Revista Latino-Americana De Enfermagem最新文献

to identify the prevalence of systemic complications of COVID-19 in critically ill patients, to estimate the clinical conditions that may have a worse prognosis when associated with COVID-19.

systematic review with meta-analysis of observational studies, based on the recommendations of the JBI Manual for Evidence Synthesis for systematic reviews of prevalence and incidence, in six databases and grey literature, period 2020 to 2024, languages Portuguese, English and Spanish. We identified 2393 publications. The selection, data extraction and methodological evaluation of the studies were carried out by two independent researchers. The meta-analysis was performed using the Freeman Tukey transformational random-effects statistical method.

ten papers were included. The meta-analysis of seven papers dealing with respiratory complications due to COVID-19 demonstrated a mean prevalence of 42%, (95% CI 0.2-0.66) with heterogeneity I2=97.4; the meta-analysis of 4 papers involving the prevalence of neurological complications due to COVID-19 showed an average prevalence of 62%, (95% CI 0.49- 0.74) with heterogeneity I2=87.4 and the meta-analysis of 8 studies showed a prevalence of mortality due to COVID-19 of 33%, (95% CI 0.23- 0.44) with heterogeneity I2=93.6.

respiratory and neurological complications were the most prevalent in the reviewed studies. PROSPERO Registration: CRD42020214617.

this study aimed at analyzing the internalized stigma latent profiles and the covariates that predict variations in their levels considering antecedent variables such as ethnicity, gender and some relevant clinical characteristics like premorbid adjustment, Duration of Untreated Psychosis and symptoms.

Latent Class Analysis (LCA) was used to devise a solution with three internalized stigma profiles in a sample comprised by 227 patients diagnosed with schizophrenia from the Public Mental Health Centers of the city of Arica, Chile.

the results showed that premorbid adjustment is a significant predictor of class belonging for the latent stigma profiles. When analyzing the sociodemographic characteristics and contrary to what was hypothesized, ethnicity was not a relevant predictor of internalized stigma profiles.

the latent classification model is suitable for assessing stigma profiles in order to target future interventions in specific foci and at-risk populations.

to investigate the relationship between diagnostic characteristics, lifestyle, habits and the occurrence of breast cancer subtypes in adult and elderly women.

cross-sectional study of women over 18 years old undergoing treatment or follow-up for breast cancer at a cancer institute in the state of São Paulo. Data were collected between December 2022 and July 2023 through telephone interviews and a survey of electronic medical records. Statistical analysis included absolute and relative frequency distribution and bivariate analysis, using the Chi-square test or Fisher's Exact Test, considering statistically significant values with p≤0.05, with a 95% confidence interval.

323 women took part in the study. Women who did not consume processed foods, soft drinks, or artificial juices had a lower proportion of ductal carcinoma. And those aged <40 had a higher proportion of the triple negative breast cancer subtype.

the results indicate a significant relationship between age at diagnosis and molecular subtype, as well as relevant patterns between the consumption of industrialized foods and soft drinks or artificial juices and the histological subtypes of the disease. These findings highlight the importance of considering such factors in the prevention of the disease.

to map studies that have developed evaluation processes of prevention programs for the use of alcohol and other drugs in Brazil, analyzing their methodological characteristics.

a scoping review guided by the Joanna Briggs Institute Manual and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The searches were carried out in eight databases and a theses and dissertations database, screened with double-blind in Rayyan®, analyzed with a focus on the methodology of the evaluative studies and through qualitative synthesis.

of the 56 publications included, the majority used an observational design, generally related to process evaluations (n = 26), followed by experimental (n = 23) and quasi-experimental (n = 8) analyses of results in terms of effectiveness and efficacy, respectively. Of the eleven actions analyzed, eight are universal prevention programs, one is selective prevention and two are a preventive strategy.

most of the programs evaluated are universal, aimed at adolescents, carried out in schools and focused on various drugs. It is recommended to focus on new groups, such as Indigenous populations and other risk conditions, and to develop selective programs in future government initiatives to prevent drug use in Brazil.

