Revista Latino-Americana De Enfermagem最新文献

Background: (1) The "Systematic Review Support" system has a high degree of perceived usability.

Background: (2)  Its use facilitates the exclusion of duplicate references and the selection of studies.

Background: (3)  Remote and synchronous usability testing made research possible during the pandemic.

Background: (4)  Combining usability techniques made it possible to identify the necessary adjustments.

Background: (5)  The method used expanded the test's capacity in a real context of use.

to evaluate the usability of the "Systematic Review Support" computer system.

methodological study involving 21 students who evaluated the computer system in a remote and synchronous usability test. Two activities were carried out, containing 21 tasks simulating the initial steps of a review study, proposals for eliminating duplicate references, selecting studies and resolving disagreements between evaluators. At the end, participants answered the System Usability Scale questionnaire. The measures used were: completion rate with assistance (effectiveness) and time to complete the task (efficiency). The data was described in a table using the mean, standard deviation, minimum and maximum values.

in a total of 21 tasks, the participants had an assisted completion rate of 9% and an average time of 55.1 minutes (the expected time being 60 minutes). The average score provided by the System Usability Scale instrument was 82.4 (considering a score from 0 to 100), median 85; minimum value 35 and maximum 97.5.

the computer system has the effectiveness and efficiency parameters required of a computer review tool. It has a usability score of 82.4 on a scale of 0 to 100 assessed by the System Usability Scale instrument. The version presented incorporates the adjustments identified in the test in use.

Background: (1) Dysvascular major lower limb amputation interferes with activities of daily living.

Background: (2) Self-care with the highest level of dependency is "walking".

Background: (3) Self-care with the lowest level of dependency is "feeding".

Background: (4) Develop future interventions on the degree of dependency of patients with dysvascular amputation.

Background: to identify the sociodemographic and clinical characteristics of the person with dysvascular major lower limb amputation and to assess their degree of dependence and autonomy in self-care activities at home.

Background: quantitative, exploratory, cross-sectional and descriptive study. The convenience sample consisted of 40 participants. A sociodemographic questionnaire and the short version of the Self-Care Dependence Assessment Form were used for data collection.

Background: of the 40 (100%) participants, the majority were male; 75% were over 65 years of age, 77.5% had a transfemoral amputation, and 72.5% were confined to a wheelchair. The higher levels of dependency predominated in self-care: "walking", "bathing", "dressing and undressing", "using the toilet" and "transferring".

Background: this study showed that the self-care domain with the highest level of dependence is "walking" self-care, and the lowest is "feeding". Greater autonomy in using the toilet, walking and transferring from bed to chair were shown to be self-care activities with the best ability to predict patient autonomy.

Objective: to map the evidence of the use of telenursing in adherence to treatment and promotion of self-care in patients with chronic renal insufficiency undergoing conservative treatment.

Method: scoping review study, with selection of documents indexed in eight databases and two catalogs of theses and dissertations. Additionally, the reference lists of selected studies were consulted. Selection and analysis of studies were carried out using Rayyan software through double, independent and blind investigation.

Results: 56 eligible publications were found and ten were selected to compose the study. The following stand out among telenursing interventions: cell phone applications, websites, digital platform, telephone support and teleconferencing.

Conclusion: it was evident that the use of Telehealth by Nursing is relevant to the health sector, but still little explored in national and international literature, representing a gap in knowledge to be filled in future research. Studies have shown that its implementation helps and supports healthcare professionals, providing inferences and guidance for quick, safe and effective assistance, even remotely. Telenursing presents itself as a strategy capable of promoting adherence to treatment and self-care in patients with chronic renal insufficiency undergoing conservative treatment.

Background: (1) Develops health innovation strategies in remote treatment.

Background: (2) Provides support to professionals with preventive measures, minimizing costs.

Background: (3) Encourages the practice of self-management of care.

Background: (4) Provides inferences and guidance for quick and safe assistance.

Background: (5) Contributes to the advancement of public policies in the area of noncommunicable diseases.

Background: (1) The model attributes were classified as: pain assessment, interventions and reassessment.

Background: (2) Greater importance is given to pain assessment and pharmacological interventions.

Background: (3) There was greater variability in the pain care measures prescribed by nurses.

Background: (4) Absence of multidimensional instruments for pain assessment was identified.

