Pub Date : 2022-07-19DOI: 10.15253/2175-6783.20222378658
Daniel Sato, E. Teston, Gleice Kelli Santana de Andrade, S. Marcon, Bianca Cristina Ciccone Giacon-Arruda, Joice Teles da Silva, S. Galera
Objective: to know how the preparation of caregivers of technology-dependent patients is conducted from the perspective of professionals from the Home Care Service. Methods: a qualitative study, conducted with nine professionals from the Home Care Service teams. The data was collected through semi-structured interviews and submitted to Content Analysis, thematic modality. Results: two categories emerged: Strategies and resources used in the preparation of caregivers for dehospitalization and Factors that influence the preparation of caregivers for dehospitalization, which show that this preparation involves the use of soft technologies, based on the interaction and valorization of learning, besides aspects related to the organization of the service in the intra-hospital and home contexts. Conclusion: the preparation of caregivers is permeated with concern for facilitating the acquisition of knowledge and skills for care at home; it involves the use of specific resources and strategies and is influenced positively by technologies and negatively by factors related to hospital structure and organization. Contributions to practice: the findings of the study can subsidize the practices of multiprofessional teams working in the home scenario, since they point out aspects that
{"title":"Preparing caregivers for dehospitalization of technology-dependent patients: perspective of Home Care professionals","authors":"Daniel Sato, E. Teston, Gleice Kelli Santana de Andrade, S. Marcon, Bianca Cristina Ciccone Giacon-Arruda, Joice Teles da Silva, S. Galera","doi":"10.15253/2175-6783.20222378658","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378658","url":null,"abstract":"Objective: to know how the preparation of caregivers of technology-dependent patients is conducted from the perspective of professionals from the Home Care Service. Methods: a qualitative study, conducted with nine professionals from the Home Care Service teams. The data was collected through semi-structured interviews and submitted to Content Analysis, thematic modality. Results: two categories emerged: Strategies and resources used in the preparation of caregivers for dehospitalization and Factors that influence the preparation of caregivers for dehospitalization, which show that this preparation involves the use of soft technologies, based on the interaction and valorization of learning, besides aspects related to the organization of the service in the intra-hospital and home contexts. Conclusion: the preparation of caregivers is permeated with concern for facilitating the acquisition of knowledge and skills for care at home; it involves the use of specific resources and strategies and is influenced positively by technologies and negatively by factors related to hospital structure and organization. Contributions to practice: the findings of the study can subsidize the practices of multiprofessional teams working in the home scenario, since they point out aspects that","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"111 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80677771","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 : 2022-07-19DOI: 10.15253/2175-6783.20222372429
Erica Nascimento de Sousa, Solange Gurgel Alexandre, R. Silva, Thiago Moura de Araújo, Marina Guerra Martins, J. A. Caetano
Objetivo: analisar o processo cicatricial de úlceras venosas tratadas com bota de Unna. Métodos: estudo longitudinal, prospectivo, com 14 indivíduos acometidos de úlcera venosa crônica, acompanhados em quatro momentos distintos. A coleta de dados foi realizada com base no perfil clínico, sociodemográfico e avaliação clínica das lesões. Dados analisados por meio dos testes de Friedman. Para a comparação das médias, utilizou-se o teste dos postos assinalados de Wilcoxon e, para as comparações múltiplas, utilizou-se a correção de Bonferroni (p<0,05). Resultados: o teste post hoc de Bonferroni revelou redução nos escores de dor (p=0,038), quantidade de exsudato (p=0,005) e borda seca (p=0,044). Observou-se melhora da cicatrização por meio da escala Pressure Ulcer Scale for Healing (p=0,004) após uso da bota de Unna entre o primeiro e quarto momento. Conclusão: houve redução dos indicadores da Pressure Ulcer Scale for Healing, dor, quantidade de exsudato e borda seca da lesão em paciente em uso de bota de Unna depois de quatro semanas. Contribuições para a prática: evidencia-se a necessidade de manejar indicadores como classificação de Pressure Ulcer Scale for Healing, dor, quantidade de exsudato e borda seca com base na Bota de Unna.
