Revista Cuidarte最新文献

Introduction: Emerging risks at work may be caused by new information and communication technologies, such as computers. While they enhance productivity, computers can also cause new health issues in workers, such as Computer Vision Syndrome (CVS).

Objective: To culturally adapt and evaluate the validity evidence of the Computer Vision Syndrome Questionnaire (CVS-Q©) for adult Colombian computer-using workers from the Rasch model approach.

Materials and methods: A quantitative, observational, cross-sectional, analytical study was conducted with a sample of 300 computer-using workers from a public university in Colombia in 2022. Rasch analyses were performed to fit response categories, items, and individuals; examine differential item functioning (DIF), dimensionality, and local independence of items; determine reliability; and produce the item-person map.

Results: The CVS-Q (Colombia)© response format was adjusted to meet Linacre's guidelines for optimizing rating scale categories. All items showed infit and outfit mean-square values within the expected range. The scale was unidimensional, and the Rasch measurement explained 35.90% of the variance. Person reliability was 0.77, internal consistency was 0.88, and temporal stability reliability was 0.86.

Discussion: The CVS-Q (Colombia)© assesses the frequency, intensity, and severity of sixteen signs and symptoms of CVS.

Conclusion: The CVS-Q (Colombia)© is a valid and reliable scale for measuring the severity of CVS symptoms in Colombian workers.

Introduction: The contemporary approach to diabetes care emphasizes education for self-management.

Objective: To evaluate the acceptability and feasibility of a proposed educational program for type 2 diabetes self-management (Diabetes em Dia Program), tailored for the users of an outpatient service at a private hospital in São Paulo, Brazil.

Materials and methods: This was an evaluation study of the preliminary proposal for a complex intervention conducted by health professionals from the hospital's Diabetes Study Group. After being introduced to the proposal, professionals were invited to assess it using a semantic differential scale based on criteria of acceptability and feasibility. Evaluation was based on agreement percentages, and consensus was achieved when agreement reached ≥ 89%.

Results: There was consensus that the program is suitable for managing type 2 diabetes; it is understandable, acceptable, and effective. It was also considered to pose no risk to patients or health professionals and require minimal additional material resources and ongoing supervision. However, there was no consensus regarding the program's general assessment, the effort and time required for its application, its ease/difficulty of application, the need for additional human resources, and its cost-effectiveness.

Discussion: Professionals recognized the program's importance, suitability, value, and positive effects. However, they acknowledged that effective implementation would require significant changes in work processes.

Conclusion: Although the program was favorably assessed across many acceptability criteria, barriers to its implementation were identified.

Introduction: Nursing home visits play a key role in healthcare by providing personalized care at home. However, their impact on the population's perception of health status remains not yet fully understood.

Objective: To determine the relationship between the quality of nursing home visits and the perception of health status in the Peruvian population.

Materials and methods: An analytical, cross-sectional study was conducted with 482 people. The "Home Visits" and "SF-36" questionnaires were used to collect data. The analysis was carried out using binary logistic regression.

Results: A total of 91.49% of participants reported an adequate perception of their health status, and 90.88% rated the quality of home visits as good. Bivariate analysis revealed significant differences according to age (p=0.005), having children (p=0.001), and the quality of home visits (p=0.001). In the multivariate analysis, having children (OR: 4.96; 95% CI: 1.38-17.74) and receiving good-quality home visits (OR: 20.79; 95% CI: 9.12-47.42) were associated with a more favorable perception of health status.

Discussion: These findings suggest that higher-quality home visits are associated with a more favorable perception of health status, aligning with previous studies on the importance of home care.

Conclusion: Strengthening the quality of home visits could improve the population's perception of health.

Introduction: The American Association of Critical Care defines Post-Intensive Care Syndrome (PICS) as a set of new or worsening impairments in the physical, cognitive, or mental health of patients as a result of their stay in the Intensive Care Unit (ICU). Families and caregivers may also experience a form of PICS, referred to as PICS-family, which includes symptoms such as depression, anxiety, post-traumatic stress disorder, and sleep disturbances.

Objective: To determine the incidence of PICS-F in a high-complexity healthcare facility and its relationship with the quality of life of family caregivers.

Materials and methods: A prospective, analytical, longitudinal, and observational study was conducted with 95 family caregivers of patients admitted to the intensive care unit (ICU).

Results: An incidence of 9.4 and 11.6 cases of PICS-F per 100 ICU days was identified. This incidence tends to decrease over time. A statistically significant association was found between the presence of anxiety and the development of depression, with an OR of 5.49 [95% IC: 2-14] (p=0.001). Family caregivers reported a negative perception of their quality of life across all three measurement points.

