Revista Latino-Americana De Enfermagem最新文献

to understand the motivations, benefits, and barriers to the use of HIV pre-exposure prophylaxis.

a qualitative study grounded on the Health Belief Model. Sixteen people using HIV pre-exposure prophylaxis were followed up at two Testing and Counseling Centers in a large municipality in the interior of the state of São Paulo, Brazil. Data were collected through individual audio-recorded interviews. Data analysis followed Rosenstock's Health Belief Model and Bardin's Content Analysis.

susceptibility to HIV was influenced by uncertainty about partners' serology and condom failure. The severity of HIV is perceived as greater due to its incurability. Benefits include greater protection, safety, and well-being. Barriers involve difficulties in access, side effects, and social stigma.

the study revealed that the motivation for using Pre-Exposure Prophylaxis was the perception of susceptibility to HIV, the severity of the disease, and benefits such as protection and psychological well-being, while barriers involved difficulties in access, complexity of the clinical protocol, and stigma. Knowing the beliefs and barriers can favor more effective interventions by the health team.

compare the use of personal protective equipment among nurses in the pre- and post-COVID-19 vaccination periods in the state of Paraíba, Brazil.

cross-sectional, analytical study with nurses from the state of Paraíba, Brazil. Data collection in two periods (pre- and post-COVID-19 vaccination), online, using a survey instrument. Descriptive and comparative analyses. Comparative analysis of variables for combined use of personal protective equipment in direct care and aerosol-generating procedures for people with suspected or diagnosed COVID-19 using the Z-test for proportions.

participation of 579 nurses in period 1 and 734 nurses in period 2. Gloves, face shield, N95 mask, surgical cap, and gown were the pieces of equipment most used by nurses in the care of people with suspected and/or diagnosed COVID-19. The combined use of personal protective equipment was higher in the pre-vaccination period compared with post-vaccination period.

combined use of personal protective equipment by nurses decreased after the introduction of the COVID-19 vaccine. Thus, it is necessary to implement educational strategies and trainings on the proper use of these pieces of equipment.

to analyze the effectiveness of individual coping strategies and hospital work environment adaptations for nurses with musculoskeletal pain.

a systematic review was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The search was performed in six databases, including experimental and pre-experimental studies. Risk of bias was assessed using the RoB2 (Risk of Bias 2) and ROBINS-I (Risk of Bias In Non-randomized Studies of Interventions) tools. Methodological quality was evaluated using the Joanna Briggs Institute model, the Jadad Scale and the Melnyk, Buck and Gallagher-Ford Levels of Evidence.

eight studies were included, identifying individual coping strategies such as stretching exercises, auriculotherapy and mindfulness. Workplace-based strategies were multidisciplinary, integrated and focused on training for identifying and preventing musculoskeletal risks while improving working conditions.

the most effective strategies combine workers' individual actions with improvements in working conditions, addressing physical, psychosocial and ergonomic factors to adapt the work environment, prevent musculoskeletal pain progression and maintain job performance. PROSPERO registration number: CRD42024575014.

to analyze the association between malnutrition and the availability, access and feeding practices of children under 24 months in Mouha, Mozambique.

observational, cross-sectional, analytical study with a sample of 284 children under 24 months of age whose heads of household and mothers or those responsible for feeding the child answered structured forms at home. Multinomial log-linear models were used to verify the association of predictor variables with anthropometric indicators of malnutrition.

it was observed that less than one third of the children were free from malnutrition. Only 23% of the children had adequate nutrition that met all the criteria for their age group, which was negatively associated with severe acute and chronic malnutrition; 67% of the children were exclusively breastfed, and the prevalence of continued breastfeeding occurred between 88% and 95%. The existence of food reserves was a protective factor against chronic malnutrition at all degrees, confirmed by the practice of agriculture and the diversity of animals raised. The feeding problem was associated with acute and chronic malnutrition in children over one year old.

malnutrition in children under 24 months old is associated with dietary adequacy, availability of food for consumption and access to it.

to analyze the relationship between the perception of nursing professionals in intensive care units about the practice environment, the burnout level and job satisfaction, based on a theoretical model.

a cross-sectional correlational study was carried out with 114 nursing professionals from a university hospital in the northwest of São Paulo state. A personal and professional characterization form, the Practice Environment Scale, the Maslach Burnout Inventory and the job satisfaction subscale of the Safety Attitudes Questionnaire were used. Descriptive analyses were carried out, and comparison tests (non-paired Student's t-test, Mann-Whitney, ANOVA and Kruskal-Wallis), correlations (Pearson or Spearman) and structural equation modeling were used in order to evaluate the mediating effect.

the professionals reported a favorable practice environment, job satisfaction, low levels of emotional exhaustion, high levels of personal fulfillment and moderate levels of depersonalization. Job satisfaction was found to have a partial mediating effect between the practice environment and burnout.

actions aimed at improving the practice environment can directly reduce burnout or mediate it by increasing job satisfaction. Understanding these relationships is fundamental to promoting a favorable environment, minimizing burnout and increasing job satisfaction.

to map the scientific literature regarding complementary therapies used by health professionals for children with Attention Deficit Hyperactivity Disorder.

