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Analysis of the influence of the COVID-19 pandemic on maternal mortality trends, 2011-2021. 2011-2021年COVID-19大流行对孕产妇死亡率趋势的影响分析
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7559.4668
Mariana Vitor Peppe, Fernanda Bruzadelli Paulino da Costa, Livia Sanches Pedrilio, Caio Antonio de Campos Prado, Ana Cyntia Paulin Baraldi, Juliana Stefanello

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.

分析2019冠状病毒病大流行之前和期间孕产妇死亡率的时间序列趋势。在圣保罗州及其17个地区卫生部门进行生态时序研究。收集卫生部提供的二手数据。研究变量:产妇总死亡率、直接死亡率和间接死亡率。采用分段回归模型进行分析。2011-2019年孕产妇死亡率趋势平稳,随后在2019-2021年增长25.6%。2011-2017年孕产妇直接死亡率呈上升趋势,为7.2%,2017-2021年呈平稳趋势。2011-2019年,孕产妇间接死亡率保持平稳,随后在2019-2021年上升70.5%。2011-2021年,圣保罗、阿拉帕拉图巴、保鲁、坎皮纳斯、普鲁登特总统区、奥约奥达博阿维斯塔区、奥约奥达博阿维斯塔区和索罗卡巴区的地区卫生部门的孕产妇死亡率呈上升趋势。2019冠状病毒病大流行严重影响了孕产妇死亡率的上升,特别是间接原因造成的死亡率上升,2021年是该时间序列中最严重的一年。调查结果对于协助制订降低产妇死亡率战略,将其导向优先领域是很重要的。
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引用次数: 0
Anxiety and vital signs in cancer patients and music students before and after a music intervention: a quasi-experimental pilot study. 音乐干预前后癌症患者和音乐学生的焦虑和生命体征:一项准实验先导研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7834.4635
Raquel Caballero-de-la-Calle, Patricia Ferrero-Sereno, Miguel Ángel García-Garrido, Ana Ruiz-Rodríguez, María Nieves Moro-Tejedor, Miriam Leñero-Cirujano

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.

分析癌症患者和表演者(音乐学生)在现场音乐干预前后的焦虑水平和生命体征的变化。准实验性先导研究,无对照组。在护理专业和音乐表演专业的学生之间进行跨学科的音乐干预。采用Hamilton量表评估日间医院癌症患者和口译员的焦虑水平和干预前后生命体征的变化,并分析后者干预前后的变量。采用Wilcoxon检验对数据进行分析。18名患者和10名音乐系学生参与了研究。观察到两组患者生命体征的变化,以及干预后患者焦虑水平的下降。在学生中,在彩排开始时的焦虑水平比在医院的其他评估时刻要高。现场音乐干预可以改善癌症患者和表演者的焦虑水平。
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引用次数: 0
Quality of life assessment instruments for radiodermatitis in cancer patients: scoping review. 癌症患者放射性皮炎的生活质量评估工具:范围综述。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7739.4698
Letícia Moraes Lopes, Beatriz Nappo Neiva, Beatriz Regina Lima de Aguiar, Paloma Gomes, Elaine Barros Ferreira, Paula Elaine Diniz Dos Reis

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.

目的:对放疗后发生放射性皮炎的癌症患者的皮肤相关生活质量问卷和评估工具进行文献梳理。根据JBI的建议进行范围审查。在七个信息来源和灰色文献中进行了搜索。对文章的出版期限和语言没有限制。对数据进行了定性综合,并通过表格和图形进行了描述。纳入32项研究,其中大部分来自北美(n=14)。用于评估皮肤相关生活质量的工具为:Dermatology life quality Index (n=17)、Skindex-16 (n=11)、Skindex-29 (n=1)和Padua skin-related life quality (n=1)。最常使用的仪器是Dermatology Life Quality Index和skinindex -16,主要用于乳腺癌患者。确定了用于评估放射性皮炎患者皮肤相关生活质量的不同工具,重点是skinindex -16和DLQI。工具的多样性表明,在这种临床背景下,缺乏关于选择最佳工具的统一指南。
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引用次数: 0
Risk factors for harmful alcohol consumption: a multilevel analysis. 有害酒精消费的危险因素:多水平分析。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7763.4686
Jéssica Lima de Oliveira Pinheiro Gaia, Ana Vitória Corrêa Lima, Sheila Ramos de Oliveira, Jaqueline Lemos de Oliveira, Caroline Figueira Pereira, Divane de Vargas

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.

