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FATORES ASSOCIADOS À AUTOEFICÁCIA DA AMAMENTAÇÃO NO PUERPÉRIO IMEDIATO EM MATERNIDADE PÚBLICA 公立妇产医院产后母乳喂养自我效能感的相关因素
Q4 Nursing Pub Date : 2023-02-06 DOI: 10.1590/ce.v28i0.84086
Laíse Sousa Siqueira, Floriacy Stabnow Santos, Romila Martins de Moura Stabnow Santos, Lívia Fernanda Siqueira Santos, Leonardo Hunaldo dos Santos, L. Pascoal, Marcelino Santos Neto
RESUMO Objetivo: verificar a associação entre variáveis sociodemográficas, antecedentes obstétricos, gestação atual e puerpério à autoeficácia em amamentar. Método: estudo transversal, realizado no sudoeste maranhense do Brasil, entre os meses de outubro de 2020 a julho de 2021 com a participação de 240 puérperas, utilizando-se a Breastfeeding Self-Efficacy Scale - Short Form. Realizaram-se análise descritiva, possíveis associações, modelos de regressão logística simples e múltiplos. Resultados: 83,3% apresentaram alta autoeficácia em amamentar, 46,7% tinham entre 26 e 35 anos, 81,2% eram casadas ou estavam em união estável, 94,2% amamentaram na primeira hora de vida, 37,9% receberam orientação sobre amamentação na Unidade Básica e 84,2% ofertaram somente leite materno para o recém-nascido na maternidade, sendo esses fatores associados à alta autoeficácia em amamentar (p<0,05). Conclusão: a pesquisa contribuiu para orientar os profissionais de saúde a prestar assistência de qualidade superior à gestante, puérpera e lactante, com o objetivo de aumentar a autoeficácia em amamentar, identificando, dentre tais mulheres, àquelas que necessitam de maior apoio.
摘要目的:探讨社会人口学变量、产科史、当前妊娠期和产后期与母乳喂养自我效能感的关系。方法:横断面研究,于2020年10月至2021年7月在巴西西南部maranhense进行,240名母亲参与,使用母乳喂养自我效能量表(简表)。进行描述性分析,可能的关联,简单和多元logistic回归模型。结果:83起,3%提供高autoeficácia在母乳喂养,46岁,26 - 35岁的有7%,81年,2%的人已婚或母乳喂养了94年稳定的婚姻,2%在生命的第一个小时,9%会得到关于母乳喂养的基本单位和84,2%只是ofertaram母乳的新生儿在医院里为因子高autoeficácia母乳喂养相关(p < 0 . 05)。结论:该研究有助于指导卫生专业人员为孕妇、产后和哺乳期妇女提供高质量的援助,以提高母乳喂养的自我效能感,确定这些妇女中需要更多支持的人。
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引用次数: 0
PSYCHOSOCIAL REPERCUSSIONS OF RADIOTHERAPY TREATMENT FOR CERVICAL CANCER: A QUALITATIVE APPROACH 宫颈癌放射治疗的心理社会影响:一种定性方法
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.88966
Natalia Beatriz Lima Pimentel, Felipe Cardoso Modesto, Vivian Cristina Gama Souza Lima, Adriana Maria de Oliveira, Karla Biancha Silva de Andrade, Patrícia dos Santos Claro Fuly, Mauro Leonardo Salvador Caldeira dos Santos
ABSTRACT Objective: to understand the psychosocial repercussions of post radiotherapy treatment for cervical cancer. Method: qualitative study, with the participation of patients in post radiotherapy treatment for cervical cancer in an onco-gynecologic nursing outpatient clinic, located in the Municipality of Rio de Janeiro - Brazil. Data were collected during the months of March and April 2019 by means of open interview and submitted to content analysis. Results: four categories were defined: the construct of social roles: the loss of female identity; the sexuality of post-treated women for cervical cancer: marital repercussions; difficulties in adapting to the new life condition: rebuilding the body image; living with cervical cancer: rethinking life and rebuilding values through the support network. Final considerations: the results contribute to the direction of care, increasing the quality of life and helping these women reorganize their professional, social, and family lives.
