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Repercussions of the diagnosis of fetus malformation under the light of Betty Neuman's theory 从诺伊曼理论看胎儿畸形诊断的影响
IF 0.5 Q4 NURSING Pub Date : 2022-02-04 DOI: 10.15253/2175-6783.20222371993
Cristiane Vanessa da Silva, Thais Cerqueira Carvalho, Dibulo Ferreira Abrão, Adriana Peixoto da Silva, Fernanda Rodrigues Chaves Morais, Ivia Santos de Carvalho
Objective: to understand the repercussions of the fetus malformation diagnosis in the life of pregnant women, under the light of Betty Neuman’s theory. Methods: qualitative study, based on Betty Neuman’s theory. The semistructured interview included ten women pregnant with malformed fetuses hospitalized in a maternity hospital specialized in fetal risk. The thematic analysis technique was used, respecting all ethical aspects. Results: the way in which the malformation is communicated, the lack of empathy from professionals, the lack of information, being alone, fearing judgment, and feeling guilty led to emotional alterations and changes in the projects of the pregnant women. The family, specialized care, and religiosity contributed for the balance of the participants. Conclusion: Neuman’s theory allowed us to recognize stressing factors that shook the lines of defense of the pregnant women, leading to fragilities which are overcome by specialized care and by a support network.
目的:在Betty Neuman的理论指导下,了解胎儿畸形诊断对孕妇生活的影响。方法:以诺伊曼理论为基础,进行定性研究。半结构化访谈包括10名在胎儿风险专科妇产医院住院的畸形胎儿孕妇。采用主题分析技术,尊重所有伦理方面。结果:畸形的沟通方式、缺乏专业人员的同情、缺乏信息、孤独、害怕评判、内疚等因素导致孕妇的情绪变化和项目变化。家庭、专业护理和宗教信仰有助于参与者的平衡。结论:纽曼的理论让我们认识到压力因素动摇了孕妇的防线,导致脆弱,这是克服专业护理和支持网络。
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引用次数: 1
Nurse managers in mental health units: from activities to time management 精神卫生单位的护士管理者:从活动到时间管理
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371282
Luísa Paula da Silva Pires Alferes, M. Martins, Margarida Reis Santos, M. Teixeira, A. Poeira, R. Pires, Rui Paulo Asseiro Alferes
Objective: to understand the use of time by nurse managers in psychiatry and mental health units, as they carry out their daily tasks. Methods: cross-sectional study, carried out by 48 managers from public psychiatric units and from the social sector. Data collection was made through an online questionnaire that is part of the Scale of Perception of Nurse Manager Work, including 43 items separated in five functional domains of nurse managers. The responses were in a Likert scale: does not take time, takes little time, takes some time, takes much time. Results: the activities inherent to ethical and legal professional practices and to the management of care and of human resources required more time from the manager when compared to policy interventions, and consulting and professional development. Conclusion: the managers recognize that managing time implies organization, planning work, and establishing priorities in the tasks to be developed.
目的:了解精神病学和精神卫生单位的护士管理人员在执行日常任务时对时间的利用。方法:对48名来自公立精神科和社会部门的管理人员进行横断面研究。数据收集通过一份在线问卷进行,该问卷是护士管理者工作感知量表的一部分,包括43个项目,分为护士管理者的五个职能领域。回答采用李克特量表:不花时间,花很少时间,花一些时间,花很多时间。结果:与政策干预、咨询和专业发展相比,道德和法律专业实践以及护理和人力资源管理固有的活动需要管理者更多的时间。结论:管理者认识到管理时间意味着组织、计划工作和确定待开发任务的优先级。
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引用次数: 2
The role of researchers after the COVID-19 pandemic COVID-19大流行后研究人员的作用
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222372190
Marcos Lopes
In late 2019, the first cases of a disease, which would come to be known as COVID-19, emerged in a Chinese city, known for being the home to a market where wild animals were relatively common and to a virology laboratory of the highest security level. Coincidence or not, the debate about the origin of the disease involves these two places, and a lot of political interest. On the other hand, the tragedy that became one of the deadliest pandemics ever recorded has several other elements that are more or less important, depending on the moment and context.