确定初级卫生保健使用者中酒精消费模式的流行程度,以及危险、有害和可能依赖的消费模式与社会人口学、临床和行为特征之间的关系。这项横断面研究对2178名参与者进行了抽样调查,这些参与者在圣保罗市的初级卫生保健服务中接受了酒精使用障碍识别测试。采用层次泊松回归模型进行描述性和多元推理统计分析,显著性水平为5%。在所有参与者中,18.9%的人符合有害酒精消费标准。危险和有害饮酒的决定因素是男性(PR = 1.89; 95% CI 1.57-2.28; p < 0.001)、黑人种族/肤色(PR = 1.65; 95% CI 1.30 - 2.10; p < 0.001)和收入≥10的最低工资(PR = 1.78; 95% CI 1.07 - 2.99; p = 0.028)。对于可能的依赖性,较低的教育水平(PR = 13.70; 95% CI 1.56-117.63; p = 0.017)和报告抑郁症诊断(PR = 2.72; 95% CI 1.37-5.41; p = 0.005)是决定因素。在圣保罗初级卫生保健服务使用者中,酒精使用障碍的流行率高于以前的研究中观察到的水平,这表明这部分人口在这些服务中寻求卫生保健,突出了对人口进行筛查和早期诊断的潜力。
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引用次数: 0
Spatial analysis of COVID-19 cases and deaths among nursing professionals. 护理专业人员COVID-19病例和死亡的空间分析
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7400.4587
Michelle Salles da Silva Tenorio, Paula Rita Dias de Brito de Carvalho, Keli Marini Dos Santos Magno, Alexandre Sousa da Silva

to map cases and deaths from COVID-19 in nursing professionals, estimating their incidence and fatality rates by region and federative units, and verify the existence of spatial patterns among the federative units.

ecological study based on the electronic portals Observatório de Enfermagem and Enfermagem em Números, with analysis using the R 4.3.1 software. The incidence and fatality rates were calculated, and choropleth maps were constructed by region and federative units. The Global Moran Index was used to verify spatial autocorrelation.

the study covered 64,451 cases of COVID-19, with a female predominance (85.2%) and a focus on nursing technicians (59.3%), with a higher percentage in the Southeast region (36.3%). Deaths were predominantly female (68%), with the North region standing out (27.9%). The fatality rate in these cases was highest in the North region (4.25%) and in the state of Amazonas (28.47%). The spatial analysis showed regional variations, with autocorrelation in the overall case fatality rate in 2020 and for nursing technicians, without significant autocorrelation for other categories.

the mapping of COVID-19 cases and deaths in nursing revealed regional disparities and variations in incidence and fatality rates, highlighting the need to discuss the quality of health services and the effectiveness of the government response.

绘制护理专业人员COVID-19病例和死亡情况图,按地区和联邦单位估计其发病率和死亡率,并验证联邦单位之间存在空间模式。基于电子门户网站Observatório de Enfermagem和Enfermagem Números进行生态学研究,并使用r4.3.1软件进行分析。计算了发病率和死亡率,并按地区和联邦单位绘制了人口密度图。使用Global Moran Index来验证空间自相关性。该研究涵盖了64,451例COVID-19病例,女性占主导地位(85.2%),重点是护理技术人员(59.3%),东南地区的比例更高(36.3%)。死亡主要是女性(68%),北部地区尤为突出(27.9%)。这些病例的死亡率在北部地区(4.25%)和亚马逊州(28.47%)最高。空间分析显示区域差异,2020年总体病死率和护理技术人员病死率存在自相关,其他类别无显著自相关。2019冠状病毒病病例和护理死亡情况地图揭示了发病率和死亡率的地区差异和差异,突出表明有必要讨论卫生服务质量和政府应对措施的有效性。
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引用次数: 0
Surviving families: experiences of losing a family member to suicide. 幸存的家庭:失去家庭成员自杀的经历。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7676.4614
Elena Bustos Alfaro, Mara Regina Santos da Silva, Kateline Simone Gomes Fonseca, Carl Lacharité, Elga Mirta Furtado Barreto de Carvalho, Ariana Sofia Barradas da Silva

to identify the interactional processes that allow surviving families to cope with the death by suicide of one of their members, to restructure themselves as a unit and transform the experience into a learning experience.

