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Nursing Interventions to Promote Self-Care in a Candidate for a Bowel Elimination Ostomy: Scoping Review 促进肠道切除术候选人自我护理的护理干预:范围界定综述
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.2
Igor Soares Pinto Pinto, S. Queirós, P. Alves, Tânia Manuel Sousa Carvalho, Célia Santos, Alice Brito
Objectives: To identify nursing interventions, their characteristics, and outcomes for promoting self-care in candidates for a bowel elimination ostomy.Materials and methods: A scoping review was carried out based on the Joanna Briggs Institute’s recommendations. For this, studies published in Portuguese, English, and Spanish on the Web of Science, CINAHL, and Scopus databases and without a time limit were selected on November 9, 2020.Results: Of 2248 articles identified, 41 were included in this review. We identified 20 nursing interventions associated with the self-care of patients with an ostomy; most of them have gaps in their content, method, and frequency or dosing. More than 30 indicators were identified to assess the impact of nursing interventions; however, most of them were indirect assessments.Conclusion: There is scarce evidence regarding the different aspects that must be involved in nursing interventions for patients with a stoma. Moreover, there is no standardization in methods, frequency, or dosing of intervention. It is urgent to define the content, method, and frequency of nursing interventions necessary to promote self-care in patients with a bowel elimination ostomy and to use assessment tools that directly measure stoma self-care competence.
目的:确定护理干预措施、其特点和结果,以促进肠道消除造口术候选人的自我护理。材料和方法:根据乔安娜·布里格斯研究所的建议进行了范围界定审查。为此,于2020年11月9日选择了在科学网、CINAHL和Scopus数据库上以葡萄牙语、英语和西班牙语发表的无时间限制的研究。结果:在2248篇已鉴定的文章中,41篇被纳入本综述。我们确定了20项与造口术患者自我护理相关的护理干预措施;它们中的大多数在内容、方法、频率或剂量方面存在差距。确定了30多项指标来评估护理干预措施的影响;然而,大多数都是间接评估。结论:对于造口患者的护理干预必须涉及的不同方面,缺乏证据。此外,在干预的方法、频率或剂量方面没有标准化。迫切需要确定必要的护理干预的内容、方法和频率,以促进排便消除造口术患者的自我护理,并使用直接衡量造口自我护理能力的评估工具。
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引用次数: 4
Assessment of Sexuality and Frailty in Older Adults Living in Northeast Brazil 生活在巴西东北部的老年人的性行为和虚弱的评估
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.8
Edison Vitório de Souza Júnior, Gabriele da Silva Santos, Suziane de Aguiar Brito, Sterline Therrier, Lais Reis Siqueira, N. Okino Sawada
Objective: to evaluate the experiences of sexuality and its correlation with frailty among older adults.Materials and methods: cross-sectional study carried out with a total of 250 older adults living in the Northeast of Brazil. They answered three instruments to obtain biosociodemographic, sexuality and frailty data. The analysis was performed using Spearman correlation, Mann-Whitney and Kruskal-Wallis test with 95% confidence interval.Results: sexual intercourse was negatively correlated with reduced strength (ρ = -0.263; p < 0.001) and walking speed (ρ = -0.201; p = 0.001) and positively correlated with reported fatigue (ρ = 0.149; p = 0.018). Affective relationships were negatively correlated with reduced strength (ρ = -0.254; p < 0.001) and walking speed (ρ = -0.207; p = 0.001) and positively correlated with reported fatigue (ρ = 0.207; p = 0.001). Finally, physical and social adversities were positively correlated with reduced strength (ρ = 0.279; p < 0.001), reduced walking speed (ρ = 0.261; p < 0.001) and low physical activity (ρ = 0.140; p = 0.034), in addition to being negatively correlated with reported fatigue (ρ = -0.171; p = 0.009).Conclusion: it was found that the sexuality of older adults is better experienced in affective relationships and weak positive and negative correlations between sexuality and frailty.