Background: (5) Pain care interventions were prescribed recurrently in aged people at risk of falls.

to develop an information model on pain management in hospitalized aged people.

a Big Data retrospective and observational study guided by the Applied Healthcare Data Science Roadmap. The sample included all Electronic Health Records related to pain management in older adults aged at least 75 years old considered vulnerable in the institution and admitted to clinical and surgical units. Data science packages were used in Python ® for data analysis.

a total of 9,635 hospitalizations were found for 4,753 patients, with a mean age of 81 years old and 54% belonging to the female gender. The main reasons for hospitalization were diseases of the circulatory system (n=1,593; 28.6%), neoplasms (n=893; 16%) and diseases of the genitourinary system (n=508; 9.1%). A total of 60 attributes related to pain were identified and organized into groups: current pain, assessment instruments and characteristics, Nursing diagnosis, etiology of the Nursing diagnosis, interventions for relief, consultations to specialties and pain reassessment. The groups were classified into four large panels that constituted the information model.

the information model developed presented an overview of the healthcare reality of pain management in vulnerable aged people, supporting decision-making for pain management in this population segment.

Objective: to analyze sociodemographic variables, quality of life, self-perceived health, learning motivation and behavior of adolescents in 2018 and 2021.

Method: observational cross-sectional study with 124 adolescents in 2018, and 68 in 2021. A Form for sociodemographic variables, Pediatric Quality of Life Inventory, Self-Perceived Health instrument, Learning Motivation Scale and Strengths and Difficulties Questionnaire were used to collect data. Data collection was carried out using forms on Google Forms. For the analysis, descriptive statistics and logistic regression were used.

Results: the majority of participants belonged to class A. In the comparison between 2018 and 2021, there was a worsening in the assessment of self-perceived health. In the assessment of QoL by parents, there was a statistically significant difference between the scores of the social and psychosocial dimensions. Among adolescents, there were differences between QoL scores in the physical and psychosocial dimensions.

Conclusion: the adolescent with a better mental health assessment had a greater chance of having a better quality of life in the periods investigated (OR=5.35 and OR=5.51). Younger students showed greater motivation to learn, increasing the chance of improving their quality of life by up to 9.75 and 5.02 times in the two periods, respectively.

Background: (1) The school environment is a space favorable to promoting physical, mental and social health.

Background: (2) Awareness about healthy lifestyle habits should be carried out during adolescence.

Background: (3) Aspects related to health can influence behavior and learning.

Background: (4) Quality of life (QoL) and its dimensions are related to the motivation to learn.

Background: (5) Adolescent mental health is related to self-perception of QoL.

Background: (1) Maternal-fetal attachment should be assessed in Primary Health Care.

Background: (2)  Depressive symptoms were negatively related to maternal-fetal attachment.

Background: (3)  Social support and family functionality had a positive effect on attachment.

Background: (4)  Greater household crowding had a negative effect on the outcome.

Background: (5)  It is recommended to screen pregnant women with depression, poor social and family support.

to analyze maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care.

a cross-sectional, population-based, analytical epidemiological survey. A sample of 937 participants attended by Family Health Strategy teams was investigated. Maternal-fetal attachment (outcome), sociodemographic and clinical variables, social support, family functionality, depressive symptoms and perceived stress were assessed. Multivariate analysis was adopted using structural equation modeling.

maternal-fetal attachment had an average of 92.6 (SD=±15.3). The adjusted structural model showed that the following factors had a direct effect on the outcome: gestational weeks (β=0.29; p<0.001), household crowding (β=-0.07; p=0.027), depressive symptoms (β=-0.11; p=0.003), social support (β=0.08; p<0.001) and family functionality (β=0.19; p<0.001). Indirect effects of social support (β=-0.29; p<0.001) and family functionality (β=-0.20; p<0.001) were identified, mediated by depressive symptoms.

a set of interrelationships was identified between maternal-fetal attachment, gestational weeks, household crowding, depressive symptoms, social support and family functionality. It is suggested that the Family Health Strategy offer prenatal care anchored in integrality and humanization, which promotes biopsychosocial well-being during pregnancy and healthy maternal-fetal attachment.

Objective: to map the literature on the incorporation of the metaverse in the education of undergraduate healthcare students.

Method: scoping review following the recommendations of the JBI and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR), performed on Web of Science, Medical Literature Analysis and Retrieval System Online (MEDLINE) via PubMed, Embase, Scopus, Cumulative Index to Nursing and Allied Health (CINAHL), Latin American and Caribbean Health Sciences Literature (LILACS) and ProQuest.

Results: a total of 23 records were included, published between 2020 and 2023, and developed in 10 countries. The metaverse allows the simulation of hypothetical cases, making education interactive and attractive. However, it faces limitations, including the possibility of depersonalizing students, concerns about data security and privacy, and the high cost of implementing and maintaining its infrastructure.

Conclusion: the metaverse enables the development of clinical competencies that support the construction of students' professional identity. However, it may not be equitable, as it requires resources and knowledge from educators to implement it, contributing to increasing inequality in the education of healthcare students.