a qualitative, exploratory study, guided by the concept of Family Resilience, in which eight families, who experienced the suicide of one of their members participated. Data were collected through semi-structured interviews and the data were submitted to thematic analysis.

the results were organized into four thematic groups and revealed grief, despair, and perplexity of family members who could not understand the reasons for such a radical act; the feelings of pain due to the loss, overlapped with anger, relief and guilt. Blame was shared with other people and the social and health services; and the lessons that the experience provides.

nurses and other healthcare professionals can help surviving families to restructure themselves after the suicide of one of their members, implementing care actions based on repeated assessments of the repercussions of suicide on the family as a whole and on its members individually; identifying the most compromised dimensions of family life; individual and family needs; and family resilience processes.

确定使幸存家庭能够应对成员自杀死亡的相互作用过程,将自己作为一个整体进行重组,并将这一经历转化为学习经验。一项以家庭弹性概念为指导的定性探索性研究,其中八个家庭经历了其中一个成员的自杀。通过半结构化访谈收集数据,并将数据提交专题分析。结果分为四个主题组,揭示了家庭成员的悲伤,绝望和困惑,他们无法理解这种激进行为的原因;失去亲人带来的痛苦与愤怒、解脱和内疚交织在一起。其他人以及社会和卫生服务部门都受到了指责;以及从中得到的教训。护士和其他保健专业人员可以帮助幸存的家庭在其中一名成员自杀后重新调整自己,根据反复评估自杀对整个家庭及其成员个人的影响,实施护理行动;确定家庭生活中最受损害的方面;个人和家庭需要;以及家庭恢复过程。
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引用次数: 0
Defining characteristics predicting mental health disorders among undergraduate students in the post-COVID-19 era: a multicenter cross-sectional study. 确定后covid -19时代大学生心理健康障碍预测特征:一项多中心横断面研究
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7741.4671
Caroline de Castro Moura, Luana Vieira Toledo, Gabriela Tavares Boscarol, Rafael Lopes Chaves, Denismar Alves Nogueira, Carine Alves da Costa Marinho, Bruna de Oliveira Alves, Bárbara Guimarães Lourenço, Érika de Cássia Lopes Chaves, Tânia Couto Machado Chianca

to evaluate defining characteristics of nursing diagnoses that are predictors of mental health disorders among undergraduate students in the post-COVID-19 era.

cross-sectional, multicenter study conducted with undergraduate students from four public universities in the state of Minas Gerais. Data were collected through a structured, online questionnaire with sociodemographic and clinical variables. The presence of defining characteristics included in the Nursing Diagnoses of Anxiety, Change Stress Syndrome; Post-Trauma Syndrome; Stress Overload and Chronic Sadness, present in the NANDA-I taxonomy, was also investigated through self-report. The Depression, Anxiety and Stress Scale and the Impact of Events Scale-Revised were also used. Multivariate logistic regression analysis was performed to determine the defining characteristics that were configured as predictors of mental health disorders. Adjusted odds ratios were estimated, along with 95% confidence intervals, at 5% significance.

2,349 undergraduate students participated in the study. The presence of 24 physical, behavioral, cognitive, and emotional defining characteristics of the nursing diagnoses in question was investigated. Of these, 13 emerged as predictors for anxiety symptoms; 15 for stress symptoms; 11 for depression symptoms; and 15 for post-traumatic stress disorder.

physical, behavioral, cognitive, and emotional defining characteristics of NANDA-I nursing diagnoses were evidenced as predictors for the development of mental health disorders in university students in the post-COVID-19 era.

评估后covid -19时代预测本科生精神健康障碍的护理诊断的定义特征。在米纳斯吉拉斯州四所公立大学的本科生中进行的横断面、多中心研究。数据通过结构化的在线问卷收集,其中包含社会人口学和临床变量。焦虑、改变应激综合征护理诊断中定义性特征的存在创伤后综合症;在NANDA-I分类中存在的压力超载和慢性悲伤也通过自我报告进行了调查。还使用了抑郁、焦虑和压力量表和事件影响量表-修订。进行多变量logistic回归分析以确定被配置为精神健康障碍预测因子的定义特征。校正后的优势比和95%置信区间的显著性为5%。2349名大学生参与了这项研究。研究了24项身体、行为、认知和情感特征对护理诊断的影响。其中13项是焦虑症状的预测指标;压力症状15例;抑郁症状11例;15人患创伤后应激障碍。NANDA-I护理诊断的身体、行为、认知和情绪定义特征被证明是后covid -19时代大学生心理健康障碍发展的预测因子。
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引用次数: 0
Health literacy among main caregivers of Children with Special Health Care Needs: a cross-sectional study. 有特殊保健需要儿童的主要照顾者的健康素养:一项横断面研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7860.4689
Sara Raquel Kuntz, Katarinne Lima Moraes, Alessandra Vaccari, Thailine Stodulski Theis, Ana Luísa Petersen Cogo, Wiliam Wegner