{"title":"Processo cicatricial de úlceras venosas de difícil cicatrização em tratamento com bota de Unna","authors":"Erica Nascimento de Sousa, Solange Gurgel Alexandre, R. Silva, Thiago Moura de Araújo, Marina Guerra Martins, J. A. Caetano","doi":"10.15253/2175-6783.20222372429","DOIUrl":"https://doi.org/10.15253/2175-6783.20222372429","url":null,"abstract":"Objetivo: analisar o processo cicatricial de úlceras venosas tratadas com bota de Unna. Métodos: estudo longitudinal, prospectivo, com 14 indivíduos acometidos de úlcera venosa crônica, acompanhados em quatro momentos distintos. A coleta de dados foi realizada com base no perfil clínico, sociodemográfico e avaliação clínica das lesões. Dados analisados por meio dos testes de Friedman. Para a comparação das médias, utilizou-se o teste dos postos assinalados de Wilcoxon e, para as comparações múltiplas, utilizou-se a correção de Bonferroni (p<0,05). Resultados: o teste post hoc de Bonferroni revelou redução nos escores de dor (p=0,038), quantidade de exsudato (p=0,005) e borda seca (p=0,044). Observou-se melhora da cicatrização por meio da escala Pressure Ulcer Scale for Healing (p=0,004) após uso da bota de Unna entre o primeiro e quarto momento. Conclusão: houve redução dos indicadores da Pressure Ulcer Scale for Healing, dor, quantidade de exsudato e borda seca da lesão em paciente em uso de bota de Unna depois de quatro semanas. Contribuições para a prática: evidencia-se a necessidade de manejar indicadores como classificação de Pressure Ulcer Scale for Healing, dor, quantidade de exsudato e borda seca com base na Bota de Unna.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"48 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86419620","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 : 2022-07-19DOI: 10.15253/2175-6783.20222378704
Izabel Cristina de Souza, Gilmara de Lucena Beserra, V. C. Rodrigues, Isael Cavalcante Silva, Lívia Mota Sousa, P. Soares, A. B. Pinheiro
Objective: to analyze the association between sociodemographic and sexual variables of women in a context of vulnerability and their knowledge about the ways of HIV transmission. Methods: cross-sectional, analytical, and exploratory study conducted in a Primary Health Care Unit, with 221 women. The collection occurred with instruments containing sociodemographic, gynecological, and obstetric, sexual data and measurement of knowledge about HIV. Results: knowledge about the ways of HIV transmission was associated with age and education of the interviewees. Conclusion: the high prevalence of inadequate knowledge about HIV was explained by the younger age group of women, while the reduction of this outcome was seen in those with higher education. Contributions to practice: the data presented can subsidize new approaches and care practices in the field of sexual and reproductive health from the proposed analysis, aiming to raise awareness about testing, timely treatment and breaking the chain of transmission.
{"title":"Sociodemographic and sexual variables associated with knowledge about human immunodeficiency virus transmission","authors":"Izabel Cristina de Souza, Gilmara de Lucena Beserra, V. C. Rodrigues, Isael Cavalcante Silva, Lívia Mota Sousa, P. Soares, A. B. Pinheiro","doi":"10.15253/2175-6783.20222378704","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378704","url":null,"abstract":"Objective: to analyze the association between sociodemographic and sexual variables of women in a context of vulnerability and their knowledge about the ways of HIV transmission. Methods: cross-sectional, analytical, and exploratory study conducted in a Primary Health Care Unit, with 221 women. The collection occurred with instruments containing sociodemographic, gynecological, and obstetric, sexual data and measurement of knowledge about HIV. Results: knowledge about the ways of HIV transmission was associated with age and education of the interviewees. Conclusion: the high prevalence of inadequate knowledge about HIV was explained by the younger age group of women, while the reduction of this outcome was seen in those with higher education. Contributions to practice: the data presented can subsidize new approaches and care practices in the field of sexual and reproductive health from the proposed analysis, aiming to raise awareness about testing, timely treatment and breaking the chain of transmission.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"41 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84998257","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 : 2022-07-19DOI: 10.15253/2175-6783.20222378471
Maria Clara Duarte Monteiro, M. Martins, S. Schoeller
Objective: to describe the consensus of the content of an instrument for assessing interdisciplinary health care of the elderly population. Methods: consensus study conducted among physicians, nurses, and social workers, contemplating the construction of instrument and the pre-test for selection of scales for use in practice. Questionnaire consisting of questions that identified representative scales in the assessment of the elderly. The scales that obtained consensus criterion of equal to or greater than 75% were considered selected by the experts. Sample was composed through snowball sampling, resulting in 101 participants. Results: of the 13 scales submitted,the professionals indicated that eight were suitable for use and two were already applied within their practice. The excluded became part of the recommendations for good practices in elderly care. A discrepancy was identified between what they consider to be useful and of interest versus what is applied in practice. Conclusion: consensus among experts allowed us to identify and select interdisciplinary assessment data for a proposed instrument to support the care process. Contributions to practice: this contributes to awareness about the use of recommended scales for the elderly and to avoid the overlapping of the same interventions by several professionals, with significant gains for this population.
