Revista Latino-Americana De Enfermagem最新文献

to analyze the factors associated with mortality in patients with cardiovascular disease affected by Coronavirus Disease-2019.

this was a cross-sectional study using data from the monitoring of notifications during the pandemic. The sample included cases with cardiovascular comorbidity and clinical outcomes. The dependent variable was the progression of the case to death. Associations were tested using the binary logistic regression method, using the Odds Ratio.

the prevalence was female (50.6%), elderly (71.1%), self-declared non-white (71.0%), with multiple comorbidities associated with cardiovascular disease (60.3%), diabetes being the main one (44.8%). The study suggests that patients who were men (OR 1.13; p = 0.028), elderly (OR 2.57; p = 0.000), self-declared white (OR 1.71; p = 0.000), and had multiple comorbidities (OR 1.70; p = 0.000) were associated with a greater chance of death.

the factors associated with a higher chance of death were related to gender, age group, and the presence of comorbidities, showing the vulnerability of this population to infection.

to analyse the Liver Frailty Index in a cohort of patients from their inclusion in the waiting list to one year after the liver transplant.

a cohort study with patients included in a liver transplant waiting list from January 2020 to December 2021. The variables were analysed and the hypothesis were contrasted by means of the Mann-Whitney U and Spearman's correlation test, a paired measures test and multivariate analysis.

the sample consisted in n=51 patients with a mean age of 57.20 years old (SD=9.70), with 74.50% of men. The mean pre-transplant Liver Frailty index was 3.71 (SD=0.74), reaching higher values in patients with advanced liver disease (p=0.004), alcohol-related etiology (p=0.039) and unemployed (p=0.014). Liver frailty improved after the transplant (p<0.001), keeping a directly proportional correlation with age (p=0.014).

advanced liver disease, etiology related to alcohol and time in the waiting list exert impacts on liver frailty during the liver transplant process. Older liver transplanted patients are more frail.

to evaluate the performance of qSOFA in identifying deterioration in patients with COVID-19.

retrospective cohort study conducted between February and August 2020 in the Emergency Department of a private hospital, involving 813 adults. The variables studied included sociodemographic data, clinical characteristics, deterioration, qSOFA on admission and before the event, and outcomes. The performance of qSOFA at both moments was analyzed using the area under the ROC curve.

the average age was 69 years. There was a predominance of men (61.5%), white (97.2%), catholic (73.7%), married (89.6%) and employed (66%). Comorbidities were present in 69.7%, and 58.8% were classified as "urgent" upon admission. The most frequent deterioration was respiratory failure (16.7%), and the outcome was discharge (68%). Patients with positive qSOFA on admission had a higher percentage of respiratory failure, cardiopulmonary arrest, and "very urgent" risk classification, and those with negative qSOFA showed a higher percentage of discharge (p< 0.0001). Upon admission, qSOFA showed 66% sensitivity and 55% specificity, and prior to the event it showed 48% sensitivity and 88% specificity for identifying clinical deterioration. Patients with positive qSOFA on admission were 350 times more likely to experience deterioration.

qSOFA showed low sensitivity for identifying deterioration at both moments and high specificity before the event.

to describe the process of analyzing the intrinsic elements of the Situation-specific Theory for health control in heart failure and present its respective update.

analysis of the intrinsic elements of the theory using the Delphi technique. Nurses whose expertise involved knowledge in Cardiology Nursing, Nursing theories, heart failure and/or Nursing terminology were selected.

the Theory was analyzed by 15 experts in the first round and 14 in the second round; all items evaluated obtained agreement greater than 80% regarding their adequacy, after two rounds of analysis. The theory maintained its original structure; however, the relationship between the factors that influence the health control of individuals with heart failure and the pictogram were updated.

the updated theory offers a better understanding of the factors that can influence the health control of individuals with heart failure and, although the focus of the theory is in the outpatient setting, it assumes the possibility of its application in other settings. The Delphi technique proved to be useful for theoretical validation, considering the specificity of the theme; however, the response time of the experts can be slow, which tends to impact the time to complete the study.

to identify the prevalence of adverse events in patients undergoing hip and knee arthroplasties following the implementation of surgical checklists.

an evaluative study, based on effect analysis, conducted over three periods: pre- (0- 2010) and post- intervention (I- 2013; II- 2016), with retrospective consultation of a simple random sample of 291 medical records between November 2020 and March 2022. The Canadian Adverse Events Study and Global Trigger Tool forms were used to track and confirm adverse events. Cases were analyzed using descriptive and inferential statistics; p-values ≤ 0.05 indicated significance.

in the post-implementation periods of surgical checklists, a reduction was observed in the frequency of patients affected by two or more events, from 27.8% to 11.3% (p = 0.002), and in the overall prevalence, from 63.9% to 36.1% (p < 0.001). A decrease in the prevalence of patients affected by urinary retention (33% to 3.1%; p < 0.001) and hemorrhage (9.3% to 0%; p = 0.012) was also noted. There was an increase in the prevalence of skin lesions, from 2.1% to 10.3% (p = 0.043).