Discussion: Anxiety was found to affect all four dimensions of quality of life negatively. The results may be associated with the high levels of stress experienced during the initial stages of ICU admission.

Conclusion: PICS-F was identified as a condition that affects family caregivers with anxiety and depression, adversely affecting all four dimensions of the caregiver's quality of life.

Introduction: Lifestyles comprise the set of habits and behaviors that influence individuals' health and well-being. When not properly adopted, they can contribute to the development of chronic diseases and a decline in quality of life.

Objective: To describe health-promoting lifestyles among nursing students at a public university in the Province of Buenos Aires, Argentina, in 2024.

Materials and methods: An analytical, cross-sectional, quantitative study was conducted. The study included 314 nursing students who completed Nola Pender's Health-Promoting Lifestyle Profile - II. For the inferential analysis, Student's t-tests, ANOVA, and Pearson's correlation test were applied.

Results: Respondents had a mean age of 27.04 years (SD = 8.11); most were female (86.62%), single (76.43%), childless (73.25%), working (55.41%), and enrolled in the fourth year of the program (24.52%). Healthy ratings were observed in the dimensions of Spiritual growth and Interpersonal Relations, while the remaining dimensions were rated as unhealthy. The average lifestyle score was 124.97 points (SD = 20.49), equivalent to 60.08% of the instrument's total score. A total of 78.66% of respondents had a lifestyle categorized as regular.

Discussion: It is necessary to implement interventions aimed at strengthening self-care practices among nursing students and identify the associated factors.

Conclusion: Most of the respondents exhibited a regular lifestyle with high levels of physical inactivity, overweight, poor dietary habits, and inadequate stress management.

Introduction: Globally, the COVID-19 pandemic typically relied on reported cases, but a more comprehensive view emerges from antibody identification. A 2020 national study in Bucaramanga revealed diverse SARS-CoV-2 exposure levels among occupational groups, emphasizing the vulnerability of informal workers.

Objective: This study estimates adjusted seroprevalence and seroincidence of SARS-CoV-2 antibodies (IgM and IgG) among occupational groups in the Bucaramanga Metropolitan Area (Colombia) in three different moments of the pandemic.

Materials and methods: The prospective cohort study was conducted from September 2020 to October 2021, comprising three rounds. Each round gathered demographic data, medical history, COVID exposure or diagnosis, and vaccination status from workers across various occupational groups in Bucaramanga and its metropolitan area. Immunoglobulins G and M were assessed in each round, and adjusted seroprevalence was calculated.

Results: A total of 1,013 subjects participated in all rounds. Healthcare workers accounted for more than 50% of all participants. By Round 3, 93.6% (n = 948) of participants had received the vaccination. Adjusted seroprevalence increased progressively (Round 1: 15.9% [95%CI 13.7-18.2]; Round 2: 18.4% [95%CI 16.0-20.7]; Round 3: 29.2% [95%CI 26.4-31.9]). Seroincidence for IgM/IgG positivity by Round 3 was 26.2% (95%CI 20.7-31.6).

Discussion: The progressive increase in adjusted SARS-CoV-2 seroprevalence among workers in the Metropolitan Area of Bucaramanga is highlighted, with a notable prevalence among healthcare workers.

Conclusion: The study underscores the prevalence of SARS-CoV-2 infection among workers in the Bucaramanga Metropolitan Area, emphasizing the role of hybrid immunity following vaccination in infection rates. Continued monitoring and tailored interventions are vital for protecting vulnerable populations.

Introduction: Post-COVID syndrome is a pathology that involves multiple sequelae. It is important to identify cardiometabolic risk factors as a way of preventing complications.

Objective: To map the scientific evidence related to cardiometabolic factors in long post-COVID-19 conditions.

Materials and methods: Scoping review with the guiding question: What scientific evidence relates cardiometabolic factors to patients with long post-Covid-19 syndrome? The sources of information used were six databases via the CAPES journal portal. For the gray literature, we used the CAPES catalog of theses and dissertations, the Brazilian Digital Library of Theses and Dissertations, the Who Library Database and the medRxiv and OpenGrey repositories. The following descriptors were used: Adult, heart disease risk factors, Syndrome, SARS-CoV-2 and Covid 19 crossed using the Boolean operators AND and OR.

Results: 14 studies were included. The cardiometabolic factors found were: abnormal levels of triglycerides, glycated hemoglobin, ferritin, inflammatory processes, decreased platelets, phospholipids and endothelial cells, oxidative stress, higher concentrations of monosaccharides and reduced polysaccharides, increased LDL, ALT, AST and bilirubin, with reduced GFR.