目的:了解宫颈癌放疗后的社会心理影响。方法:定性研究,在巴西里约热内卢市妇科肿瘤护理门诊宫颈癌放疗后患者参与。数据于2019年3月至4月通过开放式访谈收集,并提交内容分析。结果:定义了四个类别:社会角色建构:女性身份的丧失;宫颈癌治疗后妇女的性行为:对婚姻的影响;适应新生活状态的困难:身体形象的重建与子宫颈癌生活:通过支持网络重新思考生活和重建价值观。最后考虑:结果有助于护理的方向,提高生活质量,并帮助这些妇女重新安排她们的职业、社会和家庭生活。
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引用次数: 0
STRESS IN THE ELDERLY IN THE CONTEXT OF THE COVID-19 PANDEMIC AND ITS ASSOCIATED FACTORS COVID-19大流行背景下老年人的压力及其相关因素
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.87475
Orfelina Arpasi-Quispe, Lili Fernandes-Molocho, Maria Rosario Mocarro-Aguilar, Maria Magdalena Díaz-Orihuela, Jack Roberto Silva Fhon
ABSTRACT Objective: To identify stress in the elderly living in the city of Lima and its association with demographic factors, infodemics, the presence of physical and psychological symptoms, and the use of illicit substances in the context of the Covid-19 pandemic. Method: Quantitative, transversal, and analytical study through the web-based survey with 384 elderly from the city of Lima - Peru between April and August 2021. The instruments of demographic profile, Perceived Stress Scale, and self-reported symptoms were used for the study. The Multiple logistic regression was used, considering the significance level of 5%. Results: 62% were women, and the age ranged between 60 and 95 years with a mean of 70.5. The stress average was 26.8 points. Stress was associated with fear of relatives dying and concern for the elderly. Conclusions: it is important for health professionals trained to identify changes in mood in the elderly and to create individualized care plans.
【摘要】目的:了解新冠肺炎大流行背景下利马市老年人的压力状况及其与人口因素、信息流行病、身体和心理症状以及非法药物使用的关系。方法:于2021年4月至8月对秘鲁利马市384名老年人进行网络调查,进行定量、横向和分析研究。本研究采用人口统计学、感知压力量表和自我报告症状等工具。采用多元逻辑回归,考虑显著性水平为5%。结果:62%为女性,年龄60 ~ 95岁,平均70.5岁。压力平均值为26.8分。压力与对亲人死亡的恐惧和对老年人的担忧有关。结论:对受过培训的卫生专业人员来说,识别老年人情绪变化并制定个性化护理计划是很重要的。
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引用次数: 0
INCIDENTES DE SEGURIDAD CLASIFICADOS COMO PROCESO/PROCEDIMIENTO CLÍNICO EN PACIENTES HOSPITALIZADOS DURANTE LA PANDEMIA DE COVID-19 COVID-19大流行期间住院患者的安全事件分类为临床过程/程序
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.89463
Ana Paula Hermann, Adeli Regina Prizybicien de Medeiros, Elizabete da Silva Dantas de Jesus, Marilise Borges Brandão, Nathalia Telles Paschoal Santos, Lillian Daisy Gonçalves Wolff
RESUMEN Objetivo: comparar los incidentes de seguridad del paciente notificados relacionados con el proceso/procedimiento clínico entre pacientes con diagnóstico confirmado por laboratorio de COVID-19 y con síndrome respiratorio agudo severo (SRAS) causado por otro agente infeccioso o indeterminado y otros pacientes. Desarrollo: Estudio retrospectivo, documental, aprobado por el comité de ética, en un hospital público de enseñanza del sur de Brasil. Se utilizaron 2.191 notificaciones y registros de COVID-19 entre los meses de marzo y septiembre de 2020. Datos sometidos a análisis descriptivo con frecuencias de las variables del conjunto, prueba de Fisher para verificar asociaciones entre resultados (clasificación / proceso / problema) y cálculo del riesgo relativo para verificar su intensidad. Las lesiones por presión fueron casi 3,7 veces más frecuentes en los pacientes con SRAS. Entre ellos, predominan los incidentes relacionados con sondeos diversos y con el proceso quirúrgico. Conclusión: se destacan como relevantes la asistencia de enfermería intensiva a los pacientes con SRAS, la gestión de riesgos y el fortalecimiento de buenas prácticas para la seguridad de todos los pacientes.
