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Care for the Acquired Immunodeficiency Syndrome in the contemporary world: understanding practitioners’ view 当代世界对获得性免疫缺陷综合征的护理:了解从业者的观点
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600011
Cleuma Sueli Santos Suto, M. S. Paiva, Jeane Freitas de Oliveira, Andreia Silva Rodrigues, Daiane Santos Oliveira, Carlos Alberto Porcino
Objective:  to understand the perspective of health professionals on care for people with acquired immunodeficiency syndrome.  Methods:  this is a qualitative approach based on the Social Representation Theory based on the free speeches of 73 practitioners from four specialized public services, which were submitted to Factorial Correspondence Analysis.  Results:  practitioners with longer training and working time have emphasized aspects related to the syndrome such as physical degradation, abandonment and death; practitioners with shorter training and working time have represented the care of the person living with human immunodeficiency virus as an increased knowledge of sensitivity, indicating attitudes and behaviors socially constructed and accepted as belonging to health practitioners.  Conclusion: practitioners with more experience have seen the syndrome in its negative and initial aspect; the newcomers to the professional practice have shown sensitivity and openness to the relevant issues of this phenomenon and concrete possibilities of more effective/transforming care practices.
目的:了解卫生专业人员对获得性免疫缺陷综合征患者护理的看法。方法:基于社会表征理论,对4个专业公共服务部门73名从业人员的自由言论进行定性分析,并提交析因对应分析。结果:培训时间较长、工作时间较长的从业人员强调与该综合征有关的方面,如身体退化、遗弃和死亡;受过较短培训和工作时间较短的从业人员表示,对人体免疫缺陷病毒感染者的护理增加了对敏感性的了解,表明社会构建和接受的属于保健从业人员的态度和行为。结论:经验丰富的从业人员对证候的认识主要集中在证候的消极和初始方面;专业实践的新人对这一现象的相关问题以及更有效/转变护理实践的具体可能性表现出敏感性和开放性。
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引用次数: 2
Perceptions of mothers about the quality of life of children with hydrocephalus 母亲对脑积水患儿生活质量的看法
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600003
C. Torres, Á. Ferreira, Leidiane Minervina Moraes de Sabino, M. C. Martins, F. A. Couto, Viviane Mamede Vasconcelos Cavalcante
Objective:  to understand the perceptions of mothers about the quality of life of children with hydrocephalus.  Methods:  qualitative research carried out in a pediatric public hospital with twelve mothers of children with hydrocephalus. Data were collected from semi-structured interviews and the content analysis was performed.  Results:  according to the mothers, children with hydrocephalus had a considerable motor deficit, but some managed to perform this function properly. The emotional status had not presented a significant change; and in relation to school performance, the majority was not studying in school or could not keep up with the learning rhythm of the others, however, they managed to maintain good interpersonal relationships.  Conclusion:  children with hydrocephalus presented deficits in motor, educational and emotional development, but they had no impairment in interpersonal relationships, according to mothers’ perceptions.
目的:了解母亲对脑积水患儿生活质量的认知。方法:对某公立儿科医院12例脑积水患儿母亲进行定性研究。数据从半结构化访谈中收集,并进行内容分析。结果:根据母亲的说法,患有脑积水的儿童有相当大的运动缺陷,但有些人设法正常行使这项功能。情绪状态无明显变化;在学业表现方面,大部分学生没有在学校学习或跟不上其他人的学习节奏,但他们都能保持良好的人际关系。结论:根据母亲的认知,脑积水患儿在运动、教育和情感发展方面存在缺陷,但在人际关系方面无损害。
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引用次数: 1
Self-esteem of patients with coronary artery disease 冠心病患者的自尊
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600002
Daniele Alcalá Pompeo, Letícia Palota Eid, I. Carvalho, Eduarda dos Santos Bertolli, Natalia Serafim de Oliveira
Objective: to evaluate the self-esteem of individuals with coronary artery disease. Methods: this is a cross-sectional study, carried out with 77 participants. The instruments used were Hospital Anxiety and Depression Scale and Rosenberg Self-esteem Scale. Results: most of the participants had moderate self-esteem, 48 (62.3%), followed by a low self-esteem, 29 (37.7%), being influenced by the variables gender (p=0.040), education level (p=0.009), anxious symptoms (p=0.010) and depressive (p=0.030). Conclusion: patients with coronary artery disease presented medium and low self-esteem scores. Higher levels of self-esteem were associated with females, higher education level and the presence of anxiety and depression symptoms.