there was a reduction in the overall prevalence and frequency of adverse events in patients undergoing arthroplasty following the implementation of surgical checklists.

to analyze the profile of exposure to COVID-19 information and its association with depressive symptom screening in a sample of older adults in Brazil.

cross-sectional study using data collected through a web-based survey with 3,307 participants recruited via social media and email. Descriptive and bivariate analyses were conducted to estimate associations of interest, as well as crude and adjusted logistic regression, controlling for predictive, sociodemographic and infodemic variables.

a significant association was found between the presence of depression symptoms among older adults who were exposed to social media and television for three to six hours or more and those who reported not having been exposed to any news and information about COVID-19 on television.

older women frequently exposed to COVID-19-related information on television and social media for two- to six-hour periods showed depression symptoms. This study contributes to research on infodemics and mental health by addressing a research gap on the relationship between depressive symptom screening and the profile of exposure to COVID-19 information in a sample of older adults.

to develop two distinct protocols, based on evidence, with safety criteria for post-extubated and tracheostomized patients in order to support the administration of thirst relief methods.

methodological study divided into two phases: definition of the scope and development of the protocols. Safety criteria were identified and submitted to the evaluation of reliability of the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADEpro) system. The criteria were incorporated into flowcharts with their respective operational manuals. The Experts formulated recommendations and the Content Validity Index was calculated.

two protocols and its respective manuals were developed to assess the safety of the administration of thirst relief methods: one for post-extubated patients and the other for tracheostomized patients. Safety criteria listed: level of consciousness, signs of respiratory failure, nausea and/or vomiting, swallowing ability, coughing/airway protection, voice changes and adequate functioning of the tracheostomy tube. The Experts' recommendations were obtained with a Content Validity Index of 87%.

the clinical protocols, with six safety criteria each, based on evidence for the management of thirst in post-extubated and tracheostomized patients are innovative, allow safety assessment for thirst management and shows content validity.

to map the scientific literature regarding the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults.

scoping review, structured according to the methodological guidelines of the Joanna Briggs Institute - Evidence Synthesis Groups, with searches in seven databases and gray literature. The studies were selected by two reviewers, using an instrument for data extraction.

the analysis of the 29 selected studies showed a predominance of longitudinal studies (34.48%), conducted in Brazil (48.27%) in Intensive Care Units (29%), and published between 2020 and 2021 (48.24%). The studies demonstrated the use of the Perme Score for description and reliability of the instrument, translation and cultural adaptation, association between functional mobility, clinical characteristics and outcomes, mobility assessment after interventions, mobility assessment and potential barriers to mobilization, and use of the score for validation of other instruments and various clinical profiles.

the Perme Score is an instrument capable of measuring physical mobility, including possible barriers to mobility, with potential for use in scenarios outside the Intensive Care Unit, in intervention studies for early mobilization and prediction of hospitalization outcomes.

to assess the knowledge and attitudes of pregnant women towards COVID-19 vaccination and the factors that affect them.

this is a cross-sectional and analytical study with 407 pregnant women. The COVID-19 Vaccine Knowledge and Attitude Scale was used to assess the knowledge and attitudes of pregnant women towards COVID-19 vaccination. Mann-Whitney U and Kruskal-Wallis H tests were used for statistical analysis.

it was found that 63.88% of the sample had a negative opinion about being vaccinated against COVID-19 during pregnancy. Seventy-five percent of the pregnant women believed that the vaccine would harm their fetus. The mean subscale scores of the severity (p = 0.001) and benefit (p = 0.001) of the vaccine were significantly higher in pregnant women with a higher level of education and in the first trimester (p = 0.001). It was found that pregnant women who stated that they had sufficient information about COVID-19 had significantly higher severity (p = 0.001) and benefit (p = 0.031) subscale mean scores and had a more positive attitude against COVID-19 vaccination during pregnancy.

most pregnant women had negative attitudes due to concerns that the COVID-19 vaccine would harm the fetus. Healthcare professionals should provide education about the importance of vaccination during pregnancy for maternal and infant health during pregnancy follow-up.

to analyze the spatial distribution of the reporting rate of events supposedly attributable to vaccination or immunization against COVID-19 and factors associated with achieving the target recommended by the Global Vaccine Action Plan.

ecological study that considered notifications from 853 municipalities in the state of Minas Gerais. A total of 34,027 notifications recorded in the e-SUS Notifica system were analyzed. Getis-Ord Gi* and Geographically weighted regression were performed to identify spatial clusters, compliance with at least 10 notifications and factors correlated with spatial distribution.

a heterogeneous distribution of reporting rates was observed throughout the state. A total of 20.3% of municipalities did not meet the recommended reporting target. The municipalities in the Northwest, Jequitinhonha and Vale do Aço macro-regions had the highest reporting rates in the state, while those in the East, East South and West macro-regions had the lowest rates. The number of nursing professionals per inhabitant (regression coefficient= 0.644; p< 0.01) and the percentage of families living in rural areas (regression coefficient= -0.013; p< 0.01) were associated with reporting rates.

the presence of clusters of low reporting rates highlights the need to implement integrated strategies adapted to the particularities of each region to enhance event reporting surveillance.