Discussion: Patients with long-term COVID report persistent and debilitating symptoms that affect recovery, quality of life, economic and social activities. In addition to increased resting heart rate, tachycardia, palpitations, hypotension, syncope, orthostatic tachycardia, angina and heart attack.

Conclusion: Cardiometabolic factors expose the vulnerability of individuals affected by long Covid-19, so strategies are needed to reduce the systemic inflammatory impact of the disease and its clinical consequences.

Introduction: In Pap test reports, sample quality is assessed based on the presence of squamous-columnar junction (SCJ) cells and atypia.

Objective: To assess the quality of Pap test samples by analyzing the frequency of SCJ cells in Pap test results and examining their association with sociodemographic, clinical, and professional-related variables.

Materials and methods: A cross-sectional study was conducted using 1.251 reports collected from primary healthcare facilities in São Paulo, SP, Brazil. The chi-square test was used to evaluate potential associations, and the test for equality of two proportions was used to compare responses to the same variable. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to determine the strength of associations.

Results: Squamous epithelial cells were the most frequently observed, appearing alone in 50.80% of the samples, while the frequency of SCJ cells was 48.60%, significantly higher among women aged 25-39 years (p<0.001). The presence of inflammation (OR = 7.7; 95% CI: 1.00-50.00), bacilli (OR = 1.8; 95% CI: 1.40-2.20), and cytological atypia (OR = 4.6; 95% CI: 2.00-10.00) was more likely in samples containing SCJ cells. The absence of atrophy, the presence of moderate cytolysis, and red blood cells were significantly associated with the presence of SCJ cells.

Discussion: The study demonstrated that SCJ cells were absent in most samples, which may compromise the quality of cervical cancer screening.

Conclusion: The main indicators of sample quality in Pap test reports fell below recommended standards, particularly among women aged 40-59 years, revealing deficiencies in the quality of cervical cancer screening.

Introduction: College students are exposed to internal and external factors that increase the risk of anxiety and can negatively impact their quality of life.

Objective: To evaluate anxiety and quality of life before and after the application of auriculotherapy associated with Baduanjin Qigong and the satisfaction of college students with the treatment.

Materials and methods: Quasi-experimental study with 44 college students. Four sessions of auriculotherapy and Baduanjin Qigong were carried out, focusing on anxiety and quality of life. The evaluation occurred before and after the treatment using the State-Trait Anxiety Inventory and World Health Organization Quality of Life-Bref instruments. Satisfaction with the intervention was investigated. Descriptive and bivariate analysis was performed.

Results: The sample was composed mainly of: women in the nursing course, with no fixed income and brown skin color. Regarding the final average of the scores evaluated, there was a reduction of 13.77 in anxiety (p<0.001), while in quality of life, there was an increase of 13.88 in the physical domain (p<0.001), 9.10 in the perception of quality of life (p=0.037) and 16.48 in satisfaction with health (p<0.001). Of the participants, 45.50% demonstrated satisfaction with the intervention.

Discussion: The importance of auriculotherapy associated with Baduanjin Qigong as a care to reduce anxiety and prevent changes in quality of life that may affect the well-being of university students is highlighted. Strategies for implementing the intervention are necessary.

Conclusion: The study provides evidence of the positive effect of auriculotherapy associated with Baduanjin Qigong on anxiety and quality of life of university students, impacting health promotion.

Introduction: The inappropriate use of antibiotics in intensive care units poses risks, such as increased infections caused by multidrug-resistant bacteria and adverse reactions. The World Health Organization's strategy, named Access, Watch, and Reserve, aims to mitigate these risks by categorizing antibiotics into these categories.

Objective: To characterize antibiotic consumption in the adult population of intensive care units during the first quarter of 2023.

Materials and methods: A cross-sectional study on patients in intensive care units was conducted. A bivariate and multivariate analyses with logistic regression were carried out.

Results: 807 intensive care unit patients were studied, with a median age of 60 years. Piperacillin/tazobactam was the most prescribed antibiotic. According to the Access, Watch, and Reserve classification, 77.96% of prescriptions fell into Watch category, 11.29% into Reserve, and 10.75% into Access.

Discussion: Antibiotic use in intensive care units is crucial for managing critically ill patients. Our study focuses on the challenges of antibiotic selection, complication management, and emphasizes antimicrobial stewardship for optimal therapy and reduced resistance.

Conclusion: It is crucial to conduct an intervention study to demonstrate how increasing interaction of the antimicrobial stewardship team during prescription can enhance antibiotic use, reduce side effects, and decrease unnecessary costs.