Pub Date : 2023-03-08DOI: 10.15253/2175-6783.20232481537
Taís dos Passos Sagica, Sandra Beatriz Silva de Oliveira, Odenilce Vieira Pereira, A. Ramos
Objective: to map studies on nursing care for patients with bone metastases undergoing radiotherapy. Methods: scoping review conducted in nine databases, according to the guidelines of the Joanna Briggs Institute. Scientific articles available for full open access, in any language, regardless of the method used, were included. Results: 13 studies were analyzed, with a predominance of literature reviews. The themes were: health education to patients and companions about events related to the skeleton; pain assessment and management; prevention of pathological fractures; management of spinal cord compression; assessment of hypercalcemia; ensuring safety in the administration of oral bisphosphonates; quality of life assessment; and monitoring of progress, adverse events, and therapeutic outcomes. Conclusion: nurses provide important ongoing support to patients, monitor progress, side effects, and therapeutic outcomes, and prevent and manage skeletal-related events. Contributions to practice: the study highlighted the main nursing care to patients with bone metastases in radiotherapy treatment, being relevant to give theoretical subsidy to professionals directing their assistance, especially in the oncology area.
{"title":"Nursing care for patients with bone metastases undergoing radiotherapy: a scoping review","authors":"Taís dos Passos Sagica, Sandra Beatriz Silva de Oliveira, Odenilce Vieira Pereira, A. Ramos","doi":"10.15253/2175-6783.20232481537","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481537","url":null,"abstract":"Objective: to map studies on nursing care for patients with bone metastases undergoing radiotherapy. Methods: scoping review conducted in nine databases, according to the guidelines of the Joanna Briggs Institute. Scientific articles available for full open access, in any language, regardless of the method used, were included. Results: 13 studies were analyzed, with a predominance of literature reviews. The themes were: health education to patients and companions about events related to the skeleton; pain assessment and management; prevention of pathological fractures; management of spinal cord compression; assessment of hypercalcemia; ensuring safety in the administration of oral bisphosphonates; quality of life assessment; and monitoring of progress, adverse events, and therapeutic outcomes. Conclusion: nurses provide important ongoing support to patients, monitor progress, side effects, and therapeutic outcomes, and prevent and manage skeletal-related events. Contributions to practice: the study highlighted the main nursing care to patients with bone metastases in radiotherapy treatment, being relevant to give theoretical subsidy to professionals directing their assistance, especially in the oncology area.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74226664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-08DOI: 10.15253/2175-6783.20232481594
Bruna Rodrigues Monteiro, Valéria Gomes Fernandes da Silva, Cinthia Daniele da Silva Bezerra, Érika Simone Galvão Pinto, Nilba Lima de Souza
Objective: to compare population and care characteristics of adherence to immediate contact between mother and newborn in the first hour of life in two public maternity hospitals at usual risk. Methods: cross-sectional study with 105 mothers after normal delivery and their respective newborns in the first hour of life in two maternity hospitals with Prepartum, Labor, and Puerperium units. We used an instrument with 36 questions based on the National Guidelines of Assistance to Normal Birth. Analysis was based on the chi-square test for homogeneity and Fisher's exact test to compare the assistance provided in maternity hospitals. Results: both maternity hospitals attended the usual risk binomials. Regarding the assistance provided, only the federal maternity promoted encouragement of immediate contact between mother and newborn in the first hour of life, besides favouring 7.1% (n=3) of the binomials with the golden hour in a correct and significant way (p=0.037). Conclusion: despite the similarity of the assistance profile, only one maternity hospital performed the golden hour, being necessary the insertion of good practices in maternity hospitals. Contributions to practice: direct observation of the assistance provided to binomial identified gaps in the format and and durability of the immediate contact in maternity hospitals.