摘要目的:比较实验室确诊的COVID-19和由其他感染源引起的严重急性呼吸系统综合征(sars)患者与其他患者与临床过程/程序相关的患者安全事件。发展:经伦理委员会批准的回顾性纪录片研究,在巴西南部的一家公立教学医院进行。2020年3月至9月期间使用了2191份COVID-19通知和记录。对数据进行描述性分析,使用集合变量的频率,Fisher检验以验证结果(分类/过程/问题)之间的关联,并计算相对风险以验证其强度。在sars患者中,压伤的发生率几乎高出3.7倍。其中,与各种探查和手术过程有关的事件占主导地位。结论:对sars患者的重症监护、风险管理和加强良好做法对所有患者的安全具有重要意义。
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引用次数: 0
PERIPHERAL VENOPUNCTION AND ITS MAINTENANCE: SOCIAL REPRESENTATION BY WOMEN IN CESAREAN SECTION 外周静脉功能及其维持:剖宫产术中女性的社会表征
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.89435
ABSTRACT Objective: to identify and analyze the social representations and their dimensions about peripheral venous catheterization and its maintenance for anesthetic-surgical purposes in women undergoing cesarean section. Method: qualitative study of exploratory-descriptive type grounded by the Theory of Social Representations with the participation of 120 women and carried out in a public hospital in the state of Minas Gerais - Brazil, between 2019 and 2020. Evocations collected by interviews with application of the technique of free association of non-hierarchical words with prototypical analysis and by similarity in the EVOC and IRAMUTEQ software. Results: the present social representation addresses feelings in the behavioral dimension of stress, which are related to insecurity and fear of the pain of the needle, the surgical procedure, and the restriction of movements. Conclusion: the research contributes to a reflection on the need to resize nursing care before the difficulties faced by women in the triple experience of stress: cesarean section; venous catheterization; and the difficulty of performing postpartum care.
【摘要】目的:了解剖宫产术中麻醉手术外周静脉置管及其维持的社会表征及其维度。方法:在2019年至2020年期间,在巴西米纳斯吉拉斯州的一家公立医院,以社会表征理论为基础,对120名妇女进行了探索性描述性质的研究。运用原型分析和EVOC和IRAMUTEQ软件中的相似性对非分层词的自由联想技术进行访谈收集。结果:当前的社会表征处理压力行为维度的感受,这些感受与不安全感和对针痛、手术过程和行动限制的恐惧有关。结论:本研究有助于反思女性在面临三重压力时所面临的困难:剖宫产;静脉导管插入术;以及产后护理的难度。
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引用次数: 0
ALGORITMO DE INDICACIÓN DE ACCESO VENOSO PARA RECIÉN NACIDOS EN UNA UNIDAD DE CUIDADOS INTENSIVOS NEONATALES 新生儿重症监护病房新生儿静脉通路指示算法
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.89522
Clélia Mozara Giacomozzi, Letícia Morgana Giacomozzi, R. Silva, Bárbara Franco Mittag, Regina C. R. Nunes
RESUMEN Objetivo: presentar un algoritmo para la indicación de accesos venosos para recién nacidos en la Unidad de Cuidados Intensivos Neonatales. Desarrollo: estudio descriptivo realizado en una Unidad de Cuidados Intensivos Neonatales en el sur de Brasil, en el período de 2017 a 2020 en dos etapas de idealización: diseño del algoritmo; y la adecuación basada en la aplicación de acuerdo con las observaciones realizadas por las enfermeras involucradas. El algoritmo desarrollado contemplaba la predicción de acceso venoso para pacientes con indicación de cirugías abdominales y de otro tipo, prematuros estratificados en edad gestacional superior e inferior a 30 semanas, cardiopatías con dependencia o no de canal arterial e hipoglucemia neonatal persistente. En función de la red venosa, el número de terapias prescritas, el ayuno, la antibioticoterapia y los fármacos vasoactivos, existe una indicación inicial para un tipo de catéter que puede ir seguida de otra según las necesidades. Conclusión: la participación del enfermero en la indicación de acceso venoso integra las prácticas interprofesionales e incrementa la asistencia neonatal.