{"title":"Consensus on scales for an interdisciplinary health assessment tool for the elderly population","authors":"Maria Clara Duarte Monteiro, M. Martins, S. Schoeller","doi":"10.15253/2175-6783.20222378471","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378471","url":null,"abstract":"Objective: to describe the consensus of the content of an instrument for assessing interdisciplinary health care of the elderly population. Methods: consensus study conducted among physicians, nurses, and social workers, contemplating the construction of instrument and the pre-test for selection of scales for use in practice. Questionnaire consisting of questions that identified representative scales in the assessment of the elderly. The scales that obtained consensus criterion of equal to or greater than 75% were considered selected by the experts. Sample was composed through snowball sampling, resulting in 101 participants. Results: of the 13 scales submitted,the professionals indicated that eight were suitable for use and two were already applied within their practice. The excluded became part of the recommendations for good practices in elderly care. A discrepancy was identified between what they consider to be useful and of interest versus what is applied in practice. Conclusion: consensus among experts allowed us to identify and select interdisciplinary assessment data for a proposed instrument to support the care process. Contributions to practice: this contributes to awareness about the use of recommended scales for the elderly and to avoid the overlapping of the same interventions by several professionals, with significant gains for this population.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"30 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76069657","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 : 2022-07-19DOI: 10.15253/2175-6783.20222378524
Jéssica Alves Sacramento de Moraes, Climene Laura de Camargo, Mariana Moitinho Freire Queiroz da Silva, A. Souza, Victoria Régia Silva Santos Oliveira, Márcia Maria Carneiro Oliveira, M. Whitaker
Objective: to understand the meanings and actions inferred by nurses to minimize the error in the administration of medications in pediatrics. Methods: a qualitative study anchored in Symbolic Interactionism. Data were collected through semi-structured interviews with 11 nurses, who attributed the meanings and their actions to reduce medication errors in Pediatrics. The content analysis was composed of pre-analysis, exploration, treatment and interpretation of data. Results: three categories emerged: Individual actions (planning, attention, communication and application of the checklist in the use of the “right ones”); Multi-professional and organizational interactions (teamwork, automated system, staff dimensioning, double-checking in checking medications, professional articulation, organizational actions, institutional policies and communication) and Continuing education strategies (training and capacity building). Conclusion: technical aspects, work dynamics, need for updating, attitudes related to individual actions, multi-professional interactions, organizational and continuing education were meanings and actions inferred by nurses for the minimization of the error in medication administration in Pediatrics. Contributions to practice: it is necessary that the topic of medication administration be a continuous point in the permanent education programs in the health services in order to guarantee the minimization of errors and thus promote greater safety for users.
{"title":"Meanings and actions inferred by nurses for minimizing medication errors in pediatrics","authors":"Jéssica Alves Sacramento de Moraes, Climene Laura de Camargo, Mariana Moitinho Freire Queiroz da Silva, A. Souza, Victoria Régia Silva Santos Oliveira, Márcia Maria Carneiro Oliveira, M. Whitaker","doi":"10.15253/2175-6783.20222378524","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378524","url":null,"abstract":"Objective: to understand the meanings and actions inferred by nurses to minimize the error in the administration of medications in pediatrics. Methods: a qualitative study anchored in Symbolic Interactionism. Data were collected through semi-structured interviews with 11 nurses, who attributed the meanings and their actions to reduce medication errors in Pediatrics. The content analysis was composed of pre-analysis, exploration, treatment and interpretation of data. Results: three categories emerged: Individual actions (planning, attention, communication and application of the checklist in the use of the “right ones”); Multi-professional and organizational interactions (teamwork, automated system, staff dimensioning, double-checking in checking medications, professional articulation, organizational actions, institutional policies and communication) and Continuing education strategies (training and capacity building). Conclusion: technical aspects, work dynamics, need for updating, attitudes related to individual actions, multi-professional interactions, organizational and continuing education were meanings and actions inferred by nurses for the minimization of the error in medication administration in Pediatrics. Contributions to practice: it is necessary that the topic of medication administration be a continuous point in the permanent education programs in the health services in order to guarantee the minimization of errors and thus promote greater safety for users.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"35 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85819309","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 : 2022-06-03DOI: 10.15253/2175-6783.20222378408
Ana Cláudia Monzon Zampoli, S. Caldeira, Karine Brito dos Santos, O. K. Nihei, Rosane Meire Munhak da Silva
Objective: to understand the experience of mothers after the diagnosis of congenital malformation and the expectations of care from the health and social network. Methods: qualitative research based on Social Phenomenology, with the participation of six mothers living in border towns, by means of semi-structured interviews. Results: the reports brought information about the diagnosis of congenital malformation, the experience of pregnancy, becoming a mother of a child with malformation and the expectations of health and social care. Conclusion: the social group studied experienced the diagnosis of malformation with suffering, emotional repercussions and changes in their daily lives. Contributions to practice: communication by the health team contributes to understanding and facing the malformation. The importance of the family and social network support was highlighted. It is necessary to develop professional skills related to communication and to make more investments in training and working conditions that allow more time for the care of this public.