to characterize and describe the spatial and temporal distribution of nursing care establishments in Brazil according to the National Registry of Health Establishments.

ecological study, using secondary data from the National Register of Health Establishments, aggregated by year, state and region. The variables extracted were: year of registration, gender of the nurse manager or administrator, number of nurses per establishment, type of establishment, main activity, level of care, legal nature and agreement. Descriptive statistics and temporal analysis were carried out using the Jointpoint program.

between 2003 and 2023, 340 nursing establishments were found with active registrations. The South and Southeast concentrated most of the establishments. There was a predominance of practices, specialized clinics and home care services. The temporal analysis indicated that between 2003 and 2021, there was an annual growth of 30.07% (p= 0.00). Considering the total period (2003-2023), there was an annual growth of 25.01%, indicating an upward trend in businesses over the years.

formalization and registration reflect the professionalization of nursing management. There has been an increase in registrations following the publication of resolutions by the Federal Nursing Council that support autonomous and/or liberal practice.

to map scientific knowledge on the dimensions of the Social Determinants of Health in the health of children born preterm in the first two years of life.

this is a scoping review guided by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. From the studies found in five databases and the reference list of those selected, data was extracted using a coding tool based on the Social Determinants of Health theoretical model with the support of the MaxQDA software.

31 publications were included. The most investigated dimensions of the social determinants of children's health were related to the characteristics of the individual, with emphasis on health conditions and age, sex, and hereditary factors, highlighting the search for factors that have a direct impact on children's health.

the dimensions of child health most explored were those related to child development. Behavior and living conditions were little investigated. Future studies with a broader approach to the Social Determinants of Health in an integrated way could contribute to the development of care centered on premature infants and early interventions concerning child health outcomes.

this scoping review aims to search the literature about conducting research on pregnant women during outbreaks globally and synthesize the findings to identify themes, analyze knowledge gaps, and provide evidence-based recommendations to inform future research.

a comprehensive literature search was conducted in November 2023 using PubMed, Embase, CINAHL, Web of Science, Scopus, and Global Health databases. Key terms included "pregnancy," "disease outbreaks," "biomedical research," and "eligibility criteria." Twenty-three articles published between 2017 and 2023 were included in the synthesis.

this review identified a pattern of exclusion of pregnant women from research during multiple disease outbreaks across diverse regions. The exclusion rates ranged from 52% to 97.8%. Ethical and moral concerns were raised, emphasizing the need for a shift toward the presumptive inclusion of pregnant women in research. Recommendations emerged from discussions on the risks and benefits of research participation, global institutional and strategic changes, and the standardized collection of pregnancy-specific data to inform public health responses.

this scoping review highlights the systemic exclusion of pregnant women from research during disease outbreaks, underscoring ethical concerns, critical knowledge gaps, and structural barriers while providing a foundation for advancing maternal health research during public health emergencies.

to synthesize the scientific evidence on the effectiveness of telemedicine-based interventions in improving health-related quality of life and self-management of patients with heart disease.

systematic review of effectiveness, following the recommendations of the Joanna Briggs Institute and the reporting guideline Preferred Reporting Items for Systematic Reviews and Meta-Analyses Checklist. The search was conducted in six databases: Cochrane Library, Virtual Health Library, PubMed, CINAHL, Web of Science Core Collection and Scopus, without period restriction, in English, Portuguese or Spanish. The methodological quality and risk of bias of the studies were assessed using the JBI critical appraisal tool and the certainty of the evidence was classified using the GRADE tool.

of the 44 randomized clinical trials included, the main interventions analyzed were telemonitoring, telephone contact and telerehabilitation. Out of the studies evaluated, 88.63% demonstrated an improvement in health-related quality of life, with 45.45% of these showing a statistically significant difference.

telemedicine shows promise as a valuable tool for the care and self-management of individuals with cardiac conditions. However, further studies are needed to confirm its effectiveness and impact on health outcomes.