目的:评价冠心病患者的自尊水平。方法:这是一项横断面研究,共有77名参与者。采用医院焦虑抑郁量表和Rosenberg自尊量表。结果:受性别(p=0.040)、受教育程度(p=0.009)、焦虑症状(p=0.010)和抑郁症状(p=0.030)的影响,中等自尊者最多,为48人(62.3%),其次为低自尊者,为29人(37.7%)。结论:冠心病患者自尊分中、低分。较高的自尊水平与女性、较高的教育水平以及存在焦虑和抑郁症状有关。
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引用次数: 3
Association between sociodemographic characteristics and depressive symptoms in hospitalized elderly 住院老年人社会人口学特征与抑郁症状的关系
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600007
I. Nascimento, P. Mello, Alcimar Marcelo do Couto, Gilberto de Lima Guimarães, I. Mendoza
Objective:  to describe the sociodemographic characteristics associated with depressive symptoms in hospitalized elderly.  Methods:  cross-sectional study carried out in a public teaching hospital. The sample was composed of 96 individuals aged ≥60 years, hospitalized in a clinical and surgical unit. The data collection was performed through a semi-structured interview with the instrument Geriatric Depression Scale. The variables were described through frequencies, percentages, means and standard deviations. The Fisher’s exact test was used to assess the association with depressive symptoms.  Results:  a total of 45.8% of the elderly presented mild to moderate depressive symptoms and 1.0% had severe symptoms. There was a predominance of women, between 60 and 79 years old, living with a partner, with low level of education (one to seven years of schooling), Catholics, retirees or pensioners, and with a family income of up to three minimum wages.  Conclusion:  the labor situation presented a statistically significant association with depressive symptoms in the hospitalized elderly.
目的:探讨住院老年人抑郁症状的社会人口学特征。方法:在某公立教学医院进行横断面研究。样本由96名年龄≥60岁,在临床和外科住院的个体组成。数据收集是通过半结构化访谈,使用老年抑郁量表进行的。变量通过频率、百分比、均值和标准差来描述。Fisher精确检验被用来评估与抑郁症状的关系。结果:45.8%的老年人出现轻至中度抑郁症状,1.0%的老年人出现重度抑郁症状。妇女占多数,年龄在60至79岁之间,与伴侣同住,受教育程度低(一至七年的学校教育),天主教徒,退休人员或领取养老金者,家庭收入不超过最低工资的三倍。结论:分娩情况与住院老年人抑郁症状有统计学意义。
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引用次数: 2
Breastfeeding of premature infants at a child-friendly hospital: from hospital discharge to home 在儿童友好医院的早产儿母乳喂养:从出院到回家
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600015
Ana Leticia Monteiro Gomes, Talita Balaminut, Silvia Braña López, Karla de Araújo do Espírito Santo Pontes, C. Scochi, M. M. Christoffel
Objective: to verify the prevalence of breastfeeding of preterm infants in neonatal units. Methods: an exploratory, cross-sectional study was performed at a Child-Friendly Hospital with 21 premature infants and their mothers. Interviews and a survey of medical records were performed using a form to collect data, which were analyzed through descriptive statistics. Results: the onset of milk feeding and breastfeeding was, respectively, 61.7 hours and 17.2 days on average. At hospital discharge, 47.6% of the preterm infants were breastfed; 47.6% were on exclusive breastfeeding; and 4.8% were on artificial milk feeding. At home, there were no changes in feeding patterns at seven to fifteen days after hospital discharge. Conclusion: it is necessary to strengthen actions for promotion, protection and support that encourage the practice of breastfeeding.