{"title":"Experience of mothers after the diagnosis of congenital malformation and the expectations of care","authors":"Ana Cláudia Monzon Zampoli, S. Caldeira, Karine Brito dos Santos, O. K. Nihei, Rosane Meire Munhak da Silva","doi":"10.15253/2175-6783.20222378408","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378408","url":null,"abstract":"Objective: to understand the experience of mothers after the diagnosis of congenital malformation and the expectations of care from the health and social network. Methods: qualitative research based on Social Phenomenology, with the participation of six mothers living in border towns, by means of semi-structured interviews. Results: the reports brought information about the diagnosis of congenital malformation, the experience of pregnancy, becoming a mother of a child with malformation and the expectations of health and social care. Conclusion: the social group studied experienced the diagnosis of malformation with suffering, emotional repercussions and changes in their daily lives. Contributions to practice: communication by the health team contributes to understanding and facing the malformation. The importance of the family and social network support was highlighted. It is necessary to develop professional skills related to communication and to make more investments in training and working conditions that allow more time for the care of this public.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"51 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84741735","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 : 2022-06-03DOI: 10.15253/2175-6783.20222372264
Patrício de Almeida Costa, Maria Sílvia de Oliveira Neta, T. D. Azevedo, Luzianne Teotonio Cavalcanti, Samara Raquel de Sousa Rocha, Matheus Figueiredo Nogueira
Objective: to assess emotional distress and adherence to self-care activities in older adults with diabetes mellitus. Methods: cross-sectional study conducted with 75 elderly diabetics and using the instruments Problem Areas in Diabetes (Brazilian version) and Diabetes Self-Care Activity Questionnaire. For data analysis, descriptive statistics and the calculation of mean differences between groups using the Mann-Whitney test were used. Results: the elderly showed low emotional distress (mean score=29.86). Regarding self-care, lower adherence to blood glucose assessment and higher adherence to medication use according to recommendations. When comparing the groups, the elderly with severe emotional distress showed less adherence to the dimensions specific food (p=0.008) and foot care (p=0.014). Conclusion: most of the elderly showed low emotional distress and unsatisfactory adherence to diabetes self-care related to the dimensions specific diet, and foot care stood out among the elderly with severe emotional distress. Contributions to practice: to foster the process of comprehensive care to the elderly with diabetes mellitus, contributing to the clinical management and promotion of their emotional well-being, therapeutic adherence, self-care - especially - of specific feeding, foot care and quality of life.
{"title":"Emotional distress and adherence to self-care activities in older adults with diabetes mellitus","authors":"Patrício de Almeida Costa, Maria Sílvia de Oliveira Neta, T. D. Azevedo, Luzianne Teotonio Cavalcanti, Samara Raquel de Sousa Rocha, Matheus Figueiredo Nogueira","doi":"10.15253/2175-6783.20222372264","DOIUrl":"https://doi.org/10.15253/2175-6783.20222372264","url":null,"abstract":"Objective: to assess emotional distress and adherence to self-care activities in older adults with diabetes mellitus. Methods: cross-sectional study conducted with 75 elderly diabetics and using the instruments Problem Areas in Diabetes (Brazilian version) and Diabetes Self-Care Activity Questionnaire. For data analysis, descriptive statistics and the calculation of mean differences between groups using the Mann-Whitney test were used. Results: the elderly showed low emotional distress (mean score=29.86). Regarding self-care, lower adherence to blood glucose assessment and higher adherence to medication use according to recommendations. When comparing the groups, the elderly with severe emotional distress showed less adherence to the dimensions specific food (p=0.008) and foot care (p=0.014). Conclusion: most of the elderly showed low emotional distress and unsatisfactory adherence to diabetes self-care related to the dimensions specific diet, and foot care stood out among the elderly with severe emotional distress. Contributions to practice: to foster the process of comprehensive care to the elderly with diabetes mellitus, contributing to the clinical management and promotion of their emotional well-being, therapeutic adherence, self-care - especially - of specific feeding, foot care and quality of life.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"63 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74990483","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 : 2022-06-03DOI: 10.15253/2175-6783.20222372426
Daniela Mascarenhas de Paula Campos, Luana Vieira Toledo, S. S. Matos, Carla Lucia Goulart Constant Alcoforado, F. Ercole
Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution.