{"title":"Immediate contact between mother and newborn in the first hour of life: a cross-sectional study","authors":"Bruna Rodrigues Monteiro, Valéria Gomes Fernandes da Silva, Cinthia Daniele da Silva Bezerra, Érika Simone Galvão Pinto, Nilba Lima de Souza","doi":"10.15253/2175-6783.20232481594","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481594","url":null,"abstract":"Objective: to compare population and care characteristics of adherence to immediate contact between mother and newborn in the first hour of life in two public maternity hospitals at usual risk. Methods: cross-sectional study with 105 mothers after normal delivery and their respective newborns in the first hour of life in two maternity hospitals with Prepartum, Labor, and Puerperium units. We used an instrument with 36 questions based on the National Guidelines of Assistance to Normal Birth. Analysis was based on the chi-square test for homogeneity and Fisher's exact test to compare the assistance provided in maternity hospitals. Results: both maternity hospitals attended the usual risk binomials. Regarding the assistance provided, only the federal maternity promoted encouragement of immediate contact between mother and newborn in the first hour of life, besides favouring 7.1% (n=3) of the binomials with the golden hour in a correct and significant way (p=0.037). Conclusion: despite the similarity of the assistance profile, only one maternity hospital performed the golden hour, being necessary the insertion of good practices in maternity hospitals. Contributions to practice: direct observation of the assistance provided to binomial identified gaps in the format and and durability of the immediate contact in maternity hospitals.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72852104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-24DOI: 10.15253/2175-6783.20232481811
Liniker Scolfild Rodrigues da Silva, Lusanira Maria da Fonseca de Santa Cruz, Luiz Arnaldo Pereira da Cunha Júnior, Hélio Monteiro da Silva Filho, Danilo Martins Roque Pereira, E. C. Araújo
Objective: to describe obstacles to the access to health services of the transvestite and transgender population. Methods: integrative review, conducted from July to August 2022, in the following databases: LILACS, MEDLINE, Web of Science and SCOPUS. Results: 472 primary studies were found; however, at the end of the analysis process, 14 productions were included in the study. Obstacles to access to health were observed, such as the invisibility of health specificities, the lack of information and preparation of professionals, the susceptibility, which appears in the juvenile stage, and the resistance to care for sexually transmitted infections, highlighting the need to invest in the production of policies that affirm the right to health for this segment of the population. Conclusion: there was a lack of studies on the access of transvestites and transgenders to health services. These difficulties are associated with conservatism, heteronormativity, lack of implementation and regulation of public policies for them. Contributions to practice: this article presents information about access to health care for the transvestite and transgender population, facilitating the view of the specific needs of this population.
目的:描述异装癖者和变性人获得保健服务的障碍。方法:于2022年7月至8月在LILACS、MEDLINE、Web of Science和SCOPUS数据库中进行综合评价。结果:共发现472项初步研究;然而，在分析过程结束时，14部作品被纳入研究。他们观察到获得保健服务的障碍，例如不了解保健特点、缺乏专业人员的信息和准备、易受感染(这在青少年阶段出现)以及对性传播感染的护理的抗拒，强调需要投资于制定确认这部分人口的健康权的政策。结论:缺乏对异装癖者和变性人获得卫生服务的研究。这些困难与保守主义、异质性、缺乏对他们的公共政策的执行和管理有关。对实践的贡献:本文介绍了易装癖和跨性别人群获得医疗保健的信息，有助于了解这一人群的具体需求。
{"title":"Obstacles in the access to public health services by transvestites and transgender persons: an integrative review","authors":"Liniker Scolfild Rodrigues da Silva, Lusanira Maria da Fonseca de Santa Cruz, Luiz Arnaldo Pereira da Cunha Júnior, Hélio Monteiro da Silva Filho, Danilo Martins Roque Pereira, E. C. Araújo","doi":"10.15253/2175-6783.20232481811","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481811","url":null,"abstract":"Objective: to describe obstacles to the access to health services of the transvestite and transgender population. Methods: integrative review, conducted from July to August 2022, in the following databases: LILACS, MEDLINE, Web of Science and SCOPUS. Results: 472 primary studies were found; however, at the end of the analysis process, 14 productions were included in the study. Obstacles to access to health were observed, such as the invisibility of health specificities, the lack of information and preparation of professionals, the susceptibility, which appears in the juvenile stage, and the resistance to care for sexually transmitted infections, highlighting the need to invest in the production of policies that affirm the right to health for this segment of the population. Conclusion: there was a lack of studies on the access of transvestites and transgenders to health services. These difficulties are associated with conservatism, heteronormativity, lack of implementation and regulation of public policies for them. Contributions to practice: this article presents information about access to health care for the transvestite and transgender population, facilitating the view of the specific needs of this population.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84371919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-24DOI: 10.15253/2175-6783.20232481453