to explore health literacy among main caregivers of Children with Special Health Care Needs by identifying limitations and potentialities and their relationship with socioeconomic variables, information sources and social support.

a cross-sectional, descriptive and analytical study conducted with 139 caregivers. The data were collected between December 2022 and April 2023 in a hospital from southern Brazil, by means of the Children with Special Health Care Needs Screener, the Health Literacy Questionnaire and a characterization questionnaire. The analysis involved descriptive and inferential statistics.

a number of limitations were identified in active care, social support and ability to find good health information. Diverse potentialities were noticed in assessing the information and interacting with health professionals. There was a positive association between the "Schooling level" and "Family income" variables and the "Feel understood and supported by healthcare providers" ( p =0.006), "Have social support for health" ( p =0.000) and "Appraise health information" ( p =0.038) scales.

the interventions for caregivers should strengthen active care, social support and access to information, considering the influence exerted by the socioeconomic factors and the importance of good communication with health professionals to improve access, understanding and leverage of the guidelines, thus enhancing care quality and safety.

探讨特殊卫生保健需要儿童的主要照顾者的健康素养,确定其局限性和潜力及其与社会经济变量、信息来源和社会支持的关系。对139名护理人员进行了横断面、描述性和分析性研究。这些数据是在2022年12月至2023年4月期间在巴西南部的一家医院通过特殊卫生保健需求筛查儿童、健康素养问卷和特征问卷收集的。分析包括描述性统计和推断性统计。在积极护理、社会支持和寻找良好健康信息的能力方面发现了一些限制。在评估信息和与卫生专业人员互动方面,注意到各种各样的潜力。“受教育程度”和“家庭收入”变量与“感受到医疗服务提供者的理解和支持”(p =0.006)、“获得健康社会支持”(p =0.000)和“评估健康信息”(p =0.038)量表之间存在正相关。考虑到社会经济因素的影响以及与卫生专业人员良好沟通的重要性,护理人员的干预措施应加强积极护理、社会支持和信息获取,以改善指南的获取、理解和利用,从而提高护理质量和安全性。
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引用次数: 0
Erratum: The effect of an educational intervention for university students on violence against the elderly using gamification: a non-randomized clinical trial. 校误:大学生教育干预对游戏化老年人暴力行为的影响:一项非随机临床试验。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 DOI: 10.1590/1518-8345.0000.4741

[This corrects the article doi: 10.1590/1518-8345.7874.4662] [This corrects the article doi: 10.1590/1518-8345.7874.4663] [This corrects the article doi: 10.1590/1518-8345.7874.4661].

[此更正文章doi: 10.1590/1518-8345.7874.4662][此更正文章doi: 10.1590/1518-8345.7874.4661]。
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引用次数: 0
Precision Nursing: advances and challenges in implementation. 精准护理:实施的进展与挑战。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.8046.4683
Luís Carlos Lopes-Júnior

(1) Precision Nursing (PN) emerges as an innovative field within Nursing. (2) PN represents the shift from standardized care to a highly tailored approach. (3) Nursing is strategically positioned to lead the translation of these advancements into practice. (4) PN reinforces a more tailored, predictive, and participatory approach to nursing care. (5) PN has the potential to become a cornerstone in the transformation of Modern Nursing.

(1)精准护理(PN)是护理学的一个创新领域。(2) PN代表了从标准化护理到高度量身定制方法的转变。(3)护理的战略定位是将这些进步转化为实践。(4) PN强化了更有针对性、预测性和参与性的护理方法。(5) PN有潜力成为现代护理转型的基石。
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引用次数: 0
期刊
Revista Latino-Americana De Enfermagem
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