this scoping review was based on the recommendations proposed by the Joanna Briggs Institute. Five data sources were searched. Inclusion criteria comprised articles published in English, Spanish, or Portuguese; children aged one to nine years diagnosed with Attention Deficit Hyperactivity Disorder, regardless of additional age ranges covered; and no restrictions on publication date, study design, or bibliographic type. Therapies were grouped into four categories: mind-body therapies, supplementation, herbal therapy, and dietary therapy.

a total of 1,444 publications were identified, with 133 peer-reviewed articles selected for analysis. Sixty-five complementary therapies were identified, with neurofeedback (n=38) being the most frequently cited mind-body therapy. Other interventions included a prevalence of polyunsaturated fatty acid supplementation (n=14), Ginkgo biloba use (n=6) in phytotherapy, and oligo-antigenic diet (n=5) in dietary therapy.

complementary therapies show potential for alleviating symptoms of Attention Deficit Hyperactivity Disorder in childhood. However, some therapies still lack scientific validation, highlighting the need for targeted experimental studies to ensure safe and effective use.

to analyze the time-series trend for maternal mortality before and during the COVID-19 pandemic.

ecological time-series study in the state of São Paulo and in its seventeen Regional Health Departments. Collection of secondary data provided by the Ministry of Health. Study variables: total, direct and indirect maternal mortality ratios. Analysis was performed by segmented regression model.

maternal mortality ratio trends were stationary in 2011-2019, followed by a 25.6% increase in 2019-2021. The direct maternal mortality ratio had an upward trend of 7.2% in 2011-2017 and a stationary trend in 2017-2021. The indirect maternal mortality ratio was stationary in 2011-2019, followed by a 70.5% increase in 2019-2021. The regional health departments of the Metropolitan Area of São Paulo, Araçatuba, Bauru, Campinas, Presidente Prudente, São João da Boa Vista, São José do Rio Preto and Sorocaba showed an upward trend for maternal mortality in 2011-2021.

the COVID-19 pandemic severely influenced the increase in maternal mortality, especially from indirect causes, with 2021 being the worst year in the time series. The findings were important to assist in the organization of maternal mortality reduction strategies by directing them to priority areas.

to analyze the level of anxiety and variation in the vital signs of cancer patients and performers (music students) before and after a live musical intervention.

quasi-experimental pilot study with no control group. An interdisciplinary musical intervention was carried out between Nursing and Music Performance students. The level of anxiety was assessed with the Hamilton scale and the variation in vital signs before and after the intervention in a day hospital in cancer patients and in interpreters, in the latter the variables were also analyzed before and after the intervention. The Wilcoxon test was used to analyze the data.

18 patients and 10 music students took part. Variations in vital signs were observed in both groups, as well as a decrease in the level of anxiety in the patients at the post-intervention moment. In the students, the level of anxiety was higher at the beginning of the dress rehearsal compared to the rest of the evaluated moments at the hospital.

live music interventions could improve anxiety levels in both cancer patients and performers.

to map the literature on skin-related quality of life questionnaires and assessment tools applied to cancer patients undergoing radiotherapy who developed radiodermatitis.

scoping review conducted in accordance with JBI recommendations. The search was conducted in seven sources of information and in the grey literature. There were no restrictions on the publication period or language of the articles. A qualitative synthesis of the data was performed, presented descriptively and through tables and figures.

thirty-two studies were included, most of which were from North America (n=14). The instruments used to assess skin-related quality of life were: the Dermatology Life Quality Index (n=17), Skindex-16 (n=11), Skindex-29 (n=1), and Padua Skin-Related Quality of Life (n=1). The most frequently applied instruments were the Dermatology Life Quality Index and Skindex-16, used predominantly in patients with breast cancer.

different instruments used to assess skin-related quality of life in patients with radiodermatitis were identified, with emphasis on Skindex-16 and DLQI. The diversity of tools points to the absence of consolidated guidelines on the choice of the best instrument to be implemented in this clinical context.

to identify the prevalence of alcohol consumption patterns among Primary Health Care users and the association between risky, harmful, and probable dependence consumption patterns with sociodemographic, clinical, and behavioral characteristics.

cross-sectional study conducted with a sample of 2,178 participants who responded to the Alcohol Use Disorders Identification Test in primary health care services in the city of São Paulo. Descriptive and multiple inferential statistical analysis was performed using a hierarchical Poisson regression model with a significance level of 5%.

of the total number of participants, 18.9% met the criteria for harmful alcohol consumption. Determinants for risky and harmful alcohol consumption were male gender (PR = 1.89; 95% CI 1.57-2.28; p < 0.001), black race/color (PR = 1.65; 95% CI 1.30 - 2.10; p < 0.001), and income ≥ 10 minimum wages (PR = 1.78; 95% CI 1.07 - 2.99; p = 0.028). For probable dependence, lower educational level (PR = 13.70; 95% CI 1.56-117.63; p = 0.017) and reporting a diagnosis of depression (PR = 2.72; 95% CI 1.37-5.41; p = 0.005) were determinants.

the prevalence of alcohol use disorders among users of primary health care services in São Paulo was higher than that observed in previous studies, suggesting that this segment of the population seeks health care at these services, highlighting the potential for screening and early diagnosis of the population.