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The challenge of healthcare for vulnerable and marginalized populations 弱势和边缘人群的医疗保健挑战
IF 0.5 Q4 NURSING Pub Date : 2023-01-24 DOI: 10.15253/2175-6783.20232483107
C. B. Dalcin, A. B. Pinheiro
Vulnerability, in the health context, emerged with the Human Immunodeficiency Syndrome (HIV) epidemic, when the factors and groups that would be associated with a higher prevalence of people with Human Immunodeficiency Virus were studied. Vulnerability highlights possible factors related to health conditions, thus differentiating itself from risk, since the latter is exclusively related to the chances of becoming ill of an individual or population.
在健康方面,脆弱性是随着人体免疫机能丧失综合症(艾滋病毒)的流行而出现的,当时研究了与人体免疫机能丧失病毒感染者较高流行率有关的因素和群体。脆弱性突出了与健康状况有关的可能因素,从而将其与风险区分开来,因为后者完全与个人或群体患病的机会有关。
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引用次数: 0
Nursing Diagnosis Frail Elderly Syndrome: an integrative review 护理诊断老年体弱综合征:综合综述
IF 0.5 Q4 NURSING Pub Date : 2023-01-24 DOI: 10.15253/2175-6783.20232481342
Valérya Maria de Almeida França de Souza, Sílvia Maria de Sá Basílio Lins, P. C. Bezerra, R. Santana, Patrícia Rezende do Prado, Rosane Barreto Cardoso
Objective: to identify the defining characteristics and factors related to the Nursing diagnosis is Frail Elderly Syndrome. Methods: integrative review developed in seven databases, besides the use of Grey literature in Google Scholar and Open Grey. The Problem, Concept, and Context strategies were used to develop the guiding question and select the descriptors. Eight articles and one thesis were included in the final sampling. Results: three new characteristics were identified: Urinary Incontinence; Dysfunctional Family Processes and Sleep Pattern Disorder. The most frequent defining characteristics of the Frail Elderly Syndrome Nursing Diagnosis were: impaired physical mobility; decreased activity tolerance; unbalanced nutrition: less than the body needs and impaired ambulation. Among the related factors, the most present was: impaired muscle strength; cognitive dysfunction, and impaired postural balance. Conclusion: it was found that the three defining characteristics that are not present in NANDA-I need to be further investigated to be included in the Nursing Diagnosis Frail Elderly Syndrome. Contributions to practice: the study provides nurses with a deeper understanding of this diagnosis, supporting and strengthening the clinical reasoning necessary for decision-making to correctly assign the diagnosis to the patient.
目的:探讨老年体弱综合征护理诊断的特征及相关因素。方法:在七个数据库中进行综合综述,并在Google Scholar和Open Grey中使用灰色文献。使用问题、概念和上下文策略来开发指导性问题和选择描述符。最终样本包括八篇文章和一篇论文。结果:发现3个新特征:尿失禁;功能失调的家庭过程和睡眠模式障碍。老年体弱综合征护理诊断最常见的定义特征是:身体活动能力受损;活动耐受性降低;营养不均衡:低于身体所需,行动不便。在相关因素中,最常见的是:肌力受损;认知功能障碍和姿势平衡受损。结论:发现NANDA-I未出现的三个定义特征需要进一步研究才能纳入护理诊断体弱老年综合征。对实践的贡献:该研究使护士对该诊断有了更深入的了解,支持和加强了决策所需的临床推理,以正确地将诊断分配给患者。
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引用次数: 1
SENTIDOS DA ESCOLARIZAÇÃO INDÍGENA MEBÊNGÔKRE: UM ESTUDO BIBLIOGÁFICO 土著教育的意义mebengokre:书目研究
IF 0.5 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.29327/1196894.3-3
D. Ferreira, Idemar Vizolli
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引用次数: 0
TRANSFIGURAÇÃO EPISTEMOLÓGICA E O SUJEITO CULTURAL: Uma reflexão sobre AH/SD e Relações Étnico-raciais 认识论变形与文化主体:对AH/SD与民族-种族关系的反思
IF 0.5 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.29327/1196894.3-1
Maria Angelita da Silva
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引用次数: 0
Representatividade indígena e comunicação: desafios epistemológicos 土著代表与传播:认识论的挑战
IF 0.5 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.29327/1196894.3-5
Ismael Carlos Da Silva Pereira, Maria Angelita da Silva
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引用次数: 0
SABERES ETNOECOLÓGICOS E O CENÁRIO DA PESCA ARTESANAL EM TRÊS CIDADES DO VALE DO ARAGUAIA 阿拉瓜亚山谷三个城市的民族生态学知识和手工捕鱼场景
IF 0.5 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.29327/1196894.3-4
André Sousa dos Santos
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引用次数: 0
ALUNOS INDIGENAS EM ESCOLAS URBANAS: AS IMPLICAÇÕES DO COMPONENTE CURRICULAR ENSINO RELIGIOSO E O PROSELITISMO 城市学校的土著学生:课程组成部分宗教教育和改变宗教信仰的影响