本研究的目的是确定新生儿重症监护病房静脉通路指示的算法。发展:2017年至2020年在巴西南部新生儿重症监护室进行的描述性研究,分两个理想化阶段:算法设计;根据相关护士的观察,以应用为基础的充分性。该算法考虑了腹部和其他手术适应症患者的静脉通路预测,胎龄大于或小于30周的早产儿分层,有或没有动脉管依赖的心脏病和新生儿持续低血糖。根据静脉网络、处方治疗的数量、禁食、抗生素治疗和血管活性药物,一种类型的导管有一个初始适应症,根据需要可以随后使用另一种导管。结论:护士参与静脉通路指征整合了跨专业实践,增加了新生儿护理。
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引用次数: 0
FREEDOM OF MOVEMENT AND POSITIONING IN CHILDBIRTH WITH NON-INVASIVE TECHNOLOGIES OF NURSING CARE 无创护理技术在分娩时的自由运动和定位
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.89444
ABSTRACT Objective: to identify the non-invasive technologies and care strategies used by obstetric nurses to encourage freedom of movement and positioning in the parturition process. Method: A descriptive and qualitative study, with 20 obstetric nurses working in public obstetric services in Rio de Janeiro - Brazil. Data were collected from May to July 2021 through semi-structured interviews and submitted to thematic analysis. Results: the participants use the encouragement to ambulate and perform pelvic movements and squats, also suggesting specific positions, especially vertical ones. As strategies, they orient about the benefits of these technologies and respect the choice of the expectant women, interfering, however, in cases of obstetric complications. Conclusion: The incentive to freedom of movement and positioning in parturition happens with the offer of different non-invasive technologies in a care relationship with clarified and shared decision-making processes, which promote autonomy and ensure the right to safe and respectful assistance.
目的:确定产科护士在分娩过程中使用的非侵入性技术和护理策略,以鼓励自由移动和定位。方法:一项描述性和定性研究,20名产科护士在巴西里约热内卢的公共产科服务工作。数据于2021年5月至7月通过半结构化访谈收集,并提交专题分析。结果:参与者使用鼓励行走,骨盆运动和深蹲,也建议特定的姿势,特别是垂直的姿势。作为战略,它们以这些技术的好处为导向,并尊重孕妇的选择,但在产科并发症的情况下会受到干扰。结论:在明确和共同的决策过程中,在护理关系中提供不同的非侵入性技术,可以促进自主性,并确保获得安全和尊重帮助的权利,从而促进分娩时的行动和定位自由。
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引用次数: 0
LIBERTAD DE MOVIMIENTO Y POSICIONAMIENTO EN EL PARTO CON TECNOLOGÍAS NO INVASIVAS DE CUIDADOS DE ENFERMERÍA 使用非侵入性护理技术分娩时的运动和定位自由
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.89445
Aline Caramez Costa, Juliana Amaral Prata, Karolayne Rosa Oliveira, Camilla Ferreira Paulino da Silva, Jane Márcia Progianti, Ricardo José Oliveira Mouta, Adriana Lenho de Figueiredo Pereira
RESUMEN Objetivo: Identificar las tecnologías no invasivas y las estrategias de cuidados utilizadas por las enfermeras obstétricas para favorecer la libertad de movimientos y el posicionamiento en el proceso de parto. Método: Estudio descriptivo y cualitativo, con 20 enfermeras obstétricas que trabajan en servicios públicos de obstetricia en Rio de Janeiro - Brasil. Los datos se recopilaron entre mayo y julio de 2021 mediante entrevistas semiestructuradas y se sometieron a un análisis temático. Resultados: los participantes utilizan el estímulo para el desplazamiento y la realización de movimientos pélvicos y de agachamiento, sugiriendo también posiciones específicas, especialmente verticales. Como estrategias, se orientan hacia los beneficios de las tecnologías y respetan la elección de las parturientas, interfiriendo, además, en los casos de complicaciones obstétricas. Conclusión: el incentivo a la libertad de movimiento y posicionamiento en el parto pasa por la oferta de diferentes tecnologías no invasivas en una relación asistencial con procesos de toma de decisión clarificados y compartidos, que promuevan la autonomía y garanticen el derecho a una asistencia segura y respetuosa.