2019年底,一种后来被称为COVID-19的疾病的第一例病例出现在中国的一个城市,这个城市以拥有野生动物相对常见的市场和安全级别最高的病毒学实验室而闻名。无论是否巧合,关于疾病起源的争论涉及这两个地方,以及许多政治利益。另一方面,这场成为有史以来最致命流行病之一的悲剧还有其他几个因素,这些因素或多或少都很重要,取决于当时的时刻和背景。
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引用次数: 0
Construction of a nursing care instrument for patients with central venous catheters 中心静脉置管患者护理仪的研制
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222370967
Stefhanie Conceição de Jesus, K. C. Bertoncello, F. A. F. Gonçalves, Aline Daiane Colaço, G. Lentz, D. Schneider
Objective: to build a nursing care instrument for patients with short-term central venous catheters in an Intensive Care Unit. Methods: a multi-method study in three stages: structuring of the instrument; pre-testing of the instrument; agreement analyses among nurses and final composition of the instrument. Results: the instrument, in its first version, presented three domains related to the moment of insertion (five items), maintenance (15 items) and catheter removal (ten items). Most of the 30 items were assessed as relevant (23/77%) and presented a satisfactory Content Validity Index (28/93%). Ten items were reformulated, 32 new items were included, and three items were deleted. Conclusion: the instrument was constructed, which presented response validity for the care of nurses to patients with central venous catheters in Intensive Care Units, consisting of three domains and 59 items evaluated by nurses and considered appropriate for the moments of insertion, maintenance and removal of the catheter.
目的:为重症监护室短期中心静脉置管患者制作一套护理仪器。方法:分三个阶段进行多方法研究:仪器结构设计;仪器的预测试;护士间的一致性分析及仪器的最终组成。结果:该仪器在其第一版中呈现了与插入时刻(5项)、维护(15项)和拔管(10项)相关的三个域。30个题项中大部分被评估为相关(23/77%),内容效度指数为满意(28/93%)。修改10项,新增32项,删除3项。结论:构建的量表具有护士对重症监护病房中心静脉置管患者护理的响应效度,由3个域和59个项目组成,由护士评估,并认为导管插入、维持和拔出的时刻是合适的。
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引用次数: 1
Experiencing pregnancy at an advanced maternal age in a private hospital 高龄产妇在私立医院怀孕
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222370958
Andressa Kachel Chemim, Beatriz Cristina de Castro, J. D. Aldrighi, Marilene Loewen Wall, Aline Lara de Carvalho, Bruna Gizele Noronha de Medeiros, Tatiane Herreira Trigueiro
Objective: to describe the experiences of pregnant women at advanced maternal age assisted in a private hospital. Methods: a qualitative study, carried out with 17 women, by means of semi-structured interviews via telephone. The data was submitted to Thematic Content Analysis. Results: the participants were between 35 and 40 years old. Two categories emerged: Experiencing pregnancy as a couple and family: the preparation of the couple for pregnancy and childbirth (Pregnancy after 35 years old as an element of potentiality; Change in the family routine for the baby’s arrival) and Experiencing pregnancy and its changes: perceiving pregnancy as a healthy and calm experience (Change in emotional patterns related to the pregnancy process). Conclusion: experiencing pregnancy late in life was not a concern for women. Maturity and favorable socioeconomic conditions may have a protective influence on the course of healthy pregnancies in women attending the private health service.