目的:评价老年人的性体验及其与身体虚弱的关系。材料和方法:对生活在巴西东北部的250名老年人进行了横断面研究。他们回答了三种工具,以获得生物社会人口学、性别和脆弱性数据。分析采用Spearman相关、Mann-Whitney和Kruskal-Wallis检验,置信区间为95%。结果:性交与强度降低呈负相关(ρ = -0.263;P < 0.001)和步行速度(ρ = -0.201;P = 0.001),并与报告的疲劳程度呈正相关(ρ = 0.149;P = 0.018)。情感关系与强度降低呈负相关(ρ = -0.254;P < 0.001)和步行速度(ρ = -0.207;P = 0.001),并与报告的疲劳程度呈正相关(ρ = 0.207;P = 0.001)。最后,生理逆境和社会逆境与强度降低呈正相关(ρ = 0.279;P < 0.001),步行速度降低(ρ = 0.261;P < 0.001)和低体力活动(ρ = 0.140;P = 0.034),除了与报告的疲劳负相关(ρ = -0.171;P = 0.009)。结论:老年人的性行为在情感关系中体验更好,性行为与脆弱之间的正相关和负相关较弱。
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引用次数: 0
Effects of a Healthy Habit Promotion Strategy on Colombian Schoolchildren 促进健康习惯战略对哥伦比亚学童的影响
Q3 Nursing Pub Date : 2021-12-03 DOI: 10.5294/aqui.2021.21.4.7
Angélica María Ospina Romero, Gloria Carvajal Carrascal, Tania Catalina Chinchilla Salcedo, César Augusto Niño Hernández, Paola Sarmiento González, Humberto Mayorga Alvarez
Chronic non-communicable diseases (CNCD) show an increasing tendency, especially in low- and medium-income countries. It is necessary to develop and evaluate strategies to strengthen healthy habits at an early age in these countries. Objective: To determine the effect of the health promotion strategy “United for Healthier Kids” (U4HK) on health lifestyle habits of a group of Colombian schoolchildren for the 2018-2020 period. Materials and methods: This quasi-experimental study features treatment and control groups and pre- and post-intervention measurements. The study involved 1,011 schoolchildren between six and twelve years old from seven rural and urban schools of the Sabana Centro region of Colombia. We used the Healthy Habits Measurement Tool, previously validated in Colombia. Results: When comparing within and between groups, the UHK strategy showed statistically significant differences in healthy habits (p < 0.05) related to nutrition and physical activity in schoolchildren. Conclusions: The U4HK strategy had a positive effect and impact on the schoolchildren’ healthy habits, especially in the ‘chooses to drink water’ and ‘moves more’ components. There were statistically significant differences (p < 0.05) between groups in four out of the five categories: drinks more water, chooses nutritios and varied options, eats and cooks as a family, and moves more. The U4HK strategy responds to current and future health problems in schoolchildren and helps prevent chronic diseases. It could be replicated in similar populations.
慢性非传染性疾病呈上升趋势,特别是在低收入和中等收入国家。有必要在这些国家制定和评估加强早期健康习惯的战略。目的:确定2018-2020年期间,健康促进战略“联合健康儿童”(U4HK)对一组哥伦比亚学童健康生活习惯的影响。材料和方法:这项准实验研究包括治疗组和对照组,以及干预前后的测量。这项研究涉及了来自哥伦比亚萨巴纳中部地区7所农村和城市学校的1011名6至12岁的学生。我们使用了健康习惯测量工具,该工具此前已在哥伦比亚得到验证。结果:在组内和组间比较,UHK策略在小学生营养和体育活动相关的健康习惯方面差异有统计学意义(p < 0.05)。结论:U4HK策略对小学生的健康习惯有积极的影响和作用,特别是在“选择喝水”和“多运动”两个部分。在多喝水、选择营养和多种选择、全家一起吃饭和做饭、多运动这5个方面,两组之间有4个方面的差异有统计学意义(p < 0.05)。“U4HK”策略针对学童目前及未来的健康问题,并协助预防慢性疾病。它可以在相似的人群中复制。
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引用次数: 0
Research in the Nursing Care Group - UniSabana and Aquichan: Track Record and Challenges UniSabana和Aquichan护理团队的研究:记录和挑战
Q3 Nursing Pub Date : 2021-12-03 DOI: 10.5294/aqui.2021.21.4.1
Gloria Carvajal Carrascal
The Nursing Care Group - UniSabana seeks to produce scientific knowledge that, aligned with national and global care and research priorities, favors the understanding of the conditions that adversely affect the population’s health and the development of simple and complex nursing interventions. In the framework of interdisciplinary, international, and intersectoral endeavors, the group aims to transfer this knowledge to base professional practice in multiple settings and transform people’s health care experience for their well-being and quality of life. Aquichan Journal, as a scientific publication, guarantees the quality of its editorial processes to contribute to the visibility of nursing knowledge in the hope that it will be replicated to promote the discipline’s theoretical and research evolution.