{"title":"Incidence and risk factors for incidents in intensive care patients","authors":"Daniela Mascarenhas de Paula Campos, Luana Vieira Toledo, S. S. Matos, Carla Lucia Goulart Constant Alcoforado, F. Ercole","doi":"10.15253/2175-6783.20222372426","DOIUrl":"https://doi.org/10.15253/2175-6783.20222372426","url":null,"abstract":"Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"55 18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90058450","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 : 2022-06-03DOI: 10.15253/2175-6783.20222378152
Eduardo Rodrigues Mota, Odaleia de Oliveira Farias, Jéssica Karen de Oliveira Maia, Maisa Leitão de Queiroz, Nikaelly Pinheiro Mota, M. Galvão
Objective: to identify the use of post-exposure prophylaxis for HIV in young people in the context of sexual risk behavior. Methods: this is an integrative review, with search in LILACS, MEDLINE, CINAHL, SCOPUS, SciELO and COCHRANE, using the main descriptors: HIV, HIV Infections, Health Education, Technology and Post-Exposure Prophylaxis related through the Boolean operators AND and OR. Results: the final sample included 16 studies, mostly implemented with men who have sex with men. The articles were classified and analyzed from the categories: knowledge assessment; barriers/challenges to adherence to post-exposure prophylaxis; population using post-exposure prophylaxis; and educational technologies. Conclusion: non-adherence was related to the ignorance of basic information such as the indication of post-exposure prophylaxis, place of delivery, dosage, and side effects. Contributions to practice: synthesis of knowledge about the use of post-exposure prophylaxis by young people. In addition to increasing research on young people in the context of risky sexual behavior, especially in the nursing field, it subsidizes the development of health education strategies.
{"title":"Use of post-exposure prophylaxis for HIV in young people: an integrative review","authors":"Eduardo Rodrigues Mota, Odaleia de Oliveira Farias, Jéssica Karen de Oliveira Maia, Maisa Leitão de Queiroz, Nikaelly Pinheiro Mota, M. Galvão","doi":"10.15253/2175-6783.20222378152","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378152","url":null,"abstract":"Objective: to identify the use of post-exposure prophylaxis for HIV in young people in the context of sexual risk behavior. Methods: this is an integrative review, with search in LILACS, MEDLINE, CINAHL, SCOPUS, SciELO and COCHRANE, using the main descriptors: HIV, HIV Infections, Health Education, Technology and Post-Exposure Prophylaxis related through the Boolean operators AND and OR. Results: the final sample included 16 studies, mostly implemented with men who have sex with men. The articles were classified and analyzed from the categories: knowledge assessment; barriers/challenges to adherence to post-exposure prophylaxis; population using post-exposure prophylaxis; and educational technologies. Conclusion: non-adherence was related to the ignorance of basic information such as the indication of post-exposure prophylaxis, place of delivery, dosage, and side effects. Contributions to practice: synthesis of knowledge about the use of post-exposure prophylaxis by young people. In addition to increasing research on young people in the context of risky sexual behavior, especially in the nursing field, it subsidizes the development of health education strategies.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83724862","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 : 2022-06-03DOI: 10.15253/2175-6783.20222372440
Daisyanne Augusto dos Sales Santos, M. Cardoso, Fernando Daniel de Oliveira Mayorga, Francisco Everson da Silva Costa, Natanael Nascimento Rodrigues, G. M. D. Melo
Objective: to analyze the spatial distribution of microcephaly cases by Zika virus in a Brazilian municipality. Methods: ecological study that analyzed 53 confirmed cases of microcephaly by Zika virus, reported between 2015 and 2016, extracted from the Registry of Public Health Events - Microcephaly. Incidence rates of the disease in neighborhoods of the municipality, Global and Local Moran Index and Kernel dispersion method were calculated. Results: common areas with high Zika microcephaly incidence rates were identified. The value of Moran’s I demonstrated the presence of clusters, with p=0.001, I=0.3159 in 2015 and I=0.2158 in 2016. According to the Kernel map, there was concentration of cases in Regional Executive Secretariats IV and VI. Most of the cases are within or near precarious settlements. Conclusion: the cases did not occur randomly and reinforce their relationship with the living conditions of the population. Contributions to practice: it is expected that this study can contribute to reflect on public policies and surveillance actions to reduce Zika transmission, recognizing the territories of higher risk for the disease. In addition, to expand discussions between managers and health professionals to qualify notification, care, and monitoring of children with microcephaly by Zika.
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