IF 0.5 Q4 NURSING Pub Date : 2023-01-01 DOI: 10.29327/1196894.3-2
Gisele Moura de jesus, Rogelio Duarte Rosa
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引用次数: 0
Factors associated with disability in patients after discharge from Intensive Care Units COVID-19 重症监护病房出院后患者残疾相关因素COVID-19
IF 0.5 Q4 NURSING Pub Date : 2022-11-09 DOI: 10.15253/2175-6783.20222381314
Ianka do Amaral, Luiz Ricardo Zander Marafigo, F. B. T. Alves, Celso Bilynkievycz dos Santos, C. B. Fadel
Objective: to evaluate factors associated with disability of patients after hospital discharge in COVID-19intensive care units. Methods: cross-sectional analytical research with sociodemographic, clinical, self-perception of health and WHODAS 2.0 scale data of patients discharged from a teaching hospital. Patients admitted to an intensive care unit for COVID-19 for more than eight days, discharged from the hospital at least 365 days before data collection and older than 18 years were included. Information analysis was performed using data mining. Results: 32 individuals were eligible, 25% were disabled. These individuals presented low cognition, mobility, self-care, limitation in daily activities, justified by biological and clinical parameters. Still, 37% by obesity and polymedication, 75%, impaired concentration and 50%, neurological developments. The length of hospitalization and the therapeutic resources demanded in this period were also associated with the disability observed. Conclusion: the COVID-19 virus added to the length of hospitalization and clinical factors ware related to disability 12 months after hospital discharge with strong presence of neurological symptoms. Contributions to practice: it is expected to contribute to the understanding of the long-term impacts of COVID-19, enabling to offer better assistance and quality of life to patients affected by the disease.
目的:评价新型冠状病毒肺炎重症监护病房患者出院后残疾的相关因素。方法:采用某教学医院出院患者的社会人口学、临床、健康自我感知及WHODAS 2.0量表资料进行横断面分析研究。纳入了因COVID-19入住重症监护病房8天以上、在收集数据前至少365天出院且年龄大于18岁的患者。利用数据挖掘进行信息分析。结果:32人符合条件,25%残疾。这些个体表现为认知能力、行动能力、自我照顾能力低、日常活动受限,生物学和临床参数证明了这一点。尽管如此,37%的人死于肥胖和多种药物治疗,75%的人死于注意力不集中,50%的人死于神经发育。在此期间,住院时间和所需的治疗资源也与观察到的残疾有关。结论:COVID-19病毒增加了住院时间和临床因素与残疾相关,出院后12个月出现强烈的神经系统症状。对实践的贡献:预计将有助于了解COVID-19的长期影响,从而能够为受该疾病影响的患者提供更好的帮助和生活质量。
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引用次数: 0
Effectiveness of realistic simulation for teaching pulmonary physical examination: randomized clinical trial 真实模拟在肺体检教学中的有效性:随机临床试验
IF 0.5 Q4 NURSING Pub Date : 2022-11-09 DOI: 10.15253/2175-6783.20222380801
Ana Carolina Costa Carino, R. Fernandes, Maria Isabel da Conceição Dias Fernandes, J. D. D. S. Tinôco, Camila Sayonara Tavares Gomes, Anna Thays Dias Almeida, A. C. X. D. Lira
Objective: to evaluate effectiveness of realistic clinical simulation for teaching pulmonary physical examination to undergraduate nursing students. Methods: experimental study of pre-test and post-test type applied to randomized intervention and control groups. The sample consisted of 30 students, randomly divided. The analysis was performed using descriptive and inferential statistics, through Kolmogorov-Smirnov test and t-test for independent samples, considering statistical significance p≤0.05. A satisfaction scale validated with the intervention group was applied. Results: we identified increased correct answers in post-test in the intervention group, which was submitted to realistic simulation. In this group, the mean number of errors varied from 4.87 in the pre-test to 2.13 in the post-test. In the control group, students either decreased or maintained the number of correct answers in the post-test, and mean errors increased, from 3.87 in the pre-test to 4.0 in post-test. The difference in correct answers between intervention and control groups was significant (p=0.000). Conclusion: from realistic simulation, students obtained a lower average error rate on post-test. Contributions to practice: results of this research favor the curricular insertion of simulation for teaching pulmonary physical examination in undergraduate nursing.