UniSabana护理集团致力于创造符合国家和全球护理和研究重点的科学知识,有助于了解对人群健康产生不利影响的情况,并制定简单和复杂的护理干预措施。在跨学科、国际和跨部门努力的框架内,该小组旨在将这些知识转移到多个环境中的专业实践基础上,并改变人们的医疗保健体验,以提高他们的幸福感和生活质量。Aquichan Journal作为一份科学出版物,保证其编辑过程的质量,以提高护理知识的知名度,希望它能被复制,促进该学科的理论和研究发展。
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引用次数: 0
Empirical Indicators: Conceptual and Theoretical Origins 经验指标:概念和理论渊源
Q3 Nursing Pub Date : 2021-12-03 DOI: 10.5294/aqui.2021.21.4.4
J. Fawcett
This paper discusses the connections between nursing conceptual model concepts, middle-range theory, and situation-specific theory concepts, as well as between the theory concepts and how they are measured, that is, empirical indicators. Three types of empirical indicators are described—instruments, assessment tools, and interventions—and an example of each type is given. The paper’s central thesis is that a conceptual model concept is —or should be— the starting point for selecting or constructing an empirical indicator.
本文讨论了护理概念模型概念、中程理论和情境理论概念之间的联系,以及这些理论概念与如何衡量它们(即经验指标)之间的联系。描述了三种类型的经验指标——工具、评估工具和干预措施——并给出了每种类型的例子。这篇论文的中心论点是,概念模型概念是——或者应该是——选择或构建经验指标的起点。
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引用次数: 3
Developing Mid-Range Theories for the Maturation of Nursing Care in Colombia 发展哥伦比亚护理成熟的中期理论
Q3 Nursing Pub Date : 2021-12-03 DOI: 10.5294/aqui.2021.21.4.6
J. Morse
Nursing theory has evolved since the 1960s, from conceptual models to concept analysis to mid-range theories. Mid-range theories are developed primarily for qualitative research, to target patient problems, to respond to patient needs, to identify interventions and the changing patterns of patient care. These mid-range theories cluster in various patterns to provide valid, coherent, and significant interventions. Examples of programs that have dramatically impacted our understanding of nursing and patient care are presented. Thus, by developing and implementing the findings of mid-range theories, nursing care matures, and the standards advance.
护理理论自20世纪60年代以来一直在发展,从概念模型到概念分析再到中档理论。中期理论主要用于定性研究,针对患者问题,回应患者需求,确定干预措施和不断变化的患者护理模式。这些中档理论以各种模式聚集在一起,以提供有效、连贯和重要的干预措施。列举了对我们对护理和患者护理的理解产生重大影响的项目示例。因此,通过发展和实施中等理论的发现,护理成熟了,标准也提高了。
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引用次数: 0
Contributions of Systematic Reviews and Meta-analyses to Nursing Education, Research, and Practice 系统综述和元分析对护理教育、研究和实践的贡献
Q3 Nursing Pub Date : 2021-12-03 DOI: 10.5294/aqui.2021.21.4.3
Wilson Cañón-Montañez
Systematic reviews and meta-analyses are helpful methodological alternatives that combine, discuss, and assess the quality of the best available evidence through adequate and exhaustive searches of the literature. In the last decade, there has been an increase in systematic reviews and meta-analyses in nursing research. This article intends to reflect on the contributions of systematic reviews and meta-analyses to nursing education, research, and practice. Synthesizing the evidence through high-quality systematic reviews and meta-analyses adds to the disciplinary development of nursing; therefore, students and professionals in the field should be encouraged to employ these methodological tools in education and research and implement the results of these methods in clinical practice for making better decisions regarding the individual needs of patients.
