilibrada: menor do que as necessidades corporais (10,8%), medo (9,3%), dor aguda (7,1%) e diarreia (6,7%). Conclusao: foram descritos cinco diagnosticos de enfermagem mais incidentes em criancas hospitalizadas “padrao respiratorio ineficaz”, “hipertermia”, “diarreia” “medo” e “dor aguda”. Destes, os tres primeiros apresentam estreita relacao com as condicoes que determinam as maiores causas de hospitalizacao na infância: infeccoes respiratorias agudas e gastroenterites.
摘要目的:探讨儿童住院护理诊断的发生率。方法:横断面研究,在一个儿童医院单位进行,从738个记录。数据分析以描述性统计为基础。结果:根据NANDA-I分类II,我们确定了2100例护理诊断的频率,分为15个诊断概念、6个领域和12个类别。最常见的是:呼吸模式无效(18.7%)、体温过高(15.2%)、睡眠模式受损(11.1%)、营养不平衡:低于身体需求(10.8%)、恐惧(9.3%)、急性疼痛(7.1%)和腹泻(6.7%)。结论:描述了住院儿童“呼吸模式无效”、“热疗”、“腹泻”、“恐惧”和“急性疼痛”五种更常见的护理诊断。其中,前三种疾病与决定儿童住院主要原因的条件密切相关:急性呼吸道感染和肠胃炎。
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引用次数: 5
期刊
Northeast Network Nursing Journal
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