目的:了解新生儿病房早产儿母乳喂养的流行情况。方法:在一家儿童友好医院对21名早产儿及其母亲进行探索性横断面研究。访谈和医疗记录调查使用表格收集数据,并通过描述性统计进行分析。结果:母乳喂养开始时间平均为61.7小时,母乳喂养开始时间平均为17.2天。出院时,47.6%的早产儿接受母乳喂养;47.6%采用纯母乳喂养;4.8%采用人工母乳喂养。在家中,出院后7至15天的喂养模式没有变化。结论:有必要加强促进、保护和支持母乳喂养的行动。
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引用次数: 1
Violations of fundamental rights of children and adolescents through violence 通过暴力侵犯儿童和青少年的基本权利
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600005
Letícia Gramázio Soares, Laís Bastos Depaoli, Maicon Henrique Lentsck, L. Soares, M. Birolim, Ieda Harumi Igarashi
Objective: to describe the violations of the fundamental rights of children and adolescents through violence. Methods: cross-sectional study of notifications of violations collected from the Information System on Protection to Children and Adolescents. Descriptive and analytical analyses were carried out by means of Chi-square tests for associations. Results: among the notifications, 61.2% were related to family and community living; 18.3% to education, culture, sport and leisure; 11.5% to freedom, respect and dignity; 8.5% to life and health; and 0.5% to professionalization and protection at work. There were 541 notifications making reference to violence, which included: 47.5% of sexual nature; white girls, 6 to 12 years old, and students, as main victims; and family members as the main perpetrators. Gender, age and schooling were associated with sexual violence. Conclusion: the fundamental rights of children and adolescents have been violated in most cases by the occurrence of violence of sexual, psychological, and physical nature, and negligence.
目的:描述通过暴力侵犯儿童和青少年基本权利的情况。方法:对从保护儿童和青少年信息系统中收集的侵权通知进行横断面研究。通过卡方检验对相关性进行描述性和分析性分析。结果:通报中与家庭和社区生活有关的占61.2%;18.3%用于教育、文化、体育和休闲;11.5%追求自由、尊重和尊严;8.5%用于生命和健康;0.5%用于职业专业化和工作保护。有541份通知书涉及暴力,其中包括:47.5%的性暴力;6至12岁的白人女孩和学生是主要受害者;家庭成员是主要的肇事者。性别、年龄和受教育程度与性暴力有关。结论:在大多数情况下,儿童和青少年的基本权利受到侵犯,原因是性暴力、心理暴力和身体暴力以及疏忽。
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引用次数: 1
Sociodemographic and clinical profile of patients treated with oral anticoagulants 口服抗凝剂治疗患者的社会人口学和临床概况
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600006
Thaisa Remigio Figueirêdo, H. Araújo, T. Silva, M. M. B. M. S. Silveira, C. R. B. Costa, Simone Maria Muniz da Silva Bezerra
Objective: to describe the sociodemographic and clinical profile of patients treated with oral anticoagulants. Methods: cross-sectional study, conducted in an anticoagulation outpatient facility of a teaching hospital which is reference in cardiology. One evaluated 222 patients, through individual interviews using a structured questionnaire. Data were analyzed using descriptive statistics. Results: the participants were characterized predominantly by the following characteristics: female (64.4%); brown (57.2%); low education (68.0%); poor (67.1%); most with values of the International Normalized Ratio outside the therapeutic range (57.2%); associated comorbidities; and prolonged treatment time (65.8%). Conclusion: it was evident a predominantly female group, with low socioeconomic status, associated comorbidities and prolonged treatment time with oral anticoagulants. It constitutes the biggest part of a vulnerable group whose characteristics can affect the quality of the treatment, and with characteristics related to the particular culture of northeastern Brazil, not found in anticoagulation outpatient facilities in other regions of the country.