系统综述和荟萃分析是有用的方法选择,通过充分和详尽的文献检索,结合、讨论和评估最佳可用证据的质量。在过去的十年中,护理研究中的系统综述和荟萃分析有所增加。本文旨在反思系统综述和荟萃分析对护理教育、研究和实践的贡献。通过高质量的系统评价和荟萃分析综合证据有助于护理学科的发展;因此,应鼓励该领域的学生和专业人员在教育和研究中使用这些方法工具,并将这些方法的结果应用于临床实践,以便针对患者的个人需求做出更好的决策。
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引用次数: 0
Nursing Theory Makes a Practice Turn in the 21st Century 21世纪护理理论的实践转向
Q3 Nursing Pub Date : 2021-12-03 DOI: 10.5294/aqui.2021.21.4.2
Callista Roy
The author assumes that practice became prominent in nursing theory in the first two decades of the 21st century. The end of the last century saw a burgeoning of literature on what is known as grand theories, their implementation, and evaluation. The era of healthcare quality research began when the Institute of Medicine issued a report on building a safer health system. At this time, the 21st-century literature in nursing took a distinct turn toward practice, influencing nursing theory. The movement to individualize care acted to further this influence. The nurse and patient relationship is the source of data for knowledge development. Established research approaches such as grounded theory and new approaches such as story theory were being used to create nursing theory from practice. Grand theory work moved to the development of instruments to measure the effects of theory in practice, such as that of Watson and Roy. The middle-range theories were developed and seen as closer to and easier to use in practice. The evidence-based practice movement also contributed to the role of theory in practice. These knowledge developments led to nurses having expanded roles in nursing.
作者认为实践在21世纪的前二十年在护理理论中变得突出。上世纪末,关于大理论、其实施和评估的文献蓬勃发展。医疗质量研究的时代始于医学研究所发布的一份关于建立更安全的卫生系统的报告。此时,21世纪的护理文献发生了明显的实践转向,影响了护理理论。个性化护理运动进一步推动了这种影响。护患关系是知识发展的数据来源。运用扎根理论等已有的研究方法和故事理论等新方法,从实践中创造护理理论。伟大的理论工作转向了测量理论在实践中效果的仪器的发展,比如Watson和Roy的仪器。中程理论得到了发展,并被视为更接近实践,更容易在实践中使用。循证实践运动也促进了理论在实践中的作用。这些知识的发展使护士在护理中的作用得到了扩大。
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引用次数: 1
Self-inflicted injuries among adolescents: Prevalence and associated factors, Espírito Santo, Brazil 青少年自我伤害:患病率和相关因素,Espírito Santo,巴西
Q3 Nursing Pub Date : 2021-09-30 DOI: 10.5294/AQUI.2021.21.3.3
Mayara Alves Luis, N. J. Monroy, L. G. Godoi, F. Leite
Objetivo: identificar la prevalencia de lesiones autoprovocadas notificadas entre adolescentes en Espirito Santo, Brasil, y analizar los factores asociados.Materiales y metodos: estudio analitico de tipo transversal, a partir de datos notificados de violencia autoprovocada entre adolescentes en Espirito Santo registrados en el Sistema de Informacion de Problemas de Salud y Notificacion entre 2011 y 2018. En los analisis bivariados se consideraron las pruebas de chi-cuadrado (χ²) y exacta de Fisher. El analisis multivariado adopto el modelo log-binomial, y los resultados del ajuste se presentaron a partir de la razon de prevalencia.Resultados: la prevalencia de lesiones autoprovocadas notificadas fue del 33 % y, de este total, el 79,8 % ocurrio entre adolescentes del genero femenino. La prevalencia fue mayor en adolescentes de 13 a 17 anos (sexo femenino) y de 18 y 19 anos (sexo masculino), y entre aquellos con alguna discapacidad o trastorno. Se encontraron valores de prevalencia mas elevados en la vivienda y en alojamiento compartido, y entre aquellos que no consumieron alcohol en el evento en cuestion. En el sexo femenino, tambien se registro una asociacion con el area urbana (p < 0,05).Conclusiones: se percibe la elevada prevalencia de lesiones autoprovocadas notificadas entre los adolescentes en Espirito Santo y los factores asociados a este fenomeno. Se evidencia la importancia de adoptar medidas de promocion, prevencion y recuperacion del problema.