目的:评价真实感临床模拟在护理本科学生肺部体检教学中的效果。方法:采用随机干预组和对照组进行前测型和后测型实验研究。样本由30名随机分组的学生组成。采用描述性统计和推断性统计进行分析,通过独立样本的Kolmogorov-Smirnov检验和t检验,考虑p≤0.05的统计学意义。采用经干预组验证的满意度量表。结果:我们发现干预组的后测正确答案增加,并将其提交到现实模拟中。在这一组中,平均错误数从前测的4.87到后测的2.13不等。在对照组中,学生在后测中正确答案的数量或减少或保持不变,平均误差从前测的3.87增加到后测的4.0。干预组与对照组的正确答案差异有统计学意义(p=0.000)。结论:通过真实模拟,学生的后测平均错误率较低。对实践的贡献:本研究结果有利于在护理本科肺部体检教学中加入模拟课程。
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引用次数: 0
Female body image and prevention of sexually transmitted infections 女性身体形象与预防性传播疾病
IF 0.5 Q4 NURSING Pub Date : 2022-10-18 DOI: 10.15253/2175-6783.20222381157
Thábyta Silva de Araújo, Joyce Mazza Nunes Aragão, V. B. Barbosa Filho, F. Gubert, Jayne Ramos Araújo Moura, L. J. Vieira, Neiva Francenely Cunha Vieira
Objective: to identify the association between the perception of body image and the adoption of preventive measures for sexually transmitted infections by female adolescents. Methods: descriptive research, with a sequential quantitative-qualitative mixed method, in three full-time schools located in socially vulnerable neighborhoods. Results: 147 female adolescents participated, with a mean age of 14. Body image dissatisfaction by the Silhouettes Scale and the Adolescent Dissatisfaction Rating Scale predominated. There was a lack of knowledge about the female condom and the correct handling of the male condom to prevent sexually transmitted infections. Conclusion: there was no significant association among the variables: body image perception, knowledge of preventive measures, and sexual behavior; however, it was evidenced a tendency of the adolescents dissatisfied with their body image perception to expose themselves to sexual conduct with more than one partner at the same time. Furthermore, the adolescents' body image dissatisfaction influenced their knowledge about the female condom, HIV, and family. Contributions to practice: the actions of health promotion and education for adolescent girls should consider factors that raise the perception of positive body image, from strategies that reinforce self-esteem and safe sexual conduct.
目的:探讨女性青少年身体形象认知与性传播疾病预防措施的关系。方法:采用序贯定量与定性相结合的方法,对三所位于社会弱势社区的全日制学校进行描述性研究。结果:147名女性青少年参与,平均年龄14岁。轮廓量表和青少年不满意评定量表的身体形象不满意占主导地位。他们缺乏关于女用避孕套的知识,也不知道如何正确使用男用避孕套来预防性传播感染。结论:身体形象感知、预防措施知识与性行为之间无显著相关;然而,有证据表明,对自己的身体形象认知不满意的青少年倾向于同时与不止一个伴侣进行性行为。此外,青少年对身体形象的不满影响了他们对女用避孕套、艾滋病病毒和家庭的认识。对实践的贡献:对少女的健康促进和教育行动应考虑提高对积极身体形象的认识的因素,从加强自尊和安全性行为的战略。
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