目的:描述口服抗凝剂治疗患者的社会人口学和临床特征。方法:在某教学医院抗凝门诊进行横断面研究,为心脏病学研究提供参考。其中一项通过使用结构化问卷的个人访谈评估了222名患者。数据分析采用描述性统计。结果:参与者的主要特征为:女性(64.4%);布朗(57.2%);教育程度低(68.0%);可怜的(67.1%);国际标准化比值超出治疗范围者最多(57.2%);相关的并发症;治疗时间延长(65.8%)。结论:明显以女性为主,社会经济地位低,有相关合并症,口服抗凝治疗时间延长。他们构成了弱势群体的最大部分,他们的特点可以影响治疗质量,并且具有与巴西东北部特定文化相关的特点,而这些特点在该国其他地区的抗凝门诊设施中没有发现。
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引用次数: 2
Factors associated with frailty syndrome in elderly women 老年妇女衰弱综合征的相关因素
Pub Date : 2017-11-21 DOI: 10.15253/2175-6783.2017000500018
C. Grden, Vanessa Regina de Andrade, L. Cabral, P. Reche, Erildo Vicente Muller, Pollyanna Kássia de Oliveira Borges
Objective:  to evaluate the factors associated with frailty syndrome in elderly women in an outpatient clinic.  Methods:  cross-sectional study with 252 elderly women. The Mini Mental State Examination and the Edmonton Frail Scale were applied. The association of variables was performed using simple linear regression (Fisher’s F and Student’s t tests), p≤0.05. Results:  there was prevalence of married women (44.4%) with low schooling (50.0%) and living with relatives (50.8%). Among them, 28.6% had mild, 13.0% moderate and 3.6% severe frailty. The factors associated with the syndrome were age (p=0.021), level of education (p=0.001), living with relatives (p=0.013), illnesses (p=0.023), falls (p=0.001) and hospitalization in the last 12 months (p=0.001).  Conclusion:  evidenced that almost half of the sample presented some type of frailty. Thus, it is important to evaluate this population frequently, considering the associated factors that can contribute to frailty.
目的:评价门诊老年妇女虚弱综合征的相关因素。方法:对252名老年妇女进行横断面研究。采用简易精神状态测试和埃德蒙顿虚弱量表。变量间的关联采用简单线性回归(Fisher’s F检验和Student’s t检验),p≤0.05。结果:已婚妇女占44.4%,受教育程度低占50.0%,与亲属同住占50.8%。其中轻度虚弱占28.6%,中度虚弱占13.0%,重度虚弱占3.6%。与该综合征相关的因素为年龄(p=0.021)、受教育程度(p=0.001)、与亲属同住(p=0.013)、疾病(p=0.023)、跌倒(p=0.001)和过去12个月内住院(p=0.001)。结论:有证据表明,几乎一半的样本呈现出某种类型的虚弱。因此,考虑到可能导致虚弱的相关因素,对这一人群进行频繁评估是很重要的。
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引用次数: 2
With words I cannot say: giving new meaning to care through music in cardio pediatric postoperative 用我无法表达的语言:通过音乐赋予儿科心脏术后护理新的意义
Pub Date : 2017-09-11 DOI: 10.15253/2175-6783.2017000500013
Odemir Pires Cardoso Júnior, Mara Marusia Martins Sampaio Campos, Mônica Cordeiro Ximenes de Oliveira, Maria Morano, Maria Valdeleda Uchoa Morais Araújo, Kellen Yamille dos Santos Chaves
Objetivo: compreender as ressignificacoes que a musica promove no cuidado as criancas em pos-operatorio cardiaco. Metodos: pesquisa qualitativa com profissionais da equipe multiprofissional de saude por meio de entrevista semiestruturada baseada no metodo de Analise de Conteudo. Resultados: os profissionais perceberam a Unidade de Terapia Intensiva Pediatrica como cenario suscetivel de deterioracao na qualidade da assistencia. Ademais, consideraram que o uso da musica, como terapeutica integrativa e complementar, fomentou a producao de sentidos na atencao a saude, mostrando-se capaz de proporcionar relaxamento, distracao, bem-estar, recordacoes agradaveis e conforto aos profissionais e as criancas internadas. Conclusao: a musica contribuiu para a ressignificacao do cuidado otimizando a humanizacao e reestruturando os processos de promocao de saude. A experiencia proporcionou reflexoes, habilidades, expressao emocional, sensacoes e sentimentos como relaxamento, distracao e bem-estar na equipe multiprofissional. O cuidado a crianca foi ampliado, aliando o arsenal tecnologico a preocupacao com o conforto e estado emocional.