A. C. Ribeiro, Priscila Poli, S. Uehara
Objective: to analyze the risk of mortality from COVID-19 in people with obesity. Methods: observational, retrospective, and analytical study. Data were collected in the State System of Data Analysis. For the comparative analysis of people with and without obesity, n=168,808 was adopted. The analyses were performed using the log-binomial regression model and relative risk calculation. The comparative model was adjusted for sex, age group, heart disease and diabetes. Results: in more than 95% of COVID-19 notifications, information regarding the risk factor obesity was recorded as ignored. Obese individuals with COVID-19 had 26% higher risk of death when compared to those without obesity. Obese individuals in the 11 to 60 age groups had the highest mortality risks compared to individuals without obesity. Obese women in the age groups 31 to 50 years and elderly women over 71 years had the lowest mortality risk when compared to obese men. Conclusion: obese people, especially adults, have an increased risk of mortality from COVID-19. Contributions to practice: to help establish public health strategies to identify the profiles of individuals considered at high risk in the SARS-CoV-2 pandemic.
{"title":"Increased risk of mortality from COVID-19 in people with obesity","authors":"A. C. Ribeiro, Priscila Poli, S. Uehara","doi":"10.15253/2175-6783.20232481453","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481453","url":null,"abstract":"Objective: to analyze the risk of mortality from COVID-19 in people with obesity. Methods: observational, retrospective, and analytical study. Data were collected in the State System of Data Analysis. For the comparative analysis of people with and without obesity, n=168,808 was adopted. The analyses were performed using the log-binomial regression model and relative risk calculation. The comparative model was adjusted for sex, age group, heart disease and diabetes. Results: in more than 95% of COVID-19 notifications, information regarding the risk factor obesity was recorded as ignored. Obese individuals with COVID-19 had 26% higher risk of death when compared to those without obesity. Obese individuals in the 11 to 60 age groups had the highest mortality risks compared to individuals without obesity. Obese women in the age groups 31 to 50 years and elderly women over 71 years had the lowest mortality risk when compared to obese men. Conclusion: obese people, especially adults, have an increased risk of mortality from COVID-19. Contributions to practice: to help establish public health strategies to identify the profiles of individuals considered at high risk in the SARS-CoV-2 pandemic.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81456243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-24DOI: 10.15253/2175-6783.20232481737
Simone Graziele Silva Cunha, S. Deodato, Maria José Menezes Brito
Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient. Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.
{"title":"Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital","authors":"Simone Graziele Silva Cunha, S. Deodato, Maria José Menezes Brito","doi":"10.15253/2175-6783.20232481737","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481737","url":null,"abstract":"Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient. Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80660962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-24DOI: 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.
{"title":"The challenge of healthcare for vulnerable and marginalized populations","authors":"C. B. Dalcin, A. B. Pinheiro","doi":"10.15253/2175-6783.20232483107","DOIUrl":"https://doi.org/10.15253/2175-6783.20232483107","url":null,"abstract":"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.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73786263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-24DOI: 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.
{"title":"Nursing Diagnosis Frail Elderly Syndrome: an integrative review","authors":"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","doi":"10.15253/2175-6783.20232481342","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481342","url":null,"abstract":"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.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78817898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"TRANSFIGURAÇÃO EPISTEMOLÓGICA E O SUJEITO CULTURAL: Uma reflexão sobre AH/SD e Relações Étnico-raciais","authors":"Maria Angelita da Silva","doi":"10.29327/1196894.3-1","DOIUrl":"https://doi.org/10.29327/1196894.3-1","url":null,"abstract":"","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85420680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ismael Carlos Da Silva Pereira, Maria Angelita da Silva
{"title":"Representatividade indígena e comunicação: desafios epistemológicos","authors":"Ismael Carlos Da Silva Pereira, Maria Angelita da Silva","doi":"10.29327/1196894.3-5","DOIUrl":"https://doi.org/10.29327/1196894.3-5","url":null,"abstract":"","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84413786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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