目的:介绍某民营医院高龄孕妇的护理经验。方法:采用半结构化电话访谈法,对17名女性进行定性研究。数据提交给专题内容分析。结果:参与者年龄在35 - 40岁之间。出现了两个类别:作为夫妇和家庭经历怀孕;夫妇为怀孕和分娩做准备(35岁以后怀孕作为潜在因素;为婴儿的到来而改变家庭常规)和体验怀孕及其变化:将怀孕视为一种健康和平静的经历(与怀孕过程有关的情绪模式的变化)。结论:晚孕对女性来说不是一个问题。成熟和有利的社会经济条件可能对参加私营保健服务的妇女的健康怀孕过程产生保护作用。
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引用次数: 0
Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic 慢性腰痛患者在门诊理疗诊所的治疗行程
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371393
C. Mbada, Samuel Olaniyi Oladapo, C. Igwe, O. Oyewole, C. Fatoye, A. Ogundele, F. Fatoye
Objective: to assess therapeutic itinerary of patients with chronic low-back pain. Methods: qualitative study involving the use of an in-depth semi structured interviews were used to collect data on therapeutic itinerary among ten patients with chronic low-back pain who from physiotherapy clinic of a tertiary hospital. Data was analysed using thematic content analysis. Results: emerging themes were as follows: onset of low-back pain, symptoms that initiated the journey for care, steps taken to find pain relief, respondent’s perception on care received, interference of chronic low-back pain with normal life, family and relations, multiple practices in which chronic low-back pain patients are involved, perception of effectiveness of the multiple practices, and hurdles to seeking care. Conclusion: patients with chronic low-back pain take different routes in search of care. Chronic low-back pain markedly altered patients’ life and made them prone to practicing medical pluralism.
目的:探讨慢性腰痛患者的治疗方案。方法:采用深度半结构化访谈的定性研究方法,收集某三级医院物理治疗门诊10例慢性腰痛患者的治疗过程资料。数据分析采用主题内容分析。结果:新出现的主题如下:腰痛的发病、开始治疗的症状、采取的缓解疼痛的步骤、受访者对治疗的看法、慢性腰痛对正常生活、家庭和关系的干扰、涉及慢性腰痛患者的多种治疗方法、对多种治疗方法有效性的看法以及寻求治疗的障碍。结论:慢性腰痛患者寻求护理的途径不同。慢性腰痛显著地改变了患者的生活,使他们倾向于实践医疗多元化。
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引用次数: 1
Nurses’ perceptions of counseling and rapid testing for sexually transmitted infections 护士对性传播感染咨询和快速检测的看法
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371427
Reângela Cíntia Rodrigues de Oliveira Lima, Amanda Delmondes de Brito, M. Galvão, I. Maia
Objective: to understand Family Health Strategy nurses’ perceptions on counseling and rapid testing for sexually transmitted infections. Methods: this is a qualitative study, with data triangulation. Data collection was conducted through a semi-structured interview with seven nurses from Family Health Strategy. For systematization and data processing, content analysis was adopted in the thematic modality. Results: after analysis, four categories emerged: Rapid test training; Counseling conduction; Ease in rapid testing offer; and Challenges offering rapid testing. Conclusion: nurses’ perceptions were related to difficulties in the face of pre and posttest counseling, requiring improvement, permanent education and training for professional preparation, and the logistics of inputs and materials, in addition to changes in the physical structure of the units.
目的:了解家庭健康策略护士对性传播感染咨询和快速检测的认识。方法:采用数据三角法进行定性研究。数据收集是通过对来自家庭健康战略的7名护士的半结构化访谈进行的。在系统化和数据处理方面,采用主题方式进行内容分析。结果:经分析,分为四类:快速测试训练;咨询办理;易于提供快速检测服务;以及提供快速检测的挑战。结论:护士的认知与面对测试前和测试后咨询的困难、需要改进、专业准备的长期教育和培训、投入和材料的后勤以及单位物理结构的变化有关。
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引用次数: 1
Evaluation of the quality of life of cancer patients undergoing chemotherapy 癌症患者化疗后生活质量的评价
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371133
Objective: to assess the quality of life of cancer patients undergoing chemotherapy. Methods: a cross-sectional study carried out in the chemotherapy sector with 51 patients able to answer the data collection instruments. For the analyses, we adopted the variance analysis and Student’s t. Results: the health score indicated moderate quality of life and the symptoms nausea and vomiting, diarrhea, and dyspnea were the most present. The scores of the global health scale showed differences between age groups and presence of metastasis; diarrhea and financial difficulties showed differences with respect to gender; pain was more cited by those who did not undergo surgery; insomnia and nausea and vomiting were related to the time of treatment. Conclusion: participants had moderate overall health scores and the main functional levels affected by the treatment were social and emotional.