摘要目的:探讨巴西圣埃斯皮里托青少年自残的发生率,并分析相关因素。材料和方法:横断面分析研究,基于2011年至2018年在健康问题信息系统和报告中记录的圣埃斯皮里托青少年自我引发暴力的报告数据。本研究的目的是评估一项随机对照试验(rct)的结果,该试验评估了一项随机对照试验(rct)的结果,该试验的目的是评估一项随机对照试验(rct)的结果。采用对数二项模型进行多变量分析,并根据流行率提出调整结果。结果:自残发生率为33%,其中79.8%发生在女性青少年中。在13 - 17岁的青少年(女性)和18 - 19岁的青少年(男性)以及有残疾或障碍的青少年中患病率较高。在住房和合租住房中,以及在事件中不饮酒的人群中,患病率较高。在女性中,也记录了与城市地区的关联(p < 0.05)。结论:在圣埃斯皮里托的青少年中,自残的发生率很高,与此现象相关的因素也很高。它强调了采取促进、预防和恢复措施的重要性。
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引用次数: 1
Meaning of Breast Cancer in Women’s Discourse 乳腺癌在女性话语中的意义
Q3 Nursing Pub Date : 2021-09-30 DOI: 10.5294/aqui.2021.21.3.8
Gabrielle de Souza, Luciana Martins da Rosa, María Angélica Arzuaga-Salazar, Vera Radünz, Maristela Jeci dos Santos, Y. Rangel-Flores
Objective: To reveal the meaning of breast cancer.Materials and method: A narrative research study that selected, using the snowball technique, 11 women (data saturation) diagnosed with breast cancer, on disease remission, and living in the region of Florianópolis (Brazil). Semi-structured interviews were conducted between August and December 2018, and they were subjected to the Collective Subject Discourse technique. Four central ideas emerged from the analysis of the narratives; this article presents the central ideal called “Meaning of the breast cancer diagnosis”, which has eight sense categories.Results: The central idea covers the following categories: “Suffering when facing the diagnosis”, “Fear of the disease and of death”, “Professional inability for bad news”, “Initiatives to streamline treatment”, “Concern and affection with the family members as a driving force to face cancer”, “Difficulties with the family members”, “Support from the family members, from the professionals and/or from the support group”, and “Faith and spirituality”.Conclusions: The discourse reveals that the meaning of the disease diagnosis is linked to the need for treatment, to the support provided by faith, family members, the health team, and support groups, and to the difficulties faced with family members and professionals. These results should imply the provision of specific Nursing care from the diagnostic phase until after cancer remission/survival.
目的:揭示乳腺癌的意义。材料和方法:一项叙述性研究,使用滚雪球技术,选择了11名被诊断患有乳腺癌,疾病缓解的妇女(数据饱和),并居住在Florianópolis地区(巴西)。半结构化访谈于2018年8月至12月进行,并采用集体主体话语技术。从对叙事的分析中产生了四个中心思想;本文提出了“乳腺癌诊断意义”的中心理念,分为八个意义范畴。结果:中心思想包括以下几类:“面对诊断时的痛苦”、“对疾病和死亡的恐惧”、“对坏消息的专业无能”、“简化治疗的举措”、“对家庭成员的关心和感情是面对癌症的动力”、“与家庭成员的困难”、“来自家庭成员、专业人员和/或支持小组的支持”、以及“信仰和精神”。结论:论述表明,疾病诊断的意义与治疗需求、信仰、家庭成员、卫生团队和支持团体提供的支持以及家庭成员和专业人员面临的困难有关。这些结果应该意味着从诊断阶段到癌症缓解/生存后提供特定的护理。
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引用次数: 0
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Aquichan
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