Background: (1) The metaverse is promising in the education of undergraduate healthcare students.

Background: (2) The metaverse makes education interactive and attractive.

Background: (3) It promotes the protagonism of students in the teaching-learning process.

Background: (4) It presents risks related to data security and privacy.

Background: (5) High cost of implementing and maintaining its infrastructure.

Objective: to analyze the nurses' work in Primary Health Care in the face of mental health crisis situations.

Method: this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-interpretive frameworks of behavior analysis and historical-dialectical materialism. The data was collected through a semi-structured interview with twelve Primary Health Care nurses and analyzed using the deductive technique proposed by the Theorical Domains Framework, the methodological reference adopted.

Results: the data analyzed made it possible to draw up two themes: "Nurses' work: material and social determinants" and "Nurses' subjective conditions in the face of mental health crisis situations". Nurses' work was guided by the protocol execution of "technical" steps related to clinical psychiatry, with an understanding of the crisis as a "psychiatric outbreak".

Conclusion: the study made it possible to analyze the nurse's work in crisis situations, describing the objective and subjective contradictions, their understanding of the crisis phenomenon and the emotional repercussions of this work on the professionals. This situation raises the need for action, organization and political-social mobilization of the nursing category in the fight against the asylum model of care and the consolidation of the Psychiatric Reform perspective.

Background: (1) Manicomial protocol action to identify and reduce crisis symptoms.

Background: (2) Reducing the experience of crisis as a psychopathological phenomenon.

Background: (3) Use of theoretical-critical references aligned with the proposals of psychosocial care.

Background: (4) Internationally validated methodological and analytical framework.

Background: (5) The need for political and social action on the nursing profession's part.

Background: (1) Statistically significant association between sociodemographic and gynecological-obstetric variables.

Background: (2) The puerperal women had inadequate knowledge, attitudes and practices about the mini-pill.

Background: (3) After two months, there was an increase in the puerperal women's knowledge and practice.

Background: (4) The average Knowledge, Attitude and Practice scores before the intervention and after 60 days remained inadequate.

Background: (5) The technology used in the educational intervention is effective in promoting the Knowledge, Attitude and Practice domains.

to evaluate the effectiveness of an educational intervention on the knowledge, attitude and practice of adolescent puerperal women regarding the mini-pill as a method of contraception in the postpartum period.

a quasi-experimental study with pre- and post-tests carried out with 139 puerperal adolescents in four public maternity hospitals, using an instrument with sociodemographic/gyneco-obstetric questions and a targeted survey called Knowledge, Attitude and Practice. The following were used in the analysis: Statistical Package for the Social Sciences software, version 20.1 for Windows; 5% significance level; 95% confidence interval; Shapiro-Wilk test to test data normality and paired t-test.

the average scores for the Knowledge, Attitude and Practice instrument were inadequate before the educational intervention; after the intervention, they remained inadequate, but with a slight improvement; the attitude was markedly inadequate. This instrument, before the intervention, was associated with age, education, number of pregnancies and having had prenatal care; after the intervention, in addition to these, it was associated with other variables, such as place of residence, being in school and having used contraception. The three domains were associated before and after the intervention.

the educational intervention, mediated by the nurse, was effective in promoting the knowledge, attitude and practice of puerperal adolescents in the proper use of the mini-pill as postpartum contraception.

Background: (1) The pelvic floor muscle training is an effective first choice intervention.

Background: (2)  Scarcity of studies describing the protocols of pelvic floor muscle training detail.

Background: (3)  There is no consensus between the instructions contained in the different protocols.

Objective: to map pelvic floor muscle training protocols available in the literature for the management of post-prostatectomy urinary incontinence.

Method: this is a scoping review conducted in six databases. Information retrieval was performed using a specific instrument, including: title, authorship, year of publication, journal, objective, study design and description of the protocols' content.

Results: a total of 24 studies were included, which resulted in different protocols. The most frequent recommendations were the following: three sessions per day; with a frequency of six to 15 contractions per session; performing the exercises in the lying, sitting, and standing positions. The most cited guidelines in the protocols were anal sphincter and bulbocavernosus muscle contractions. All protocols followed the principle of regular pelvic floor muscle contraction, but there was no consensus regarding the start of the protocol, treatment duration, contraction/relaxation time, and intensity of the contraction force.

Conclusion: different orientations were found in the pelvic floor muscle training protocols post-prostatectomy urinary incontinence, with emphasis on contraction time, relaxation time, number of contractions per session, training position, and protocol duration time. Different concepts were adopted to define urinary continence in the protocols. It is necessary to develop consensus guidelines that clearly define the parameters of training protocols.