目的:评价肿瘤患者化疗后的生活质量。方法:在化疗部门进行横断面研究,有51例患者能够回答数据收集仪器。我们采用方差分析和Student’s t进行分析。结果:健康评分为中等生活质量,以恶心呕吐、腹泻、呼吸困难症状最多。全球健康量表得分显示出年龄组和转移存在的差异;腹泻和经济困难表现出性别差异;没有做过手术的人更多地提到疼痛;失眠、恶心、呕吐与治疗时间有关。结论:受试者总体健康得分中等,受治疗影响的主要功能水平为社交和情感。
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引用次数: 0
Access to the care network by children and adolescents with special health needs 有特殊保健需要的儿童和青少年利用保健网络的机会
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371313
Tífani de Vargas Bueno, A. Silveira, Alexa Pupiara Flores Coelho Centenaro, Fernanda Bheregaray Cabral, Marta Cocco da Costa
Objective: to understand the access to the care network for children and adolescents with special needs from the perspective of professionals. Methods: qualitative study carried out in an Association of Parents and Friends of Exceptional Children. The semi-structured interview was used,with representation through the cloud of words. Participated in the research 11 professionals who work in health care and special education. Results: from the professionals’ perspective, the access to the network of care for children and adolescents comes from the special care and education offered by the Association. The participants highlighted the difficulties of access of children and adolescents to health services and the diversity of activities used so that they can socialize, interact, and form bonds. Conclusion: the access of children and adolescents to the attention network occurs through the services of the Association, represented by the clinic for health care and the school for development and social inclusion.
目的:从专业人士的角度了解特殊需要儿童青少年护理网络的可及性。方法:在特殊儿童家长和朋友协会进行定性研究。我们采用了半结构化的访谈,通过词汇云来表达。参与研究的有11名从事卫生保健和特殊教育的专业人员。结果:从专业人员的角度来看,儿童青少年护理网络的接入来自于协会提供的特殊照顾和教育。与会者强调了儿童和青少年获得保健服务的困难,以及为使他们能够社交、互动和建立联系而进行的各种活动。结论:儿童和青少年通过以保健诊所和发展与社会融合学校为代表的协会的服务进入关注网络。
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引用次数: 0
Comparison of physical activity and sedentary behavior levels in secondary and university students 中学生和大学生体育活动和久坐行为水平的比较
IF 0.5 Q4 NURSING Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371433
Natalie Naidoo, O. Olagbegi, T. Nadasan, Joshua Oluwafisayo Afolabi
Objective: to compare physical activity and sedentary behavior in university students and secondary students. Methods: the cross-sectional study involved 202 selected secondary students and 171 university students. The Global Physical Activity Questionnaire was administered to the respondents. Percentages, chi-square test, Mann Whitney U test and linear regression were used for data analysis. Results: about 63% and 32% of secondary and university students, respectively, reported high levels of physical activity, while 84.7% and 71.9% of secondary and undergraduate students, respectively, met guidelines for sedentary behavior. The secondary students had significantly higher scores than the university students in vigorous (p=0.004), moderate (p<0.001), and total physical activity (p<0.001). The observed difference was more prominent among females. Conclusion: secondary students had higher scores of physical activity and spent less time in sedentary behavior.
目的:比较大学生和中学生的身体活动和久坐行为。方法:选取202名中学生和171名大学生进行横断面研究。对受访者进行了全球身体活动问卷调查。数据分析采用百分比法、卡方检验、Mann Whitney U检验和线性回归。结果:分别有63%和32%的中学生和大学生报告了高水平的体育活动,而84.7%和71.9%的中学生和大学生分别符合久坐行为的指南。中学生在剧烈运动(p=0.004)、中度运动(p<0.001)和总运动(p<0.001)方面得分显著高于大学生。观察到的差异在女性中更为明显。结论:中学生体力活动得分较高,久坐时间较少。
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引用次数: 0
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