摘要目的:了解音乐在儿童心脏术后护理中的新意义。方法:采用基于内容分析方法的半结构化访谈法,对多学科健康团队的专业人员进行定性研究。结果:专业人员认为儿科重症监护室是护理质量恶化的敏感场景。此外,他们认为,音乐作为一种综合和互补的治疗方法,促进了对健康关注的感官产生,能够为专业人员和住院儿童提供放松、分心、幸福、愉快的回忆和舒适。结论:音乐有助于重新定义护理,优化人性化,重组健康促进过程。这种体验提供了反射、技能、情感表达、感觉和感觉,如放松、分心和多专业团队的幸福。对儿童的照顾得到了扩展,将技术武器与对舒适和情绪状态的担忧结合起来。
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引用次数: 3
Nursing interventions and outcomes for pressure ulcer risk in critically ill patients 危重病人压疮风险的护理干预和结果
Pub Date : 2017-09-11 DOI: 10.15253/2175-6783.2017000500006
Luana Nunes Caldini, Renan Alves Silva, G. A. Melo, Francisco Gilberto Fernandes Pereira, Natasha Marques Frota, J. A. Caetano
Objetivo: estabelecer relacoes entre as intervencoes e os resultados de enfermagem para o diagnostico Risco de lesao por pressao em pacientes criticos. Metodos: estudo longitudinal, realizado com 63 pacientes, em uma unidade de terapia intensiva. Utilizou-se um instrumento com dados clinicos do paciente e a Escala de Braden. Realizou-se a tecnica de mapeamento cruzado a fim de estabelecer os resultados e as intervencoes de enfermagem para cada fator de risco. Resultados: encontraram-se quatro relacoes intervencoes/resultados para percepcao sensorial; 11 para umidade; cinco para atividade; seis para nutricao; quatro para mobilidade; e tres para friccao/cisalhamento. Conclusao: identificaram-se 33 relacoes direcionadas aos fatores de risco observados, com maior frequencia para umidade. As relacoes estabelecidas para a umidade foram: eliminacao urinaria, resposta a medicacao, cicatrizacao de feridas: segunda intencao, autocuidado: banho, equilibrio hidrico, equilibrio eletrolitico e acido-base, continencia intestinal e integridade tissular: pele e mucosas.
摘要目的:探讨危重病人压力损伤风险诊断的护理干预与护理结果之间的关系。方法:对63例重症监护病房患者进行纵向研究。我们使用了一种包含患者临床资料和布雷登量表的仪器。采用交叉映射技术建立各危险因素的护理结果和干预措施。结果:我们发现了四种与感官知觉相关的干预/结果;11表示湿度;五为活动;六为营养;四是机动性;三个用于摩擦/剪切。结论:我们确定了33个与观察到的危险因素的关系,最常见的是湿度。与水分的关系是:排尿、药物反应、伤口愈合:第二意图、自我护理:沐浴、水平衡、电解质和酸碱平衡、肠道节制和组织完整性:皮肤和粘膜。
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引用次数: 3
期刊
Northeast Network Nursing Journal
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