摘要目的:探讨产科护士在分娩过程中促进运动和体位自由的非侵入性技术和护理策略。方法:对20名在巴西里约热内卢公共产科服务机构工作的产科护士进行描述性和定性研究。数据是在2021年5月至7月期间通过半结构化访谈收集的,并进行专题分析。结果:参与者使用刺激来移动和执行盆腔运动和下蹲,也建议特定的位置,特别是垂直。作为一项战略,它们以技术的好处为导向,尊重分娩妇女的选择,并干预产科并发症的情况。结论:自由运动和动力定位在分娩经过不同供应关系的非侵入性技术临床医生clarificados的决策程序以及共享,促进自力更生的能力,并保证在安全援助和尊重的权利。
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引用次数: 0
ESTRÉS EN LAS PERSONAS MAYORES EN EL CONTEXTO DE LA PANDEMIA DE COVID-19 Y SUS FACTORES ASOCIADOS COVID-19大流行背景下老年人的压力及其相关因素
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.90806
Orfelina Arpasi-Quispe, Lili Fernandes-Molocho, Maria Rosario Mocarro-Aguilar, Maria Magdalena Díaz-Orihuela, Jack Roberto Silva Fhon
RESUMEN Objetivo: identificar el estrés en ancianos residentes en la ciudad de Lima y su asociación con factores demográficos, infodemias, presencia de síntomas físicos y psicológicos y consumo de sustancias ilícitas en el contexto de la pandemia COVID-19. Método: estudio cuantitativo, transversal y analítico mediante encuesta vía web a 384 adultos mayores de la ciudad de Lima - Peru, entre abril y agosto del 2021. Para el estudio se utilizaron los instrumentos de perfil demográfico, Escala de Estrés Percibido y síntomas auto reportados. Se utilizó regresión logística múltiple, considerando el nivel de significación del 5%. Resultados: el 62% eran mujeres, y la edad oscilaba entre 60 y 95 años, con una media de 70,5 años. La puntuación media de estrés fue de 26,8 puntos. El estrés se asoció con el miedo a la muerte de familiares y la preocupación por los ancianos. Conclusiones: es importante que los profesionales sanitarios formados identifiquen los cambios de humor en los ancianos y creen planes de atención individualizados.
摘要目的:在COVID-19大流行的背景下,确定利马市老年人的压力及其与人口因素、信息传播、身体和心理症状的存在以及非法药物使用的关系。方法:对2021年4月至8月秘鲁利马市384名老年人进行定量、横断面和分析研究。这项研究使用了人口统计学工具、感知压力量表和自我报告症状。本研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果。结果:62%为女性,年龄60 ~ 95岁,平均70.5岁。平均压力评分为26.8分。压力与对亲属死亡的恐惧和对老人的担忧有关。结论:经过培训的卫生专业人员识别老年人的情绪变化并制定个性化的护理计划是很重要的。
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引用次数: 0
EDUCATIONAL VIDEO FOR SELF-CARE OF PATIENTS WITH INTESTINAL ELIMINATION STOMA 肠消除造口患者自我护理教育短片
Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1590/ce.v28i0.90832
Bruna Camila Blans Moreira, Fernando Conceição de Lima, Cassilene Oliveira da Silva, Dione Seabra de Carvalho, Alzinei Simor, Mary Elizabeth de Santana, Marcia Helena do Nascimento
ABSTRACT Objective: to describe the construction of an educational technology to mediate the self-care of cancer patients with intestinal elimination stoma. Method: methodological research, conducted in two stages - situational diagnosis and integrative literature review, carried out in the oncology reference hospital in the city of Belém-Pará, Brazil. The collection was carried out in the period from January to November 2021, through semi-structured interviews, with 10 oncology patients with stomas and in electronic databases. They were analyzed from the perspective of content analysis of the thematic type and supported by the Iramuteq software. Results: from the corpus a tree of similarity emerged, in which the word “Bag” has greater centrality and strong connection with the words, “Care”, “Change”, “Plaque”, “Colostomy” and “Stoma”. Based on this context, an educational video technology was produced. Conclusion: the production of context-based technology favors the collection of social evidence for self-care with the peristomal skin.
【摘要】目的:构建一种教育技术,介导肿瘤肠消除造口患者的自我护理。方法:方法学研究分两个阶段进行——情境诊断和综合文献综述,在巴西贝尔萨梅-帕尔市肿瘤参考医院进行。收集于2021年1月至11月期间通过半结构化访谈对10名肿瘤患者进行,并在电子数据库中进行。从主题类型的内容分析角度进行分析,并以Iramuteq软件为支撑。结果:从语料库中出现了一个相似树,其中“Bag”一词与“Care”、“Change”、“Plaque”、“Colostomy”和“Stoma”等词具有更大的中心性和较强的联系。在此背景下,一种教育视频技术应运而生。结论:基于情境的技术的产生有利于收集社会证据,为组织周围皮肤的自我护理提供依据。
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引用次数: 0
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Cogitare Enfermagem
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